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Seasonal Affective Disorder (SAD) Conventional and Alternative Treatments
SAD
is, indeed, quite easily treated once it’s recognized. The medical
community has three ways it typically manages this variety of depression. The first way is through antidepressant medications or other psychiatric
medications. This is usually
the treatment of choice if your symptoms are severe. The U.S. Food and Drug Administration has approved the
extended release tablets Wellbutrin XL – bupropion specifically for
individuals affected with SAD. Your health care practitioner may prescribe
you other antidepressant drugs, though.
Other
antidepressants your health care practitioner may prescribe for this type of
depressive episode include paroxetine (sold as Paxil), sertraline (sold as
Zoloft), fluoxetine (sold under the name brands of Prozac and Sarafem) as
well as venlafaxine (sold as Effexor). Depending
on your individual symptoms, your health care physician may begin treatment
even before
your symptoms actually surface at the beginning of the season. He may also
recommend that you continue to take this medication once your seasonal
symptoms end. The theory to
this type of treatment is to prevent a worsening of the symptoms the
following year. Once
you begin your treatment begins – regardless of the type of antidepressant
you’re taking -- the medications may take a minimum of several weeks to
provide you with the full benefits. Similarly,
don’t be disappointed if the first medication doesn’t work as well as
your health care physician initially thought.
It may be that you’ll have to try several antidepressants before
you and your health care physician hit upon the one that works for you. Before
you agree to take any of these antidepressant medications, though, be sure
you are fully aware of the adverse side effects of these drugs.
For many people, these side effects are even worse than experiencing
the depression itself. In fact,
many antidepressants now carry the strongest of FDA warnings: the black box
warning. Some teenagers and
young adults are at higher risk of committing suicide when taking these
medications. If
you’re not quite sure that strong prescription antidepressants are the
correct route for you, there are two other conventional treatments. The first is psychotherapy. SAD is indeed a disorder that is
related to the biochemical processes of your body, your mood and your
behavior are also nonetheless contributing factors to the severity of your
symptoms. Undergoing
psychotherapy may help you identify and ultimately alter your negative
thoughts and behaviors. While
these aren’t the primary causes of your depression, managing these aspects
of your problem may provide you additional relief. Seasonal
Affective Disorder (SAD): Alternative Treatments If the lack of exposure to
sunlight can cause you to be depressed, then providing simulated sunlight
should help alleviate the depression. It
certainly seems logical. And,
in fact, it’s not only logical, but effective. If you suffer from SAD, you
may want to ask your health care practitioner about light therapy.
Many in the health care field consider light therapy the first line
of defense in the treatment of seasonal affective disorder. This form of therapy hasn’t
been approved by the Food and Drug Administration. The organization has not seen enough definitive evidence on
its effectiveness in clinical trials. When you undergo this type of
treatment, you’ll sit in front of a 10,000 lux light box containing
plastic-covered white fluorescent light tubes.
The plastic screen blocks any exposure to ultraviolet rays.
When this therapy was originally devised, it was thought that only
full-spectrum lighting would alleviate the symptoms of SAD.
Full spectrum lighting mimics sunlight, providing for every spectrum
of the sun’s rays. In the
25-some years that light therapy has been used, it’s been shown that full
spectrum is not necessary. Most experts in the field of
light therapy recommend about 90 minutes of exposure daily, for optimum
results. This therapy normally
continues until the end of winter. Most people who use this method say that
they can feel its beneficial effects in as little as two to four days. In
others, it takes up to several weeks. Discontinue
using light therapy if, after a month to six weeks, you discover no
improvement in your symptoms. Light therapy is especially
recommended for those people who are searching for an alternative to the use
of antidepressants. For more information on this therapy, as well as some
sources of light therapy boxes go to http://www.clevelandclinic.org/health/health-info/ If you prefer an herbal
supplement, you may want to make St. John’s Wort one of your first
choices. Its ability to lift a depressed mood is legendary among herbalists.
According to the research performed on this plant, it works by stimulating
the neurotransmitters involved in creating the depression in the first
place. It is especially
effective at boosting serotonin levels in the brain, which greatly
influences your emotions. St. John’s Wort is used
widely in Germany which has a rich history of herbal use.
St. John’s Wort is so trusted, in fact, that approximately 30
million prescriptions are written for it as a natural antidepressant yearly.
If you plan to use this herb, it’s best that you consult with your local
professional herbalist to discover the proper serving for your individual
symptoms. Also keep in mind you
should also consult with your personal health care practitioner before you
start using St. John’s Wort not only to obtain his advice, but also to
ensure that this herb won’t interfere with any medications you’re
currently taking.
Seasonal
Affective Disorder (SAD): Developing coping skills While there are
antidepressants, psychotherapy, light therapy and herbal remedies that can
help alleviate the symptoms of SAD, you can also be an active part of your
treatment by taking additional action. Listed below are a just a few ways
you can help to lessen the severity of the depression.
Exercise.
You’ve heard it before; exercise is a great cure for depression.
And it really doesn’t matter what the cause of the depression is.
Exercise helps relieve both stress and anxiety – both of which can
actually increase your SAD symptoms. But
there are added benefits as well. Getting
fit or maintaining your health level of fitness can contribute to your sense
of self esteem. This can do
wonders to improve your mood. Learn
how to manage your stress. If you haven’t learned how to manage the
stresses of your life, they certainly can soon become overwhelming and cause
depression. Many people turn to food or switch their brains to unhealthy
thoughts and negative behaviors in a misdirected attempt to cope with their
stress. It doesn’t work. Get
out more with friends. This
suggestion may not sound like what you really feel like doing when you’re
depressed, but it does help. Don’t isolate yourself from the company of
people who you like. Not only will getting out of the house and doing
something fun help take your mind off your troubles, but it’ll provide you
some additional moral support. Open
your window blinds. Let the
sun shine in! Sure, that’s
not that much of it in the winter, but make sure you maximize your exposure
while you can. Open the blinds
on sunny days. If you can, add skylights to your house.
If you house is shaded by trees, trim some of the branches to allow
more light to enter. Enjoy
the outdoors. Even in the
wintertime, there are times when you can go outside and enjoy the day. You’ll especially want to take a walk on a sunny winter
day. If it’s not too cold,
try eating your lunch in the park. Or just spend some quiet time outside
basking in the sun. Care
for yourself. This may seem obvious, but it needs to be said.
Don’t let the depression overwhelm you.
In spite of your feelings, continue to take care of yourself.
Make sure you get enough rest, eat healthy and take some time out for
yourself – just to relax. In
fact, this is the best time to pamper yourself.
Have you ever experienced the soothing effects of a massage?
You’d be amazed how it can improve your mood – and relieve stress
at the same time! Try to avoid alcohol during this time – it’ll just
make you more depressed. Take
a winter vacation. If you can afford the cost and the time, take a trip!
If you’ve been plagued by SAD previously, then you might want to
consider planning your vacation in the winter.
Pick a nice, warm, sunny climate.
There’s an added bonus to this:
winter rates – from airline tickets to hotel rooms – are usually
much less expensive. Follow your treatments. Whatever your health care practitioner directs, keep on doing it. If you’re taking prescription medications, continue to take them. If you’re taking some form of psychotherapy, be sure to keep all your scheduled appointments.
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