Nutrition Health Review


Nutrition Health Review provides consumers updates on the latest medical research, news, trends, and products in nutrition and healthy living.

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Winter 2017 • Volume 114 Tips to Manage Seasonal Affective Disorder S easonal disorder, also known as SAD, is a type of depression that lasts for a season, typically the winter months, and goes away during the rest of the year. Symptoms of SAD are the same as those of depression. They can vary in severity and often interfere with personal relationships. Symptoms include fatigue, pervasively sad mood, loss of interest, sleep difficulty or excessive sleeping, craving and eating more starches and sweets, weight gain, feelings of hopelessness or despair, and thoughts of suicide. If your winter blues are severe and have gone on for at least two winters, you might have SAD. Here are a few tips to help you manage SAD symptoms. Experience as much daylight as possible. The lack of sun exposure is part of what causes SAD, and soaking up as much as you can, can lessen your symptoms. Sit by a window or get out for a walk during daylight hours. You could even take up a winter sport to get you outside and keep you moving. Eat healthily. Comfort foods don't have to be loaded with extra calories, sugar, or fat. Get creative and look for hearty, low-calorie recipes that are easy to prepare. Instead of eating cake and cookies, try making a dessert from seasonal fruits like apples and pears. Spend time with your friends and family. Spending time with your friends and family is a great way to lift your spirits and avoid social isolation. Snuggle with your kids or pets, visit with your friends in front of a fire while drinking a hot cup of tea or play board games with your family. Friends and family can also be good to talk to about how the season is affecting you. Take the time to educate them about SAD so they can better understand your situation. Stay active. Don't stay cooped up in your house all winter. Get out and enjoy your community this season. Volunteer, join a local club, go for a walk, or go ice skating with your loved ones to start. Also, if you know you experience SAD year after year, be proactive about planning out a schedule in advance of winter to keep active and engaged with others. Research shows exercise and scheduling pleasant activities can be effective ways to lessen the impact of SAD. Seek professional help . If you continue to struggle with feelings of depression, you may want to seek help from a mental health professional, such as a psychologist. A psychologist can help determine if someone has SAD and how best to treat it. Research shows that psychotherapy, such as cognitive behavioral therapy, is an effective treatment for SAD, and may have more long-term benefits than light therapy – daily use of an artificial bright lamp – or antidepressant medication. Source: American Psychological Association. affective-disorder.aspx. 17 Is Medication an Effective Treatment for SAD? I n a recent review article, researchers examine the evidence concerning available and emerging treatment options for seasonal affective disorder (SAD). The authors acknowledge that bright light therapy and cognitive behavioral therapy have been demonstrated to be effective in SAD; however, they focus their review on several psychopharmacological treatment options. They review first-line treatment options—sertraline and fluoxetine—as well as the evidence for use of other antidepressants (e.g., bupropion) for SAD treatment. The authors report that their examination of the literature reveals that although clinical trials have shown that some of these antidepressants may be of benefit, there is not yet enough evidence to support the use of any of these agents for the treatment of SAD yet. They also review the limited evidence available on the effectiveness of other treatment options, such as propranolol, melatonin, and hypericum. The authors conclude that patients with seasonal depressive symptoms should thoroughly be evaluated for any cues of bipolarity, and their treatment should be planned accordingly. Source: Yildiz M, Batmaz S, Songur E, Oral ET. State of the art psychopharmacological treatment options in seasonal affective disorder. Psychiatr Danub. 2016;28(1):25–29.

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