instruction: hi doctor I am a mother of two children my daughter at the age of 21 started showing signs of depression she had to drop from university after six years of struggle and treatment she is on her way to recovery but even now she gets panic attacks and feels depressed and is unable to handle stress my son at exactly the same age 21 years started showing signs of depression my kids had a very normal childhood without any issues we are a normal healthy family my husband family has a history of mental health issues I have heard that at least one member from all our extended family branches had mental health problems my father in law was a patient of chronic depression all his life please let me know if depression is genetic and is it possible that my children problem is because of the genetic predisposition
output: hello you have asked a very pertinent question as a parent I can understand your quest for answers for your children illness and treatment depression is usually caused by a combination of genetic and environmental factors if there is a positive family history a person is more vulnerable to develop depression especially when faced with environmental stressors epigenetics so to answer your question yes genetic predisposition could have played a part in your children developing depression but it may not be the only responsible factor it is positive that they have a normal childhood but any factors like academic pressure or peer relationships or social interactions or demands of growing up etc could have contributed to them feeling stressful which can then trigger depressive episodes with effective treatment depression can be very well managed and your children can live productive lives treatment involves a combination of medication psychological therapy like cut cognitive behavioral therapy and lifestyle changes regular exercise yoga and mindfulness meditation will be helpful I hope this helps