Light Therapy - Alaska Northern Lights  

Posts Tagged ‘Severe Depression’

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

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.

Light Therapy in Trials to Treat Epilepsy

Friday, June 25th, 2010

There is a new clinical trial starting at University College London (UCL) that will study whether light therapy could benefit people with epilepsy.

UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery will be running the study which will involve 100 people who suffer a type of seizure called a complex partial seizure.

In this trial, the UCL researchers aim to find out whether light therapy reduces the number of seizures people experience. A study suggested that people suffered from less seizures on sunny days compared to cloudy days.

Full article can be read at:

http://www.ihe-online.com/index.php?id=2565&tx_ttnews[tt_news]=907&cHash=65536

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

Vitamin B and SAD

Thursday, June 17th, 2010

Vitamins B12

Vitamins B6 and B12 affect and help regulate your mood, and might help alleviate SAD. A Finnish study reports vitamin B12 helps reduce depression.

Vitamins B6 and B12

Vitamins B6 and B12 promote healthy blood cells, and help regulate the nervous system.  They affect mood and brain functioning.

The B Vitamins and SAD

Vitamins B6 and B12 promote dopamine production, one of the body’s neurotransmitters responsible for pleasure.  If a person does not have adequate amounts of these vitamins, he might experience lethargy, a lack of concentration, anxiety and other symptoms similar to SAD.

Food Sources of Vitamins B6 and B12

Food sources include fish, meat, chicken, cheese, milk, eggs and fortified cereals. Vegetarians should consider a supplement.

Daily Requirements

Eat 1.3 to 1.7 mg of vitamin B6 per day. Eat 2.4 mcg of vitamin B12 per day.

Read more: http://www.livestrong.com/article/32354-b-vitamin-seasonal-affective/#ixzz0r8XdhwsA

Seasonal Affective Disorder – Support Groups

Tuesday, June 15th, 2010

Here are a few support group links!

The Seasonal Affective Disorder Association:

http://www.sada.org.uk/

Daily Strength – Seasonal Affective Disorder Support Group:

http://www.dailystrength.org/c/Seasonal-Affective-Disorder/support-group

Mental Health America:

http://www.nmha.org/go/sad

Facebook group for Seasonal Affective Disorder:

http://www.facebook.com/pages/Seasonal-affective-disorder/106176212746152

The Dark Days

Thursday, June 10th, 2010

January and February are probably the worst months of the year for seasonal affective disorder sufferers. There are many things to do during theses dark days.

  • Get more light in a safe way. You can:

Use your light box regularly

Keep our curtains open in the bedroom

Get outdoors whenever the sun is out

Take a drive in your car when the sun is out

Brighten up your home

Spend time in the brightest room in your house

  • Minimize your stress:

Don’t undertake unnecessary duties or chores

Delay what can be delayed

Don’t allow guilt to prevent you from saying no

  • Explain to others what is going on and tell them what they can do to make your life easier
  • Exercise as much as you can
  • If you are not on medications and are still laboring under the burden of winter, discuss with your doctor the possibility of starting them
  • If you are on medications and they do not seem to be helping, talk to your doctor about other possibilities
  • Keep a journal
  • Find out what brings you enjoyment and do more of it
  • Find out what brings you discontentment and do less of it
  • Accept the down time
  • Accept that winter may never feel as good as the other seasons
  • Busy some forced bulbs and watch them grow and bloom in the dark months.
  • Wait for spring, because sooner or later it will come