In order to accurately diagnosis you or your child's Mood Disorder or ADHD, etc., I would like to suggest that you make an appointment with your Primary Care Physician to discuss possible contributing medical conditions, such as:
- Blood sugar imbalance, hypoglycemia, diabetes
- Anemia
- Thyroid imbalance
- Hypertension
- Ferritin (Iron stores), B12, B6, folic acid
- Vitamin D, RBC zinc, copper, and magnesium
- Neurotoxin exposure (e.g. lead poisoning, mercury other heavy metals)
- Infections (e.g., encephalitis)
- Use of medication (bronchodilators, isoniazid, alkathisia from neuroleptics)
- Medication side effects, interactions
- Viruses
- Complete blood count, basic metabolic panel to rule out anemia and to assess general nutritional status
- Sleep disturbance
| When evaluating a child for possible depression, consider: | |
| CBC | rule out anemia |
| Electrolytes | electrolyte abnormalities |
| Creatinine/BUN | renal dysfunction |
| LFTs | rule out hepatitis and drug effects |
| TFTs | rule out thyroid disease |
| EKG | as a baseline if pharmacotherapy with a tricyclic antidepressant is being considered |
| EEG | rule out seizure disorder |
Depression also may occur with other serious medical illnesses such as heart disease, stroke, cancer, HIV/AIDS, diabetes, and Parkinson's disease. People who have depression along with another medical illness tend to have more severe symptoms of both depression and the medical illness, more difficulty adapting to their medical condition, and more medical costs than those who do not have co-existing depression.7 Treating the depression can also help improve the outcome of treating the co-occurring illness.8
http://www.nimh.nih.gov/health/publications/depression/complete-index.shtml
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