{"id":244,"date":"2018-12-12T09:41:21","date_gmt":"2018-12-12T14:41:21","guid":{"rendered":"http:\/\/trestlewoodcounseling.com\/?p=244"},"modified":"2018-12-12T09:43:21","modified_gmt":"2018-12-12T14:43:21","slug":"welcome-to-winter-identification-and-treatment-of-sad","status":"publish","type":"post","link":"https:\/\/trestlewoodcounseling.com\/index.php\/2018\/12\/12\/welcome-to-winter-identification-and-treatment-of-sad\/","title":{"rendered":"Welcome to Winter! Identification and Treatment of SAD"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.youtube.com\/watch?v=BOWgMW9Zjfg\">hhttps:\/\/www.youtube.com\/watch?v=BOWgMW9Zjfg<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SeasonalEffect Disorder (now referred to as Depressive Disorder with Seasonal Pattern)commonly effects about 5% of the population commonly beginning between the ages18-30; more common among women than men. While most of us in the northernregion are effected by lessening of light (vitamin D) during the fall andwinter months and change in our circadian rhythms due to the increase indarkness, SAD is different than \u201cthe winter blues.\u201d Common symptoms of SADinclude fatigue, even with too much sleep, and weight gain associated withovereating and carbohydrate cravings. SAD symptoms can vary from mild to severeand can include many symptoms similar to major depression, such as:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Feeling of sadness or depressed mood<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Marked loss of interest or pleasure in\nactivities once enjoyed<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Changes in appetite; usually eating more,\ncraving carbohydrates<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Change in sleep; usually sleeping too much<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Loss of energy or increased fatigue despite\nincreased sleep hours<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Increase in restless activity (e.g.,\nhand-wringing or pacing) or slowed movements and speech<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Feeling worthless or guilty<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Trouble concentrating or making decisions<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp; Thoughts of death or suicide or attempts at\nsuicide<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The APA recommends diagnosis of SAD through the following criteria: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression and other symptoms that have occurred for at\n     least two consecutive years, during the same season every year.<\/li><li>The periods of depression have been followed by periods\n     without depression.<\/li><li>There are no other explanations for the changes in mood\n     or behavior.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While SADsymptoms can lessen without treatment with the change of seasons into spring treatmentsfor SAD include light therapy using a UV light that simulates the sun. It isrecommended to sit within 2 feet of the light in the morning from fall throughwinter months for min. 20 minutes per day. Therapy (especially CBT) can assistin identifying and managing symptoms. Use of SSRI medications(antidepressants). Spending time outside- fresh air! Eating healthfully. Othersuggestions include taking supplements including multivitamins, vitamin D,B-Complex Vitamins, fish oil or use of essential oils including lemon,lavender, chamomile, rose, etc. While symptoms have the potential to last up40% of the year, the change in season into spring and later into summer canbring relief, increasing energy and boosting serotonin. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.heathernlettow.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Heather Lettow, MA, LPC, LMFT <\/a><em>serves individuals (age 10+), couples and families. She focuses on identifying individual or family goals and strengthening self awareness to facilitate change and to meet the goals set; utilizing mindfulness, CBT and solution focused problem solving techniques.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>hhttps:\/\/www.youtube.com\/watch?v=BOWgMW9Zjfg SeasonalEffect Disorder (now referred to as Depressive Disorder with Seasonal Pattern)commonly effects about 5% of the population commonly beginning between the ages18-30; more common among women than men. While most of us in the northernregion are effected by lessening of light (vitamin D) during the fall andwinter months and change in our circadian rhythms &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/trestlewoodcounseling.com\/index.php\/2018\/12\/12\/welcome-to-winter-identification-and-treatment-of-sad\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Welcome to Winter! Identification and Treatment of SAD&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-244","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p8SSLF-3W","jetpack-related-posts":[{"id":258,"url":"https:\/\/trestlewoodcounseling.com\/index.php\/2019\/03\/28\/more-than-rest-the-importance-of-sleep-hygiene\/","url_meta":{"origin":244,"position":0},"title":"More Than Rest: The Importance of Sleep Hygiene","author":"trestle5104","date":"March 28, 2019","format":false,"excerpt":"https:\/\/www.youtube.com\/watch?v=WNj1Y11t_x8 We all have heard that the goal is to get 8 hours of sleep a night, but do we do that consistently? 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