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And with mood-boosting sunlight in such short supply, the added stresses of living up to our images of the picture-perfect holiday are just too much. Insufficient exposure to sunlight has been associated with low levels of melatonin and serotonin, carbohydrate craving, weight gain, and sleep disturbance.

The symptoms of SAD occur cyclically with a return of symptoms each year during the winter months. These symptoms tend to be the typical symptoms of depression, including:. Seasonal affective disorder is believed to be caused by a disturbance in the normal circadian rhythm of the body. Sunlight entering through the eyes influences this rhythm. When it's dark, the pineal gland produces a substance called melatonin which is responsible for the drowsiness we feel each day after dusk. Light entering the eyes at dawn shuts off the production of melatonin. During the shorter days of winter, when people may rise before dawn or not leave their offices until after sunset, these normal rhythms may become disrupted, producing the symptoms of SAD.

There is also evidence linking SAD to a reduced amount of the neurotransmitter serotonin. Serotonin is the feel-good substance that is increased by antidepressants called selective serotonin reuptake inhibitors SSRIs. This decrease in serotonin production may be responsible for many of the symptoms of SAD, such as depression and carbohydrate cravings.

There is no laboratory test for SAD.

In order to be diagnosed with SAD a person must, first of all, meet the criteria for a major depressive episode. At least five of the symptoms listed below must be present most of the time during a two-week period. Further, at least one of the person's symptoms must be one of the first two items listed. A depressed mood that is due to a medical condition or that is related to the content of a delusion or hallucination that the person is experiencing would not count. Any symptoms that could be better explained by their connection to a medical condition, substance use, or grief would not count toward a depression diagnosis.

In addition, a psychotic disorder, such as schizoaffective disorder , would have to be ruled out as a cause for the symptoms. If these criteria fit, the following criteria would also need to be met to obtain a seasonal pattern specifier:. Seasonal affective therapy responds well to treatment. The most commonly used treatments for SAD include light therapy, medication, and psychotherapy. Light therapy using a device that gives off bright, white light is considered the best form of treatment for SAD at this time. In fall , a group of 13 Canadian specialists issued a set of professional consensus guidelines for the treatment of SAD.

Among their conclusions:.

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According to Dr. Michael Terman, head of the Winter Depression Program at Columbia-Presbyterian University, the consensus in the United States is that post-awakening bright light therapy, using a broad-spectrum white light source at 10, lux, is the first-line intervention. Drugs should be brought in as adjuvants only if light therapy is insufficient.

Optimum dosing of light is crucial since if done wrong it can produce no improvement, partial improvement, or even worsening of symptoms. In a study published in the Archives of General Psychiatry researchers exposed participants with SAD to bright lights that were 10 to 20 times brighter than normal indoor electrical lights.

One group was exposed to these lights for approximately one and a half hours in the morning, while a second group was exposed in the evening. The third group received a placebo treatment. The participants who were exposed to the morning bright light treatments experienced full or near-full relief from depression. Newer research published in the Journal of Nervous and Mental Disease has found that even a single, one-hour light session can rapidly improve symptoms of depression in people with SAD.

And morning therapy, specifically, can help to correct any sleep-wake cycle issues contributing to the symptoms. View all photos 29 About 5,0 Excellent. Property amenities. Free parking. Free internet. Free breakfast. Airport transportation.

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