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Posts Tagged ‘Depression’

January Blues

Friday, January 13th, 2012

The third Monday in January (16) has become known as Blue Monday, or the most depressing day of the year, due to a combination of poor weather, the post-Christmas blues, and mounting debt. Whether or not this is the most depressing day of the year, January can be one the months most associated with a low mood and the disorder known as seasonal affective disorder (SAD).

Symptoms of SAD may consist of difficulty sleeping or difficulty waking up in the morning, lack of energy, difficulty concentrating, weight gain, irritability, and withdrawal from friends, family, and social activities; all of which can lead on to depression and a feeling of hopelessness. Here Dr Abbie Lane a consultant psychiatrist from the stress clinic based at Saint John of God Hospital, a leading provider of mental health services and treatments in Ireland, offers some advice on dealing with the disorder:

Keep busy and active: “If you experience some of the symptoms of SAD it is important to engage in pleasurable activities during the winter months. Develop a repertoire of wintertime leisure interests; join an exercise class, take a language course, volunteer locally or join a club.”

Use the daylight we do have: “Make sure to spend as much time outdoors during the daylight hours as possible. Make a habit of taking a 30 minute walk at lunch time and when indoors keep curtains open during the day and move furniture to position yourself near a window.”

Avoid temptations: “When at home resist sleeping too much and eating unhealthy junk food, these are temptations that accompany SAD that are not good for your long-term well-being. Try to keep to a daily routine, even at weekends, and be careful about how much alcohol you consume.”

Try mindfulness: “Use meditation to increase your awareness of negative thoughts. Focus on awareness techniques, such as deep breathing, to bring your attention back to the present. Gradually you will begin to observe your thought processes rather than reacting to it, relieving feelings of negativity.”

Use problem solving techniques: “If you feel worried or anxious during January create a list of problems, identify possible solutions, choose the best solutions, create a plan to implement them and then evaluate the outcomes with respect to the problem.”

Share your problems: “If you experience any of the symptoms of SAD confide in a friend or loved one. Talk to someone. If you are faced with persistent anxiety or low moods, severe sleep or appetite disturbance, a constant feeling of guilt, hopelessness or unworthiness then seek professional assistance.”

Remember there is hope: “No matter how bad things can appear, chart your progress in a small diary and each day look at three positive things about yourself and three positive things that you have done – and that can include getting out of bed.”

SAD and Kids

Monday, January 9th, 2012

Seasonal affective disorder (SAD) doesn’t just affect adults. It strikes children and teenagers, too.

As the days get shorter and temperatures dip, some people experience the winter blues. During the winter, some people are vulnerable to depression, fatigue, an increased need for sleep, and difficulty concentrating. These are a few symptoms of winter SAD.

SAD is a form of major depression that occurs during fall and winter, when people react adversely to the decrease in sunlight and colder temperatures. SAD can also hit people during the spring and summer.

It can be difficult to diagnose SAD in children and teens, says Dr. J. David Bragg, program director for Clinical Mental Health Counseling at South University — Virginia Beach. SAD symptoms range from mild to severe depending on the child.

“As with all mood disorders, SAD is more difficult to diagnose in children because the pattern of symptomatology is different than in adults,” he says. “Depressed mood in children may be exemplified by irritability and fatigue.”

The normal fluctuations in mood seen in children may mask the presence of depression, Bragg says.

“The vagaries of childhood and adolescence with the attendant emotional upheaval tend to make many diagnoses difficult,” he says. “Some symptoms are misinterpreted as the onset of puberty.”

Symptoms of Seasonal Affective Disorder in Children and Teens

Dr. Norman E. Rosenthal, a SAD specialist and author, writes in his book “Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder,” that SAD affects about 3% of children ages 9 to 17. He says problems with concentration, schoolwork, energy, and mood are often signs of SAD in young people.

Children and adolescents might feel bad, but don’t know why, Bragg says.

“They seem to be aware that something is amiss, but they may blame their feelings on external factors, for example, peers are being mean,” he says. “Secondary effects of SAD include a decline in academic achievement, loss of desire to take part in social activities and sports, memory impairment, lack of organization, and difficulty in writing, all of which affect self-concept and self-esteem.”

Other symptoms of winter SAD can include:

  • Irritable mood
  • Changes in appetite, or craving junk foods more than usual
  • Insomnia or hypersomnia
  • Throwing temper tantrums
  • Not wanting to do chores they didn’t have a problem doing before
  • Experiencing physical aliments, such as headaches or stomach pain

Treatment

According to the American Academy of Child and Adolescent Psychiatry, nearly 5% of children and adolescents in the general population suffer from depression at any given point in time. Early recognition and intervention by parents, teachers, and clinicians are essential in helping treat children and teens suffering from depression. For help, parents are advised to ask their physician to refer them to a qualified mental health professional who can diagnose and treat SAD in children and teenagers.

Light therapy is an effective method of treatment for SAD. A light therapy box mimics outdoor light and is believed to cause a chemical change in the brain that eases the symptoms of SAD. A light therapy box may be used on its own, or combined with other SAD treatments such as antidepressant medications or counseling.

“While light therapy is effective for SAD, other treatment options should be considered,” Bragg says. “The use of psychotropic medication and traditional psychotherapy should address the somatic and psychosocial issues prevalent in SAD.”

The KidsHealth website of children’s health organization Nemours is a source of information about the health, behavior, and development of children and teens. The site offers tips on how parents and caregivers can also help their children cope with SAD:

  • Ask the doctor how to best help your child.
  • Learn more about SAD and provide simple explanations to your child about the condition.
  • Encourage your child to exercise and spend time outdoors. Parents should increase the amount of sunlight their children are exposed to whenever possible.
  • Spend quality time with your child.
  • Be patient and don’t expect symptoms to go away immediately.
  • Help your child organize and complete their homework.
  • Encourage your child to eat healthy and avoid junk food.
  • Encourage your child to stick to a regular bedtime every day so they can get adequate rest.
*This is a publication from South University, read the full article here.*

Ways to Boost Your Metabolism

Thursday, January 5th, 2012

It’s already evident that when cold weather comes along, hibernation mode soon follows. A recent Gallup poll confirmed that Americans steadily eat worse and exercise less during the fall and winter months – and even more so in 2011 than last. In November, only 49.8 percent of adults reported exercising for at least 30 minutes three or more times a week, compared with 50.5 percent last year. Only 54.7 percent of Americans reported eating five or more servings of fruits and veggies at least 4 days a week in November, down from a high of 57.8 percent in July and the lowest recorded for that month in any prior year, including in November 2008 during the financial crisis.

Given these trends, the seasonal “fat creep” seems inevitable – but it doesn’t have to be. You can fight back with these simple steps to rev up your metabolism. Read on for 10 ways to stoke up calorie burn in January and beyond.

Warm Up Your Breakfast

If cold cereal seems less than inspiring on chilly mornings, start your day with a steamy bowl of oatmeal topped with flaxseed instead, recommends Erin Palinski, RD. Eating breakfast, in general, has been shown to boost your metabolism by as much as 10 percent, and oatmeal, in particular, can rev calorie-burning capabilities. One cup of oatmeal contains 13 to 16 percent of your daily recommended intake of fiber, and your body burns up to 30 percent more calories digesting fiber than it does other nutrients because roughage takes such a long time to break down.

Make Cross Training More Fun

Sometimes the hardest thing is to stick to your workout routine during the winter, and one of the most important things to keep your metabolism revving is consistent activity. To fight off winter sloth, take advantage of seasonal activities. “Try dropping one gym workout a week and add a winter sport – ice skating, snowshoeing or skiing. It’s great to mix it up and you’ll get back to the gym with a real spring in your step!” says Gunnar Peterson, a celebrity trainer and spokesperson for Under Armour.

Drink Up to Fight Dryness

Sure, it’s easy to remember to rehydrate when you’re sweating buckets, but it’s equally important – if not more – to get your eight cups of water a day in winter because the dry air can increase your likelihood of dehydration, says Jim White, RD, a spokesperson for the Academy of Nutrition and Dietetics and owner of Jim White Fitness and Nutrition Studios in Virginia Beach, Va. Being mildly dehydrated can slow your metabolism by 2 to 3 percent, according to researchers from the University of Utah. Why? Experts speculate that the rate at which your cells metabolize fat has to do with their size, and when they shrink from dehydration they become less efficient.

Hold Off On the Booze

Keep in mind that alcohol not only adds calories to your diet, but also slows down your body’s fat-burning capabilities. An American Journal of Clinical Nutrition study found that drinking can slow your metabolism by as much as 73 percent. “Plus, most people don’t make the best decisions about food when drinking and tend to skip their workout the next day,” says White, who advises sticking to a “two-glass class” rule.

Try Rye

Loaded with metabolism-boosting fiber, hearty rye bread might be better to eat than wheat when it comes to losing weight. Swedish researchers found that people who had rye bread for breakfast were less hungry later in the day than those who ate wheat bread. While fiber fills you up without weighing you down, researchers believe that part of the satiety of rye bread might be more mental than physical. The darker the bread, the fuller people expect to feel.

Pop a Fish Oil Pill

By now, the mood-boosting power of omega-3s in fish oil is a well-known way to help fight seasonal affective disorder but it may also give your metabolism a lift, says Palinski. Australian researchers found that in combination with exercise, fish oil can increase the activity of enzymes responsible for fat oxidation.

Sign Up for Spin Class

If the cold, dark days have cooled off your motivation to exercise, think about taking an indoor spin class. You can burn about 500 calories per 40-minute sweat session, and your body will continue to burn calories after class is over, thanks to the metabolism-boosting powers of intervals, which you perform when simulating hill climbs.

Dig in to Potatoes, Grains and Beans

Eating a diet rich in resistant starch – a type of dietary fiber found in many carbohydrate-rich foods such as potatoes, grains and beans – can help rev fat burning and reduce overall hunger. Your body doesn’t digest or absorb this supernutrient, so it does not contribute to body fat. Instead it’s fermented when it reaches the large intestine, which creates beneficial fatty acids that block the body’s ability to burn carbohydrates. One study found that replacing just 5.4 percent of total carbohydrate intake with resistant starch created a 20 to 30 percent increase in fat burning after a meal. Just be sure to avoid fatty extras like butter and cheese when preparing and watch your portions.

Have You Been Feeling SAD This Winter?

Tuesday, January 3rd, 2012

Seasonal affective disorder (SAD) is a form of depression that affects many people, especially women, during the winter months when there is less natural sunlight. For most with SAD, the depression generally lifts during spring and summer. More importantly, SAD is treatable with a variety of methods, including light therapy, psychotherapy, or medication.

A more recent study has found a connection between this type of depression and the pineal gland. The pineal gland is located in the middle of the brain. It responds to darkness by secreting melatonin. Melatonin is a hormone that helps regulate a person’s sleep and wake cycles. This hormone helps to reset your inner clock and manage your body’s daily rhythms.

The reduced daylight that comes during the winter season in the northeast seems to affect when your pineal gland releases melatonin. The time period between when your body releases melatonin can become longer or shorter than it is during the spring and summer months. As a result, your body’s rhythms become upset and misaligned. These daily rhythm mismatches may be a cause of SAD. For some, melatonin supplements at the right time of day have offered relief from the symptoms of SAD.

For others, antidepressants, light therapy, speaking with a counselor, or a combination of two or more of these treatments successfully relieves symptoms. Light therapy consists of regularly exposing yourself to a light source that emits wavelengths of light similar to that produced by the sun. The light is administered regularly for a certain amount of time and, in some cases, at a specific time of day. Light therapy also helps to reset your body’s essential rhythms, including your wake/sleep cycle.

People with SAD experience emotional and physical symptoms that may include: feeling sad, anxious or empty for most of the day, for more than two weeks; having no interest in activities or hobbies used to be enjoyable; feeling more irritable and getting frustrated more easily; feeling guilty, worthless, helpless, or overwhelmed often; having no energy most of the time; eating or sleeping more or less than usual; having trouble concentrating or making decisions; or having thought of suicide or hurting others.

If you are experiencing three or more of these symptoms or if your sad mood is interfering with your daily activities, you could be suffering from SAD or depression. Make an appointment to see your health care provider and share your symptoms.  SAD and depression are illnesses just like the flu or a sore throat. Getting help can make a big difference in how you feel both physically and emotionally. You’ll experience a better sense of well-being, no matter what the season.

Get Support for the Holiday Blues

Friday, December 30th, 2011

In the time between Thanksgiving and New Year’s Day, some people may experience what mental health experts call the “holiday blues.”

For a lot of people, the holidays are a time of dread, so they are more prone to depression or even anxiety, says Howard Burley, medical director of the Tennessee Department of Mental Health.

There are a number of reasons this seasonal depression may occur, Burley says: personality type, financial stress or the physical demands of the season.

Some people have personalities that are more withdrawn, so they do not enjoy being in festive surroundings all the time, Burley says.

For a lot of people, the holidays also are a time of financial, physical or time stress.

The season can bring around memories of sadness for those who have lost somebody, Burley says.

The financial burden of meeting expectation of gifts for children and the physical demands of shopping, driving around town and enduring the cold also can trigger holiday blues.

Depending on the circumstances, the holiday blues are typically limited by time.

“As the holidays pass, it’s a sign of relief for them that it’s gone by,” he says. “Things get back to normal.”

For others, these situations could push them into real depression, Burley says.

“They might need treatment. Even after the holidays are gone, if you still have a feeling of sadness, other symptoms of depression, you should speak with your primary health care provider,” he says.

First, Burley says, a holiday blues sufferer should try to stay busy.

“Don’t stop doing things you typically do, like exercising,” he says. “Try not to engage in the overconsumption of alcohol, which can contribute. Try to stay active.”

When it comes to the financial aspect, Burley says to set reasonable expectations and a budget and stick to them. Do only what is physically possible without overdoing it. Don’t go to 50 places in one day, for example, he says.

If there is some kind conflict in the family, try to plan ahead and get some understanding in the family to make the holidays a happier time, Burley says.

“Be supportive,” he says. You don’t want to overwhelm the person, but be supportive.”


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