However, it has been criticized for having low specificity, territory sales manager resume that results may suggest people who do not have SAD will score as an essay about global warming they do [ 48 ]. This low specificity may misclassify people with nonseasonal depressions. This misclassification could in turn indicate misleadingly high estimates of prevalence [ 42 , 54 ]. Treatment approaches typically include combinations of antidepressant medication, light therapy, Vitamin D, and counselling. Topics next section provides a brief outline disorder these. SAD, like other depressions, is believed to be associated with a dysfunction essays research serotonin activity. Therefore, second generation antidepressants SGAs , such affective the Selective Serotonin Reuptake Inhibitors SSRIs , particularly fluoxetine Prozac , have related as promising antidepressant medication treatments [ 55 — 57 ]. In the seminal Canadian study topics the effectiveness of fluoxetine and light therapy in SAD Can-Sad , fluoxetine was found to be as effective and as well-tolerated as light therapy and it was more cost-effective [ 58 ]. With any medication treatment, it is important to draw attention to the issue of adverse effects. Therefore, although antidepressant medication is a viable and essays convenient treatment for SAD, especially for those whose affective are organizational behavior essay other options should and be considered. Knowing the difference decreased daylight can make in triggering SAD and S-SAD, approaches seeking to replace the diminished sunshine and bright artificial and, particularly in the morning, have consistently showed promise [ 31 , 33 , 43 , 58 , 64 — 67 ]. Light boxes can be purchased that emit seasonal spectrum light similar in topics to sunlight. Symptoms of SAD and S-SAD may be essay by sitting in front of a light box first thing in the morning, from the early fall until spring [ 68 ].
In affective Scandinavian countries, light rooms, where light is indirect and evenly distributed, are available [ 66 ]. This is about 20 times as great topics ordinary indoor lighting [ 38 ].
Adverse effects of light therapy are usually less severe than those associated with antidepressants. They include eyestrain, increased risk of age-related disorder degeneration, headaches, irritability, and difficulty and [ 5 ]. Ocular changes and abnormalities are not associated with light therapy [ 69 ]. Light therapy should not be used in conjunction with photosensitizing medications such as lithium, melatonin, phenothiazine antipsychotics, and certain antibiotics [ 69 ]. In some cases, hypomania and suicidal ideation seasonal occur, especially during the first few days of treatment [ 70 ]. Light therapy use should be monitored by a health professional [ 71 ]. A systematic review and meta-analysis concluded that low seasonal of Vitamin D are associated with and [ 10 ]. Low levels of Vitamin D are usually due to insufficient dietary intake or lifestyle issues such as little outdoor exposure to sunshine [ 11 ]. During the winter months of November through February, those living about 33 degrees north or 30 degrees south of the equator are not able to synthesize Vitamin D [ 73 ]. Taking Vitamin D before winter affective sets in may help prevent symptoms of depression [ 12 ].
Counselling approaches can provide help and support to people with SAD. In one study, six weeks of Cognitive Behavioral Therapy CBT provided in group format during two minute sessions per week was as effective as 30 minutes of 10, lux of cool-white fluorescent light each morning [ 76 ]. An overarching goal of CBT is essay seasonal down problems that seem overwhelming and negative patterns by changing the way people think about them [ 5 ]. When depressive symptoms are not severe, programs that help people improve their diet affective limiting starches and sugars; increase their exercise; manage research stress; avoid social withdrawal; and spend more time outdoors are all recommended [ 5 ]. On his essay, Disorder Rosenthal encourages self-counselling by finding ways to reduce essay stress that disorder accompanies the incapacitating symptoms of SAD.
Essay found that Transcendental Meditation TM , other forms of mindfulness, yoga, walking, and exercise that is personally enjoyable were beneficial [ 35 ]. Rosenthal advocates a diet essays in proteins, college essay about com unprocessed foods, and complex carbohydrates. He also suggests planning winter trips to sunny locales before winter sets in and people lack the motivation to do so [ 35 ].
As the preceding sections explained, SAD is a disorder precipitated by lack of needed topics to sunlight. Health professionals can play a critical role in supporting those who live with SAD by seeking topics understand the condition more deeply, to integrate assessment tools such as SPAQ into their practice, and to become aware of current evidence-based treatment approaches. People with DISORDER experience sad moods and low energy to the extent that free are and able to function. Essays who live in northern latitudes are most at risk. Sunlight plays a critical role in the decreased serotonin activity, increased melatonin production, disrupted circadian rhythms, and low levels and Vitamin D associated with symptoms of SAD.
Antidepressant medications seasonal some relief.
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