Approximately 11.2 percent of 13- to 18-year-olds experience major depressive disorder, with 3.3 percent experiencing severe depression, according to the National Institute of Mental Health. The most common treatment for major depression is psychotropic medications, but there are concerns about the effects of these medications on children. St. John's wort is an herbal remedy that has been proved effective in the treatment of depression, according to the National Center for Complementary and Alternative Medicine. But there are some things to consider before choosing St. John's wort as a treatment option.
Difficulty of Treatment
Depressive disorder in children is more difficult to treat because the condition may develop before any symptoms appear. Once the symptoms appear, the disordered behavior and thought patters are more entrenched than in adults. There are five classes of anti-depressant medications, and no one medication works for everyone. Patients may need to try several medications, or a combination of drugs, before they find the medications that work. As with the man-made drugs, St. John's wort is effective against depression, but it may be one of many remedies your child has to try before finding the correct fit.
Side Effects
Anti-depressant drugs have several side effects, depending on the type of drug. The side effects common to most anti-depressants include dry mouth, gastrointestinal irritation -- including nausea and diarrhea -- and headaches. Patients may also experience anxiety and agitation, blurred vision, difficulty urinating and constipation. Although St. John's wort is natural, it is not without side effects, including gastrointestinal irritation, dry mouth and dizziness. St. John's wort also causes increased sensitivity to sunlight.
Differences in Quality
Unlike traditional anti-depressant medications, St. John's wort is a dietary supplement and is not strictly regulated by the FDA. The amount of active ingredient, hypericin, varies by manufacturer, so 100 mg of one brand may have the recommended .3 percent while another brand may have significantly less. With traditional medications, 100 mg of the drug is 100 mg whether name brand or generic.
Conclusion
St. John's wort may be no better for your child than traditional medications. If you are considering using St. John's wort to treat your child's depression, do not do so without first consulting and getting approval from your pediatrician or pediatric psychiatrist. Additionally, if a licensed medical professional approves treating your child with St. John's wort, keep him informed of any side effects or changes in your child's behavior. If necessary, your doctor may suggest psychiatric therapy and additional medications.
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