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Light therapy lifts the gloom of seasonal affective disorder

By Mayo Clinic staff

 

In the depths of winter, you may turn your face to the afternoon sun, seeking out what little light filters through fading gray skies. You may throw open the blinds, leave lights on throughout your home, or even head South for a vacation - anything for a little more light.

 

For people with a type of depression called seasonal affective disorder, this need for light takes on greater significance. Light may be instrumental in treating potentially debilitating symptoms of the disorder.

 

Hope through light therapy

 

People with seasonal affective disorder have a cyclical type of depression that's most often triggered by the onset of fall or winter, when daylight hours wane. In rare cases, the condition develops during summer months. Signs and symptoms of winter-time seasonal affective disorder can include sadness, sleep difficulties, increased appetite, carbohydrate craving, irritability, weight gain, lack of energy, anxiety and problems concentrating. Symptoms can be severe enough to interfere with your daily activities and quality of life for months on end. You may find your symptoms gradually abating with the arrival of spring, and sunnier, longer days.

 

But what can you do in the meantime, during those dark days when you can't get out of bed, when you skip work, miss deadlines, overeat, or feel overwhelmed by fatigue or despair? Because symptoms can be severe, don't try to ride them out or treat them yourself. Consult your doctor or a mental health professional for help.

 

There's a good chance that therapy with specialized lights - not your ordinary living room lamp - will help reduce your symptoms and enable you to enjoy life more again.

 

Light therapy, also called phototherapy, has been used to treat seasonal affective disorder since the early 1980s, and it has many benefits. It's easy to use in your own home, it usually doesn't have major side effects, it's generally safe, and it's cost-effective. In fact, light therapy is now considered standard treatment for seasonal affective disorder

 

April 09, 2004 MH00023 © 1998-2004 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research.

Holiday Depression & Stress

The holiday season is a time full of joy, cheer, parties, and family gatherings. However, for many people, it is a time of self-evaluation, loneliness, reflection on past failures, and anxiety about an uncertain future.

What Causes Holiday Blues?

Many factors can cause the "holiday blues": stress, fatigue, unrealistic expectations, over-commercialization, financial constraints, and the inability to be with one's family and friends.

The demands of shopping, parties, family reunions, and house guests also contribute to feelings of tension. People who do not become depressed may develop other stress responses, such as: headaches, excessive drinking, over-eating, and difficulty sleeping. Even more people experience post-holiday let down after January. This can result from disappointments during the preceding months compounded with the excess fatigue and stress.

Coping with Stress and Depression During the Holidays

Keep expectations for the holiday season manageable. Try to set realistic goals for yourself. Pace yourself. Organize your time. Make a list and prioritize the important activities. Be realistic about what you can and cannot do.

1. Do not put entire focus on just one day (i.e., Thanksgiving Day) remember it is a season of holiday sentiment and activities can be spread out (time-wise) to lessen stress and increase enjoyment.

2. Remember the holiday season does not banish reasons for feeling sad or lonely; there is room for these feelings to be present, even if the person chooses not to express them. " Leave "yesteryear" in the past and look toward the future. Life brings changes. Each season is different and can be enjoyed in its own way.

3. Don't set yourself up in comparing today with the "good ol' days.

4. Do something for someone else. Try volunteering some time to help others.

5. Enjoy activities that are free, such as driving around to look at holiday decorations; going window shopping without buying; making a snowperson with children.

6. Be aware that excessive drinking will only increase your feelings of depression.

7. Try something new. Celebrate the holidays in a new way.

8. Spend time with supportive and caring people. Reach out and make new friends or contact someone you have not heard from for awhile.

9. Save time for yourself! Recharge your batteries! Let others share responsibility of activities.

Can Environment Be a Factor?

Recent studies show that some people suffer from seasonal affective disorder (SAD) which results from fewer hours of sunlight as the days grow shorter during the winter months. Phototherapy, a treatment involving a few hours of exposure to intense light, is effective in relieving depressive symptoms in patients with SAD.

Other studies on the benefits of phototherapy found that exposure to early morning sunlight was effective in relieving seasonal depression. Recent findings, however, suggest that patients respond equally well to phototherapy whether it is scheduled in the early afternoon. This has practical applications for antidepressant treatment since it allows the use of phototherapy in the workplace as well as the home.

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