NASP Communiqué, Vol. 35, #3
Depression: Helping Students
in the Classroom
By Thomas Huberty, PhD, NCSP
Michael is a 14-year-old boy in the eighth grade from an intact, professional family. He has a 16-year-old
brother and a 10-year-old sister who do very well in school and demonstrate no problems. Michael is considered
to be very bright, as shown by past grades and achievement test scores. Over the past few months,
however, teachers have reported that Michael will not complete his homework or may complete it and
not turn it in. He has a history of inconsistent performance over the past 2–3 years, which seems to have
worsened these past few months. In the classroom he sits in the back, does not participate, doodles on his
papers, and shows little interest in the activities. He is not disruptive or attention seeking and seems to want
to avoid interacting with others. When asked why he is not doing his work, he says that, "I don’t know," "I
don’t care," "It’s not important," or "No one cares, anyway." Other students view him as "odd" and a "geek,"
and report that they do not want to be around him. Over time, he becomes more socially isolated. Now, he
has only one or two friends who are not part of the social mainstream. He does show occasional irritability
or anger when pushed, but he is not aggressive or overtly noncompliant. Most of the teachers describe him
as "lazy" and "unmotivated" and show little interest in trying to help him.
Michael’s story is based on a real student and reflects characteristics of some children who are depressed.
These behaviors are not unique to depression, and some students with depression may have
some different characteristics. Teachers often have depressed students in their classrooms, and they have
difflculty recognizing them or knowing what to do to increase performance. These students often are seen
as lazy and they do not respond to typical methods of discipline, including suspensions, penalties, or encouragements.
Most depressed children are not being deliberately deflant and uncooperative, but cannot muster the
personal resources to perform as well as they are able. They may think in non-productive ways, such as, "I
did poorly on a test because I am a stupid person," rather than, "I did poorly because I did not study hard
enough" or in all-or-none, "I am terrible at everything," rather than, "I am good at some things and not as
good at other things." Working with depressed children and adolescents requires that educators know about
depression, its characteristics and effects on school performance, and what can be done to help these students
in the classroom.
Depression in the classroom. Depression is a term we are hearing more often regarding children and
adolescents. For many years, it was believed that young people could not experience depression, but we
now know that they can and do become depressed, sometimes to a serious level. With sufflcient information,
teachers can detect depression and are in a good position to identify it and seek help for the student.
In the classroom, depressed students may appear unmotivated and uncaring about their work when, in fact,
they are unable to function to their level of ability. Often, they have difflculty with sustaining attention, effort,
performance, and social relationships. Coaxing, cajoling, punishment, and reinforcement typically have little
effect on behavior and achievement.
Left untreated, depression can lead to continued academic and social problems, substance abuse,
social alienation, risk-taking behavior, and suicidal thinking and behavior, perhaps into adulthood. Although
students with depression may need counseling and therapy, teachers, school psychologists, counselors,
and administrators in collaboration with parents can do much to help them in the classroom by knowing
what to look for and learning how to be helpful.
Prevalence. Depression is one of the most common, but unrecognized, conditions of childhood and
adolescence, and often is mistaken as a motivation or behavior problem. It is estimated that 8–10% of students
experience depression serious enough to require intervention, and up to 20% of all adults may have
a depressive disorder at some time in their lives. Adolescent girls and women are twice as likely to develop
depression as are adolescent boys and men. However, there is no difference in frequency of depression
between pre-adolescent girls and boys. A teacher in a middle school or high school may have as many as 3
students in a class of 30 who have mild to serious depression, with most of them likely to be girls.
Symptoms of Depression
Depression is not the same as the occasional adolescent mood swings or feelings of frustration and
anger that accompany daily hassles, such as arguments with friends or complaints about school. Those
events usually do not last long and do not affect social and school performance. Depression, on the other
hand, is a constant mood of feeling down, blue, sad, or down in the dumps that impairs the ability to function.
Moreover, the student does not seem to be able to do much to change the mood and does not respond
to suggestions to snap out of it.
No two people with depression show it in the same way. Different circumstances and problems cause or
contribute to it. However, there are some behaviors that may be signs of depression:
- Depressed mood for more than 2 weeks
- Loss of interest or pleasure in almost all activities
- Irritability or anger
- Changes in appetite or weight (weight loss not due to dieting or exercise)
- Sleeping too much or too little (sometimes, people seek help for sleeping problems that turn out to be
signs of depression)
- Decreased energy or physical activity; even small tasks seem overwhelming and require too much effort (e.g.,
students may complete homework at a level less than they can do and/or may not turn in completed work)
- Feelings of worthlessness, guilt, and low self-esteem
- Difflculty thinking, concentrating, or remembering
- Difflculty getting necessary things done, such as homework
- Difflculty making decisions, often unable to make relatively minor decisions
- Negative thoughts about self, the world, or the future
- Repeated thoughts of suicide, including planning or attempting
- Tired and listless
- Feeling blah and seeming to have no feelings at all (i.e., feeling empty)
- Reports "Not caring about anything"
- Increased or decreased appetite
- Interpret minor day-to-day events as personal failures or defects
- Blaming self for things that are not his or her fault
- Statements that others would be better off if he or she were dead
- Believes that he or she is ugly and unattractive
- Decreased personal hygiene and self-care efforts
- Excessive crying or weepiness over relatively small things
Not all depressed people will show all of these signs or to the same degree. If you see several of them in
a student, however, they may indicate depression.
Depression and Suicide
A frequent concern about depression is the increased risk of suicide. A small proportion of depressed
students show serious thoughts of planning or attempting it. Although depressed youth are at higher risk for
thinking about suicide, the vast majority do not attempt it. Most people considering suicide give several indications
of their plans, but others may not pick up on them. Some attempters do not show obvious signs of
depression, making detection difflcult. Predicting suicide is challenging because of its relatively low frequency
and the lack of an accurate proflle of potential attempters. Thoughts of suicide occur more often when the
person begins to feel that nothing will help to improve the situation. Feelings of hopelessness that things will
never change and the pain will not end may lead to an increased risk of suicide. Behavioral signs of suicidal
planning may include giving away personal or prized possessions, making statements like, "I won’t be
around," visiting friends and family not seen in a while, taking care of personal matters (e.g., repaying debts,
completing unflnished tasks), and talking about how he or she will like to be remembered.
Causes of Depression
The causes of depression are complex. Some people have a greater likelihood of developing depression,
such as those who have first-degree relatives with depression (e.g., parent), living in highly stressful
and demanding environments, or suffer traumatic events (e.g., loss of a loved one). Depression may be a
long-term condition that has persisted over several weeks, months, or years or it may be of recent onset,
such as in trauma. Long-term depression is more difficult to treat and most often requires professional help.
Recent or sudden onset depression may subside more quickly, but may require professional help to show
the best improvement. Most experts agree that depression is associated with changes in the chemistry of
some neurotransmitters in the brain, and this can be chronic.
Some evidence indicates that children who believe that others do not view them as competent are more
likely to develop depression. This view has particular salience in schools. That is, if teachers and peers
view a student as not being academically or socially capable, there may be a greater risk of development of
depression. Similarly, because schools can be stressful places for children who are not successful, they can
be at increased risk for depression. Many children who have not been successful at school relate feelings of
sadness and depression because they do not do well or fit in.
Depression is associated with other conditions seen in children and youth. For example, approximately
50% of children with depression also have problems with anxiety. Some of the same symptoms are shown
in anxiety and depression, which makes it difficult to identify the primary problem. Perhaps surprisingly, depression
co-occurs with Attention Deficit Hyperactivity Disorder, Conduct Disorder, Oppositional Defiant Disorder,
and substance abuse problems at levels ranging from 17 to 79% of cases. Therefore, many students
who have acting out problems also may be depressed, requiring intervention for both affective and behavior
problems. As depression worsens in children and youth, there is an increased likelihood of developing some
of these behaviors.
Depression is complex, particularly when it co-exists with other emotional and behavioral problems.
Often, there are family problems, making a difficult situation even more challenging. The good news is that,
with proper intervention, most children and youth can overcome depression and lead happy and productive
lives. In some cases professional therapy and medications may be needed, which may be beyond the purview
of the school. Although a student might need some direct counseling or therapy, there are many things
that teachers and others can do to help the depressed student. Some suggestions include:
Develop a relationship. Approach the depressed student and try to develop a working and collaborative
relationship. Do not be afraid to talk with the student. Many times, depressed students are seeking
someone who cares about them, although it might not seem that way. Above all, don’t give up on them.
Use positive approaches. Do not use punishment, sarcasm, disparagement, punishment, or other
negative techniques. They are not effective and likely will only further reinforce feelings of incompetence and
low self-esteem, which may deepen the depression.
Remember that these students are not choosing to be depressed. They want to feel better and to
do well just as you want them to do well. When depressed, they lack the personal resources to do their best
work. As an analogy, we would not expect someone with a reading disability to read at grade level. Punitive
approaches are not recommended in these cases and, instead, it is best to give extra help or support.
The student with depression needs to receive extra support and caring, as well, not criticism, punishment,
or indifference. Consider ways to give the extra support and attention they need, while recognizing that the
student may be doing the best he or she can do at the time.
Consider making adjustments or accommodations in assignments or tasks. This approach does
not mean that expectations are lowered or that the student with depression should be given unearned
grades. However, give more time, break assignments into smaller pieces, offer extra help in setting up
schedules or study habits, or pair the student with others who express an interest in helping. Accommodations
like these are provided often for students with learning disabilities. There is no reason that the student
with depression cannot receive similar considerations.
Provide opportunities for success. To the extent possible, arrange experiences so that the student
can be successful and be recognized for successes. Schedule pleasant activities and provide opportunities
for successful leadership. It is very important that depressed students feel accepted as a part of the school
and that teachers believe in their competence.
Seek help from support personnel. Consult with your school psychologist, counselor, or social worker
to get suggestions of what to do for specific students. Each case is different and requires individual planning.
School personnel can have significant, positive impacts on improving the academic, social, and emotional
development of children with depression without being professional therapists. Learning about depression
and implementing methods to help can make the difference between a student’s success or continuing
down a path of underachievement.
Koplewicz, H. S. (2002). More than moody: Recognizing and treating adolescent depression. New York: Putnam.
Merrell, K. (2001). Helping students overcome depression and anxiety: A practical guide. New York: Guilford.
American Psychological Association — www.apa.org
Depression and Bipolar Support Alliance — www.dbsalliance.org
National Association of School Psychologists — www.nasponline.org
Thomas Huberty, PhD, NCSP, is Professor and Director of the School Psychology Program at Indiana
University. Reprinted from Helping Children at Home and School II: Handouts for Families and Educators
© 2006, National Association of School Psychologists, 4340 East West Hwy. #402; Bethesda, MD 20814, www.nasponline.org,
phone (301) 657-0270, fax (301) 657-0275, TTY (301) 657-4155