Which of the following is a common symptom of depression in younger children?

Choice A rationale Increased energy levels are typically not a symptom of depression in younger children. Instead, depression often manifests as a reduction in energy, leading to fatigue, lethargy, and a general lack of motivation or interest in previously enjoyed activities. This shift in energy levels can significantly impact daily functioning and play. Choice B rationale Decreased irritability is not a common symptom of depression in younger children. On the contrary, young children experiencing depression often exhibit heightened irritability, anger outbursts, and defiance as external manifestations of their internal distress and sadness. This can lead to difficulties in social interactions. Choice C rationale Improved concentration is not a symptom of depression; rather, impaired concentration and difficulty focusing are hallmark signs. Children with depression often struggle with academic tasks, forgetfulness, and an inability to sustain attention, leading to a decline in school performance and frustration. Choice D rationale Changes in appetite and sleep patterns are common neurovegetative symptoms of depression across all age groups, including younger children. This can present as increased or decreased appetite, leading to weight changes, and difficulties with sleep, such as insomnia, hypersomnia, or frequent awakenings, disrupting daily routines.