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The presentation of depression can vary from unwanted feelings of sadness, loneliness, or chronic irritability to more serious presentations leading to impaired academic functioning, social withdrawal, feelings of hopelessness, and in some cases suicide. It has been more common for some children and teens to engage in self-harm or cutting behaviors. These dangerous behaviors which are commonly associated with Major Depressive Disorder or Bipolar Disorder can include more superficial self-harm behaviors to dangerous attempts to harm oneself. Children and teens are often embarrassed to admit that they may be struggling with feelings of sadness, frustration, or hopelessness.

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