- Diagnostic Folders -

Depression & Bipolar

The Anxiety and Depression Association of America states that major depression is characterized by having at least five nine common symptoms. One of the symptoms must be either an overwhelming feeling of sadness or a loss of interest and pleasure in most usual activities.

The other symptoms that are associated with major depression include a decrease or increase in:

The information below is provided to guide medical providers in treatment as well as to provide information/resources to parents and youth regarding depression and bipolar.

  • Ask Suicide-Screening Questions (ASQ)
    English | Spanish
    The ASQ toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help nurses or physicians successfully identify youth at risk for suicide. Ages: 10-24
  • Columbia-Suicide Severity Rating Scale (C-SSRS)
    The C-SSRS is designed for professionals to assess suicide risk, with several versions tailored to varied settings or populations.
  • The Patient Health Questionnaire (PHQ-9)
    English | Spanish
    PHQ-9 is a self-administered diagnostic instrument used to assess at-risk populations for the presence and severity of depression. This nine-item scale was designed using the nine diagnostic criteria in the DSM.
    Ages: 12 and over • Time: 5 minutes
  • Patient Health Questionnaire Modified for Adolescents (PHQ-A)
    English | Spanish
    PHQ-A is a self-administered instrument used to screen for depression in adolescents.
    Ages: 11-17 • Time: 5 minutes
  • Short Mood and Feelings Questionnaire (SMFQ-short)
    English | Spanish
    Ages: 6-18

Evidence-Based Treatments for Major Depressive Disorder in Adolescents

Popular Psychosocial Treatments:

Psychotherapy, specifically, cognitive behavioral therapy (CBT), is an evidenced based, treatment of depression. CBT focuses on three components. These components are cognitive (e.g., cognitive distortions, behavioral (e.g., withdrawing) and physiologic (e.g., what the body responds like to the thoughts, including somatic symptoms). The University of Washington’s Harborview Medical Center shares several CBT therapist resources that can be used by clients and/or healthcare professionals.

  • CBT
  • CBT and medication
  • CBT with parents
  • Family therapy

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management

Therapist Aid is a great resource to find CBT tools.

Evidence-Based Treatments for Bipolar Disorder

Read the viewing instructions to learn how to earn CME credit. Recordings are listed in alphabetical order.

  • Child and Adolescent Depression
    October 20, 2021
    Slides | Video
  • Disruptive Mood Dysregulation Disorder & Childhood Bipolar Disorder
    May 7, 2020
    Slides | Video
  • Major Depressive Disorder
    April 2, 2020
    Slides | Video
  • Persistent Depressive Disorder
    April 16, 2020
    Slides | Video

Depression:

Bipolar Disorder:

Depression:

Bipolar Disorder:

Depression:

Bipolar Disorder:

  • iMoodJournal: Daily mood tracking
  • Breathe2Relax: Guided deep breathing
  • eMoods: This app was designed for people with bipolar disorder to capture daily highs, lows, symptoms, etc., to track mood changes and see monthly reports, identify triggers, and improve care.
  • Medisafe: Medication tracking/reminders.

Depression:

Bipolar Disorder:

Depression:

Bipolar Disorder:

Depression:

Bipolar Disorder:

Depression:

Bipolar Disorder:

Consult Line: (888) 522-9654

The North Dakota Pediatric Mental Health Care Access Line connects Primary Care Providers with a Child and Adolescent Psychiatrist for consultation during daytime business hours.