By Dave Turo-Shields, ACSW, LCSW
Ah yes, the you can just now begin to feel the cold bite in the air during
the mornings and evenings. Soon the leaves will turn all sorts of brilliant
colors. The autumn season is on it's way. I love the fall. It's my
favorite season of the year.
Unfortunately, for many who suffer from a disorder called Seasonal Affective
Disorder (SAD), the dread of the upcoming change in seasons is growing.
I am writing this late summer article for those of you who struggle with
seasonal depression, or have wondered if you might. I am writing now,
before the onset of the fall season, because I want for you to be proactive
before this problem gains a foothold in your life.
The research is unclear about the average percentage of the population that
suffers from seasonal affective disorder. There has been substantial
studies of those with depression, bipolar disorder and atypical depression,
which show that 60% or more with these particular diagnoses have additional
elevations in depression symptoms during the fall and winter seasons.
We've all heard the term "biological clock." We are now somewhat sure of
exactly where this resides in the brain. One responsibility of our
biological clock is to measure the amount of light that comes through our
retinas. Then our nervous system communicates this information to the
Pineal Gland. The Pineal Gland is responsible for producing Melatonin. The
more light that comes through, the less Melatonin that is produced. In the
fall and winter, when daylight hours are much fewer, the Pineal Gland
produces much more Melatonin.
Ironically, Melatonin is a hormone known to have many positive benefits for
us. It is prescribed for insomnia, helps with jet lag, improves immune
function and is an antioxidant. The bad news for those of you who suffer
from SAD is that it seems Melatonin is the culprit.
The symptoms for Seasonal Affective Disorder include, but are not limited to
the following list:
1. Excessive eating
2. Weight gain
4. Excessive sleeping
5. Decreased physical activity; much more sedentary
6. Increased levels of fatigue
7. Unclear or sluggish ability to think
8. Feeling slowed down physically and mentally
9. Previous history of elevated depression in fall/winter
10. Strong cravings for sweets and starchy foods
Now, if some of this sounds familiar to you, and you're sure you do not
struggle with seasonal depression it's because we all slow down some in the
winter. We're biologically built to go into a sort of natural hibernation
mode. The difference is when the symptoms listed above significantly impair
several of your important life areas, such as family, social and work
productivity in such a way that you are much less functional.
Take a proactive stance now. We're all familiar with "Prevention is the
best medicine!" Have a fall and winter plan. Please, do it now while you
are better able to put together a thoughtful plan of action. Here are some
1. Plan at least three social activities each month
2. Expose yourself to as much bright light as possible
3. Stay or become physically active through exercise
4. Have good support systems in place
5. Buy an indoor light box which gives 10,000 Lux natural
full spectrum lighting
6. Start a natural or prescribed antidepressant four weeks
prior to the beginning of mid-fall and terminate use four
weeks following the end of winter. Talk to your family
doctor about this.
For those of you who already have a depression diagnosis of one kind or
another, and you know you dip deeper into depression in the fall and winter,
this proactive approach is absolutely vital for you. And, I have some
additional ideas for you.
1. Adjust the dosages of your antidepressants at the
beginning and end of the fall/winter seasons
2. Add 3 new stress management skills to your skill base
4. You should own and use a light box, even in the
5. Monitor depression using a simple daily mood chart scale
of 1-10, with 10 being severe depression. Commit to a
"planned ahead" action you will definitely take (like
seeing your family doctor) if your rating is over 6,
three or more days in one week.
6. Make a list of past symptoms - a trigger list if you
will. And share it with one other person.
A light box should be used very specifically, and there are a few concerns
about using light boxes for seasonal affective disorder.
Light boxes work similar to the description above. If more light goes
through the retinas, on to the biological clock, and through the nervous
system to the Pineal Gland, the production of Melatonin will slow. The
result will be elevated mood.
If you have any type of eye problems involving the retina you must consult
your eye specialist first, before using a light box. These types of eye
problems include macular degeneration, retinitis, pigmentosa and diabetic
The minimum amount of time to use a light box for a positive effect is 30-60
minutes. Generally the first positive response reported from sufferers of
seasonal affective disorder is increased energy levels.
If you oversleep and struggle with getting up in the morning the best time
to use your light box is in the morning. And, I know you don't want to hear
this, but the best way to use the light box is to get up 30 minutes early
and use it immediately for 30 minutes.
If you tend to nod off early in the evening, only take wake up too early in
the morning and cannot get back to sleep the best time to use the light box
would be in the evening.
Be careful if your diagnosis is Bipolar Disorder. You can still use a light
box, and probably should, but there is some risk that you could go into a
hypomanic or manic phase. The best time for Bipolar folks to use the light
box is in the mid-afternoon. It is also strongly suggested that you stay
on, or use a mood stabilizer medication in combination with the light box.
Seasonal affective disorder is a very real and debilitating disorder. I
suspect it will show up in a future edition of the diagnostic guide for the
psychotherapy profession. You can make a remarkable difference in the
quality of your fall and winter seasons by taking action now. Please help
yourself out, you deserve to feel good year 'round!
To your best autumn and winter season ever!
For more information about
Seasonal Affective Disorder, visit holisticonline.com
infocenter on Seasonal Affective Disorder. and holisticonline.com