Seasonal Affective Disorder – More Than the “Winter Blahs”

first_imgSeasonal Affective Disorder – More Than the “Winter Blahs Janie Chappell, RN, MSN Manager of Community Services, Deaconess Cross Pointe12/10/2019 Take care of yourself. Get enough rest and take time to relax. Participate in an exercise program or engage in another form of regular physical activity. Make healthy choices for meals and snacks. Don’t turn to alcohol or illegal drugs for relief. Weight changes. The holidays can contribute to this, but have you noticed any major changes up or down? Exercise regularly. Exercise and other types of physical activity help relieve stress and anxiety, both of which can increase SAD symptoms. Being more fit can make you feel better about yourself, too, which can lift your mood. Although some individuals do not necessarily show all symptoms, the classic characteristics of SAD include:OversleepingDaytime fatigueCarbohydrate craving and weight gainAdditionally, many people may experience other features of depression including:Decreased sexual interestOverall fatigueHopelessnessSuicidal thoughtsLack of interest in normal activitiesDecreased socializationSignificant irritability Decide to make as many healthy lifestyle choices as you can. You are almost guaranteed to feel better overall if you have a balanced diet, limit any processed/junk food, and even just take a 20-minute walk every day. That can go a long way to helping press your mental “reset button.” Practice stress management. Learn techniques to manage your stress better. Unmanaged stress can lead to depression, overeating, or other unhealthy thoughts and behaviors. Vitality.  Do you have energy during the day? Do you enjoy aspects of your day, hobbies, etc?  Are you withdrawing in any way from family and friends?If these feelings are fairly mild, there are ways to improve how you feel by changing a couple of outlooks on things.Stay connected with others (even if it feels like you’re forcing yourself to at first). One of the greatest predictors of lifetime happiness is your relationships with others. Emotional stability. Are you easily tearful?  Do you feel on-edge?center_img Take a trip. If possible, take winter vacations in sunny, warm locations if you have winter SAD.Light Therapy for SADMany people with SAD will find that they feel better with light therapy. Light therapy consists of regular, daily exposure to a “lightbox,” which artificially simulates high-intensity sunlight. About 30 minutes or more daily in front of a lightbox can make many SAD patients feel better. In light therapy, also called phototherapy, you sit a few feet from a special light therapy box so that you’re exposed to bright light. Light therapy mimics natural outdoor light and appears to cause a change in brain chemicals linked to mood.Light therapy is one of the first-line treatments for fall-onset SAD. It generally starts working in a few days to two weeks and causes few side effects. Research on light therapy is limited, but it appears to be effective for most people in relieving SAD symptoms.Scientific studies have shown light therapy to be very effective, and as effective as antidepressants in many cases of non-severe SAD. Light therapy may also work faster than antidepressants for some patients. Some people may choose treatment with both light therapy and antidepressant medications and find the combination of these treatments to be helpful.If you’re prone to SAD, it’s a good idea to start light therapy even a little before the time symptoms usually start. So if you know you’re prone to SAD, and typically start feeling down in mid-November, perhaps you start your light therapy on Halloween.Light therapy boxes can be found online through various internet and other retailers, and sometimes at “natural” food/retail stores.Before you purchase a light therapy box, talk with your doctor about the best one for you, and familiarize yourself with the variety of features and options so that you buy a high-quality product that’s safe and effective.Health insurance companies rarely cover the cost, but a good light therapy box doesn’t cost thousands of dollars, or even several hundred.  The value in feeling so much better is hard to put a price tag on.  A light therapy box could be a great holiday gift request as well.More on DepressionFinally, let’s talk about managing SAD—and even just a case of “holiday blues” caused by stress—through the winter months.The December holidays–even when they’re happy–can take a toll on you.  All the changes in routine, unusual foods, altered sleeping patterns, and the rush-rush-rush can leave you wrung out when they’re over. If I had someone in my office describing the feeling this way, I’d ask them about a few things:Sleep.  Are you getting enough sleep now? What’s the quality? Are you having trouble falling/staying asleep? Do you feel rested in the morning? If you are one of the millions of Americans who finds themselves “in a funk” through the colder and darker months, you may be experiencing seasonal affective disorder or SAD.SAD is a specific kind of depression that affects people seasonally. The vast majority are those who are affected during the colder/darker months. For reasons that aren’t fully understood, some people develop depression that is considered to be related to less sunlight.SAD is a recognized mental disorder, and official diagnosis is related to these symptoms:Depression that begins during a specific season every year.Depression ends during a specific season every year.No episodes of depression during the season(s) in which you experience a normal mood.Many more seasons of depression than seasons without depression over the lifetime of your illness.More About Symptoms If your mental state is being affected by your finances, remember that happiness is not for sale.  “Retail therapy” can really cause more problems than it solves. If serious financial issues are weighing you down emotionally, it may be time to talk to a financial planner (or someone you trust who handles money well), and come up with an action plan. Sometimes these feelings are simply a result of feeling out of control. Get outside. 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. Some people report starting to feel this way in the fall, while others remain fine until January or so.  It can really vary from person to person.Other Factors Related to the Development of SADWhile no specific gene has been shown to cause SAD, many people with this illness report at least one close relative with a related condition, such as depression. Scientists have identified that a chemical within the brain called serotonin may not be functioning correctly in many patients with SAD.The role of hormones, specifically melatonin, and sleep-wake cycles during the changing seasons is still being studied in people with SAD.Some studies have also shown that SAD is more common in people who live in northern/darker areas (e.g., Canada and Alaska as opposed to California and Florida).Treatment for SADThe role of talking with your doctor should not be overlooked.If you think you may have SAD–whether this is your first season, or you can look back and realize that it may have been happening for several years–you should talk with your doctor about it. A full medical evaluation of a person who is experiencing these symptoms for the first time should include a thorough physical examination as well as blood (e.g., thyroid testing) and urine tests (e.g., pregnancy testing, drug screening). A medical evaluation is appropriate because SAD can often be misdiagnosed as hypothyroidism or other medical conditions.  Also, there is some discussion about how vitamin D may be helpful in the treatment/prevention of SAD.  Again, discuss this with your doctor.Here are some treatments to consider.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.  Light therapy can be very effective.  (More on that in the next section.) Socialize. When you’re feeling down, it can be hard to be social. Make an effort to connect with people you enjoy being around. They can offer support, a shoulder to cry on or a joke to give you a little boost. Make some plans! Everyone needs something to look forward to. So make plans for a change in routine–whether it’s a date night with your spouse, a weekend getaway, etc.However, if these aren’t enough to resolve the “blues,” it may be time to consider that there may be a more serious depression in place.If you’re struggling with holiday stress, I’ve published a separate blog article on this topic that affects many individuals.Wishing you a healthy and happy holiday season. FacebookTwitterCopy LinkEmailSharelast_img read more

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Two Dead, One Injured in TX Church Shooting

first_imgTwo people are confirmed dead and another has been injured, in a shooting at a church in Fort Worth, Texas.The shooting occurred at about 11:30 a.m. at the West Freeway Church.One person was pronounced dead at the scene, while the second victim succumbed to their injuries en route to the hospital.Authorities believe the shooter is dead.This is a developing story.last_img

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Mates pull closer to Brewers while Vkings just pull away

first_imgBy The Nelson Daily Sports The West Kootenay Men’s Flag Football League just got a whole lot tighter after Dam Inn Mates shocked the Hume Brewers 31-24 in action Sunday at the Mount Sentinel Field. The Brewers, which had dominated the Mates during week one of the season 23-1, were a different team without starting quarterback Steven Doyle. The Mates have won two straight after beginning the season on a downers, losing twice and combining to score seven points in those two games. Defending champion Castlegar Vikings continued to occupy top spot after thumping Nelson Impact 46-13, Steve Mota caught a pair of touchdown passes from Dave Kravski, and tossed a completed score to Kravski to lead the Vikes. Kravski also connected with Bryan Lauzon and Kevin Wilson. Mota also was a force on the defensive side of the ball, intercepting a pair of passes. Lauzon and Jaime Simpson also picked off Impact pass attempts. Ryan Dekker had one of the Impact touchdowns. The Vikings, winners of four straight after starting the season with a loss, lead the league with a 4-1 record. Hume is second at 3-2 followed by Dam Inn and Nelson Impact at 2-2. Hour Glass sits in the basement, winless in four games. The league resumes play Sunday with the Impact hosting Our Glass at 11 a.m. and Dam Inn Mates facing the Castlegar Vikings at 1 [email protected]last_img read more

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