Teen looking out a window — depression and mood disorder treatment for children, teens, and young adults in Florida at SHIELD Psychiatry
Depression · Mood Disorders · CBT · Telehealth · Ages 5–25 · Florida

Depression in Children, Teens & Young Adults in Florida

Depression in young people often looks nothing like adult depression — it shows up as irritability, exhaustion, school refusal, loss of motivation, or a heaviness families can't quite name. At SHIELD Psychiatry, Dr. Akers provides comprehensive psychiatric evaluation, CBT-informed care, and medication management for children, teens, and young adults ages 5–25 across Florida.

Telehealth Across Florida Ages 5–25 CBT & Behavioral Activation Medication Management School Refusal Sleep & Mood Suicidal Ideation Support Young Adult Depression IEP & 504 Support Family Guidance

Understanding Depression · Signs by Age · Florida Telehealth

What Depression Looks Like in Children, Teens & Young Adults

Depression is more than sadness — in young people it often presents as irritability, exhaustion, withdrawal, or a loss of interest that families notice long before the child can name it.

More Than Sadness

Many families don't recognize depression in their child or teen because it doesn't look like what they expected. Instead of crying or saying "I'm sad," young people with depression may become irritable, angry, or shut down. They may stop caring about things they used to love, struggle to get out of bed, fall behind in school, or seem like a different person entirely.

Depression in children and teens is often accompanied by anxiety, ADHD, sleep problems, or somatic symptoms like chronic headaches and stomachaches — making it easy to miss or misattribute to other causes.

At SHIELD Psychiatry, Dr. Akers conducts a comprehensive psychiatric evaluation to clarify what's driving the symptoms — distinguishing depression from grief, burnout, ADHD inattention, anxiety, or other conditions — and building an individualized care plan.

When to seek immediate help

If there are concerns for safety — self-harm, suicidal thoughts, or inability to stay safe — call 911, go to the nearest emergency room, or call/text 988 (Suicide & Crisis Lifeline).

CBT · Medication Management · Treatment Planning · Florida Telehealth

Depression Treatment at SHIELD Psychiatry

Treatment is individualized — starting with diagnostic clarity, then building a care plan that may include CBT, behavioral activation, medication management, sleep support, and school coordination.

Comprehensive, Integrated Care

Depression treatment at SHIELD Psychiatry begins with a thorough psychiatric evaluation to clarify diagnosis, identify co-occurring conditions, and understand how depression is affecting your child's daily functioning at home, school, and with peers.

Dr. Akers provides CBT-informed care and behavioral activation integrated within psychiatric visits — teaching practical skills for identifying cognitive distortions, challenging unhelpful thought patterns, scheduling pleasurable activities, and building routines that support mood recovery.

When medication is clinically indicated, SSRI and SNRI management is offered with careful titration, close monitoring for side effects and response, and shared decision-making with the family at every step.

What Treatment May Include

  • Psychiatric Evaluation — DSM-5-TR diagnostic formulation and individualized treatment plan
  • CBT & Behavioral Activation — Thought records, activity scheduling, and mood tracking
  • Safety Planning — Personalized plan for suicidal thoughts or self-harm urges when clinically indicated
  • Medication Management — SSRI/SNRI with titration, monitoring, and family education
  • Sleep Support — CBT-I-informed sleep strategies integrated into treatment
  • School Coordination — IEP, 504, school letters, and attendance support
  • Family Guidance — Psychoeducation and coaching for caregivers
  • Faith-Integrated Care — Available upon family request

What to Expect — Treatment Timeline

Week
1

Evaluation & Safety Plan

Comprehensive psychiatric evaluation, diagnostic formulation, safety planning if needed, and first steps agreed upon with the family.

Weeks
2–4

CBT Skills & Behavioral Activation

Begin CBT skill-building, activity scheduling, sleep plan, and school support letters if needed. Mood and functioning tracked.

Weeks
5–8

Medication Review & Adjustment

If medication was started, review response and tolerability. Adjust dose if needed. Continue skills work and school collaboration.

Ongoing

Maintenance & Relapse Prevention

Consolidate gains, build relapse prevention skills, taper frequency of visits as functioning improves, and plan for transitions.

Frequently Asked Questions · Depression Care · Florida

Depression Treatment FAQs

  • Does SHIELD Psychiatry provide therapy for depression? Yes. Dr. Akers provides CBT-informed care and behavioral activation integrated within psychiatric visits. For children or teens who need more intensive weekly therapy, Dr. Akers can provide referrals to therapists and coordinate care as part of a collaborative treatment team.
  • Is medication always part of depression treatment? No. Treatment begins with a thorough evaluation and CBT-informed skills work. Medication is considered when symptoms are moderate to severe, not responding to therapy alone, or when the family and Dr. Akers agree it fits the clinical picture. When medication is used, it is carefully titrated and monitored.
  • Can you coordinate with my child's school? Yes. SHIELD Psychiatry provides letters for IEP and 504 accommodations, school attendance support documentation, and collaboration with school counselors and teachers when clinically appropriate and authorized.
  • Does SHIELD Psychiatry accept insurance for depression treatment? Yes. Insurance-based visits are available through Headway for Aetna Florida, Cigna Florida, SmartHealth Ascension Florida, and Carelon Behavioral Health Florida. Self-pay appointments are also available at $349 for an initial evaluation and $179 for follow-up visits.
  • What if my child is having thoughts of suicide? Safety planning is included as part of the comprehensive psychiatric evaluation when clinically indicated. For immediate safety concerns, call 911, go to the nearest emergency room, or call/text 988 (Suicide & Crisis Lifeline). SHIELD Psychiatry is not an emergency crisis service.
  • Where in Florida is depression treatment available? SHIELD Psychiatry provides telehealth depression treatment for families across Florida, including Lutz, Tampa, Wesley Chapel, Orlando, Jacksonville, Miami, Sarasota, Naples, Boca Raton, Palm Beach, and surrounding areas.

Depression FAQ & Resources

Trusted ADHD & Mental Health Resources

Curated organizations, books, and apps families can rely on.

Trusted Mental Health Organizations

Books on Depression & Recovery

  • Feeling Good: The New Mood Therapy — David D. Burns, MD

    CBT-based self-help with actionable thought records and exercises.

    CBTAdult
  • The Upward Spiral — Alex Korb, PhD

    Neuroscience-informed micro-habits to nudge mood and motivation.

    NeuroHabits
  • Lost Connections — Johann Hari

    Explores social/contextual drivers; a discussion starter for care plans.

    ContextAdult

Top-Rated Mental Health Apps

  • Moodfit

    Mood tracking, goals, and coping tools to build routines.

    AdultTracking
  • Woebot

    Daily CBT micro-coaching via conversational check-ins.

    CBTAll
  • Happify

    Evidence-informed activities targeting resilience and positive affect.

    SkillsAdult
  • Calm

    Meditation, sleep stories, and stress reduction modules.

    SleepAll