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
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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