Tourette Syndrome and Depression

All of us will feel sad or low some of the time - it’s a normal part of being human. When someone is experiencing depression, they may feel very low in mood a lot of the time, or how they are feeling might change rapidly. If these feelings continue for a long time and start to make everyday life difficult, then you may be experiencing depression.

Everyone will experience depression differently, but some common symptoms include:

• Feeling sad, upset, and down most of the time
• Feeling more irritable than usual
• Not wanting to do things that you previously enjoyed
• Avoiding friends or social situations
• Sleeping or eating more or less than usual
• Being self-critical
• Feeling hopeless
• Feeling tired and not having any energy
• Wanting to hurt oneself or end ones life

Depression can be linked to TS in different ways:

• Tics can cause social and emotional problems, such as low self-esteem, embarrassment, bullying, or social isolation.
• Tics can also cause pain or discomfort and interfere with daily activities and school.

Self-care coping strategies can be helpful for people with depression. Some examples include:

• Talking to a trusted person
• Keeping active
• Mindfulness or meditation
• Journaling
• Setting achievable goals
• Creating a self-soothe box

Different techniques will work for different people. It is important to try things out to find what works for you. Many young people may also need additional support from parents or professionals.

1. Listen without judgement: It will help your child to have an opportunity to talk about their feelings. Try not to pass judgement or offer solutions unless they ask you, as this may not always be helpful. Just listen and let your child know that you are there for them.
2. Be there for your child: When someone is depressed, it can sometimes feel difficult for them to socialise. However, you can help your child to feel less alone by offering to spend time with them and doing things that they enjoy.
3. Encourage your child to talk to someone: Sometimes young people might have difficulty talking with their parents, but other people can help too. Perhaps a friend or another grown-up, like a teacher or youth worker, might be easier to approach. Helplines and online messaging services can also be helpful.
4. Celebrate the little wins: Everyday things can become difficult when you are struggling with depression. It can be helpful to recognise the small things your child is able to do, such as getting out of bed or going for a walk and let them know you are proud of them.
5. Look after yourself: While it is natural to want to be there for your child when they are distressed, it is also important to remember to take time for yourself and look after your own wellbeing. You can support your child best when you are feeling well in yourself.

If you feel that you or your child may have depression, the first step is to contact your GP. They will refer you to a specialist, if needed, for further assessment and treatment.

The main form of help for depression in children and young people is Cognitive Behavioural Therapy (CBT), which focuses on the way a child is thinking and how they react to these thoughts. Medication for depression is not often given to children and young people, but can sometimes be helpful and is usually prescribed by a specialist.

If you have a specific question or concern about your child, the following organisations may be able to offer support and advice:

Young Minds - this website provides young people with tools to look after their mental health.

Childline– provides free helpline, counsellor chat and email support service, and online message boards. Helpline: 0800 1111

Shout - can provide text support for young people experiencing a mental health crisis. For help, text SHOUT to 85258.