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  • Each year in the US, about 5% of adults suffer from seasonal affective disorder or sad.

  • It's a condition similar to depression that occurs each winter as sunlight levels decrease then improves in the spring.

  • The good news is sad is highly treatable, says Dr. Paul Dean, the director of the Winter Depression Clinic at the Yale School of Medicine.

  • Here are seven things to know about treating the disorder.

  • One, the standard method for treating seasonal affective disorder is light therapy, using a lightbox device.

  • The research best supports a half an hour of 10,000 locks of light, seven days a week before 8 a.m.

  • 10,000 lux is a measure of brightness of light. That's about the brightness of being outside in July.

  • The research suggests that light is most potent applied in the morning.

  • That simple environmental therapy, that is is a very powerful and fully effective treatment for most people with seasonal affective disorder.

  • Two, where the lightbox is placed is key.

  • The light has to be visual in the visual field, but we don't recommend just staring at it.

  • You probably want it to be a little bit elevated.

  • They've got to be able to set up a device on the counter or table top, eat breakfast, read the paper, whatever they do in the morning.

  • Three, light therapy routines may need to be adjusted depending on the patient.

  • When people start doing light therapy, some people may suffer a bit of headache or glare and we have advise them just to do the treatment for a slightly shorter period of time and usually they get used to it.

  • It may be that a longer period of exposure to a lower level of light might be effective.

  • Some people may get a little wired or over-activated.

  • And once again, we recommend they just shorten the treatment briefly.

  • Now people with bipolar disorder, you can trigger elevated mood or symptoms of elevated mood.

  • So anyone with bipolar disorder should be getting light treatment in collaboration with a qualified clinician.

  • Four, medication can also be used to treat seasonal affective disorder.

  • The only antidepressant that's actually approved by the FDA is Wellbutrin for the prevention of seasonal affective disorder.

  • That indication proved by the government is to start taking Wellbutrin before the winter begins.

  • But other antidepressants do seem to work.

  • Five, even though vitamin D production is tied to sunlight exposure, it's not clear if taking vitamin D supplements helps treat sad.

  • We don't think that vitamin D deficiency has anything to do with seasonal affective disorder in the vast majority of patients.

  • There may be a few patients who have a true clinical deficiency.

  • The one trial giving people vitamin D for seasonal affective disorder found no therapeutic effect.

  • Six, simple behavior changes can combat sad and other forms of depression.

  • Well, there's some very interesting research that cognitive behavioral therapy that gets people up and going in the winter time can be effective for seasonal affective disorder.

  • And indeed, if you get people up and going, they're going to feel better, you're also going to be exposed to more light.

  • It's a cascade.

  • So we encourage people to do all the things that sustain them.

  • Seven, light therapy can help even if your seasonal symptoms are not severe enough to be diagnosed as sad.

  • They just don't feel as vigorous during the winter, their energy is worse.

  • Their mood isn't quite as good.

  • All of these winter symptoms can also be treated with bright light.

  • So even if people don't have the full syndrome of seasonal affective disorder, they may benefit from light treatment.

  • If you suspect you may have sad or another mental health disorder, check with a healthcare professional about how you're feeling and possible treatments.

  • For the PBS News Hour, I'm Casey Coon.

Each year in the US, about 5% of adults suffer from seasonal affective disorder or sad.

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