Depression Therapy for Children

Recognising the Signs and Finding Support

When a child stops enjoying the things they once loved, most parents sense it long before anyone puts a name to it. The bedroom door closes more often. Homework goes unfinished. A child who used to chatter through dinner gives one-word answers instead. Parents often tell me they knew something had shifted but were not sure whether to wait it out or seek help.

In my experience across more than twenty years of clinical practice, that instinct is usually worth trusting.

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How Low Mood Shows Up in Younger Children

Depression in children rarely looks the way it does in adults. Younger children may not have the language to describe sadness, so it surfaces in other ways. You might notice irritability rather than tearfulness, complaints of stomach aches or headaches with no medical cause, difficulty sleeping, changes in appetite, or a reluctance to go to school.

Some children become clingy. Others withdraw from friendships they previously valued. What matters is the change from your child’s usual self, and how long it has lasted. Persistent low mood over several weeks, particularly when it affects school, friendships or family life, deserves proper attention.

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What Depression Therapy for Children Involves

Effective depression therapy for children is never a single fixed programme. At our Marylebone practice, we begin with a careful initial appointment to understand your child, your family and the history behind the difficulties. We look at what may be keeping the low mood in place, and equally at what is already helping.

From there, we agreed on a treatment plan together. Cognitive Behavioural Therapy has strong evidence behind it for depressive difficulties, and many of our clinicians also draw on Acceptance and Commitment Therapy, Compassion Focused Therapy or Mindfulness Based Cognitive Therapy depending on what suits the child. For younger children, we use creative and playful methods rather than expecting them to sit and talk for an hour.

We review progress informally every four sessions, so you always know where things stand.

Parents Are Part of the Work

I have never believed in treating a child in isolation. Parents and carers know their child better than anyone, and involving you strengthens the work considerably. Depending on your circumstances, this might mean parenting sessions alongside your child’s therapy, or family work where the whole household is included.

Getting in Touch

Sessions take place either online or at our townhouse in Marylebone, which we designed deliberately to feel calm and unclinical. Our practice administrator will talk through your options and help you find the right clinician. If you are worried about your child, please get in touch. Early support makes a genuine difference.
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Please fill out the form below and we’ll get back to you. Alternatively, you can call us on 020 7458 4570 or send us a WhatsApp.

Don’t forget to check our frequently asked questions.

If your teen would like to build and strengthen their social skills and friendships then register for our PEERS® group (call or email us). It starts on 8th September 2026 at 7pm (PEERS® is UCLA’s Program for the Education and Enrichment of Relational Skills)