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Mood Disorders

Seasonal Affective Disorder — Treatment in Maryland

Seasonal affective disorder causes recurrent depressive episodes tied to seasonal changes — most commonly fall and winter in northern latitudes. Maryland winters make SAD relatively common.

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Common Signs & Symptoms

  • !Depression beginning in fall or winter
  • !Improved mood in spring and summer
  • !Hypersomnia — sleeping more than usual
  • !Increased appetite and carbohydrate cravings
  • !Weight gain in winter months
  • !Social withdrawal in winter

What Causes This?

  • Reduced light exposure disrupting circadian rhythms
  • Serotonin transporter gene variants
  • Melatonin overproduction in winter darkness
  • Latitude — more northern locations have higher rates

Treatment Approaches

Light Therapy

10,000 lux bright light therapy box — 20–30 minutes each morning from October through March.

Bupropion (Wellbutrin)

FDA-approved specifically for seasonal pattern prevention — started in early fall.

SSRIs

Effective for SAD treatment — started when symptoms begin.

Frequently Asked Questions

Is SAD just "winter blues"?

SAD is a diagnosable depressive disorder — more severe than typical winter mood dip. It recurs predictably and responds to specific treatments.

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Think This Could Be Your Issue?

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