What is Depression? Science Lesson for Years 7-11 - Key Stages 3 & 4

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What is Depression?
Science Lesson for Years 7-11
Key Stages 3 & 4
Science lesson                                                                                                     ACTIVITY 1:
                                                                                                                       Understanding depression

    Outline                                                                                                            ..
                                                                                                                        Key Objective 1:
                                                                                                                          To understand what depression is and the symptoms of depression

    For Mental Health Awareness Week this year, MindFull is on a mission to put mental health on the
    national curriculum. We are encouraging young people and professionals to take action and host
    a series of mental health lessons during Mental Health Awareness Week, as well as signing our petition              Timing:
    calling for mental health to be embedded into the National Curriculum: mindfull.org/petition/                      15mins

    Our series of school lessons and activities have been created to explore mental health in a way which

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    fits with the current National Curriculum.
                                                                                                                        Resources Needed:

                                                                                                                        ..
                                                                                                                          Laptop with projector screen and speakers
                                                                                                                          Access to YouTube
    Summary                                                                                                               30 x copies of body outline sheet

    This lesson plan is part of our Mental Health Awareness Week mission. Mental Health Awareness
    Week is 12th-18th May, 2014. The lesson plan asks the young people to identify what depression is,       Begin the class by showing the clip ‘I had a black dog, his name was depression’
    consider the basic genetic explanations of depression and be able to identify where to get help for      https://www.youtube.com/watch?v=XiCrniLQGYc
    themselves or others suffering with depressive symptoms.

                                                                                                             ....
                                                                                                             Encourage some discussion around the video clip by asking the class:

                                                                                                              ....
    National Curriculum Links:                                                                                  What did you think of the video?
                                                                                                                How did his depression make the narrator feel?
    This lesson plan fits into Key Stages 3 & 4 Science Biology components and also fits into the PSHE          How was his life affected by depression?
    curriculum.                                                                                                 How common do you think depression is?

    Objectives
    1. To understand what depression is and the symptoms of depression.
    2. To understand the genetic explanation for depression.
    3. To know where to get help for depression.

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    Keywords

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       Depression
       Environmental factors
       Genetics
       Predisposition

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Summarise discussion and share the following information with the class:

    What is depression?
    We all have bad days sometimes where we feel a bit low and upset things and it is perfectly normal to
    experience these feelings from time to time. However, when a low mood persists for long periods of
    time and starts to interrupt somebody’s everyday functioning, it is referred to as depression.

    How common is depression?
    Depression is considered to be the ‘common cold’ of mental health disorders as it is the most common
    mental health condition. It can be diagnosed at any age (even in young children), across all social
    classes and around 50 percent of people will have a depressive episode in their lifetime.

    Hand each student a copy of the body outline sheets and ask them to add:

    On the head - What kind of thoughts the person might be having if they are experiencing depression.
    On the body - How they might be feeling .
    Around the edges - How they might be behaving.

    ....
    Encourage students to share the symptoms they have written, these may include:

     ....
        Feeling hopelessness
        Feeling like nothing will ever change

      ....
        A change in appetite or weight
        Social withdrawal

       ....
        Either sleeping too much or sleeping too little
        Difficulty concentrating
        Feeling irritable or agitated
        Lack of energy and pleasure in doing activities they used to enjoy

                                                                                                            Please write:
                                                                                                            On their head: What kind of thoughts they might be having if they are experiencing depression.
                                                                                                            On their body: How they might be feeling
                                                                                                            Around the edges: How they might be behaving

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ACTIVITY 2:                                                                                     What do we know about twin studies of depression?
               Genetics and depression
                                                                                                                One Danish study found that when an identical twin has depression there is a 43 percent chance
                                                                                                                that the other twin will develop the disorder. If a non-identical twin has the disorder the probability

               ..
                                                                                                                is only 20 percent, (Bertelsen et al, 1977).
                Key Objective 2:
                  To understand the genetic explanation for depression                                          HOWEVER, if depression was a genetic disorder we would expect that if one identical twin had
                                                                                                                depression the other twin would definitely have it as well, so this shows that depression is not
                                                                                                                purely inherited - there must be other factors.

                Timing:                                                                                         HANDS UP EXERCISE: Why might there be a problem with family and twin studies? PROMPT:
               25mins                                                                                           What do they share as well as genetic material?

                                                                                                                The problem with Family and Twins studies is that family members and twins often live together

               ....
                Resources Needed:                                                                               in a shared environment. This means that it could be something in the environment, for example,
                                                                                                                their living conditions or family relationships that are causing the depression, rather than genes.
                  Whiteboard and pens
                  Students’ exercise books and pens
                                                                                                              3. Adoption studies: In order to get around this problem we can use adoption studies; where
                                                                                                                 somebody with depression was adopted young and moved away from their families early on in life.
                                                                                                                 We would then compare the rates of depression in
    Write the following information on the board and ask students to copy it down. Answer any questions.
                                                                                                                a) their adopted parents and
    GENETICS: Depression in somebody may arise as the result of a genetic predisposition.                       b) their biological/birth parents.

                                                                                                              ....
    Explain genetic predisposition: A genetic predisposition means that somebody is more likely to develop
    a particular illness or condition based on their genetic make up. A genetic predisposition is normally      ASK THE CLASS:
    the result of inherited genes from your parents or other relatives.                                         Where would we expect to see a higher rate of depression?
                                                                                                                What do we know about depression from adoption studies?
    HANDS UP EXERCISE: How do we find out if you can be genetically predisposed to depression - what
    kind of study might we do? Ask students to contribute ideas.                                                Most show an increased risk in the biological relatives of people with depression rather than

                                                                                                              ..
                                                                                                                adopted relatives.
    Explain that there are three ways of investigating the role that genes play in depression (or any other
    disease).                                                                                                   Wender et al. (1986) found that biological relatives were eight times more likely to have depression
                                                                                                                than adoptive relatives.
    1. Family studies: Identify sufferers with depression and see how many of them have family
       members who also suffer from depression.                                                                 KEY LEARNING POINTS:
                                                                                                                Some genetic evidence for depression, but shared genes normally also means shared environment,

                                                                                                              ..
       What do we know about family studies of depression?                                                      therefore it could be the result of environmental factors and not genes.

       Gershon (1990) found that rates of depression in close relatives ranged between seven and 30             Risk seems to be increased for identical twins; however, the risks are never thought to be 100 percent.
       percent. This is higher than the rates in unrelated people.                                              Genetics seems to be a risk factor, but not a whole explanation.

    2. Twin studies: Study identical twins and non-identical twins. Identical twins have the same genetic
       material, so if depression has a genetic cause we would expect that if one twin had depression the
       other one would have it as well, whereas we wouldn’t expect this in non-identical twins because
       they have different genes to each other.

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ACTIVITY 3:
               Word search
                                                                                                             C     S      D   O   C   T   O   R   C   C
                                                                                                             X     O      K   N   V   C   Z   D   F   Z
               ..
               Key Objective 2:
                  To know where to get help for depression

                                                                                                             O     Z      U   T   E   A   C   H   E   R
               Timing:

                                                                                                             A     H      Z   N   F   O   B   W   R   E
               10mins

               ....
               Resources Needed:
                                                                                                             X     Y      R   S   S   I   R   D   I   N
                ..
                  30 X Mental Health word searches STAPLED TO
                  30 x MindFull depression fact sheets
                  Pen/pencils

                                                                                                             X     L      F   R   I   E   N   D   S   I
    Explain that it’s important to know who you can talk to and where you can go if you are feeling low or

                                                                                                             G     I      H   A   Q   B   L   M   C   L
    need some support.

    Hand out copies of the resources. Ask students to read through the fact sheet on depression and then
    move on to work through the word search.

    Students can complete the word searches in their own time if they do not finish in the class.
    Encourage the class to take the fact sheets with them, explaining that the information may be useful
                                                                                                             E    M       E   V   E   E   D   L   E   N
    for them or for someone they know.

                                                                                                             Z     A W D          K   I   C   I   O   O
                                                                                                             M     F      M   E   N   T   O   R   C   R

                                                                                                             FAMILY
                                                                                                             FRIEND
                                                                                                             DOCTOR
                                                                                                             MENTOR
                                                                                                             ONLINE
                                                                                                             COUNSELLOR
                                                                                                             TEACHER

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What professional help is available?
      Depression
      MindFull Fact Sheet                                                                               Professional support available for depression is generally a combination of drug treatment
                                                                                                        and psychological therapy aimed at dealing with the cause of depression and developing new
                                                                                                        thinking patterns. Sometimes treatment for depression may be online. Medication may be
                                                                                                        used in some cases, although anti-depressants are always prescribed to young people.
     What is depression?

     We all have bad days sometimes where we feel a bit low and upset things and it is perfectly

                                                                                                        ....
     normal to experience these feelings from time to time. However, when a low mood persists           Self-help techniques:
     for long periods of time and starts to interrupt somebody’s everyday functioning, it is referred

                                                                                                         ....
                                                                                                           Exercise is a scientifically proven form of self help for depression
     to as depression.
                                                                                                           Keep a journal of how you are feeling

                                                                                                          ..
                                                                                                           Although it isn’t always easy when you feel depressed, do your best to keep talking to people
                                                                                                           Read self-help books
     Who is affected by depression?                                                                        If you feel suicidal, it is important to let a trusted adult know immediately!

     Depression is considered to be the ‘common cold’ of mental health disorders as it is the most
     common mental health condition. It can be diagnosed at any age (even in young children),
                                                                                                        Further support:
     across all social classes and around 50 percent of people will have a depressive episode in
     their lifetime.                                                                                    Depression Alliance
                                                                                                        http://www.depressionalliance.org/
                                                                                                        0845 123 23 20
     What are the signs of depression?                                                                  information@depressionalliance.org

     Depression is often characterised by low mood, negative thoughts and feelings of low self          Look OK... Feel Crap?
     worth. Other signs of depression include: feeling hopelessness or feeling like nothing will        http://www.lookokfeelcrap.org/
     ever change, a change in appetite or weight, social withdrawal, either sleeping too much or        info@actionondepression.org
     sleeping too little, difficulty concentrating, feeling irritable or agitated, lack of energy and
     pleasure in doing activities you used to enjoy.                                                    Sane
                                                                                                        http://www.sane.org.uk/what_we_do/black_dog

     What causes depression?                                                                            Students Against Depression

     ....
                                                                                                        http://studentsagainstdepression.org/
     Depression can have a range of different causes:

      ....
        A distressing life event                                                                        Mind
        Prolonged exposure to a stressful situation                                                     http://goo.gl/XJAvdf
        It may be that there is an imbalance of chemicals in the brain which causes depression
        Sometimes there is no clear cause!

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