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February 2006
Beat the Winter Blues
If you feel down in the winter months, here’s help
If you have diabetes, you’re at greater risk of suffering from depression than people without the disease. In the winter, you may feel extra blue. No one’s sure why: It could be the ongoing stress of keeping up with the disease, feeling alone with your illness or frustrated with the ups and downs of blood-sugar control. Those feelings may intensify during these long, dark days of winter.
“Most of us feel some normal wintertime mood fluctuations,” says Susan Wiley, M.D., Lehigh Valley Hospital and Health Network psychiatrist. “I don’t know anyone who likes getting out of a nice, warm bed into a dark house.”
For some people, though, these normal fluctuations feel more intense, sharing symptoms with clinical depression. These seasonal mood changes are often referred to as “SAD” or Seasonal Affective Disorder. No one knows exactly what causes SAD. But it could be that the lack of sunlight during the winter months slows down the internal clock that regulates our sleep and mood, and affects certain “feel good” chemicals in the brain.
How do you know if you have SAD? Here are some signs:
- Increased sleep
- Feeling sluggish
- Loss of interest or pleasure in usual activities
- Inability to concentrate
- Lack of energy
- Feelings of failure or guilt
- Increased appetite
- Depressed mood, sadness or irritability
- Suicidal feelings or feelings of despair
"If you have five or more of these symptoms, see your doctor--you’re probably suffering from depression," Wiley says. “
But if you’ve lost interest in your usual activities or feel suicidal or desperate, see your doctor
immediately, even if you have no other symptoms.”
Your doctor may suggest some or all of the following treatments:
Counseling. “For people with a few symptoms, counseling can work as well as medication,” Wiley says.
Antidepressants. "The same types of antidepressant medications used for non-seasonal depression work well for SAD, too," Wiley says.
Light therapy. Exposure to light during the winter can help reset your internal clock. So in addition to counseling and medication, Wiley recommends a special light box to some of her patients with SAD, which produces much brighter light than regular indoor lighting. “Use it for 30 to 45 minutes every morning when you first awake,” she says. You’ll find a variety of light boxes for sale online, from floor models to smaller travel sizes. Prices range from $200 to $500 per light.
Exercise. “Physical activity is a wonderful prescription when you find yourself in a cold-weather funk,” Wiley says. “Do whatever you enjoy to get yourself moving and off the couch.”
Want to Know More?Click here for tips about the various types of meditation or visit or call 610-402-CARE to learn more about mindfulness-based stress reduction classes<
This page last updated 2/12/08 04:08 PM
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