SEASONAL AFFECTIVE DISORDER

The seasonal affective disorder is a previously unique mood disorder, it is now classified as a specifier called “seasonal pattern,” which is under the category of mood disorder (a group of conditions that affects a person’s mood). The seasonal affective disorder affects people with normal mental health with sudden depressive symptoms, most commonly showing up in winter. This disorder will usually last all year round, making the affected individual moody and making them feel tired or out of energy.

This disease is not to be confused with the “winter blues,” since it is vastly different from SAD, wherein the former can be chucked as one toughening out to cure it, as for the latter needing medical attention such as consultation, therapies, and medications.

The lack of activities during the winter is a significant cause of SAD, and some several factors add to that cause which is listed below:

  • Reduction of available food
  • Reduction of sunlight
  • Survival in cold weather
  • Lack of serotonin

TYPES

There are currently three types of SAD, which are the following:

  • Regular SAD
  • Fall-Winter SAD
  • Spring-Summer SAD

SYMPTOMS

There are many symptoms for this disorder, which can be seen in the affected patient by showing those either intentionally, unintentionally, or subconsciously. Below are those symptoms:

  • Feelings of hopelessness and worthlessness
  • Suicidal thoughts
  • Loss of interest in previously taken activities
  • Withdrawal from social interaction
  • Problems with sleeping and appetite
  • Difficulties in concentrating and making decisions
  • Decreased libido
  • Lack of energy
  • Agitation

Additionally, there are specific symptoms for SAD when it occurs during the winter, which is the following:

  • Oversleeping
  • Difficulties in waking up
  • Nausea
  • Overeating tendencies

Lastly, for the symptoms of spring and summer SAD, they are listed below:

  • Insomnia
  • Decreased appetite
  • Weight loss
  • Agitation
  • Anxiety

DIAGNOSIS

Most disorders are diagnosed by observing how the disease has affected an individual via depressive episodes, remissions, mania/hypomania patterns. These are found during the individual’s lifetime, with regular visits to the doctor and a psychiatrist.

TREATMENT

The standard treatments for this disorder are the following:

  • Light therapy
  • Medication
  • Ionized-air administration
  • Cognitive-behavioral therapy
  • Melatonin supplementation

For light therapy, the usage of lumen emitting lightboxes is usually used for this therapy. Another light-related treatment used is the bright light therapy by using blue lights to stimulate the good feelings the blue color emits to the human brain. Dawn simulation is another form of light treatment that can be used for this treatment.

For medication, antidepressants are used for treating this disorder, mainly the SSRI (Selective Serotonin Reuptake Inhibitor) type of medication. Three commonly SSRI antidepressants are useful for treating this disorder, namely fluoxetine, sertraline, and paroxetine. Other medications such as modafinil and vitamin-D rich medicines are also used for treatment.

If needed, the lightbox light therapy will be applied along with the SSRI antidepressants for maximum effect. Another treatment available for this disorder would be the application of negative air ionization. Lastly, basic physical exercises are highly advised as another form of therapy against SAD.

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