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Aida Therapy

In the Moment

Mindful Awareness Tips You Can Use

Issue 16    March 2007

Rob Williams
MSW, MBA, LGSW

Psychotherapy
Individual, Group, & Couples

202.330.5390

1555 Connecticut AV NW Suite 401
Washington DC 20036

4920 Niagara Road
College Park MD 20740


www.aida-therapy.com

 

 

 

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In this issue: Seasonal Affective Disorder (SAD)

“While many people believe that Seasonal Affective Disorder (SAD) amounts to feeling gloomy in the winter. SAD is actually a subtype of major depression and should be treated.”

Every year, millions of people develop symptoms of the "winter blues" or Seasonal Affective Disorder (SAD). Symptoms include losing interest in activities, loss of energy, withdrawal from friends or work, and eating high-carbohydrate, high-fat "comfort food" with resulting weight gain. This helps to perpetuate a vicious cycle, with the weight gain adding to passivity, watching TV to excess, and lethargy.

New, preliminary studies link SAD to alcoholism or Attention Deficit Hyperactivity Disorder (ADHD). However, not all people with SAD will have ADHD, according to the review article for the American Academy of Family Physicians.”

If you have ADHD and you feel worse in the winter, don't just assume it's your ADHD getting worse. It could actually be SAD - and you should see a mental health specialist because ADHD and SAD are treated entirely differently."

Although SAD has only been studied in adults, parents of children with ADHD could be sensitive to seasonal patterns of behavior also.

Emerging evidence also shows that a pattern of seasonal alcohol use can be associated with SAD. Those affected by SAD might be self-medicating to cope with an underlying depression.

For some people, SAD is precipitated by darker days causing a shift in 24-hour hormonal rhythms. The loss of natural light outdoors can be replaced with treatment by indoor light-therapy units designed for SAD. Light therapy is best delivered in the morning, when it can regulate the daily pattern of melatonin secretion, the review said.

Doctors often prescribe antidepressants such as Zoloft for SAD. But most of the clinical studies have compared the drug therapy to a placebo pill rather than to light therapy, making it difficult to determine if one treatment is better, the review said.

What can you do to reduce the effects of SAD?  

There are some practical things all of us can do to help prevent or limit the effects of SAD. The mainstays are diet, exercise and outdoor activity.

   Generally, the darker the day, the more important it is for you to get outside.

   When outside, be sure you come in periodically to warm up and drink something warm. Hot chocolate and coffee are favorites, but herbal tea can be just the ticket for some. The caffeine in coffee and chocolate may serve not only as a mild stimulant, but may temporarily act as a counter for carbohydrate-hunger.

   If you work in an office with few windows, use part of your break or lunch hour to get outside and walk briskly as much as possible in the sun. You will return to work energized, alert and less focused on food!

   Follow the same advice at home with your family. Get out during any break in the weather, and explore your neighborhood or a nearby park.

   You should not deny yourself your favorite foods and treats, but indulge in moderation. Try to think of desserts and snacks as goals you can earn with activity.

   During storms and times when it is too windy, icy or cold to go out, try to spend an hour a day exercising in your home. You don't need fancy equipment -- you can use canned goods from your kitchen as weights, follow aerobic tapes on your TV, or walk up and down your stairs. Almost any activity will help to counter a sense of "cabin fever".

   Shopping at indoor malls is better than sitting at home, but no substitute for genuine outdoor activity.

   Finally, try to get out after dark for a stroll with someone you love. Snow adds more than a little charm.

It's usually the first step off the couch, away from the TV, and out the door that is the hardest. Force yourself to make the effort -- you and your family will be pleased with the results!

This information is not a tool for self-diagnosis or a substitute for professional care. Each person’s situation is unique. If you’re having a hard time using this or other tips, don’t hesitate to call me. We’ll find something that works for you. I’m here to help.

Best Regards ,

Rob Williams, MSW, MBA, LGSW

 

Getting Help and Support from the Author: If you know of someone in need of help regarding a mental health issue, please give me a call. I’m here to help. 202.330.5390 or rob@aida-therapy.com

Rob Williams

Rob Williams, MSW, MBA, LGSW

1555 Connecticut AV NW, Suite 401, Washington, DC 20036
4920 Niagara Road
, College Park, MD 20740

202.330.5390

Maps to my offices: Here

Copyright 2007 Rob Williams. All rights reserved.

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