Understanding Seasonal Affective Disorder (SAD)

A Comprehensive Guide to Winter Depression

Psychiatry

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Last updated: Mar 24, 2025

What is SAD?

Seasonal Affective Disorder is a type of depression that's related to seasonal changes. Most people with SAD experience symptoms during fall and winter months, with symptoms typically resolving during spring and summer.

Common Symptoms

  • Feeling depressed most days
  • Loss of interest in activities
  • Changes in appetite (especially craving carbohydrates)
  • Sleep problems (usually oversleeping)
  • Low energy and fatigue
  • Difficulty concentrating
  • Social withdrawal ("hibernating")
  • Weight gain

Causes and Risk Factors

Primary Factors:

  • Reduced sunlight exposure
  • Disrupted circadian rhythm
  • Decreased serotonin levels
  • Melatonin imbalance

Risk Factors:

  • Being female (more commonly diagnosed)
  • Living far from the equator
  • Family history of depression
  • Age (young adults more affected)

Treatment Options

Light Therapy

  • Using a special light box (10,000 lux)
  • Daily sessions, typically 20-30 minutes
  • Best used in early morning

Medication

  • SSRIs (antidepressants)
  • Bupropion XL

Psychotherapy

  • Cognitive Behavioral Therapy (CBT)
  • Talk therapy

Self-Care Strategies

  1. Maintain a regular schedule
  2. Get outside during daylight hours
  3. Exercise regularly
  4. Keep a healthy diet
  5. Stay socially connected

When to Seek Help

Consult a healthcare provider if you:

  • Feel hopeless
  • Have thoughts of self-harm
  • Cannot maintain daily routines
  • Experience significant changes in sleep or appetite

Prevention

  • Start treatments before symptoms typically begin
  • Maintain healthy lifestyle habits year-round
  • Monitor mood changes as seasons shift

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