Treatment FAQ

what is the most effective treatment for seasonal affective disorder?

by Dr. Mariana Pfeffer I 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

Mar 30, 2022 · Light therapy boxes can offer an effective treatment for seasonal affective disorder. Features such as light intensity, safety, cost and style are important considerations. By Mayo Clinic Staff Seasonal affective disorder (SAD) is a type of depression that typically occurs each year during fall and winter. Use of a light box can offer relief.

Therapy

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.

Self-care

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.

Nutrition

Most tried and most effective treatments for seasonal affective disorder based on the experiences of 335 diagnosed members of the seasonal affective disorder research community ... We're here to figure out which seasonal affective disorder treatments work best, together. Help out by sharing your experience.

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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 …

How is seasonal affective disorder treated?

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.

Can a light therapy box help with seasonal affective disorder?

Mar 07, 2022 · Psychotherapy (aka talk therapy) can be an invaluable option for treating, managing and reducing SAD symptoms and reoccurrence. Many different therapy types may be helpful, but one in particular, called cognitive-behavioral therapy (CBT), has been highlighted as a particularly useful treatment option for SAD. 2, 6.

What are the causes of seasonal affective disorder (SAD)?

Feb 03, 2022 · Since the problem is often brought about because of changes in the light, light therapy is one of the most common and effective treatments for SAD. During light therapy, patients spend up to 20 minutes in a room with special lights that mimic the exposure to daylight that generates serotonin and melatonin. Other treatments include: Exercise.

What is the best treatment for Sad?

Other study found that fluoxetine and LT had been effective but LT had the earlier onset of recovery and fewer adverse effects. In a large placebo-controlled study, sertraline was superior to placebo and was tolerated in the treatment of SAD. Citalopram was effective during the next 15 weeks than placebo.

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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?

Your doctor will likely employ a combination of techniques to treat you for your mood disorder. Depending upon your case specifics, these strategies are likely to include psychotherapy, antidepressant drugs, family therapy and holistic lifestyle programs.

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 is the best antidepressant for seasonal affective disorder?

Selective serotonin reuptake inhibitors (SSRIs) are the preferred type of antidepressant for treating SAD.

What hormone causes seasonal affective disorder?

The exact causes of SAD are unknown. Researchers have found that people with SAD may have an imbalance of serotonin, a brain chemical that affects your mood. Their bodies also make too much melatonin, a hormone that regulates sleep, and not enough vitamin D. The main treatment for SAD is light therapy.

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 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

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

How to treat seasonal affective disorder?

Treatment for seasonal affective disorder may include light therapy, medications and psychotherapy. If you have bipolar disorder, tell your doctor — this is critical to know when prescribing light therapy or an antidepressant. Both treatments can potentially trigger a manic episode.

Why is it so hard to diagnose seasonal affective disorder?

Even with a thorough evaluation, it can sometimes be difficult for your doctor or mental health professional to diagnose seasonal affective disorder because other types of depression or other mental health conditions can cause similar symptoms.

How to get rid of sad symptoms?

Get enough sleep to help you feel rested, but be careful not to get too much rest, as SAD symptoms often lead people to feel like hibernating. Participate in an exercise program or engage in another form of regular physical activity. Make healthy choices for meals and snacks.

What is the DSM-5?

DSM-5. Your mental health professional may use the criteria for seasonal depressive episodes listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.

How to get out of the sun in the morning?

Take a long walk, eat lunch at a nearby park, or simply sit on a bench and soak up the sun. Even on cold or cloudy days, outdoor light can help — especially if you spend some time outside within two hours of getting up in the morning. Exercise regularly.

What to know before a doctor appointment?

Before your appointment, make a list of: Your symptoms, such as feeling down, having a lack of energy, excess sleeping and appetite changes. Your depression patterns, such as when your depression starts and what seems to make it better or worse.

How to make your home brighter?

Make your environment sunnier and brighter. Open blinds, trim tree branches that block sunlight or add skylights to your home. Sit closer to bright windows while at home or in the office. Get outside. Take a long walk, eat lunch at a nearby park, or simply sit on a bench and soak up the sun.

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.

Why does vitamin D cause mood swings?

Deficits in vitamin D may exacerbate these problems because vitamin D is believed to promote serotonin activity.

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.

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.

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.

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.

Where is SAD more common?

SAD occurs much more often in women than in men, and it is more common in those living farther north, where there are shorter daylight hours in the winter. For example, people living in Alaska or New England may be more likely to develop SAD than people living in Florida. In most cases, SAD begins in young adulthood.

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.

What is the cause of SAD?

SAD is a type of depression that happens during a certain season of the year—most often fall and winter. There is no clear cause of SAD. Less sunlight and shorter days are thought to be linked to a chemical change in the brain and may be part of the cause of seasonal affective disorder (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.

How long does depression last?

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

What is the best treatment for distorted thoughts?

Psychotherapy . 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.

What are the symptoms of a sex drive disorder?

Irritability and anxiety. Feelings of guilt and hopelessness. Fatigue, or low energy level. Decreased sex drive. Decreased ability to focus or concentrate. Trouble thinking clearly. Increased appetite, especially for sweets and carbohydrates. Weight gain. Physical problems, such as headaches.

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

Treatment

Lifestyle and Home Remedies

Alternative Medicine

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.

Coping and Support

Preparing For Your Appointment

  • Treatment for seasonal affective disorder may include light therapy, psychotherapy and medications. If you have bipolar disorder, tell your health care provider and mental health professional — this is critical to know when prescribing light therapy or an antidepressant. Both treatments can potentially trigger a manic episode.
See more on mayoclinic.org

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