What is a common presentation of depression in children?

Behavioral irritability and withdrawal are indeed common presentations of depression in children. Unlike adults, who may primarily exhibit feelings of sadness, children often express their depression through irritability and changes in their behavior. This may manifest as mood swings, frequent crying spells, or outbursts of anger, and they may withdraw from social interactions and activities they previously enjoyed.

Additionally, children with depression might show a lack of interest in playing with peers or engaging in family activities, which is a significant change from their normal behavior. This withdrawal can lead to isolation and a decreased ability to connect with others, further exacerbating their feelings of sadness and hopelessness.

In contrast, increased energy and playfulness or heightened interest in social interactions would not typically align with depressive symptoms, as these reflect behaviors associated with enthusiasm and engagement that are contrary to what is observed in depressive states. Similarly, enhanced academic performance does not correlate with depression; in fact, children with depression often experience difficulties with concentration, which can lead to declining performance in school.