March 15, 2010 3:33 PM

Happier News for Those Suffering From SAD

By
CBSNews
(CBS)  It's a trick, of course. Switching the clocks ahead one hour for Daylight Saving Time doesn't actually create any extra sunlight at all. Still, the longer days that come with spring are genuinely welcomed by all, especially those emotionally affected by the darkness of the winter season, as Jeff Glor reports in our Cover Story:


With spring right around the corner, it's time to say goodbye to the bitter temperatures, the blowing snow. Time to slough off those bundled layers and, for millions of us, time to get back to "normal" after a season of "sad."

SAD, as in Seasonal Affective Disorder.

"There were times when I couldn't hardly get out of bed, said Stephen Ravenscraft, who says it's like living life in a cloud.

"I ended up feeling very isolated, I felt uninterested in things that interested me prior to severe depression."

Lynne Spevack has grappled with it for years.

"I'd feel sluggish mentally, also, kind of like there were cobwebs or cotton in my brain," she told Glor. "Feeling that life is kind of bleak. If you know the saying about rose colored glasses? When you have SAD, it feels like you're wearing gray glasses, and just everything feels kind of gray."

What distinguishes SAD from other kinds of depressions is its link to the calendar. Spevack said every year at the same time the SAD settles in.

"Every fall, probably around, I'd say, November for me, the slump would start," she said. "And it would lift in the spring. And that was like clockwork."

Ravenscraft and Spevack are among an estimated 10 million Americans who grapple with full-blown SAD.

Millions more suffer with less severe symptoms. And if you're one of those skeptics who think SAD is one of those made-for-TV ailments.

Dr. Michael Terman begs to differ, calling it "serious business."

"It's as severe as any depression," he said.

But wait a minute: Doesn't everybody feel a little "down" on a gray day?

Dr. Terman specializes in SAD research at Columbia University Medical Center in New York.

"It seems like there are people who say, 'Come on, SAD?' To the people who say this is not real, your response is what?" Glor asked.

"There's nothing to joke about, depression," Dr. Terman said. "It's a miserable experience for these people for up to five months each year."

And what makes SAD unique is not only when it strikes, but also where.

Doctors find that SAD is about two-and-a-half times more common in Pennsylvania and north than it is in, say, Texas or Florida.

That might not be surprising. After all, in Miami winter feels an awful lot like summer. But researchers say it's not really the temperature that keeps SAD at bay, it's the light. Winter days in the south are longer than they are in the north.

Whatever its causes, treatment for SAD may be as close as the nearest door.

"I feel better the minute I step outdoors," said Spevack. "It really is that fast for me. It's different for different people."

Since SAD seems to be linked to our exposure to light, doctors urge patients to get outside during the day.

Which is why Lynne Spevack calls the winter walking tours she gives at the Brooklyn Botanic Garden "chasing away the winter blues."

And then there are contraptions like these . . .

Spevack says a light box has made "a tremendous difference," in her life. "It maintains my good mood each day."

Doctors believe that's because bright light inhibits the brain's production of the hormone melatonin, which makes us sleepy.

Dr. Norman Rosenthal, a pioneer in SAD research, was one of the first scientists to understand this linkage between SAD and light.

"It stimulates the retinas of the eyes to send signals back to the brain," Dr. Rosenthal said.

No surprise, then, that light therapy has become the most common treatment for symptoms of SAD, and Dr. Terman said its effects are almost immediate. He said the best-case scenario of turning around a severe case is three days.

Dr. Rosenthal said there's reason to believe other brain chemicals are light sensitive, too, including serotonin, noreprinephrine and dopamine - "all three of which, incidentally, are also affected by antidepressants," he said.

What about antidepressants? Doctors believe they can work as well, as can psychotherapy.

Ravenscraft says that, for him, a combination of antidepressant drugs works best of all.

"I was saying to my wife, you know, this is really different. This year I'm not even bucking up and struggling through or pushing through, determined. I'm just living life," he said.

Still more treatments are on the horizon, including a variation of light therapy dubbed "simulated dawn," where a computer slowly turns on a bedroom light in early morning as you sleep.

And maybe polar bears are on to something.

No, not those polar bears . . . those fans of frigid waters may not be so crazy after all. Because crashing waves, thunderstorms and waterfalls all create negative ions as air molecules are torn apart.
And while scientists don't understand why, they do know that negative ions seem to have a positive effect.

"There are physiological effects to high concentrations of negative ions," said Dr. Terman. He's now
experimenting with using the ions as a cutting-edge treatment for SAD.

"In controlled, clinical trials people who receive high levels of output show an antidepressant effect," he said.

For years, it was just "something about the winter" . . . something only the spring could cure.

Today, victims of SAD no longer have to suffer in the dark.


For more info:
Center for Environmental Therapeutics
Columbia University Medical Center, Dept. of Psychiatry
Brooklyn Botanic Garden

Copyright 2010 CBS. All rights reserved.
Add a Comment See all 12 Comments
by erasmus111 March 14, 2010 10:06 PM EDT
"No, not those polar bears . . . those fans of frigid waters may not be so crazy after all. Because crashing waves, thunderstorms and waterfalls all create negative ions as air molecules are torn apart.
And while scientists don't understand why, they do know that negative ions seem to have a positive effect."


Negative ions produce ozone, so how is that good for you?
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by erasmus111 March 14, 2010 10:12 PM EDT
I have an air purifier that has an ionizer. I don't use the ionizer because it produces the ozone. They say it's very little, but I just don't use it. But if a person has SAD they could use that...if they don't mind snorting ozone. : )
by SUEZQueen March 14, 2010 9:24 PM EDT
I'm no worldly scientist but i certainly believe that there is a problem that describes SAD and depression. I have had clients and have have experienced plenty myself believe that Sads and depression go togather to some degree. Maybe this sounds off to some people, but I don't think that it's the light or hormones causing SAD. I believe it might have somthing to do with other things with HEAT AND COLD, maybe something to do with, bacterica/viral infections, nerve endings, allergetic stimulates...chemicals being alternated maybe messing up the immune system. I do know that eating truly healthy foods and sleeping good seems to help me some. DOCS CAROL-ha
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by John_Merritt March 14, 2010 8:42 PM EDT
It's not all in your head, as many would lead you to believe. Anytime people can appreciate sunshine and even fresh air, there is a resurgence of a 'feel good' aura that happens with people. What many professionals are not admitting and/or exploring is that homes can become TOXIC in nature, especially when there is stale air and the collective fumes from dust and the furnace having saturated the air, clothes, furniture and drapes.

'Air it out' includes yourself and the elements of your surrounding. And while we are at it, please surround yourself with positive people who you like to share time. If 70% of your friends are in the 'dumps' because of winter, it is like a flu, it can be contagious. Stay active, physical fitness and exercise even working in the yard can be huge positives.

Keep your mind uncluttered, in other words if we hold onto the negatiuve, it becomes part of our inner thoughts, and many times, our outer actions. The holidays are sad times for people, and if we carry it over into the following year, it can lay hold for awhile. The longer we hold onto it, the longer it takes to rid ourselves of the funk.
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by DocForesight March 14, 2010 7:21 PM EDT
@oneis and maiingan -- Dr. Lott certainly was one of the first to discover the effect of full-spectrum light on plants and humans. Another was Dr. Fritz Hollwich who wrote the book "The Influence of Ocular Light Perception on Metabolism in Man and in Animal". In it, he describes the retino-hypothalamic tract of nerves which begin in the retina and end at the hypothalamus, which influences hormonal balance. Each hormone responds to a certain wavelength of light and, as the theory goes, if that wavelength is missing (which it often is from man-made light sources) then those hormones aren't triggered which can lead to hormonal imbalances, lethargy, depression, weight-gain, etc.

That full-spectrum lighting, whether natural outdoor or man-made, can exert such a rapid positive response to sufferers of SAD, is further evidence to support the retino-hypothalamic tract theory. So, keep it simple: use full-spectrum lighting wherever possible indoors and you should be able to avoid the "blues" year-round. It's cheap and doesn't require a prescription.
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by nikolaj_hol May 16, 2010 12:12 PM EDT
@DocForesight,
Thank you for this interesting information. If you have access to the book, you might be able to tell me which hormones respond to which wavelengths? You might want to contact me at sundhedskonsulenten@gmail.com
Thank you!
by hummin8284 March 14, 2010 6:38 PM EDT
It is obvious you have never suffered true SAD. I am very active,high achiever, eat healthy,I am not a weak person and take great care of myself. I have struggled with this for years, I have had to educate my MD, family and therapist due to the general lack of knowledge of this disorder. I use a light box, walk no matter what the weather is,eat righ and have tried many antidepressants that make the symptoms worse. I can tell you from my own experience this needs to be studied and other treatments need to be found. It is clear to me that unless you have suffered through this you can't possibly understand. I am very excited to hear of the new treatments on the horizan.
Thank you Sunday morning as usual you bring valuable information to the public who might otherwise not know.
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by maiingan March 14, 2010 2:52 PM EDT
This story, like too many others, omitted the benefits of vigorous exercise in fighting depression of all kinds. With praise for another Comment talking about Dr. John Ott, full-spectrum bulbs (or darn near close to it) are available for many light fixtures in the home. The image of already-sedentary people with SAD planting their butts in one place for hours just to get full-spectrum light from their expensive light panels is enough to depress any viewer. In contrast, have we ever heard of an ice hockey player with SAD? No, and I think a big reason is that in the shortest days of winter, and indoors for many games, ice hockey players are engaged in vigorous exercise during which we can't think about our mood - just the game. And we're looking at bright white ice, even if the indoor lights don't have full-spectrum bulbs.
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by oneis March 14, 2010 1:20 PM EDT
The reduced winter light and SAD is really a much larger health issue that simply becomes more obvious during the darker days of winter. We live in a solar system; the earth revolves around the sun ? the center of our universe. Humans are photobiotic ?solar beings? ? all humans are absolutely dependent on the absorption of vital solar radiation... summer and winter!

Noble Prize Laureate Dr. Szent-Gyorgi describes the essential life process as, ?A little electrical current sent to us by the sunshine.? Without light there is no health. ?We are human photocells whose ultimate biological nutrient is sunlight,? states bioLight Group (bLG) CEO, Ken Ceder. ?Every metabolic process, from enzyme reactions to muscular movements to the digestion of food and the burning of fat, is an electro-chemical biological process regulated and augmented by sunlight energy. A reduction of natural light energy causes a slowdown in these processes leading to decreased metabolism, reduced burning of fat, reduced vitality and compromised immunity.?

For decades, consumers have been the target of a disinformation campaign from conventional medicine and the pharmaceutical industry that created a fear of sunshine. They have literally scared the daylight out of us! Therefore, most people either intentionally or unintentionally avoid the sun ? or smear on sunscreens that block the beneficial wavelengths that produce one?s natural supply of vitamin D from direct exposure to bright midday sun. Now more than ever in this Age of Information, millions of people have unwittingly become ?contemporary cave-dwellers? living and working indoors. This dramatic reduction of natural light exposure ? that human DNA is programmed to assimilate ? and its? associated disturbance to vital circadian rhythms, has contributed too many health related issues. The late Dr. John Ott, renowned photo biologist and father of full-spectrum light, had coined this adverse health phenomenon "Mal-illumination." Like malnutrition, mal-illumination deprives one of a level of nutrients and rhythmic stimulation that is essential for living as healthy humans. Everyone knows the sun rises and sets every day ? this essential cycle sets the basic rhythm of life. Unknowingly, millions of people are ?out of rhythm with nature? and suffer from chronic mal-illumination?a root cause of most disease.
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by oneis March 14, 2010 1:22 PM EDT
right on!
by consciousnes March 14, 2010 1:04 PM EDT
Who the heck is the idiot that gave these people the money to study SAD?????????????
Everyone knows that it is the reduced amount of sun light. The scandvian people have been putting lights outside their winds for decades so it would seem brighter inside the house during the winter, and NOT JUST FOR CHRISTMAS.
Even in the dead of winter when the sun shines, everyone feels better even though it is -20 degrees as it is here in Minnesota.
You want to know where our tax dollars are going? To stupid programs like this, and we wonder why the nation is broke..
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by SUEZQueen March 14, 2010 9:32 PM EDT
Maybe it is opression as it is written in the Holy Spiritual book of life(Bible)from the SINS of ours and OTHERS LAWMAKERS
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