Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Depression Health Center

Font Size

Childhood Depression Clues Found in Play

How Preschoolers Play Can Indicate the State of Their Emotional Health


Some say that Luby's study provides the latest pieces to solving the puzzle of diagnosing and treating depression in patients under age 6, on whom antidepressant medications haven't been tested and are rarely administered.

"This is a very helpful finding because we need to learn more about how to diagnose and treat depression in younger children," says psychiatrist David Fassler, MD, of the University of Vermont College of Medicine and author of Help Me, I'm Sad, a book about childhood depression. "The real message for parents is that depression in children this young is very real. When we identify and diagnose depression in school-aged children and go backwards, we often find there were signs and symptoms at a much earlier age, even in preschool."

With early diagnosis, childhood depression can be more effectively treated -- which for preschool-aged kids often involves individual and family counseling as well as "play therapy," in which the child is encouraged to draw or act out feelings of despair.

What causes childhood depression to occur? It may be a family tradition, says Luby. "Most studies indicate that depression runs in families, but it's not clear whether it's primarily caused by genetics or environment."

But others believe that childhood depression is extremely rare in a typical nurturing and functioning family and can usually be traced to a specific cause.

"The type of depression that seems to come out of nowhere usually doesn't kick in until about age 8 or 9," says Glen R. Elliott, MD, PhD, director of the Children's Center at Langley Porter Psychiatric Institute at the University of California, San Francisco. "In children this young, there is usually a significant disruption in the child's environment -- a divorce, the death of a parent, moving to a new location, or something like that. If not, we typically look to see if the child has been neglected or abused."

When preschoolers suffer a family death, divorce, or other situational trauma, they should be expected to display depressive symptoms. But these symptoms usually resolve after several weeks.

"You may need some help helping your child adjust -- and play can be very useful," Elliott tells WebMD. "Letting kids draw what happened and then thinking about other possible endings may be helpful. For instance, after the earthquakes here in which some children lost their families, that therapy was used and proved to be very beneficial. But if you see a sudden change in a preschooler's behavior or overall involvement in play or other activities that cannot be explained, it may be something to worry about."

1 | 2

Today on WebMD

Differences between feeling depressed and feeling blue.
jk rowling
Famous people who've struggled with persistent sadness.
depressed man sitting on hallway floor
Learn the truth about this serious illness.
Sad woman looking out of the window
Tips to stay the treatment course.
unhappy teen boy
Health Check
jk rowling
Pills with smiley faces
Teen girl huddled outside house
Depressed man sitting in hospital hallway
antidepressants slideshow
pill bottle
Winding path