> [!NOTE] SAD
>
### **Key Features**
- **Symptoms:** Low [[mood]], fatigue, irritability, difficulty concentrating, changes in [[Sleep]] or appetite (often craving carbohydrates), and social withdrawal.
- **Timing:** Symptoms typically **begin in late autumn or early [[Winter]]** and improve in spring or summer. A less common pattern—**summer-onset SAD**—can also occur.
- **Causes:** Thought to involve **disruptions in [[Circadian Rhythms]]**, reduced sunlight affecting **melatonin and serotonin levels**, and genetic or biological susceptibility.
- **Risk Factors:** Higher prevalence in **northern latitudes**, female sex, and individuals with a personal or family history of [[Depression]].
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### **Treatment**
- **Light therapy:** Exposure to **bright artificial light** simulating sunlight.
- **Medication:** Antidepressants, particularly SSRIs, in moderate to severe cases.
- **Psychotherapy:** Cognitive-behavioural therapy adapted for SAD.
- **Lifestyle adjustments:** Regular exercise, outdoor activity, and maintaining a consistent sleep schedule.
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In brief:
**SAD = a seasonal pattern of depression triggered by reduced daylight, treatable with light therapy, medication, and behavioural strategies.**
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