Treatment for seasonal affective disorder may include light therapy, medications and psychotherapy. If you have bipolar disorder, tell your doctor — this is critical to know when prescribing light therapy or an antidepressant. Both treatments can potentially trigger a manic episode.
In light therapy, also called phototherapy, you sit a few feet from a special light therapy box so that you're exposed to bright light. Light therapy mimics natural outdoor light and appears to cause a change in brain chemicals linked to mood.
Light therapy is one of the first line treatments for fall-onset SAD. It generally starts working in a few days to two weeks and causes few side effects. Research on light therapy is limited, but it appears to be effective for most people in relieving SAD symptoms.
Before you purchase a light therapy box, talk with your doctor about the best one for you, and familiarize yourself with the variety of features and options so that you buy a high-quality product that's safe and effective.
Some people with SAD benefit from antidepressant treatment, especially if symptoms are severe.
An extended-release version of the antidepressant bupropion (Wellbutrin XL, Aplenzin) may help prevent depressive episodes in people with a history of SAD. Other antidepressants also may commonly be used to treat SAD.
Your doctor may recommend starting treatment with an antidepressant before your symptoms typically begin each year. He or she may also recommend that you continue to take the antidepressant beyond the time your symptoms normally go away.
Keep in mind that it may take several weeks to notice full benefits from an antidepressant. In addition, you may have to try different medications before you find one that works well for you and has the fewest side effects.
Psychotherapy, also called talk therapy, is another option to treat SAD. Psychotherapy can help you:
Sept. 12, 2014
- Identify and change negative thoughts and behaviors that may be making you feel worse
- Learn healthy ways to cope with SAD
- Learn how to manage stress
- Saeed SA, et al. Seasonal affective disorder. http://www.uptodate.com/home. Accessed Aug. 13, 2014.
- Specifiers for depressive disorders: With seasonal pattern. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Aug. 13, 2014.
- Seasonal affective disorder. National Alliance on Mental Illness. http://www.nami.org/Template.cfm?Section=By_Illness&Template=/ContentManagement/ContentDisplay.cfm&ContentID=23051. Accessed Aug. 13, 2014.
- Seasonal-affective disorder. American Psychiatric Association. http://www.psychiatry.org/seasonal-affective-disorder. Accessed Aug. 13, 2014.
- Varteresian T, et al. Natural products and supplements for geriatric depression and cognitive disorders: An evaluation of the research. Current Psychiatry Reports. 2014;16:456.
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- Melatonin. Natural Medicines Comprehensive Database. http://www.naturaldatabase. Accessed Aug. 13, 2014.
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- Ravindran AV, et al. Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: A systematic review. Journal of Affective Disorders. 2013;150:707.
- Stress and relaxation techniques. NCCAM Clinical Digest. http://nccam.nih.gov/health/providers/digest/relaxation.htm. Accessed Aug. 13, 2014.
- Massage therapy for health purposes. NCCAM Clinical Digest. http://nccam.nih.gov/health/providers/digest/massage. Accessed Aug. 13, 2014.
- Kung S (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 29, 2014.
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