An Article written by Dr. Jeff Stone

Practicing medicine in Northern New York for my first 26 years found this time of year challenging. Patients complained of inability to focus, staying awake or inability to sleep well and lethargy that followed. Moody and difficult to concentrate and higher demands on their end of year job responsibilities made it uncomfortable to enjoy the Holidays or at least the attempt to pretend to do so. When questioned further, many realized it was recurrent every year at this time of year. There were more females affected than males. (Who’s Santa Claus anyway?) Those with a personal or family history of depression and mood disorders were also more likely to show the signs this time of year. Was it just failure to cope and in retrospect since early adulthood? Except that this pattern is witnessed more in people living furthest from the equator and dependent on where you live within a time zone. It is likely Seasonal Affective Disorder (SAD) as a diagnosis.

Understanding Seasonal Affective Disorder (SAD)

SAD is believed to be related to changes in light exposure. During the fall and winter, days are shorter and there is less natural sunlight. This reduction in light can disrupt your body’s internal clock, known as the circadian rhythm, which regulates sleep, mood, and behavior. Additionally, less sunlight can lead to a drop in serotonin levels, a brain chemical that affects mood, and disrupt melatonin levels, which play a role in sleep patterns. Diagnosis typically involves a thorough evaluation, including discussing your symptoms, medical history, and any seasonal patterns in mood changes. Speak to your family physician and healthcare provider to see if you are experiencing this phenomena. It’s not your fault and you can do something about it.

Treatment and Coping Strategies for SAD

Therapies include fooling your brain and resetting the circadian rhythms. Close your blinds when it’s dark and turn on all the lights. Special wavelength lights available to sit in front of may be cumbersome and expensive but work well for some. Regular exercise, a healthy diet, and getting as much natural sunlight as possible can also help. Spending time outdoors during daylight hours, even when it’s cloudy, can be beneficial. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can be effective, especially if symptoms are severe.

Cultural and Social Connections

Is it coincidence that billions of people celebrate this time of year with lights and the symbol of light? Diwali, Hanukkah and their equivalents also bring about another therapeutic option to combat SAD and that is being social. Connecting with others because social support is crucial. Stay connected with friends and family and consider joining support groups. Also remember that you are not Martha Stewart or any of her many staff members that make entertaining others look easy. Keep it simple during these days of light deprivation and ‘enjoy the moments’ with family, friends and coworkers and remember why we’re thankful for what we have.

Conclusion

Seasonal Affective Disorder can be a serious condition that can affect your quality of life, but it is treatable. Understanding the symptoms and seeking help from a healthcare provider can lead to effective management of the disorder. With the right treatment and coping strategies, people with SAD can lead healthy, fulfilling lives all year round.

An Article written by Dr. Jeff Stone