What is SAD (typical and atypical)What symptoms would people notice if they struggle with it?Seasonal Affective Disorder (SAD) is a combination ofbiologic and mood disturbances that occur with a seasonal pattern;
typically occurring in the autumn and winter, with remission in the
spring or summer. Although the condition is seasonally limited, people
effected by SAD experience significant impairment from these seasonal
changes. SAD primarily presents as depressed mood with symptoms like
having low energy, difficulty sleeping/hypersomnia, losing interest in
activities and socialization, difficulty with concentration and changes
in appetite. It can also show up differently in people with other mental
health concerns – like hypomania in the spring/summer in people with
bipolar tendencies, or summer depression with winter hypomania.How common is it? And what have studies found leads to experiencing symptoms of SAD?
SAD
has a prevalence of 1.5-20%, depending on your latitude from the
equator and may be associated with low vitamin D levels. Studies have
also examined the relationship between suppressed cortisol excretion,
disrupted cortisol awakening response (CAR), imbalance of
neurotransmitters (like serotonin and melatonin), and have noted that it
is more common in those who experience mood variability throughout the
year. In Canada, youth and teens (12-24) display symptoms of low mood
and low energy, while adults tend to display symptoms related to sleep
and appetite disturbance. Summer SAD may be associated with high
airborne pollen days, as some studies have made this connection with an
exacerbation of depression and seasonal variability.So as a naturopathic doctor how would you go about helping someone to feel better?
With
so many factors at play, it is important to figure out how the seasons
are affecting you so that we can properly treat and address your
concerns. This means treating the underlying root cause and supporting
the body as it needs to be. While this looks different for everyone,
things we would be considering include:
digestive function, immune function, and the make up of your microbiomenutrient
deficiencies like B vitamins, vitamin D, Omega 3 Fatty Acids and
dietary patterns that support appropriate neurotransmitter and
catecholamine productiontreating any underlying mental health
concerns with things like natural health products, herbal medicine,
acupuncture, and therapyaddress any underlying conditions that
may be contributing to the problem (eg. hypothyroidism, hormone
imbalances, chronic pain, chronic fatigue syndrome, adrenal
insufficiency, chronic viral infections etc)
And what if someone isn’t able to afford coming to see a ND either in time or money? What are some thing people can do at home.Things you can do at home to help improve the outcomes of your Seasonal Affective Disorder are effective, fairly simple to maintain, and can be used as prophylaxis before the subsequent autumn/winter seasons.
Health Basics: Review the foundations of health and notice where you can make adjustments in your everyday choices – Are you eating well? Sleeping well? Managing your stress? Are you moving enough? Are your thought patterns more positive or negative? What are you doing for self care? Are you making time for things that bring you joy?Journalling: Journalling addresses the basics of Wellness from other dimensions of health. If you’re feeling low or hopeless, try writing out how you feel and why – journalling can provide insight into the problems we may be ignoring. A simple assessment to get you started can be done by completing a wellness wheel evaluation. It’s important to figure out if it’s a physiological issue, or if theres something else going on. SAD Lamps: For 30 years, light therapy has been a first line treatment for SAD. Studies have shown that using a lamp with 2,500lux (2 hours daily in the morning) –