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Posts Tagged ‘Depression’

Facts About SAD

Thursday, August 19th, 2010

Individuals who experience Seasonal Affective Disorder (SAD) develop a depressed state when the seasons change from summer to winter. Once the weather begins to warm back up and days get longer, the symptoms leave. A lack of exposure to daylight and genetics contribute to the disorder.

Symptoms

Seasonal Affective Disorder symptoms include fatigue, depression, a decrease in activity, overeating and a lack of desire to engage in social events.

Time Frame

The depression symptoms typically begin in October and begin to lift around March to April.

Demographics

SAD affects women more often than it affects men, but the symptoms in men are stronger.

Region

The disorder is most common in areas of the world farther from the equator. The days are shorter and therefore, less sunlight is available during the day.

Therapy

Because the cause of the disorder is a lack of daylight, therapy for SAD includes using a special light box 30 minutes a day to increase daylight exposure. Other therapy includes medications, moving to a warmer climate during the winter, learning stress-reduction techniques and eating a healthy diet.

Read more: http://www.livestrong.com/article/22523-seasonal-diffective-disorder/#ixzz0wskyQOw7

What Parents Can Do If Kids Have SAD

Tuesday, August 17th, 2010

Talk to your doctor if you suspect your child has SAD. Doctors and mental health professionals make a diagnosis of SAD after a careful evaluation and a checkup to ensure that symptoms aren’t due to a medical condition that needs treatment. Tiredness, fatigue, changes in appetite and sleep, and low energy can be signs of other medical problems, such as hypothyroidism, hypoglycemia, or mononucleosis.

When symptoms of SAD first develop, it’s not uncommon for parents to attribute low motivation, energy, and interest to an intentional poor attitude. Learning about SAD can help them understand another possible reason for the changes, easing feelings of blame or impatience with their child or teen.

Parents sometimes are unsure about how to discuss their concerns and observations. The best approach is usually one that’s supportive and nonjudgmental. Try opening the discussion saying something like, “You haven’t seemed yourself lately — you’ve been so sad and grouchy and tired, and you don’t seem to be having much fun. It seems like you’ve been feeling kind of worn out and exhausted — like you just can’t get enough sleep. So, I’ve made an appointment for you to get a checkup. I want to help you to feel better and get back to doing your best and enjoying yourself again.”

Here are a few things you can do if your child or teen has been diagnosed with SAD:

  • Participate in your child’s treatment. Ask the doctor how you can best help your child.
  • Help your child understand SAD. Learn about the disorder and provide simple explanations. Remember, concentration might be difficult, so it’s unlikely your child will want to read or study much about SAD — if so, just recap the main points.
  • Encourage your child to get plenty of exercise and to spend time outdoors. Take a daily walk together.
  • Find quality time. Spend a little extra time with your child — nothing special, just something low-key that doesn’t require much energy. Bring home a movie you might enjoy or share a snack together. Your company and caring are important and provide personal contact and a sense of connection.
  • Be patient. Don’t expect symptoms to go away immediately. Remember that low motivation, low energy, and low mood are part of SAD — it’s unlikely that your child will respond cheerfully to your efforts to help.
  • Help with homework. You may have to temporarily provide hands-on assistance to help your child organize assignments or complete work. Explain that concentration problems are part of SAD and that things will get better again. Kids and teens with SAD may not realize this and worry that they’re incapable of doing the schoolwork. You may also want to talk to the teachers and ask for extensions on assignments until things get better with treatment.
  • Help your child to eat right. Encourage your child to avoid loading up on simple carbohydrates and sugary snacks. Provide plenty of whole grains, vegetables, and fruits.
  • Establish a sleep routine. Encourage your child to stick to a regular bedtime every day to reap the mental health benefits of daytime light.
  • Take it seriously. Don’t put off evaluation if you suspect your child has SAD. If diagnosed, your child should learn about the seasonal pattern of the depression. Talk often about what’s happening, and offer reassurance that things will get better, even though that may seem impossible right now.

Diagnosing Depression

Friday, August 6th, 2010

When a patient has clinical depression, she has symptoms like sadness and anger that interfere in her life. Not all forms of depression are the same: each type of depression has different diagnostic criteria, such as the duration and number of symptoms. The National Institutes of Health (NIH) states that major depression, atypical depression and dysthymia are the most common forms of depression. Another depressive disorder, seasonal affective disorder, occurs only during certain times of the year.

Major Depression

Major depression is one type of depression that occurs in both children and adults, though it is more prevalent in women, according to the NIH. To be diagnosed with major depression, the patient must have five or more symptoms of depression that last for at least two weeks. Like other psychiatric disorders, these symptoms must be a change in the person’s normal mood and behavior, and must interfere in her ability to function. Examples of major depression symptoms include agitation, problems concentrating, sleeping difficulties, changes in appetite and weight, feeling hopeless or worthless, fatigue, withdrawal from once enjoyed activities, and suicidal thoughts. If, however, the patient has only two to four symptoms, she is diagnosed with minor depression.

Atypical Depression

The NIH states that one-third of patients with depression are diagnosed with atypical depression. The main diagnostic criteria of atypical depression is mood reactivity, where the patient’s mood either improves or deteriorates in response to an event; a patient with major depression, on the other hand, only has a depressed mood. In addition to the mood reactivity, the patient must have two or more of the following symptoms: a strong reaction to rejection, overeating, oversleeping and a heavy feeling in the limbs.

Dysthymia

Dysthymia is a chronic form of depression that affects five percent of the population, according to the NIH. A patient can have just dysthymia, or dysthymia combined with another form of depression, like major depression, or a psychiatric disorder. To be diagnosed with dysthymia, the patient must have a low mood for at least two years and two other symptoms, like poor concentration, feeling hopeless, low self-esteem, fatigue, changes in appetite and sleeping problems.

Seasonal Affective Disorder

Seasonal affective disorder (SAD) is a type of depression that occurs during the winter, though a rare form of SAD occurs during the summer, according to the NIH. For a patient to have SAD, symptoms must be present for at least two years, and he cannot have depressive episodes at other points of the year. Symptoms that distinguish SAD from other depressive disorders include decreased energy and concentration in the afternoon, lethargic movement, excessive daytime sleepiness, and carbohydrate cravings.

Read more: http://www.livestrong.com/article/89356-diagnostics-depression/#ixzz0vT7PCMyT

Chemical Causes to SAD

Wednesday, August 4th, 2010

Sometimes known as the “winter blues,” people most commonly experience Seasonal Affective Disorder, or SAD, during the fall or winter, when days grow shorter and there is less direct sunlight. Research has supported the use of light therapy in treating SAD, but the precise biochemical relationship between the onset and treatment of SAD remains unclear. There appear to be four key biochemical markers of SAD.

Serotonin

Serotonin is a neurotransmitter in the brain. Levels appear to vary according to the amount of daily sunlight. In “Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder,” Dr. Norman Rosenthal summarizes a collection of studies examining the role of serotonin in SAD. Dr. Rosenthal was the first researcher to describe SAD. People with SAD often crave carbohydrates such as sweets and starches; increased carbohydrate consumption appears to raise serotonin levels in the brain, offering support for a relationship with SAD. When people with SAD received light therapy, administering drugs that lowered serotonin levels appeared to undo light therapy treatment gains. For these reasons, antidepressants such as SSRI’s that increase serotonin levels may help to alleviate SAD.

Dopamine

SSRI’s aren’t the only class of antidepressants that affect SAD. Another antidepressant, Bupropion, that has been found to help with SAD, increases levels of dopamine in the brain. Dopamine is a neurotransmitter associated with response to pleasurable experiences.

Norepinephrine

In addition to dopamine, Bupropion increases levels of the neurotransmitter norepinephrine, which may also alleviate symptoms of SAD. Norepinephrine increases secretion of melatonin, which research has been implicated in SAD. Because neurochemical processes are so complex, it’s possible that levels of serotonin, dopamine, and norepinephrine all work in concert in creating or reducing SAD symptoms. All three are influenced by light therapy, the treatment of choice for SAD.

Melatonin

Melatonin is a naturally occurring chemical that helps to regulate the sleep-wake cycle. Secretion of melatonin increases during dark periods and decreases during light exposure. Research has found an association between melatonin levels and SAD, although the precise relationship between the two is not entirely clear.

Read more: http://www.livestrong.com/article/94110-chemical-causes-seasonal-affective-disorders/#ixzz0vT6N797r

Light Therapy & Fibromyalgia

Monday, August 2nd, 2010

Fibromyalgia (FM) is a chronic illness, which causes immense physical pain and unbearable fatigue. The word ‘fibromyalgia’ actually means “pain in the fibrous tissues in the body” and as such does not involve the joints, as rheumatoid arthritis and osteoarthritis. It is not classified as a disease as it is a condition that causes many different symptoms, which affect all systems in the body. 90% of those affected are female (especially during child bearing ages) with most patients experiencing symptoms between the ages of twenty and forty. Children and the elderly can also be affected by FM.

So if you are suffering from fibromyalgia syndrome, you may be interested in trying a treatment that is associated with few side effects and positive results. Light therapy has been used for centuries in some countries to help cure chronic and acute pain. It is now available throughout North America to help reduce your fibromyalgia symptoms.

What is Light Therapy?
Light therapy is an alternative therapy used to help relieve a variety of physical illnesses, ranging from chronic pain to depression. Also known as phototherapy, light therapy delivers light beams to various areas of the body in order to trigger hormone release and healing. Practiced by physicians, physical therapists, and psychologists, light therapy uses bright, colored, and low-level forms of light to promote wellbeing.

Who Can Light Therapy Benefit?
Light therapy can offer long-term benefits to those suffering from a variety of health problems or illnesses. It is often used to treat:

  • migraine headaches
  • arthritis
  • soft tissue injuries, including sprains and strains
  • seasonal affective disorder
  • depression
  • sleep disorders

How Can Light Therapy Benefit Fibromyalgia?

Light therapy is particularly useful for treating fibromyalgia syndrome. It can help to reduce:

  • muscle pain
  • mood disorders and depression
  • fatigue
  • insomnia


Bright Light Therapy
Bright light therapy is the most commonly used form of light therapy. It is based on the idea that your body is specifically attuned to light. Known as the circadian rhythm, your body’s sleep cycle, energy levels, and mood are all governed by changes in natural light. Bright light therapy uses high-powered fluorescent lights to help trigger the release of specific hormones which will help to restore your body’s natural circadian rhythm and your overall health.

How Effective is Light Therapy?
The effectiveness of light therapy has been debated over the years. However, recent studies now suggest that light therapy is very effective at reducing symptoms of chronic pain, fatigue,
headache, and depression. In a study of migraine sufferers, 99% of migraine patients experienced a reduction in the number of headaches they experienced after using light therapy. Another study analyzed light therapy in fibromyalgia sufferers. 66% of sufferers using low light laser therapy experienced a reduction in muscle pain symptoms.

Side Effects of Light Therapy
The side effects caused by light therapy tend to be minimal and temporary. The most common side effects include eye sensitivity and irritation. You may also experience some mild nausea at the beginning of your light therapy sessions. Some patients complain of becoming restless or over-stimulated by light therapy. Reducing the time spent in light therapy can help to eliminate this restlessness

Who Shouldn’t Use Light Therapy?
Light therapy isn’t for everybody. Be sure to speak with your health care provider before trying any form of light therapy.

Get more information at:

http://www.fibromyalgia-symptoms.org/fibromyalgia_light.html

Depression in Men vs. Women

Wednesday, July 14th, 2010

Depression occurs in the young and the old and in men and women. We do know that the rate of depression in men is less than for women.

The symptoms that men experience can be different from those that women experience. Symptoms including anger, irritability, and feeling discouraged are more common in men than symptoms of hopelessness or helplessness.

Typical symptoms we associate with depression such as depressed mood may not be present in depression in men. This can make it more difficult to recognize depression in men. Many famous men, including President Abraham Lincoln and Winston Churchill, had depression and still lived successful lives.

Unfortunately, men are not as likely as women to admit to having depression. Even if they do admit to having depression, they may be less likely to seek treatment. Men may stuff their feelings instead of verbalizing them. They may work more, gamble, or use alcohol or drugs to avoid their feelings. Their sleep and or appetite may change. They may suddenly begin talking about divorce or separation.

Women attempt suicide more often than men, but the rate of completed suicide in men is 4 times that of women. Suicide rates peak in mid life and again later in life. Men age 85 and older have the highest suicide rate.

Men want and need to be strong for their families; they don’t want to appear weak or vulnerable. If they are the primary bread winner, they can feel pressure to provide for their dependents. Of course, these general statements can be applied to women as well.

If you suspect a friend or loved one may be depressed, urge them to seek a professional evaluation. There are many options, including medication, therapy or a combination of the two.

Heart Attack Risk with Depression

Monday, July 12th, 2010

We frequently talk about the importance of treating depression. Here’s another reason to get help now.

As many as 1 out of every 3 people who have a heart attack report feelings of depression. Women, people who have had depression before, and people who feel alone and without social or emotional support are at a higher risk of depression after a heart attack.

If you have major depression and have had a heart attack, you’re at a much higher risk to die of a heart attack. Although this is very sobering, you need to know the facts. We know that chemicals in our brain are not in proper balance when depressed. When people suffer from depression, they are not as likely to take care of themselves properly. People don’t eat right and commonly don’t exercise. Sleep is usually disturbed in some way, too.

Anxiety increases heart patients’ likelihood of suffering a heart attack, stroke or heart failure.  The link between anxiety and such events can’t be explained by health behaviors like smoking, severity of disease or biological factors such as hormone levels or heart rate.

So if you have depression and heart disease, pay extra attention to your physical and mental health. Don’t put off asking for help. You and your body deserve it!

Depression & Pregnancy

Tuesday, July 6th, 2010

Pregnancy is a joyous occasion.  Pregnancy, though, does not protect women from experiencing mild to severe depression. Medication and/or therapy may be recommended.

Treating depression is always important and it can be successfully treated during and after pregnancy. Some antidepressant/anti anxiety medications can be used safely throughout pregnancy and breast feeding.

A drug free way of treating depression during pregnancy is by using a light therapy box.  Bright light therapy is as effective as the antidepressants in depression cure in pregnant women.  Bright light therapy has yielded favorable results for curing depression in pregnancy.  It also is quite safe as it does not have any side effects.  It requires a patient to sit in front of a box for about 30 minutes a day, depending on the patient.

Here are some findings from research on pregnancy and depression:

  • Babies born to moms with depression have an increased risk for irritability, less activity and attentiveness and fewer facial expressions.
  • There are possible fetal abnormalities when mothers take antidepressants in the first trimester. But there’s not a particular pattern associated with a specific medication or class of medications.

Some specific treatment recommendations include:

  • Talk to your provider early if you are planning to conceive. You can talk about the best options for you as an individual.
  • Encourage the provider who will deliver your baby and your mental health provider to consult with each other on the best options for you. They will help you understand the risks and benefits of medication versus therapy, etc.
  • If you are taking an antidepressant for depression, don’t discontinue or change your dose of medication on your own. This could be dangerous and your symptoms could worsen.
  • Use bright light therapy as a drug free option to treat your depression during pregnancy.
  • If you have severe depression and are pregnant, you should remain on medication.

Untreated depression during pregnancy has been proven to lead to higher rates of:

  • Lower birth weights
  • Pre-term labor (depression doubles the risk)
  • Increased use of alcohol and drugs to self-medicate

Please have a candid discussion with both your psychiatrist and OB-GYN regarding the benefits, risks and side effects of all medications. If you have been diagnosed with depression and are considering pregnancy, meet with your health providers before you get pregnant. This will provide peace of mind and help to make sure that you and your baby are both as healthy as possible.

Books About Seasonal Affective Disorder

Wednesday, June 23rd, 2010

Several books have been written for patients of seasonal affective disorder. These self-help books should be used in conjunction with medical or psychological treatment for seasonal affective disorder and bi polar disorder.

Winter Blues, Revised Edition: Everything You Need to Know to Beat Seasonal Affective Disorder by Norman E. Rosenthal

Snooze… or Lose!: 10 “No-War” Ways to Improve Your Teen’s Sleep Habits by M.D. Dr. Helene A. Emsellem

Seasonal Affective Disorder and Beyond: Light Treatment for Sad and Non-Sad Conditions by Raymond W. Lam

A Clinician’s Guide to Using Light Therapy (Cambridge Clinical Guides) by Raymond W. Lam and Edwin M. Tam

The Bipolar Child: The Definitive and Reassuring Guide to Childhood’s Most Misunderstood Disorder by Demitri Papolos M.D. and Janice Papolos

Winter Blues: Seasonal Affective Disorder: What It Is and How to Overcome It by Norman E. Rosenthal

Seasonal Affective Disorder For Dummies by Laura L. Smith and Charles H. Elliott

National Daylight Appreciation Day

Monday, June 21st, 2010

Today marks the official first day of summer, also known as the Summer Solstice in the northern hemisphere.  Here are some activities to think about doing to get yourself outside and enjoying the sunlight:

Do some gardening, take the bike out for a spin, go for a walk with your family or pets, go for a swim, have lunch at a restaurant with an outdoor patio, get a hammock or swing, play some games outside, or have friends over and grill. Celebrate that it is summertime and enjoy the sunlight.

Daylight brought indoors has been shown to improve productivity, enhance health and wellness, and reduce overall energy costs. Pure natural daylight makes colors more vivid, reduces eye strain, and, according to studies, the variation in solar light levels throughout the course of a day helps cure Seasonal Affective Disorder (SAD).