Seasonal Affective Disorder (SAD)

What Is Seasonal Affective Disorder (SAD)?

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Revising Medical Author: Roxanne Dryden-Edwards, MD
Revising Medical Editor: Melissa Conrad Stöppler, MD

• What is seasonal affective disorder?
• What are the symptoms of seasonal affective disorder?
• What causes seasonal affective disorder?
• What is the treatment for seasonal affective disorder?

What is seasonal affective disorder?

Seasonal affective disorder is a type of depression that tends to occur (and recur) as the days grow shorter in the fall and winter. It is believed that affected persons react adversely to the decreasing amounts of light and the colder temperatures as the fall and winter progress. It is important to note that although seasonal affective disorder usually presents in the fall and winter, there are those who suffer from this condition during the summer instead of, or in addition to, during the fall or winter.

Seasonal affective disorder has not been long recognized as a medical condition. The term first appeared in print in 1985. Seasonal affective disorder is also sometimes called winter depression, winter blues, or the hibernation reaction.

The incidence of seasonal affective disorder increases in people who are living farther away from the equator. Seasonal affective disorder is less common where there is snow on the ground. Seasonal affective disorder is more common in women than men. People of all ages can develop seasonal affective disorder.

What are the symptoms of seasonal affective disorder?

Symptoms of seasonal affective disorder include tiredness, fatigue, depression, crying spells, irritability, trouble concentrating, body aches, loss of sex drive, poor sleep, decreased activity level, and overeating, especially of carbohydrates, with associated weight gain. When the condition presents in the summer, the symptoms are more commonly insomnia, poor appetite and weight loss, in addition to irritability, difficulty concentrating, and crying spells. In severe instances, seasonal affective disorder can be associated with thoughts of suicide.

The symptoms of seasonal affective disorder typically tend to begin in the fall each year, lasting until spring. The symptoms are more intense during the darkest months. Therefore, the more common months of symptoms will vary depending on how far away from the equator one lives.