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Factsheet: Children's Depression Checklist

"mpower" is Mental Health America's web site especially for teens and young adults

Click here to access the "mpower" web site.

The following checklist will help you assess and document your child's feelings and behavior. This information will provide your physician or therapist with a fairly good picture of your child's emotional state.

Instructions: Be as objective and thorough as possible. Use additional paper if you need more space to share your observations or give examples.

Signs of Possible Depression
(Check all that apply)
(How long, how often, give examples)

Feelings. Does your child express the following

• Sadness 
• Emptiness 
• Hopelessness 
• Guilt 
• Worthlessness 
• Not enjoying everyday pleasures 

Thinking. Is your child having difficulty:

• Concentrating 
• Making decisions 
• Completing school work 
• Maintaining grades 

Physical Problems. Does your child complain of:

• Headaches 
• Stomachaches 
• Joint or backaches 
• Lack of energy 
• Sleeping problems 
• Weight or appetite changes (gain or loss) 

Behavioral Problems. Is your child:

• Restless 
• Irritable 
• Not wanting to go to school 
• Wanting to be alone most of the time 
• Having difficulty getting along with others 
• Cutting classes or skipping school 
• Dropping out of sports, hobbies or activities 
• Drinking or using drugs 

Suicide Risk. Does your child talk or think about:

• Suicide 
• Death 
• Other morbid subjects 

For More Information:

For help finding treatment, support groups, medication information, help paying for your medications, your local Mental Health America affiliate, and other mental health-related services in your community, please contact us.

If you or someone you know is in crisis now, seek help immediately. Call 1-800-273-TALK (8255) to reach a 24 hour crisis center or dial 911 for immediate assistance.

Page last updated: 3/6/2009

Contact Us

Laura Stahl
P.O. Box 51
Seymour, IN 47274
Phone: (812) 522-3480
Fax: (812) 524-8176