Treatment FAQ

what is the most effective treatment for seasonal affective disorder

by Mr. Horacio Harber Jr. Published 2 years ago Updated 2 years ago
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Antidepressants are thought to be most effective if taken at the start of winter before symptoms appear, and continued until spring. Selective serotonin reuptake inhibitors (SSRIs) are the preferred type of antidepressant for treating SAD.

Medication

Treatments are available that can help many people with SAD. They fall into four main categories that may be used alone or in combination: Light therapy; Psychotherapy; Antidepressant medications; Vitamin D; Talk to your health care provider about which treatment, or combination of treatments, is best for you.

Therapy

Mar 30, 2022 · Seasonal affective disorder (SAD) is a type of depression that typically occurs each year during fall and winter. Use of a light therapy box can offer relief. But for some people, light therapy may be more effective when combined with another SAD treatment, such as an antidepressant or psychological counseling (psychotherapy).

Self-care

Feb 16, 2013 · Psychotherapy or talk therapy, as it is sometimes called, can be an effective treatment for seasonal affective disorder. A psychologist or other type of trained therapist will help you understand why you’re experiencing negative thoughts and emotions, and help you develop effective ways to change negative thought patterns and improve your mood.

Nutrition

treatment for most. However, people with certain eye diseases or people taking certain medications that increase sensitivity to sunlight may need to use alternative treatments or use light therapy under medical supervision. Psychotherapy or “Talk Therapy” Cognitive behavioral therapy (CBT) is a type of talk

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Nov 25, 2015 · In the northern US and Canada, one study revealed that beginning bupropion XL 150–300 mg daily early in the season while people were still well did prevent recurrence of seasonal depressive episodes [ 62 ]. With any medication treatment, it is important to draw attention to the issue of adverse effects.

What is the best light for seasonal depression?

Because most people experience these shifts in mood during winter, it’s sometimes referred to as winter depression. If your symptoms are less severe, the episode can be referred to as the “winter blues.” The official reference for this milder version is winter-type or winter-pattern subsyndromal seasonal affective disorder.

What helps with seasonal depression?

The treatments for "winter depression" and "summer depression" often differ, and may include any, or a combination, of the following: Exposure to sunlight. Spending time outside or near a window can help relieve symptoms. Light therapy.

How do you cure seasonal depression?

Mar 07, 2022 · Because decreased exposure to light in the winter is thought to be the primary cause of SAD, light therapy is often the first line of treatment for winter SAD. Research indicates that it is can be an effective treatment for SAD on its own or in combination with other therapies, according to a large review of multiple studies. 2, 7, 10

How to combat seasonal depression?

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What are 2 treatments for seasonal affective disorder?

Management and TreatmentPhototherapy: Bright light therapy, using a special lamp, can treat SAD.Cognitive behavioral therapy (CBT): A type of talk therapy called CBT can also effectively treat SAD. ... Antidepressant medication: Sometimes, providers recommend medication for depression, either alone or with light therapy.More items...•Dec 7, 2020

What is a unique approved treatment for seasonal affective disorder?

Light therapy is a unique treatment for seasonal affective disorder that occurs in the fall or winter months, with evidence to support 10,000 lux brightness for 30 minutes daily. 1 Prescription medications and psychotherapy are also common treatments.Mar 12, 2021

What is the best way to treat SAD?

How is SAD treated?Exposure to sunlight. Spending time outside or near a window can help relieve symptoms.Light therapy. If increasing sunlight is not possible, exposure to a special light for a specific amount of time each day may help.Psychotherapy. ... Antidepressants.

What are 3 treatment options for affective disorders?

Mood disorders can often be treated with success. Treatment may include: Antidepressant and mood stabilizing medicines—especially when combined with psychotherapy have shown to work very well in the treatment of depression. Psychotherapy—most often cognitive-behavioral and/or interpersonal therapy.

Does Lexapro help with seasonal affective disorder?

Antidepressants used to treat SAD include selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft) and escitalopram (Lexapro). For people with SAD that is part of bipolar disorder, bupropion (Wellbutrin) is often prescribed.

What are SSRIs used for?

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.

Is seasonal affective disorder curable?

Dr. Rohan: SAD can be effectively treated but the status of the research in the field is unfortunately not at the point where we can say we have a “cure” for SAD. The good news is that research in the field shows effective treatments are available, including light therapy, medications and CBT.Feb 4, 2013

How do you stop winter blues?

Overcoming the winter bluesExercise. Bundle up for a walk, swim indoors, or head to the gym. ... Check your vitamin D levels. ... Get some light therapy. ... Eat a healthy diet. ... Stimulate your senses. ... Nurture your spirit. ... Head to a sunnier climate. ... See a therapist.

What is the science behind seasonal affective disorder?

The reduced level of sunlight in fall and winter may cause winter-onset SAD . This decrease in sunlight may disrupt your body's internal clock and lead to feelings of depression. Serotonin levels. A drop in serotonin, a brain chemical (neurotransmitter) that affects mood, might play a role in SAD .Dec 14, 2021

What type of therapy is interpersonal therapy?

IPT is a form of psychotherapy that focuses on relieving symptoms by improving interpersonal functioning. It addresses current problems and relationships rather than childhood or developmental issues. Therapists are active, non-neutral, supportive and hopeful, and they offer options for change.

What is the best medicine for mood disorder?

You'll typically need mood-stabilizing medication to control manic or hypomanic episodes. Examples of mood stabilizers include lithium (Lithobid), valproic acid (Depakene), divalproex sodium (Depakote), carbamazepine (Tegretol, Equetro, others) and lamotrigine (Lamictal).Feb 16, 2021

Does Wellbutrin help with seasonal affective disorder?

Evidence-Based Answer. When started in the fall, extended-release bupropion, 300 mg once daily, is effective in preventing recurrent symptoms in high-risk adults with a history of SAD (number needed to treat [NNT] = 5), as well as those at lower risk (NNT = 8).Jan 1, 2017

What is the best treatment for SAD?

Because SAD, like other types of depression, is associated with disturbances in serotonin activity, antidepressant medications called selective serotonin reuptake inhibitors (SSRIs) are also used to treat SAD when symptoms occur. These agents can significantly enhance patients' moods. Commonly used SSRIs include fluoxetine, citalopram, sertraline, paroxetine, and escitalopram.

How does CBT help with SAD?

It is typically conducted in two weekly group sessions for 6 weeks and focuses on replacing negative thoughts related to the winter season (e.g., about the darkness of winter) with more positive thoughts. CBT-SAD also uses a process called behavioral activation, which helps individuals identify and schedule pleasant, engaging indoor or outdoor activities to combat the loss of interest they typically experience in the winter.

What is it called when you have a mood change?

If you have noticed significant changes in your mood and behavior whenever the seasons change, you may be suffering from seasonal affective disorder (SAD), a type of depression. In most cases, SAD symptoms start in the late fall or early winter and go away during the spring and summer; this is known as winter-pattern SAD or winter depression.

How long does a sad last?

SAD is not considered a separate disorder but is a type of depression characterized by its recurrent seasonal pattern, with symptoms lasting about 4 to 5 months per year. Therefore, the signs and symptoms of SAD include those associated with major depression, and some specific symptoms that differ for winter-pattern and summer-pattern SAD.

Does bupropion have side effects?

The U.S. Food and Drug Administration (FDA) also has approved another type of antidepressant, bupropion , in an extended-release form, that can prevent recurrence of seasonal major depressive episodes when taken daily from the fall until the following early spring. All medications can have side effects.

What is light therapy?

Since the 1980s, light therapy has been a mainstay for the treatment of SAD. It aims to expose people with SAD to a bright light every day to make up for the diminished natural sunshine in the darker months.

When do you feel down?

People may start to feel “down” when the days get shorter in the fall and winter (also called “winter blues”) and begin to feel better in the spring, with longer day light hours. In some cases, these mood changes are more serious and can affect how a person feels, thinks, and handles daily activities. If you have noticed significant changes in your ...

What is the best treatment for seasonal affective disorder?

Seasonal affective disorder (SAD) is a type of depression that typically occurs each year during fall and winter. Use of a light therapy box can offer relief. But for some people, light therapy may be more effective when combined with another SAD treatment, such as an antidepressant or psychological counseling (psychotherapy). ...

What is a light therapy box?

A light therapy box mimics outdoor light. Researchers believe this type of light causes a chemical change in the brain that lifts your mood and eases other symptoms of SAD.

Can you use a light therapy box for bipolar?

It's best to talk with your health care provider about choosing and using a light therapy box. If you're experiencing both SAD and bipolar disorder, the advisability and timing of using a light box should be carefully reviewed with your doctor. Increasing exposure too fast or using the light box for too long each time may induce manic symptoms if you have bipolar disorder.

How many lux does a light box need?

Brighter boxes will require less time to use each day, compared with dimmer boxes, to achieve the same effect. Typically the recommended intensity of light is 10,000 lux.

Can you buy a light box without a prescription?

Light boxes are designed to be safe and effective, but they aren't approved or regulated by the Food and Drug Administration (FDA) for SAD treatment, so it's important to understand your options. You can buy a light box without a prescription.

Can light therapy help with depression?

If not, it may not help your depression. Some light therapy lamps are designed for skin disorders — not for SAD. Lamps used for skin disorders primarily emit ultraviolet (UV) light and could damage your eyes if used incorrectly. Light boxes used to treat SAD should filter out most or all UV light.

What does a light box look like?

Light boxes come in different shapes and sizes, with varied features. Some look like upright lamps, while others are small and rectangular. The effectiveness of a light box depends on daily use, so buy one that's convenient for you.

What is seasonal affective disorder?

Seasonal affective disorder, or SAD, is type of depression. It happens during certain seasons of the year—most often fall or winter. It is thought that shorter days and less daylight may trigger a chemical change in the brain leading to symptoms of depression. Light therapy and antidepressants can help treat SAD.

How to make depression worse?

These can make depression worse. Delay big decisions until the depression has lifted. Before deciding to make a significant transition—change jobs, get married or divorced—discuss it with others who know you well and have a more objective view of your situation. Remember: People rarely "snap out of" a depression.

Why is ViewMedica not allowed?

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How long does depression last?

Most people with clinical depression who seek treatment see improvement, usually within weeks.

When does depression start?

This is also called "winter depression.". Symptoms of depression begin in the late fall to early winter months and ease during the summer months. Spring-onset. This is also called "summer depression.". Symptoms of depression begin in late spring to early summer.

What is cognitive behavioral therapy?

Cognitive-behavioral or interpersonal therapy helps change the distorted views you may have of yourself and the environment around you. It can help you improve interpersonal relationship skills, and identifying things that cause you stress as well as how to manage them. Antidepressants.

How to help with a swollen ear?

Exposure to sunlight. Spending time outside or near a window can help relieve symptoms. Light therapy. If increasing sunlight is not possible, exposure to a special light for a specific amount of time each day may help.

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Diagnosis

Lifestyle and Home Remedies

Alternative Medicine

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Light therapy, medications, and psychotherapy are the treatments available for SAD. It is important to let the doctor know of your other medical conditions, including bipolar disorder, to avoid any side effects from any of the medications or therapies.
Medication

Antidepressant: Drugs used to reduce the symptoms of depression.

Bupropion . Paroxetine

Therapy

Light therapy:The patient is exposed to bright light to bring about changes in brain chemicals and improve the mood.

Psychotherapy:A mental health professional will talk to you and help you cope with your negative thoughts and behavior, and manage stress.

Self-care

Always talk to your provider before starting anything.

  • Keep your house well lit
  • Sit closer to bright windows both at home and in office
  • Take a walk outside each day
  • Exercise regularly
  • Eat a well balanced diet
  • Stick to your treatment plan
  • Practise relaxation techniques such as yoga, tai chi and meditation
  • Practise music or art therapy

Nutrition

Foods to eat:

  • Vitamin D rich foods: e.g. fatty fish such as salmon, tuna, sardines, rainbow trout, fish oil, fortified milk, egg yolk
  • Foods rich in omega 3 fatty acids: e.g. oily, fatty fish such as mackerel, herring, salmon, sardines, anchovies, flaxseed, hemp, canola, and walnut oils
  • Berries: e.g. blueberries, raspberries, strawberries
  • Foods rich in folic acid: e.g. leafy greens, oatmeal, sunflower seeds, oranges, fortified cereals, lentils, blackeyed peas, and soybeans

Foods to avoid:

  • Sugary foods

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Clinical psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behavior problems.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

  • Even with a thorough evaluation, it can sometimes be difficult for your health care provider or mental health professional to diagnose seasonal affective disorder because other types of depression or other mental health conditions can cause similar symptoms. To help diagnose SA…
See more on mayoclinic.org

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