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    Seasonal affective disorder

    Seasonal affective disorder (SAD) isa typeof depression that occurs at a certain time of the year, usually in the winter.

    Causes

    SAD may begin during the teen years or inadulthood. Like other forms of depression, it occurs more often in women than in men.

    People who live in places with long winter nights are at greater riskof SAD. A less common form of the disorder involves depression during the summer months.

    Symptoms

    Symptoms usually build up slowly in the late autumn and winter months. Symptoms are usually the same as with other forms of depression:

    • Hopelessness
    • Increased appetite with weight gain (weight loss is more common with other forms of depression)
    • Increased sleep (too little sleep is more common with other forms of depression)
    • Less energy and ability to concentrate
    • Loss of interest in work or other activities
    • Sluggish movements
    • Social withdrawal
    • Unhappiness and irritability

    SAD can sometimes become long-term depression. Bipolar disorder or thoughts of suicide are also possible.

    Exams and Tests

    There is no test for SAD. Your health care provider can make a diagnosis by asking about your history of symptoms.

    The health care provider may also perform a physical exam and blood tests to rule out other disorders that are similar to SAD.

    Treatment

    As with other types of depression, antidepressant medicines and talk therapy can be effective.

    MANAGING YOUR DEPRESSION AT HOME

    To manage your symptoms at home:

    • Get enough sleep.
    • Eat a healthy foods.
    • Take medicines the right way.Ask your health care providerhow to manage side effects.
    • Learn to watch for early signs that your depression is getting worse. Have a plan if it does get worse.
    • Try to exercise more often.Do activities that make you happy.

    Do not usealcohol and illegal drugs. These can make depression worse. Theycan also affect your judgment about suicide.

    When you are struggling with depression, talk about how you arefeelingwith someone you trust. Try to be around people who are caring and positive. Volunteer or get involved in group activities.

    LIGHT THERAPY

    Your health care provider may prescribe light therapy. Light therapy uses a special lamp with a very bright light that mimics light from the sun.

    • Treatment is startedin the fall or early winter, before the symptoms of SAD begin.
    • Follow your health care provider's instructions about how to use light therapy.One way that may be recommendedis to sit a couple of feet away from the light box for about 30 minutes each day. This is usually done in the early morning, to mimic sunrise.
    • Keep your eyes open, but do not look straight into the light source.

    Symptoms of depression should improve within 3to 4 weeks if light therapy is going to help.

    Side effects of light therapy include:

    • Eye strain and headacheMania (rare)

    People who takemedicines that make them more sensitive to light, such as certain psoriasis drugs, antibiotics, or antipsychotics, shouldnot uselight therapy.

    A checkup with your eye doctor is recommended before starting treatment.

    With no treatment, symptoms usually get better on their own with the change of seasons. Symptoms can improve more quickly with treatment.

    Outlook (Prognosis)

    The outcome is usually good with treatment. Some people, though,have SAD throughout their lives.

    When to Contact a Medical Professional

    Get medical help right away if you have thoughts of hurting yourself or anyone else.

    References

    Byrne B, Brainard GC. Seasonal affective disorder and light therapy. Sleep Med Clin. 2008;3:307-315.

    Fava M, Cassano P. Mood disorders: major depressive disorder and dysthymic disorder. In: Stern TA, Rosenbaum JF, Fava M, et al., eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, PA: Elsevier Mosby; 2008:chap 29.

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    • Forms of depression

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      • Forms of depression

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      A Closer Look

      Talking to your MD

        Self Care

          Tests for Seasonal affective disorder

            Review Date: 3/8/2013

            Reviewed By: Fred K. Berger, MD, Addiction and Forensic Psychiatrist, Scripps Memorial Hospital, La Jolla, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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