My advice would be: don't conclude that it's depression until you've talked to your doctor to rule out any potential medical issues that could be affecting her energy level.

My kids both turned out to have celiac disease (which tends to be accompanied by low energy, fatigue, anemia, low vitamin D, depression, anxiety ...). It took a while to identify that as a factor, because the psychologists/psychiatrists were focusing on the anxiety and depression and viewing the accompanying physical symptoms (headaches, stomach aches, other vague aches and pains) as somatization.

(Edited to fix pre-coffee grammar.)

Last edited by SFParent2015; 06/12/18 03:43 PM.