I haven’t been blogging for awhile, and this website really needs to be updated. But for anyone who saw me on the Huffpost Live program and wants more information here is an easy summary sheet created by my doctor. Also read below for information about the low dose melatonin treatment I’ve been using to manage my SAD.
Dr. Deborah Gleisner, ND, LM
http://www.DeborahGleisnerND.com
Seasonal Affective Disorder – Summer Type
WHAT IS SEASONAL AFFECTIVE DISORDER (SAD)?
Seasonal Affective Disorder is depression with a seasonal recurring quality that affects up to 10% of the
population. SAD typically manifests in the fall/winter months, but 5-10% of sufferers experience symptoms
during summer. The DSM-IV recognizes SAD as a subtype under major depression and bipolar disorder.
WHAT CAUSES SAD? There are multiple causes of SAD. Much research has focused on the pineal gland and how light affects the
melatonin pathway. This pathway, which involves tryptophan, 5-HTP, serotonin, and melatonin, is responsible for
mood and sleep patterns. Improper light levels are believed to disrupt this cycle in susceptible individuals.
WHAT CAUSES SUMMER SAD? Not much research is focused on summer SAD, but it appears to have both genetic and environmental
components. Too little light has been implicated in winter SAD; it is theorized that too much light (or a
sensitivity to light) may be a cause of summer SAD. Additionally, some patients feel that increased temperatures
can trigger or exacerbate symptoms.
WHAT ARE THE SYMPTOMS OF SUMMER SAD? Winter SAD has symptoms of “atypical depression” which is medically defined to include weight gain, fatigue,
increased appetite and interpersonal difficulties. Summer SAD has symptoms of “typical depression” which is
medically defined to include weight loss, decreased need for sleep (and insomnia), anxiety, agitation, increased
libido and poor appetite. Both types of depression have feelings of irritability and loss of interest in everyday
activities.
WHAT DOES IT FEEL LIKE TO HAVE SUMMER SAD? Some sufferers of summer SAD describe headaches, light sensitivity, and a feeling of oppression when facing
sunlight. Others are very uncomfortable with the higher temperatures of summer months. However, summer
SAD is not just about physical symptoms. Patients feel isolated when they have to decline invitations to outdoor
activities that put them in bright, hot locations for a large part of the day. This isolation is increased when others
find it difficult to understand their need to stay indoors. Many doctors are unfamiliar with this condition and
don’t know the best treatment options to offer.
WHY SEE A DOCTOR? Depression can be a symptom of other medical conditions. It is very important to have a full check-up with a
doctor. He/She can do a full physical exam and blood work. It is important to rule out conditions like anemia,
thyroid disease and vitamin D deficiency, among others. Treatment of the underlying cause will often eliminate
symptoms.
WHAT HOME TREATMENTS ARE AVAILABLE? The first step is to minimize the light and heat of the summer months. Select a place to live that does not have
direct sunlight and incorporate shades, fans, plants, and decor in cool colors. Minimize the amount of time spent
in direct heat/sun; always wear a hat or sunglasses. Cool drinks can be made with “cooling” herbs like
peppermint and licorice. Foods like cucumber and watermelon also have a cooling affect on the body.
WHAT CLINICAL TREATMENTS ARE AVAILABLE? Pharmaceutical drugs to reduce the breakdown of serotonin (ie antidepressants called SSRIs) may be effective,
but only treat one piece of the problem. Supplementing other substances on the melatonin pathway (tryptophan, 5-
HTP, melatonin) may provide a broader scope of treatment. Multivitamins and B complex supplements provide
the building blocks to keep the melatonin pathway running smoothly.
Deborah Gleisner is a Naturopathic Doctor practicing in West Los Angeles. Her practice emphasizes the
importance of stress reduction, good nutrition, sleep, and exercise to address many health concerns.Summer SAD Info sheet
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