Your Concerns about Sadness/Irritability

You said that your child is sometimes sad or irritable. S/he may ask to be alone or spend a lot of time alone in his/her room. Your child may seem sad or feel bad about him/herself because of some failure. If a loved one has recently died, it is normal for your child to feel upset for up to 2 months. Some occasional sadness is normal for children your child's age.

Warning signs that things are getting worse:

• Your child often feels guilty about things that are not his/her fault.
• Your child often has thoughts about death.
• Your child says s/he feels worthless.
• Your child is sad or irritable most days, for several weeks in a row.
• Your child is still sad about the loss of a loved one more than 2 months after the death.

If you think your child's sadness is getting worse tell your doctor even if you have discussed this before.

Adapted in part from the American Academy of Pediatrics (AAP) Diagnostic and Statistical Manual for Primary Care (DSM-PC) (1996) .