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Don't be SAD - find out how to avoid the winter blues
Sunshine and clouds
Lack of sunshine can cause real distress for SAD
sufferers.

Do the deep dark winter months make you depressed? You are not alone.

Richard Angwin explores the ups and downs of seasonal sadness

WEB LINKS


The SAD Association pages

Outside In - SAD help pages.

The BBC is not responsible for the content of external websites.

FACTS


+
SAD stands for Seasonal Affective Disorder.

+SAD sufferers can have their sleep patterns, sex lives, mood and even body temperature changed.

+Use of artificial light boxes, sometimes combined with anti-depressants can help many sufferers.

+Women aged between 18 and 30 are the most at risk from the SAD syndrome.

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There is something special about sunshine at this time of year.

It may be much weaker and less warming than during the summer months, but that somehow makes it so much more precious.

But when the weather turns bad eight hours of indifferent daylight can make for gloomy conditions across Wiltshire.

Once that happens many of us feel the ‘Winter Blues’ or Seasonal Affective Disorder (SAD) coming on.

Using a lightbox
Lightboxes can bring relief to SAD sufferers.

It may affect each of us in different ways but, generally speaking, we feel lethargic and listless.

But why should this be so? Before the advent of artificial lighting we used to wake with the dawn and go to sleep when it got dark.

The effects of disrupting that natural cycle are well known to jet-lagged air travellers and to night shift workers.

The hypothalamus in the brain registers changes in light entering the eye to the retina. Decreasing light levels cause the hypothalamus to adjust its response to various body mechanisms: sleep, sex drive, temperature, mood and activity.

For many of us the symptoms are very mild; sub-syndromal SAD affects about 20 percent of the population, mainly during December, January and February.

Prozac boxes
Modern anti-depressants can help symptoms of SAD.

For these people the symptoms of lethargy, tiredness, sleeping and eating problems are not serious and they soon pass with the arrival of spring.

Between one and three percent of people in the UK experience these symptoms in a more acute form.

Physical symptoms of erratic sleeping patterns, overeating and lethargy can be accompanied by depression, irritability, mood changes and depression.

SAD can affect anyone at any age but it appears that the 18-30 age group is most at risk. Women appear to be twice as likely as men to be sufferers.

There are several approaches to treating SAD. The first is simply to ensure that light levels do not drop significantly during the darker months.

Bright light

Bright light is the most successful form of treatment. Special ‘light boxes’ have a success rate of 60 to 85 percent but they require exposure by the user for at least 4 to 8 hours per week.

Antidepressants deal with the effects rather than the route cause. But some of the newer Selective Serotonin Reuptake Inhibitors, such as Prozac and Seroxat, have proved successful when combined with light treatment.

For those who suffer the milder form of SAD it is sensible to try to get outside in what sunshine there is.

Sitting close to windows, in well lit rooms can also help.

A holiday can also work wonders for sufferers. The Canaries and Southern Spain are both fairly sunny and cheap out of season.

And skiers can testify to the power of a little sunshine at high altitude, particularly in the Pyrenees and Sierra Nevadas. (But beware! Some sufferers report a big downturn in their mood when they return from the sunniest parts of the world.)

So don’t let those Winter Blues get you down. They affect us all.

For most of us the first signs of spring are all we need for our mood to lift. For those who are more seriously affected then help is available, and doctors are much more aware of the problem.

Help and advice is available from: SAD Association* PO Box 989 Steyning BN44 3HG.

*The BBC is not responsible for the content of external websites.



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