The non-pharmacological intervention

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The non-pharmacological intervention

This calls for both pharmacological and non-pharmacological interventions. The non-pharmacological intervention shall be cognitive behavioral therapy. This shall be a group-based therapy. In a cluster randomized control trial, it was concluded that individual -based cognitive behavioral therapy is an effective intervention in the treatment of depression in adolescents. This therapy was said to be effective in managing the symptoms associated with depression in adolescents (Idsoe, Keles, Olseth & Ogden, 2019). As such, this should be prioritized and optimized in this withdrawn adolescent. Secondly, the child can also be started on antidepressants, but this is a decision that should not be made fast. It is of great importance to first evaluate the client after sessions of individual-based cognitive behavioral therapy. It is actually expected that after the appropriate number of sessions, the boy will have a better mood. He will stop being withdrawn and his self-esteem shall increase. The therapy should also help to being active in different activities like his peers.

Antidepressants are supposed to be avoided in this case because they increase the risk of suicide in adolescents. In a black box warning by the FDA, antidepressants should be considered as drugs that increase the risk of suicide in both children and adolescents, especially at the beginning of therapy or when there is need to change the drugs (Moreland, Bonin, Brent & Solomon, 2014). Therefore, it is important to avoid antidepressants now. The non-pharmacological intervention is expected to have better outcomes.

References

Idsoe, T., Keles, S., Olseth, A. R., & Ogden, T. (2019). Cognitive behavioral treatment for depressed adolescents: results from a cluster randomized controlled trial of a group course. BMC psychiatry, 19(1), 155

Moreland, C. S., Bonin, L., Brent, D., & Solomon, D. (2014). Effect of antidepressants on suicide risk in children and adolescents. Up To Date [on-line database]

Sibiya, M. N. (2018). Effective Communication in Nursing. Nursing, 19. Retrieved from https://www.intechopen.com/books/nursing/effective-communication-in-nursing

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