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Home > Mood Disorders > Seasonal Affective Disorder
Season Affective Disorder

Seasonal Affective Disorder

  • What is Seasonal Affective Disorder?
  • What causes Seasonal Affective Disorder?
  • Frequently Asked Questions about Seasonal Affective Disorder

What is Seasonal Affective Disorder?

Seasonal Affective Disorder (SAD), also known as "Winter Blues" or "Winter Depression" occurs when a person experiences depressive symptoms during a specific time of the year, usually in the colder months. Symptoms traditionally begin in the Fall when light levels start to diminish, carrying through the end of the winter. SAD is differentiated from other forms of depression because persons with SAD have normal mood throughout the remainder of the year. Persons with SAD experience typical symptoms of depression, including difficulty sleeping, sadness, somatic symptoms, low energy levels, irritability, and an inability to concentrate.


What causes Seasonal Affective Disorder?

Seasonal Affective Disorder is associated with low light levels that occur during the winter months. SAD may have a genetic basis, as the disorder runs in families. Persons with SAD may have altered melatonin secretion, with increased levels during the winter months causing sluggishness and low energy levels. Additionally, when sunlight is reduced, the body produces less of another hormone, serotonin. Lower levels of serotonin are associated with depression, and the function of some antidepressants is to stabilize serotonin levels. Research has also shown that altered Circadian rhythms occur in people with SAD. One study showed that people with blue eyes have a lower prevalence of SAD, perhaps related to their ability to let in lower levels of light more efficiently. Persons suffering from anxiety disorders, chronic fatigue syndrome and fibromyalgia may be at increased risk for Seasonal Affective Disorder. Furthermore, there is a higher incidence of SAD in colder climates with lower daily light levels.

Frequently Asked Questions about Seasonal Affective Disorder

How is Seasonal Affective Disorder diagnosed?

Seasonal Affective disorder can be clearly diagnosed based on a constellation of depressive symptoms which display a specific pattern, occurring during the fall or winter months. As with any psychological problem, a thorough assessment should determine the nature of the symptoms, and whether or not those symptoms are interfering with daily life at work, school or home. Concomitant substance abuse, alcohol use, or self-medication will complicate both the diagnosis and future treatment of Seasonal Affective Disorder.

What is the Prognosis for Seasonal Affective Disorder?

Seasonal Affective Disorder can be effectively managed with psychological treatment, light therapy, and when necessary, medication. Exposure to a light therapy device alters circadian rhythms and changes the amount of melatonin secreted, which helps to reduce or control symptoms of SAD. Exposure to a potent light source for at least 30 minutes each morning has been shown to mediate the symptoms of SAD. Melatonin supplements may also be effective in some persons with SAD. Psychotherapy is important to address underlying causes of depression, improve coping skills and resilience, and prevent maladaptive behaviors associated with the depressive symptoms. Antidepressants, when needed, are effective in alleviating Seasonal Affective Disorder. Proper sleep and stress management and psychoeducation can significantly improve the wellness of someone with SAD, as well.

What factors can slow recovery?

Persons with Seasonal Affective Disorder may not be aware they have SAD. Low energy levels, lack of initiative, and feelings of helplessness may prevent them from seeking assistance from a mental health professional. Furthermore, because symptoms cycle, they may not seek treatment expeditiously. Substance abuse is also associated with SAD. Use of alcohol, marijuana, cocaine, or prescription medications will interfere with effective psychological and medical treatment of SAD.

How Can Friends and Family Help?

Family, friends and loved ones play a significant role in the lives of people with Seasonal Affective Disorder. They can help a depressed person seek help or enter a treatment facility, and they can provide support and love during the treatment period. They can also assist in taking the person with SAD to their appointments or treatment facility, and help obtain and monitor their medications. They also provide valuable financial and emotional support. It is important that family members learn when the SAD is causing significant impairment of daily functioning, requiring a higher level of care.

When Should a Client enter a treatment center?

Seasonal Affective Disorder can sometimes be ameliorated with light therapy, melatonin supplements, or antidepressants. However, when symptoms are disabling or refractory to standard treatments, it is time to consider an intensive treatment center. Oftentimes, once per week psychotherapy, light therapy, or medication is ineffective at managing serious symptoms of SAD. Symptoms or behaviors that adversely affect school, work, interpersonal relationships or financial stability require more decisive action.

How does PCH Treatment Center treat Seasonal Affective Disorder?

When a Client arrives at PCH Treatment Center with Seasonal Affective Disorder, a careful assessment is made to first confirm the diagnosis and then carefully detail the symptoms. A doctoral level psychologist will evaluate each Client and compose a treatment plan in conjunction with the Executive and Clinical Director, Dr. Jeff Ball. The PCH Treatment Center Psychiatrist, Dr. William Wirshing, will thoroughly assess the Client's medications, and make appropriate changes in their regimen. The philosophy at PCH Treatment Center is to minimize the amount of medication a Client takes, when possible, and to focus on psychotherapy and holistic healing. In addition to psychoanalysis, we offer Dialectical Behavioral Therapy (DBT), anger management, sleep management, psycho-education, and neurofeedback. Holistic adjuncts include yoga, mindfulness meditation, acupuncture, massage therapy and art therapy. Optional family therapy groups are also available. These valuable groups incorporate family members or significant others into the Client’s treatment environment. Clients may choose Intensive, Day or Evening Treatment Programs depending on their life circumstances and severity of symptoms.



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+ Article on Seasonal Affective Disorder
- Article on Seasonal Affective Disorder

Seasonal affective disorder, or SAD, is a condition which occurs cyclically and is usually at its most severe during the darker days of late fall and winter. Although it is possible to suffer from Seasonal affective disorder at the beginning of spring and summer rather than the gloomier seasons of the year, it is not typical of patients with this psychological problem. People who suffer from this type of depression can find excellent care at a seasonal affective disorder center.

When seasonal affective disorder presents during the fall and winter, it is often accompanied by the following symptoms:

  • Less desire for social interaction
  • Moodiness and dejection
  • Fatigue and inactivity
  • Sleeping excessively
  • Food cravings
  • Added pounds
  • Inability to process and remember information

Spring or summer onset of seasonal affective disorder is a bit different. With this cycle of seasonal affective disorder, people experience the following indicators:

  1. Extreme agitation
  2. Inability to fall asleep
  3. Nervousness
  4. Dropped pounds without effort
  5. Lack of appetite
  6. Increased sexual desire

A seasonal affective disorder clinic is specially equipped to deal with clients with both of these seasonal patterns. Once a client is enrolled in a seasonal affective disorder clinic, he or she will be evaluated by professionals who are knowledgeable about the latest research concerning this life-altering condition. A few of the therapies which have shown the most promise in seasonal affective disorder treatment are the following:

  • Phototherapy or light therapy
  • Psychotherapy
  • Prescription drug therapy

The simplest, and one of the most effective, treatments offered at a seasonal affective disorder clinic is light therapy. Clients undergoing this type of therapy are exposed to a special light for a prescribed period of time each day. The light affects the brain chemicals, improving mood and alleviating many of the other symptoms of SAD. The light used in this type of therapy is extremely important. The light box should contain either a full-spectrum light or a fluorescent bulb which has a filter for preventing ultra violet rays from reaching the skin and eyes. Light therapy should always be monitored by a professional to ensure that progress is being made. It is also important to follow all of the safety precautions given during light therapy treatment.

If light therapy alone fails to cause an improvement, doctors at a seasonal affective disorder clinic may use it in conjunction with some form of medication and psychotherapy. Common drugs used in seasonal affective disorder treatment include Bupropion, Zoloft, Paxil, Effexor, Sarafem, and Prozac. The staff at seasonal affective disorder treatment clinics uses psychotherapy to help clients learn to recognize negative thought patterns. Pessimistic thoughts can add to the effect of this disorder so learning to manage this behavior can greatly enhance the probability of a successful recovery.

Seasonal affective disorder can be disruptive to clients and their families, but once light therapy has been used to bring the condition under control, counseling can usually put everyone back on the right track.

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