SEASONAL AFFECTIVE DISORDER
As a therapist, I see certain patterns in the clients that cross my path. At this time of year, one of the most prominent patterns is Seasonal Affective Disorder (SAD). This is a Mental Health Disorder that can be extremely debilitating, particularly more so at this time of year. To assist my clients and the general public I decided to put together a handout which will help to explain the illness and some considerations to mitigate the effects.

Seasons Change
What exactly is SAD?
SAD is the name given for a form of depression commonly caused by the change in weather at certain times of year. It is predominantly found in the Winter months when the weather and the reduction in daylight hours are greatest. However, it can also manifest in the Summer.
How prevalent is it?
According to the NHS, the current statistics show that 1 in 15 people will suffer from SAD between September through to April.
It can affect any Age group but is most likely to begin between the ages of 18 to 30 years old.
The above statistics are echoed on both sides of the Atlantic Ocean and other Countries that have a similar climate to the UK.
Interestingly the United States has recorded that Women are up to 4 times more likely to suffer SAD than Men. I believe that this number would be very different if Men were as likely to report Mental Health Illness as Women. Another factor to consider is according to the World Health Organisation the occurrence of Mental Health Illness is equal for both sexes.
How bad can it be?
Although there is no correlation between SAD and Seasonal trends in Suicide statistics, there is a seasonal peak in most of the world which is in Spring and early Summer. This has resulted in many studies and is as confusing as ever when trying to identify the common factors.
What can be taken from the seasonal statistics is that a high percentage of diagnosed Mental Health sufferers, particularly depression can be correlated with many of the seasonal suicide figures being studied. This is a relevant factor due to people who are suffering from Mental Health Illness being more susceptible to Seasonal changes exacerbating the symptoms.
What Are the Symptoms?
• Unhealthy Sleep Patterns. Oversleeping and unable to stay awake during the day. Or Interrupted sleep where waking occurs within a few hours or at a very early hour.
• Lethargic. Lack of energy, feeling sluggish / always Sleepy.
• Poor Diet. Binge Eating and Carb Craving.
• Depression. Feelings of severe Despondency and Dejection
• Loss of Motivation and Concentration, unable to achieve normal tasks in work or daily routine.
• Mood Swings. Irritability, Anger, Crying, boredom and loss of interest. Including hyperactivity and bursts of cheerfulness.
• Lack of Libido.
• Immune System reduction in effectiveness. Susceptible to infections, winter colds and Flu
What can we do to mitigate the symptoms?
I start by empowering the client with nutrition advice. Eating healthy foods that will promote greater balance and reduce the symptoms is the primary goal. There are some foods which are easier to incorporate into the diet than others. The following are some of the foods, followed by a list of nutrients and sources that may help in addressing symptomatic depression or the prevention of depression occurring.
Common Foods
Whole Grains and Complex Carbohydrates, Dark Chocolate 75% plus, Avocado, Sweet Potato Folates and White meat such as Turkey. Bananas, Milk and Yogurt for Vitamin D, Calcium and Protein
Nutrients
Zinc. Oyster, Ginger Root, Lamb, Pecan Nuts, Dry split peas, Brazil Nuts, Whole Wheat Grain, Egg Yolk.
B3 (Niacin). Salmon, Mackerel, Chicken, Turkey, Lamb, Whole wheat
B6 (Pyridoxine). Wheatgerm, Tuna, Salmon, Turkey, Banana, Kidney Beans
Folic Acid (Folate). Wheat Germ, Liver, Boiled Lentils, Chickpeas, Spinach, Broccoli
Magnesium. Pumpkin Seeds, Wheat Germ, Sunflower seed, Sesame Seeds, Almond and Cashew Nuts.
Omega 3 (ALA, EPA, DHA). Mackerel, Fresh Tuna, Salmon, Sardines, Flaxseeds, Walnuts, Chia seeds and Hemp Seed.
Omega 6 (LA, GLA). Sunflower Seeds, Pumpkin Seeds, Walnuts, Wheat Germ, Sesame Seeds, Hemps Seeds, Pistachio, Avocado
Vitamin D. is More accurately described as a Hormone than a Vitamin that can be ingested. Vitamin D2 can be found in the following foods: Salmon, Mackerel, Beef or Calf Liver, Egg Yolks, Shiitake Mushrooms, and Milk (Whole. Non-fat or reduced fat). Yoghurt, Orange Juice, Breakfast Cereals, Fortified Tofu, Oatmeal, Cheese.
The most effective form of Vitamin D is called D3 and is produced by the body utilising radiation from the sun in the form of Ultraviolet B (UVB) spectrum being absorbed by the skin. In turn, the Liver and Kidneys assist in a complex process that produces a bioavailable form that the body can use.
Treatment options
• Self Help!
• Gain as much outdoor time as possible. Even a midday walk for 20 minutes will make a difference.
• Optimise the amount of Daylight exposure that is available in Workplace and Accommodation.
• Sit near Windows as much as possible.
• Eat a healthy balanced diet that caters to optimal health and reduces exposure/risk of depression.
• Be active and increase exercise daily.
• Take care to avoid Stress accumulating by utilising self-management techniques in stressful moments.
• Consider UV Light Therapy. Research well before purchasing to ensure the best possible UV Light for your budget.
• Request a Vitamin D test from your GP. Supplements may be available following a confirmed deficiency.
• Finally, consider therapy. Most common speaking therapies include Psychodynamic Psychotherapy, Counselling and Cognitive Behaviour Therapy.
To discuss further, or book an appointment in person or online Email: admin@access-health-group.co.uk
Thank you for reading.
Yours In Health
Ade
Adrian j Basford
Therapist, Trainer, Public Speaker

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