There is a relationship between melatonin, which is produced by the brain during sleep, and the neurotransmitter, serotonin, which has been shown to be low in people suffering from depression. Although pre-teens need around the same sleep time as adults, teens may need up to 9.5 hrs. The thing is, many teens are naturally predisposed to, or habitually prefer to stay up late, and get up late, but societal, and school demands are such as to often preclude this. Some schools are changing their timetables to accomodate this, but they are, so far, few, and far between. Get bright light on awakening, preferably for 2 hrs, but at least 30 mns, to reset your circadian rhythm. It's also a good idea to get bright light again in the evening, so you cover a daily span of 14 hrs; say 7 - 7.30 AM and 7.30 - 9 PM, then reduce light levels to simulate approaching darkness, in preparation for sleep. Depression impairs cognitive functioning, and can cause insomnia, which is addressed on pages 1, and O, at http://your-mental-health.8m.com/blank_25.html Take the depression quiz at http://www.blackdoginstitute.org.au and print the result. Take to a doctor, for tests. I advise against the use of antidepressants for those less than around 24 -25, due to their increased risk of suicide, homicide, or aberrant behaviour. Many of those who use antidepressants report feeling loss of emotions, and/or a feeling of being "zombified". The rate of side effects is around 25% - 30%, and something that they don't tell people is that these can include, rarely, permanent sexual dysfunction, inorgasmia (inability to climax) and involving, in males, the total inability to attain an erection. I believe that it is wise not to take such risks unnecessarily, without at least first trying the alternatives. If antidepressants are offered, say "thank you very much, doctor", and pocket the prescription, but don't fill it until giving the alternative treatments a good tryout. Antidepressants will still be available, if required, (unlikely) but it's best to avoid the risks, and side effects, if at all possible. I only recommend their use as a treatment of first choice in exceptional circumstances. Check out: http://articles.mercola.com/sites/articl… and related articles and http://suiciderateup.wordpress.com Most doctors, are only taught: "antidepressants, therapy, and if resistant, ECT", and both they, and psychiatrists (who are too busy to pass on their knowledge of other treatments, if they are aware of such) may be receiving rewards, or inducements/freebies from pharmaceutical companies, to prescribe their brands.
View http://articles.mercola.com/sites/articl… and http://articles.mercola.com/sites/articl… See pages 3, and b, at 8m.com, for effective, non medication based depression treatments. Try them for 3 - 6 months, to see if they are sufficient. If not (which is unlikely) the core treatments should still be maintained, as neither antidepressants, nor St. John's Wort, or supplements should be relied on as the sole treatment for depression. Always check out medications first at www.drugs.com & www.rxlist.com & http://iguard.org and read any inserts, or labels. Be on the alert for any of the abovementioned effects. I suggest that you use the many teen resources on page 2, at 8m.com. Most people these days are deficient in vitamins, minerals, and/or Omega 3 fatty acids, so a sensible approach is to test for, and address any which are found, because they may well be the cause, or exacerbating the depression. Note that St. John's Wort usually takes 2 - 6 weeks to start reaching maximum effectiveness, and there are things you need to know about it, so don't just pick up the first one you see in a supermarket and expect instant results. Check out the information provided, particularly the SJW & HYPERICUM websites, and choose an EFFECTIVE brand! Perika, Jarsin, or Kira are recommended. See http://wiki.answers.com/Q/Can_you_take_St_Johns_Wort_and_5-HTP_at_the_same_time Google: "St. John's Wort; 5-htp" Teens tend to want things: "right here; right now" and 5-htp acts quicker, but use a maximum daily dosage of 50 mg. Read: When Nothing Matters Anymore: A Survival Guide for Depressed Teens by Bev Cobain R.N. C., & Beyond the Blues: A Workbook to Help Teens Overcome Depression by Lisa M. Schab, & Understanding Teenage Depression: A Guide to Diagnosis, Treatment, and Management by Dr. Maureen Empfield and Nicholas Bakalar, & A Relentless Hope: Surviving the Storm of Teen Depression by Gary E. Nelson, "Mom, I Hate My Life!": Becoming Your Daughter's Ally Through the Emotional Ups and Downs of Adolescence (A Hand-in-Hand Book) by Sharon A. Hersh, from your bookstore, or more media is at Amazon.com searchbar: teenage depression. Girls could benefit by maintaining a daily journal, and mood chart, (rating out of 10) and seeing if they can correlate it with their menstrual cycle.