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- $Unique_ID{BRK00884}
- $Pretitle{}
- $Title{What Causes Lack of Motivation or Energy During Winter?}
- $Subject{depression winter SAD Mental Emotional condition Conditions fatigued
- sleep more gain weight irritable feel helpless psychotherapy antidepressant
- medication medications phototherapy Seasonal Affective Disorder Disorders
- behavior behaviors antidepressants}
- $Volume{E-23}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Causes Lack of Motivation or Energy During Winter?
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- QUESTION: Winter has barely begun, and already I am feeling the effects of
- the shortened days. I am always tired, and lack any motivation or energy. I
- have read that this may be the signs of an emotional disorder, but I can't
- believe it may be happening to me. Do you know of any condition that causes
- this sort of problem?
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- ------------------------------------------------------------------------------
-
- ANSWER: I do know the condition of which you speak, although I am not sure
- that you have all the symptoms necessary to make the diagnosis in your case.
- You are thinking of "Seasonal Affective Disorder" with the descriptive
- abbreviation of SAD. SAD is a severe form of depression which occurs each
- winter in patients who are afflicted with the disorder. They feel fatigued,
- sleep more than usual, can gain weight because of appetite changes, and are
- irritable and feel helpless. In a word, they are SAD. To make this
- diagnosis, A patient would have a severe depression, with no other
- demonstrable causes, have all the symptoms listed, would experience this mood
- change during the same period of time in each of the last three years, so that
- it is predictable, and have no other seasonal reason to explain a depression
- (for example the loss of a job over winter months). It occurs most frequently
- in young women, ages 20 to 30, who express feelings of anxiety and fatigue.
- They may also gain enormous amounts of weight, as a craving for carbohydrates
- and sweets frequently accompanies this disorder. In addition to psychotherapy
- and antidepressant medications, phototherapy may be used. Phototherapy uses a
- light box that provides high intensity light of about 2500 lux (ordinary
- indoor light is 100 to 500 lux while bright summer sunshine is 50,000 lux).
- The patient remains in front of this light box for one hour daily, and is
- directed to look directly into the light for 10 to 15 seconds in each minute.
- The response is excellent, with up to 85% of the patients reporting reductions
- in symptoms. Before rushing to buy a box (they cost about $360), see your
- doctor and be evaluated. Other factors may be causing your problem.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-