Tuesday, February 7, 2023
Feb. 7, 2023

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Feeling SAD? There’s help available

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As the air gets colder and the sun goes down earlier, some people find themselves less inclined to complete their daily tasks. Although it is normal to feel a bit more bummed than usual during these months, it’s imperative to know the difference between being in a funk and having a disorder, experts say.

Seasonal affective disorder, or SAD, is a form of depression that happens during periods of less sunlight and shorter days, according to John Hopkins Medicine. The disorder is linked to a “chemical change in the brain” and usually results in the body making more melatonin, the sleep hormone, because it’s dark outside earlier.

Due to fewer hours of sunlight, a person’s internal clock might be thrown off during winter-onset seasonal affective disorder, according to Mayo Clinic. Levels of melatonin are disrupted in the body, changing sleep patterns, and levels of serotonin, the hormone that affects mood, drop.

About 5 percent of adults in the United States have seasonal affective disorder, according to the Cleveland Clinic. The disorder tends to affect women more than men.

“I think people try to sugarcoat it. Seasonal affective disorder is much more linked to daylight hours. While there’s a lot of similarities between that and depression, what might be driving the bus for seasonal affective disorder could be a little different,” Joseph F. McGuire, associate professor of psychiatry and behavioral sciences for John Hopkins Medicine, told McClatchy News.

As it gets colder, a lot of people tend to have a bit of a lower mood, McGuire said. They want to stay home and get a little “snuggly.”

But for people with SAD, it’s more than just not wanting to go outside or spend time with friends. It’s a biological change.

Symptoms

The symptoms of seasonal affective disorder have a lot of overlap with those of depression, such as being in a low mood and not being able to get enjoyment out of the things that would normally bring pleasure, said Mimi Winsberg, psychiatrist and chief medical officer at Brightside Health.

“Depression can usually present itself in changes of sleep. That change would either be sleeping too much or too little. With seasonal affective disorder, we tend to see the need to sleep more than usual. We tend to see more sleep, less energy and a tendency towards weight gain and craving carbs. It’s kind of a hibernation pattern,” she said.

The disorder is “characterized by its recurrent seasonal pattern,” according to the National Institute of Mental Health. Symptoms tend to last about four to five months per year, most commonly in the winter months.

Symptoms of seasonal affective disorder can mimic depression, according to the Mayo Clinic:

  • Feeling sad or down most of the day, almost every day
  • Having low energy and feeling sluggish
  • Having difficulty concentrating
  • Feeling hopeless, worthless or guilty

A professional will typically wait to see if someone has symptoms for at least two winters before diagnosing them, Winsberg said.

Seeking treatment

Both McGuire and Winsberg said that the first and most important step with seasonal affective disorder is to seek help.

“How you’re feeling is valid. It’s OK to reach out, even to a professional just to start a conversation,” McGuire said.

Winsberg said it should be looked at like getting any other form of medical treatment.

Some people don’t even know where to start if they want to seek treatment.

“The first step is doing some research to find a treatment near you. A lot of sites offer free online evaluations,” McGuire added. “What I would hate is for someone to feel depressed and not know there is support and help out there.”

More ways to help

Experts also offered advice for day-to-day ways to help manage seasonal affective disorder.

  • Consider buying a light box that emits 10,000 lux units and use it for 30 to 45 minutes a day in the morning.
  • Go outside during the noon hour if the sun is out.
  • Take vitamin D supplements to help with the lack of sun during winter time.
  • Writing down your thoughts in a journal can help rid your system of negative feelings, according to Everyday Health.
  • “Dim-light simulators of sunrise have also shown promising results,” according to Columbia University Irving Medical Center.
  • “Break large tasks into small ones, set priorities, and do what you can as you can,” according to John Hopkins Medicine.
  • Try spending time near a window to get sun exposure.
  • Consider cutting back on nicotine, caffeine and alcohol, according to News Medical Life Sciences.
  • Talk with an expert to see if you’re a candidate for antidepressants.

McGuire and Winsberg stressed the importance of reaching out for help if you feel you may need extra support.

“There’s still this stigma around mental health that we as professionals are trying to demolish,” Winsberg said. “If there’s any advice I can give to people out there who might be struggling, it’s to remember what gets measured gets managed.”

If you or someone you know need help, you can contact the NAMI HelpLine. The National Alliance on Mental Illness offers a free, nationwide peer-support service providing information, resource referrals and support to people living with a mental health condition, their family members and caregivers, mental health providers and the public. You can call 1-800-950-6264 or text “HelpLine” to 62640 each Monday-Friday from 10 a.m. to 10 p.m. ET.

If you need immediate help in a crisis, call 1-800-273-8255 to reach the National Suicide Prevention Lifeline.

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