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Depressive and bipolar disorders in children and young people

What is it?

A depressive disorder is when a person has low mood, less interest or enjoyment in activities and other symptoms that have lasted for at least two weeks. In children, they may become more irritable and have temper outbursts (referred to as disruptive mood dysregulation disorder) which can be confused for a paediatric bipolar disorder presentation.

A bipolar disorder is when a person has a manic or hypomanic episode. Mania or hypomania includes the person feeling very happy and positive (more than a normal level) or irritable and being lots more active and energetic for at least a week. They may also have a depressive episode.

  • Depressive disorders

  • Disruptive Emotional Dysregulation Disorder

    Severe verbal and behavioural temper outbursts happening for at least 12 months.

  • Major Depressive Episode

    Low mood (or irritability) and/or not wanting to go out or enjoying it when they do. This lasts for at least two weeks.

  • Persistent Depressive Episode (Dysthymia)

    Low mood most of the day for more than one year.

  • Premenstrual Dysphoric Disorder

    Changes in mood, irritability and other symptoms in the week before a period starts and getting better a few days after the period begins.

  • Bipolar disorders

  • Bipolar I Disorder

    Presence of manic episode (7+ days) with or without hypomanic or major depressive episodes.

  • Bipolar II Disorder

    The person has hypomanic episodes (which last for four or more days) and has or has had major depressive episodes.

  • Cyclothymic Disorder

    Chronic up and down moods for at least a year in children that may be severe enough to be classed as a depressive or hypomanic episode.

What will my GP do now?

Your GP may refer your child for treatment. Mild to moderate depressive disorders can be treated effectively with early intervention . A referral does not mean that your child is seriously mentally unwell. If it is possible that your child may be diagnosied with bipolar, your GP may refer you to a specialist for an assessment and treatment.

Your GP may also:

  • Refer you to a counselling service so your child can learn how to manage the depression
  • Refer you to a family service to provide family support
  • Refer you to a specialist service if the depression is severe or if your child might need medication

What questions could I ask my doctor?

  • What can I do to help my child now?
  • What can I do to help my child over time?
  • When should I make another appointment?
  • How quickly can I expect results?
  • What happens if my child gets worse?

What supports are available?

    Public health and other free services

  • Infant, Child and Adolescent Mental Health Service (ICAMHS)

    The Infant, Child and Adolescent Mental Health Service provides specialist treatment for children and young people up to 18 years of age. Talk to your GP about this service or call ICAMHS.

  • Primary and Community Health - Psychology

    The Primary and Community Health Psychology service provides free psychological assessment and treatment for children aged 0-12 and their carers. Ask your GP to refer you.

  • Youth Health Services

    The SWSLHD Youth Health Service provides free counselling to youth aged 12-21 years. Contact one of their centres and ask to speak to their intake worker.

  • headspace

    headspace provides bulk-billed counselling services for young people aged 12-25

    1800 650 890 Go to website
  • SWSPHN Mental Health Services for Children and Youth

    South Western Sydney PHN Mental Health Services provide two services to improve access to mental health services for children and young people.

    • Star4kids is for children aged 3-12 years
    • You In Mind is for young people over the age of 12 years

    Both services include criteria to be met and a GP referral. Speak to your GP about this service and whether a referral would be bene­ficial.

  • Private options

  • Private Options for Child and Youth Mental Health

    There are many private specialist and allied health providers that can treat mental health concerns in children and youth. Speak to your GP about rebates for treatment.

  • Raising Children Network: Raising Healthy Minds App

    Raising Healthy Minds is a free app you can tailor to your child, family and interests. It answers your questions about child wellbeing and shares practical tips for your day-to-day family life.

  • Head To Health

    Head to Health offers a safe and welcoming place for people to access mental health information, services and supports from multidisciplinary care teams over extended hours. Anyone can reach out for support for themselves or a loved one. It is free and no appointment or referral is needed.

Where can I learn more?

  • Bullying No Way

    Information for children and parents

    Go to website
  • Kids Helpline

    Information for kids and their parents

    Go to website
  • Raising Children Network

    Free, reliable, up-to-date and independent information to help your family grow and thrive together. 

  • Recovery Point

    Web and mobile app providing mental health information specific to South Western Sydney, including resources and local service details.

    Go to website

Important: This information is to be viewed by someone who has received a diagnosis from their doctor. It is not designed to be used to diagnose a condition or as a substitute for ongoing medical care.

Health Resource Directory factsheets are endorsed by South Western Sydney PHN’s Community Advisory Committee and local GPs

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