Skip to main content

Winter SAD

Feeling blue, sad, or even depressed even though the holidays are upon us? You may be suffering from Seasonal Affective Disorder (aka SAD). According to the National Alliance on Mental Illness, “Symptoms of winter SAD usually begin in October or November and subside in March or April. Some patients begin to slump as early as August, while others remain well until January. Regardless of the time of onset, most patients don’t feel fully back to normal until early May. Depressions are usually mild to moderate, but they can be severe.” SAD is often found in women in their twenties and thirties, but statistics report children, men, and teens may suffer from the symptoms as well.

At first, symptoms are mild, but gradually increase in intensity. The symptoms of SAD include, but are not limited to, depression include oversleeping, daytime fatigue, carbohydrate craving and weight gain, features of depression, especially decreased sexual interest, lethargy, hopelessness, suicidal thoughts, lack of interest in normal activities, and social withdrawal. In a previous blog (Ain’t No Cure for Summertime Blues or is There?), I discussed the signs and symptoms of reverse SAD which are very similar to winter version of the disorder, but occurs primarily in the Sumer months.

I have had several patients over the years report increasing episodes of SAD and SAD like symptoms. Most studies report the disorder stems primarily from the shortening of days and daylight during the winter months causing a lowered production of serotonin in the brain. Other studies report the symptoms stem from the colder temperatures and lack of color of vegetation in the Northern hemispheres. In either event, SAD is a very real and often painful disorder. SAD is often misdiagnosed as hypothyroidism, hypoglycemia, infectious mononucleosis, and other viral infections.

There are many different treatments Seasonal Affective Disorder, including bright light therapy, medication, ionized-air administration, cognitive-behavioral therapy and carefully timed supplementation of the hormone melatonin. Also, a minor dose of an SSRI (Selective Serotonin Reuptake Inhibitor) such as Lexapro, Paxil, or Zoloft may prove to be beneficial.

If you are feeling the signs and symptoms of Seasonal Affective Disorder, do not hesitate to contact your primary care physician for viable treatment options.

Dennis J. Carradin, Jr., LPCMH, NCC, BCETS

Popular posts from this blog

End of Watch - The Final Inspection

End Of Watch Lt. Joseph Szczerba New Castle County Police, New Castle, DE 09-23-11. Lt Szczerba fatally stabbed while trying to subdue a suspect that was high after huffing bath salts and was out breaking into cars. Lt Szczerba is the 1st officer on the department to be killed in the line of duty since 1972. God Speed Lt. Joseph Szczerba. "The Final Inspection" The policeman stood and faced his God, Which must always come to pass. He hoped his shoes were shining. Just as brightly as his brass. "Step forward now, policeman. How shall I deal with you? Have you always turned the other cheek? To My church have you been true?" The policeman squared his shoulders and said, "No, Lord, I guess I ain't, Because those of us who carry badges can't always be a saint. I've had to work most Sundays, and at times my talk was rough, and sometimes I've been violent, Because the streets are awfully tough. But I never took a penny, That wasn't mine to keep.......

Remembering September 11, 2001

Writing this blog was not an easy task. I have started and stopped several times trying to organize my thoughts and collect my emotions. As one of the numerous professionals who responded to the tragic events of September 11th, I did not want to sound too preachy nor did I want to come across as pretentious. My hope for the blog was to give personal accounts, recollections, and thoughts about the day and the ten years that followed. I realized, as I jotted ideas down, every first responder who went to New York has a story and my story is not unlike anyone else. There are some memories I will keep private and others I discuss. September 11th, 2001 was a day I will never forget, but, at times, wish I never remember. It was a day the world, as most of us knew it, changed. We can all recall where we were, who we were with, and what we were doing as the attacks began. My time spent in New York City helping people to recover from the tragedy opened my eyes wider than they...

The Heart was made to be Broken

"The heart was made to be broken.” ~ Oscar Wilde Do you remember your first true love? That person who made your heart and mind flutter for a moment when they looked at or touched you? The feelings of love rush in like the tide and we get swept away with feelings of excitement, joy, and passion. Your thoughts turn to the person every waking moment. You dream about that person. You live to hear the sound of their voice. At times, you resist these feelings in the hopes to gain some control over yourself almost wanting those feelings to just go away even for just a minute. You can't help but falling in love and wanting those feelings to last. You tell everyone your feelings because you are not afraid of these feelings. You expose your inner dialogue because you need to proclaim to the world this feeling of bliss. Do you remember the moment when this feeling ended? Do you remember when those feelings were changed into something you did not recognize? ...