Millions of people suffer from a biologically
based depression during the winter months. Although these people
may feel fine or even "better than normal" during the spring and
summer, late fall and winter are an entirely different
experience. Beyond depressed mood, seasonal affective disorder -
or SAD - often brings a loss of interest or pleasure in everyday
activities that are normally satisfying, such reading a good
book or listening to music. Other common problems are a
significant reduction in work productivity (or immense effort to
get tasks done), and withdrawal from friends and family that is
hard to explain or justify. Some of the
symptoms of SAD are very physical. Appetite often changes in
marked contrast to spring and summer. People can experience
uncontrollable cravings for sweet and starchy foods such as
cookies, chocolate, pasta and bread, which causes them to put on
a few pounds (or more).
Dieting seems out of the question. Some notice
marked changes in their need for sleep or ability to sleep
normal hours. It can become tough to wake up in the morning in
time for work or school, and daytime fatigue persists no matter
how much sleep they get at night. Indeed, people who sleep the
most often also report the most fatigue: long sleep is just not
restorative. As the days grow shorter in fall, it is the
physical symptoms of SAD - appetite, sleep, and daytime fatigue
- that are usually the first to be noticed. The symptoms of
depression then intensify (January and February are usually
worst) and can lead to truly devastating, unjustified feelings
of worthlessness or guilt, loss of concentration, inability to
make decisions, and even thoughts of death. |