What Happens After a Telemedicine Visit for Depression (Mild to Moderate) in Children and Teens

Audience: pediatric

After a telemedicine visit for mild to moderate depression in children or teens, you can expect a plan to help manage symptoms and improve mood. The healthcare provider may suggest therapy, lifestyle changes, or sometimes medication. Follow-up visits are often scheduled to check progress and adjust care as needed. It's important to watch for any changes in mood or behavior and communicate openly with your care team. Telemedicine makes it easier to get support from home, but some situations may still require in-person care. Remember, this guidance is educational and not a diagnosis or treatment plan. Always reach out to a healthcare professional if you have concerns about your child's mental health.

Red flags — go in person / ER

• If your child talks about hurting themselves or dying, seek emergency help immediately.
• If your child shows sudden mood swings, extreme irritability, or withdrawal from family and friends, contact your healthcare provider promptly.
• If your child stops eating, sleeping, or functioning normally, or shows signs of severe anxiety or panic, seek urgent medical evaluation.

What telemedicine can do

• Initial assessment and follow-up for mild to moderate depression symptoms.
• Providing counseling referrals and education about depression management.
• Monitoring medication effects and side effects when prescribed.

What telemedicine cannot do

• Emergency situations involving suicidal thoughts or self-harm risk.
• Severe depression requiring hospitalization or intensive in-person therapy.
• Physical examinations that require hands-on assessment.

What to Expect Right After Your Telemedicine Visit

Your healthcare provider will usually review your child's symptoms and discuss possible treatment options. They might recommend counseling with a mental health professional, suggest healthy habits like regular sleep and exercise, or talk about medications if needed. You may receive resources or referrals to specialists. It's normal to have questions, so write them down to discuss during or after the visit.

Follow-Up Care and Monitoring

Managing depression often takes time. Your provider may schedule follow-up telemedicine visits to see how your child is doing and adjust the plan. It's important to keep these appointments and share any new symptoms or concerns. Family support and open communication can help your child feel safe and understood.

When to Seek In-Person Care

If your child shows signs of worsening depression, such as thoughts of self-harm, severe mood changes, or inability to function daily, in-person evaluation may be necessary. Emergency services should be contacted immediately if there is any risk of harm. Telemedicine is helpful but cannot replace urgent, hands-on care in emergencies.

How You Can Support Your Child at Home

Encourage healthy routines like balanced meals, physical activity, and consistent sleep. Listen without judgment and let your child express feelings. Help them avoid alcohol or drugs, which can worsen depression. Stay involved with their treatment and keep communication open with healthcare providers.

Common Treatments Discussed During Telemedicine Visits

Therapy options such as cognitive-behavioral therapy (CBT) are often recommended for mild to moderate depression. Sometimes, medications like antidepressants may be prescribed, especially if symptoms do not improve. Your provider will explain benefits and risks and monitor for side effects during follow-up.

How to prepare for your tele-visit

• Find a quiet, private space with good internet connection for the telemedicine visit.
• Have a list of your child's symptoms, concerns, and any questions ready.
• Prepare information about your child's medical history and current medications.
• Ensure your child is comfortable and understands the purpose of the visit.
• Have a device with a camera and microphone ready and charged.

After your tele-visit

• Follow the treatment plan discussed during the visit, including therapy or medication.
• Schedule and attend follow-up appointments as recommended.
• Monitor your child's mood and behavior daily and keep a journal if helpful.
• Communicate any new or worsening symptoms to your healthcare provider.
• Encourage your child to engage in healthy lifestyle habits and social support.

FAQs

Can telemedicine visits replace all in-person visits for my child's depression?

Telemedicine is very helpful for many aspects of depression care, especially for counseling and follow-ups. However, some situations, like emergencies or severe symptoms, need in-person care to ensure safety and thorough evaluation.

What if my child doesn't want to talk during the telemedicine visit?

It's common for children or teens to feel shy or uncomfortable. Encourage them gently, but don't force. The provider may suggest ways to build trust or recommend other support options.

How soon will my child feel better after starting treatment?

Improvement varies. Some children feel better within weeks, while others take longer. Consistent treatment and support are important. Keep in touch with your provider about progress or concerns.

Are medications safe for children with depression?

Medications can be safe and helpful when prescribed and monitored by a healthcare provider. They are often used alongside therapy. Your provider will discuss potential benefits and side effects.

Can I get help if I don't have a mental health specialist nearby?

Yes, telemedicine can connect you to mental health professionals even if they are far away. This helps overcome barriers like distance or lack of local specialists.

Sources

1. Depression in Children and Teens — MedlinePlus, U.S. National Library of Medicine.
2. Depression — Centers for Disease Control and Prevention (CDC).
3. Child and Adolescent Depression — American Academy of Child & Adolescent Psychiatry (AACAP).
4. Telehealth for Mental Health — Substance Abuse and Mental Health Services Administration (SAMHSA).

This information is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment. Telemedicine can be a helpful tool but is not a substitute for in-person care when needed. Always seek immediate help for emergencies or worsening symptoms.