{"id":20553,"date":"2019-01-22T10:48:27","date_gmt":"2019-01-22T17:48:27","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=20553"},"modified":"2023-06-23T10:53:11","modified_gmt":"2023-06-23T16:53:11","slug":"understanding-sad","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/understanding-sad\/","title":{"rendered":"Understanding SAD"},"content":{"rendered":"
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\"A
Treatment of seasonal affective disorder may include medication, as well as artificial light therapy. Photo: Getty Images.<\/figcaption><\/figure>\n

If wintry months make you blue, you may be dealing with seasonal affective disorder, or SAD.<\/p>\n

With SAD, people experience periods of depression or mania that start and stop with the seasons. It\u2019s more common than you may expect, affecting an estimated 5 percent of American adults. But it can be treated.<\/p>\n

Below, Dr. Michelle Jimerson<\/a>, a family physician in Steamboat Springs and a member of the medical staff at UCHealth Yampa Valley Medical Center<\/a>, outlines what to know about SAD.<\/p>\n

It\u2019s more than just feeling down<\/strong><\/h3>\n

To be diagnosed with SAD, a patient must exhibit five symptoms of depression for at least two weeks. Those symptoms may include a depressed mood, a loss of pleasure or interest in normal activities, a change in appetite, a change in sleep patterns, fatigue, loss of energy, feelings of guilt and even suicidal thoughts.<\/p>\n

People who suffer from SAD during winter months are more likely to crave sweet and starchy foods, gain weight and sleep more, which is different from typical depression. \u201cEverybody experiences it a little bit differently,\u201d Jimerson said.<\/p>\n

Though SAD usually affects people during dark, wintry months, some people suffer from a summertime version of the disorder.<\/p>\n

Causes are not clear<\/strong><\/h3>\n

SAD may be a result of genetics, changes in melatonin production or disturbances in natural circadian rhythms due to seasonal shifts in light, among other factors.<\/p>\n

\u201cThere\u2019s so much we don\u2019t know about why people are depressed,\u201d Jimerson said. \u201cThere may be a familial, genetic component; a social component; a chemical component.\u201d<\/p>\n

The disorder usually strikes first when a patient is in their 20s or 30s. And once someone experiences SAD, they are more likely to experience it again the next year.<\/p>\n

However, it may just last for a season. \u201cJust because you have it this winter does not mean you\u2019ll have it next winter,\u201d Jimerson said.<\/p>\n

Treatment varies<\/strong><\/h3>\n

As with most forms of depression or mood disorders, there are several options for treatment. Treatment may include medication, as well as artificial light therapy.<\/p>\n

\u201cOne positive is that the use of medications can be seasonal,\u201d Jimerson said. \u201cYou can start them in the fall, then come off them in the spring when there\u2019s more light and you\u2019re feeling better. There\u2019s literally light at the end of the tunnel.\u201d<\/p>\n

Artificial light therapy, including bright light therapy and dawn simulation, is proven to have a positive impact. The upside of light therapy is that it doesn\u2019t have the side effects that medications may have. However, you do have to find time to use it. Some people use bright light therapy while they eat a meal or exercise indoors.<\/p>\n

Cognitive behavioral therapy helps people identify triggers of the disorder and find ways to foster healthy habits such as getting enough sleep, avoiding screens before bedtime and exercising regularly.<\/p>\n

\u201cPeople may feel everything is out of their control, but therapy can help people gain back some control,\u201d Jimerson said.<\/p>\n

Using all three therapies together often works best.<\/p>\n

Your primary care doctor is a good first stop<\/strong><\/h3>\n

To determine whether SAD or other mental health issues are affecting you, check in with your primary care doctor. Most primary care physicians give patients a simple screening for depression that can help flag potential issues.<\/p>\n

\u201cWe encourage people to come in every year for an annual physical,\u201d Jimerson said. \u201cSometimes it\u2019s not until you\u2019re actually talking with a doctor that you realize something may not be quite right.\u201d<\/p>\n

Remember it isn\u2019t your fault<\/strong><\/h3>\n

While there is still stigma attached to mental health issues, Jimerson encourages patients to keep treatment in perspective.<\/p>\n

\u201cIf you need thyroid hormone, we treat you,\u201d she said. \u201cSimilarly, if you have low levels of serotonin, which affects the mood, we can treat that as well. Sometimes it helps people to remember that SAD has a chemical component. We look at it as a medical condition just like we would anything else.\u201d<\/p>\n

 <\/p>\n

This article first appeared in the Dec. 24, 2018 edition of the Steamboat Pilot & Today<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"

If wintry months make you blue, you may be dealing with seasonal affective disorder, or SAD. With SAD, people experience periods of depression or mania that start and stop with the seasons. It\u2019s more common than you may expect, affecting an estimated 5 percent of American adults. But it can be treated. Below, Dr. Michelle […]<\/p>\n","protected":false},"author":2163,"featured_media":20556,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[113,9187,2518],"class_list":["post-20553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-behavioral-health","tag-readysetco","tag-uchealth-yampa-valley-medical-center"],"acf":[],"yoast_head":"\nUnderstanding SAD - UCHealth Today<\/title>\n<meta name=\"description\" content=\"If wintry months make you blue, you may be dealing with seasonal affective disorder, or SAD. 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