What are the guidelines for sports clearance in adolescents with major depressive disorder (MDD)?

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Last updated: April 14, 2025View editorial policy

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From the Research

Adolescents with depression can generally participate in sports with appropriate management and monitoring, as sports participation has been shown to have a protective effect against depression and suicidal ideation, and can improve mood, reduce stress, and provide social connection 1, 2.

Key Considerations for Sports Clearance

Before granting sports clearance, a comprehensive evaluation should be conducted, including:

  • Assessment of depression severity
  • Evaluation of suicide risk
  • Review of medication effects
  • Consideration of potential interactions between medications and sports participation

Benefits of Sports Participation

Sports participation can have numerous benefits for adolescents with depression, including:

  • Improved mood
  • Reduced stress
  • Increased social connection
  • Enhanced self-esteem
  • Improved overall mental health and well-being

Precautions and Monitoring

Coaches and parents should monitor for concerning signs like:

  • Withdrawal from activities
  • Declining performance
  • Increased irritability
  • Other potential side effects of medications or sports participation Regular follow-up appointments are essential to adjust treatment as needed and ensure the adolescent's depression remains well-managed while participating in sports 3, 4.

Medication Considerations

Most antidepressants, such as SSRIs (e.g., fluoxetine, sertraline, escitalopram), are compatible with sports participation, although initial side effects like dizziness or fatigue may temporarily affect performance 5. Typical starting doses and treatment durations should be individualized based on the adolescent's specific needs and response to treatment.

Conclusion is not allowed, so the answer will continue without one.

It is essential to maintain open communication between healthcare providers, parents, coaches, and the adolescent to ensure the adolescent's depression remains well-managed while participating in sports 1, 2.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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