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Mental HealthICD-10: F33.0Affects approximately 5% of adults in the US, lasting about 40% of the year

Seasonal Affective Disorder

Also known as: SAD, Winter depression, Seasonal depression

Seasonal affective disorder is a type of depression that follows a seasonal pattern, most commonly occurring during the fall and winter months when daylight hours are shorter. Reduced sunlight exposure is thought to disrupt the body's internal clock and affect serotonin and melatonin levels. Treatment with light therapy, medication, and psychotherapy can effectively manage symptoms.

Symptoms

Persistent feelings of sadness or hopelessness
Loss of interest in activities once enjoyed
Low energy and fatigue
Oversleeping or difficulty waking up
Increased appetite with cravings for carbohydrates
Weight gain
Difficulty concentrating
Social withdrawal
Irritability

Causes

  • Reduced sunlight exposure affecting circadian rhythm
  • Drop in serotonin levels linked to decreased sunlight
  • Disrupted melatonin production affecting sleep and mood
  • Genetic predisposition to mood disorders

Risk Factors

  • Living far from the equator with less winter sunlight
  • Female sex
  • Personal or family history of depression or bipolar disorder
  • Young adult age
  • Pre-existing depression that worsens seasonally

Diagnosis

  • Psychiatric evaluation using DSM-5 criteria for major depression with seasonal pattern
  • Assessment of symptom timing over at least two consecutive years
  • Blood tests to rule out thyroid disorders and vitamin D deficiency
  • Mood tracking questionnaires

Treatment

  • Light therapy using a 10,000-lux light box for 20-30 minutes daily
  • Antidepressant medications such as SSRIs or bupropion
  • Cognitive behavioral therapy adapted for SAD
  • Vitamin D supplementation
  • Regular outdoor exercise and increased sunlight exposure

Prevention

  • Starting light therapy in early fall before symptoms appear
  • Maintaining regular physical activity throughout the year
  • Spending time outdoors during daylight hours
  • Keeping a consistent sleep schedule

When to See a Doctor

  • Depression symptoms that follow a seasonal pattern
  • Feeling unable to cope with daily responsibilities
  • Sleep disturbances that interfere with functioning
  • Thoughts of self-harm or suicide

Frequently Asked Questions

Related Conditions

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