Things You Learn in Therapy

Ep 148: Depression In Kids, Decoded


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Sharing another one of my favorite episodes from Kids These Days...

Depression in kids doesn’t always look like sadness. Often it shows up as irritability, anger, “I don’t care,” and a slow fade from hobbies, friends, and motivation. In this candid, practical conversation, Dr. Beth Tremell walks through the clearest signs of youth depression, how they differ from adult patterns, and the simple phrases parents can use to open a safe, direct conversation—without making things worse.

We unpack real-world red flags like drastic sleep shifts, appetite changes, chronic fatigue, harsh self-talk, and school or friendship struggles. You’ll hear calm, evidence-aligned ways to ask about suicidal thoughts—questions like “Do you want to die or stop hurting?”—and why bringing this up reduces isolation rather than creating risk. Dr. Beth shares how to respond when a child says “maybe I should just die,” how to stay steady in the moment, and what details matter for getting the right level of help.

Support is both emotional and practical: being physically present to counter the “island” of depression, setting gentle routines, and connecting with professionals. We outline when to call the pediatrician, how to find a therapist, and why school-based services—counselors, social workers, school psychologists—can be vital when community waitlists are long. Throughout, you’ll get clear, compassionate guidance for gauging severity by impact on grades, friendships, and daily life, plus small steps that build momentum back.

If you’re a parent, caregiver, or educator trying to tell the difference between a rough week and something deeper, this conversation gives you language, structure, and next steps. Listen, share with someone who needs it, and subscribe for more practical mental health guidance. If there’s a topic you want us to cover next, reach out and let us know.

This podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcast

If you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.

If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6

Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at [email protected]


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Things You Learn in TherapyBy Beth Trammell PhD, HSPP

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