Seasonal Affective Disorder

Seasonal Affective Disorder (SAD) is a type of depression that corresponds to seasonal changes in light. It most commonly occurs in late fall and lasts through the winter and into spring. Its not uncommon to feel down during the winter months. But people with SAD are not able to function normally during these months.

The cause of SAD is not completely understood. It is clearly related to changes in seasonal light. Light affects cycles in the body. Lack of light during the winter months could possibly throw off levels of hormones and brain chemicals. This could contribute to the symptoms of SAD.

A risk factor is something that increases your chance of getting a disease or condition.

• Sex: Female
• Living in northern latitudes
• Adolescence or young adulthood

People with SAD have seasonal symptoms that come and go each year. They usually peak during the winter and disappear during the spring and summer.
Symptoms can include:

• Depressed mood, feelings of sadness
• Cravings for sweet or starchy foods
• Overeating
• Significant weight gain or loss
• Lack of energy
• Oversleeping or insomnia
• Fatigue
• Irritability
• Social withdrawal
• Difficulty concentrating
• Decreased sexual desire

The doctor will ask about your symptoms and medical history, and perform a physical exam. You may be referred to a specialist in treating depression.
A diagnosis of SAD will only made if you have some of the symptoms above and:

• Your symptoms have occurred annually for at least two years
• You have complete relief from symptoms during the summer months

Light Therapy
Light therapy is very effective. Most people find that their symptoms improve or go away altogether. If light therapy is going to work for you, you will see improvement within a week. Light therapy is simple. You sit a few feet away from a specially made light box for a certain amount of time each day. Your doctor will probably start you off with 15 to 20 minutes a day. You will gradually increase the time, usually to 30 to 45 minutes daily.
You may do the light therapy any time of day that is convenient. Some people report sleeping problems with a routine of evening light therapy. So you may want to try morning therapy. You will be able to read or work during the therapy, as your eyes will remain open. The light box is made up of fluorescent bulbs, a reflective surface, and a diffusing screen. Ordinary household lighting is not sufficient.
Tanning beds are not recommended as a source of light therapy. They give off ultraviolet light, which can increase the risk of cancer. They also have not been proven effective for treating SAD. Many people find that getting outdoors for a walk each day is also helpful.
Anti-depressant Medications
Your doctor may prescribe antidepressant medications. These medications are usually prescribed when a person does not feel better with light therapy or if the depression is very severe.
Psychotherapy
Therapists can help you learn ways of managing stress and the symptoms of SAD.

There are no guidelines for preventing SAD because the cause not understood. Researchers are studying the role of light therapy in preventing SAD. Light therapy just before the winter months and before the onset of depressive symptoms may prevent SAD from developing in people prone to it.