When winter blues are more than just a chill

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Julian Crooknorth

Seasonal Adjustment Disorder is a real illness affecting many, particularly during the gloomy winter months. This comprehensive blog post digs deep into what SAD is, its symptoms, and realistic treatment options. Say goodbye to quick fixes and say hello to genuine solutions.
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As November unfurls its gray skies, many of us in the UK are donning our scarves and mittens, preparing for winter’s icy embrace. Ah yes, winter—the season of hot cocoa, festive jumpers, and…a nagging sense of gloom? If you’ve ever felt like the shorter days and cold nights do a number on your mood, you’re not alone. You might be dealing with something more serious than just a distaste for the cold: Seasonal Adjustment Disorder, commonly known as SAD. It’s not just disliking winter; it’s a real illness that impacts more than just your mood. Let’s delve in and lift the fog on this all-too-common issue.

Seasonal Adjustment Disorder, or SAD as it’s often abbreviated, is a form of depression that’s tied to the changing seasons. But here’s the kicker: it’s not just a “winter thing.” While it’s true that SAD most commonly strikes during the autumn and winter months, there’s also a summer version of it. That’s right; some people feel their mood plummet when everyone else is enjoying beach parties and ice cream cones.

The exact cause of SAD is still up for debate among medical professionals. However, some theories suggest that lack of sunlight during the shorter days of the year can affect a “feel-good” neurotransmitter called serotonin, potentially leading to depression. Additionally, melatonin, a hormone that helps regulate sleep, is produced in higher levels in the dark, which could explain the feelings of fatigue and low energy often associated with SAD.

Although around 1 in 15 people in the UK are affected by SAD between September and April, this disorder doesn’t carry a British passport. It’s seen across different latitudes and longitudes, but generally tends to be more prevalent in countries far from the equator. Yes, even folks in sunny Australia can be affected by SAD during their winter months.

You betcha! Although SAD might be seasonal, its impacts on mental health are far-reaching. Those affected might not only find themselves mentally drained but it can also affect physical health, relationships, and overall well-being. It’s not something to shrug off as a “phase.” In fact, it can be quite debilitating, affecting work performance, social interaction, and even basic functions like eating and sleeping.

Interestingly, SAD often doesn’t come alone. It frequently co-exists with other forms of depression or anxiety disorders. This makes it even more essential to consult a healthcare provider for a comprehensive diagnosis.

So, the next time someone dismisses your winter woes as “just a bit of gloom,” you’ll have more than enough knowledge to shed some light on this often misunderstood condition.

So, you’re feeling a bit off. We get it, but how can you tell if it’s Seasonal Adjustment Disorder or just a fleeting case of the winter blues? The symptoms of SAD are diverse and can manifest differently for everyone. Here’s what to keep an eye out for:

The unstoppable snooze button, we’re all guilty of hitting snooze once or twice, but if you’re doing it so much that you’re late for practically everything, it might be a symptom of SAD. Some people with Seasonal Adjustment Disorder find that they’re sleeping way more than usual, yet they still feel incredibly tired. On the flip side, some experience insomnia-like symptoms.

Just one more biscuit! If you’re suddenly channeling your inner Cookie Monster and gobbling up carbs like there’s no tomorrow, take note. Overeating, particularly carb-rich foods, is a common symptom. And let’s be honest, those extra biscuits aren’t always landing in the most forgiving places, leading to weight gain which can further contribute to feelings of depression.

Why is everyone so annoying? Find yourself getting snappy? A shorter fuse than usual is another sign of SAD. You might find that things that usually don’t bother you suddenly become monumental irritants. This increased irritability can put a strain on relationships both at home and work, making it all the more essential to recognize and address.

Drained, like your phone battery at 2%. Remember how you used to jump out of bed all excited to seize the day? If that feels like a long-lost fantasy and you’re dragging yourself through the day like you’re wading through molasses, you might be dealing with SAD. It’s more than general fatigue; it’s a pervasive lethargy that impairs your daily functioning.

This is a biggie, the world is in greyscale. If things that once excited you now make you shrug with indifference, it’s a red flag. A loss of interest in activities you usually enjoy, even sex, can signal a more significant issue. Hobbies, relationships, and even professional pursuits can suddenly feel meaningless.

The mental fog. Ever tried reading the same page over and over without absorbing a word? It’s like your brain is wrapped in a cozy, impenetrable fog. Difficulty focusing on tasks is another overlooked but significant symptom of SAD. This can be incredibly frustrating, especially when it affects your work or studies.

Recognising the signs is the first step toward effective treatment. Don’t sweep these symptoms under the rug; acknowledging them is the first step to getting the help you need.

Ah, the internet. A treasure trove of ‘miracle cures’ and ‘instant remedies’ for just about everything, SAD included. You’ve probably come across a few — the lighting candles trick, the “just get outside!” recommendation, or the classic: “have you tried yoga?” While these suggestions are heartwarming, let’s face it, they often amount to quick fixes that barely scratch the surface of what SAD sufferers go through.

It’s human nature to look for the path of least resistance. A quick fix promises immediate relief and minimum effort. But here’s the problem: SAD is a complex issue involving neurotransmitters, hormones, and your body’s internal clock. A scented candle, as lovely as it smells, isn’t going to recalibrate your serotonin levels.

Quick fixes offer an illusion of progress. You feel good for a moment, and then reality kicks back in, often leaving you feeling worse than before. It’s like putting a plaster on a broken leg. Sure, the plaster is sticky, but it’s not going to mend bones.

Instead of falling for the allure of quick, unsustainable solutions, it’s essential to invest in long-term strategies. In many cases, this involves medical intervention like antidepressants or light therapy. It could also mean committing to regular therapy sessions to tackle underlying emotional issues.

At P4M Coaching, while we can’t treat medical conditions like SAD, we believe in a holistic approach to well-being that complements your medical treatment. We know that managing SAD isn’t just about popping a pill or sitting in front of a lightbox, though these can be valuable steps. It’s about looking at the whole picture: your physical, mental, emotional, relational, environmental, and existential wellness.

By focusing on these six pillars, we work alongside your medical treatment to help you foster a life that can alleviate some of the pressures and symptoms associated with SAD. Our aim is to give you tools and habits to better manage your life, which can be especially beneficial during the tough winter months.

So while we can’t replace the essential guidance and treatment your GP provides, we can be a part of your overall strategy for dealing with SAD. Before attempting any new wellness strategy, it’s crucial to consult with your GP for a comprehensive treatment plan.

If the winter blues have you wearing your blanket as a permanent accessory, take heart. There’s more to treatment than simply willing spring to arrive sooner. In fact, medical professionals recommend several avenues for tackling Seasonal Adjustment Disorder head-on. So let’s ditch the folklore remedies and get down to what can genuinely help you.

Sunshine in a box, light therapy, also known as phototherapy, involves sitting in front of a specialised light box for around 20-30 minutes per day. The box emits a bright light that mimics natural sunlight. It’s a non-invasive and a relatively low-risk option. Numerous studies have shown light therapy to be as effective as antidepressants for many SAD sufferers[^2^].

Therapy, your mind’s best friend. While most people associate therapy with lying on a couch and talking about their feelings, Cognitive Behavioural Therapy (CBT) takes a more practical approach. It involves identifying negative thought patterns and behaviours that contribute to your SAD and replaces them with healthier, more positive ones.

A pill does no mean you’re ill. Many people shy away from medication because they think it’s an admission of defeat. Let’s clear the air—taking medication like antidepressants to tackle SAD is no different from taking insulin for diabetes. It’s a medical condition that may require medication for effective management. Always consult your healthcare provider for personalized advice.

Exercise releases endorphins, which are the body’s natural mood lifters. Even something as simple as a 30-minute walk each day can significantly impact your mental health. The benefits of exercise extend beyond the physical; it’s like a natural antidepressant that boosts your mood and breaks the vicious cycle of feeling low and lethargic[^4^].

Holistic approaches like acupuncture, meditation, and mindfulness practices can be used in conjunction with traditional treatments. While scientific data on these methods are still somewhat inconclusive, many find comfort and relief through these practices.

Not all pills are created equal. Some studies suggest that certain supplements, like Vitamin D or Omega-3 fatty acids, can help alleviate the symptoms of SAD. However, always consult a healthcare professional before beginning any new supplement regimen.

A problem shared is a problen halved. Don’t underestimate the power of a strong social support network. Whether it’s talking through your feelings with a friend or joining a support group, sharing your experience can be both cathartic and enlightening.

Your treatment plan for SAD might involve one or a combination of these options. The journey may be long, but each step you take brings you closer to reclaiming your life from this debilitating condition. Always consult with a healthcare provider to tailor a treatment plan that works best for you.

You’ve heard the saying, “It takes a village,” right? Well, the same goes for managing Seasonal Adjustment Disorder. Dealing with SAD can often make you feel isolated and disconnected, like you’re floating alone on an iceberg. But the truth is, you’re not alone, and the people around you can play a massive role in how you navigate this often misunderstood condition.

The superpower of listening. Sometimes all it takes is a listening ear. You don’t need someone to solve your problems—though that would be lovely—but just having someone listen without judgment can work wonders. Being heard can validate your experience and emotions, making them seem less frightening and more manageable.

Conversation wins over isolation. While it might be tempting to hibernate and avoid social contact, that’s rarely the answer. Engaging in conversation—even if it’s just a quick chat with a friend over tea—can elevate your mood. Don’t underestimate the therapeutic power of a hearty laugh or a deep discussion. Your emotional wellbeing is like a plant; it needs sunlight and water to thrive. For us, that sunlight and water can often come in the form of meaningful conversations and connections.

A good support network isn’t just about kind words and emotional encouragement; they can actually help you with practical things too. Need someone to accompany you to a therapy session? Or perhaps a friend who can prompt you to take your medication? Maybe even someone to attend a yoga class with you. A strong circle can help facilitate the positive changes you’re trying to make in your life.

While a supportive network is excellent, it’s crucial to remember the importance of setting boundaries. Emotional support can be draining for both parties involved, and it’s okay to say, “I need some space” or “I want to handle this on my own for now.” A good support system will understand and respect your boundaries while still offering a safety net for when you need it.

In a digital world call on your digital friends. In our tech-savvy world, support doesn’t always have to be face-to-face. Online support groups and forums offer anonymity and 24/7 availability. Sometimes advice or understanding from someone who’s been through the same struggles can offer invaluable perspective. Just remember, while online buddies are fantastic, they’re not a substitute for professional medical advice.

Remember, while friends and family can offer immense emotional and practical support, they’re not healthcare professionals. Their support should complement medical treatment, not replace it. A balanced approach to managing SAD includes professional help, medication (if recommended), and, of course, the invaluable support from your tribe.

So, if you’ve been underestimating the importance of a solid support network, it’s time to reassess. Your people matter, not just as cheerleaders but as vital players in your journey towards better mental health. Surround yourself with the right people, and watch how you grow, even in the harshest winter.

When we began this journey exploring Seasonal Adjustment Disorder, we dived into cold waters—quite literally. From understanding what SAD truly is to distinguishing it from your standard winter blues, we’ve covered a lot of snowy ground.

We’ve acknowledged that it’s a real illness—not just a phase, not just a feeling, and certainly not a sign of weakness. It’s a complex mental health challenge that requires us to confront it head-on, tossing unrealistic quick fixes out the window. We’ve talked about symptoms that go beyond a lack of enthusiasm and delve into debilitating realms where each morning can feel like a monumental task.

But as we wrap up, it’s crucial to remember that there’s light at the end of this seemingly never-ending, foggy tunnel. I’m not talking about the summer sun (though that would be nice), but the light that comes from knowledge, self-awareness, and the right set of tools and support.

So yes, the winter can be harsh, the symptoms can be debilitating, but remember—Seasonal Adjustment Disorder is treatable. It may be a long winter night, but dawn always follows.

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