Friday, November 28, 2008

The Darkest Days of the Year

The days of December, especially those before December 21st, are the shortest days of the year; the nights leading up to the Winter Solstice, the darkest.

For those of us who are circadian rhythm- and/or serotonin level-sensitive to the absence or presence of natural light, the winter holiday season can be tricky to negotiate. Just when everyone else seems to be cheery and festive, we descend into a funk. Socializing becomes agonizing, and our energy becomes extinct.

This is especially distressing for me because my birthday is in early December. As the date approaches, family and friends will ask optimistically: "What are your plans for your birthday? How are you going to celebrate?"

"Celebrate?" I want to growl. " I just want to slumber! Why do we always have to celebrate?"


Before I learned about SAD (Seasonal Affective Disorder) I thought I was just a bear hiding out in a human body. Why, I would wonder, do I want to hibernate from Halloween through March?  Why do I become apathetic, fatigued, irritable, lethargic, and just downright anti-social when everyone else is kicking into high-gear?

According to Dr. Richard Friedman, author of an article on SAD in today's New York Times: "As daylight wanes, millions begin to feel depressed, sluggish and socially withdrawn. They also tend to sleep more, eat more and have less sex. By spring or summer the symptoms abate, only to return the next autumn."

Traditionally, SAD has been treated with psychotherapy and/or antidepressants, or a wait-it-out-until- spring "white knuckling." But there are alternative therapies that work as well.

If you struggle with SAD, you do not  have to wait for spring and summer to feel better. “Bright light in the early morning is a powerful, fast and effective treatment for seasonal depression,” said Dr. Norman E. Rosenthal,  a professor of clinical psychiatry at the Georgetown Medical School and author of “Winter Blues” (Guilford, 1998). “Light is a nutrient of sorts for these patients.”

According to Michael Terman, director of the Center for Light Treatment and Biological Rhythms at the Columbia University Medical School, people are most responsive to light therapy early in the morning, just when melatonin secretion begins to wane, about eight to nine hours after the nighttime surge begins.

If SAD sends you spiraling into the winter doldrums, try some of the following techniques:

Extend each day through the use of artificial sunlight. The standard course is 30 minutes of fluorescent soft-white light at 10,000 lux a day. (Shop for full-spectrum lights.) According to Dr. Friedman, the effects of light therapy are fast, usually four to seven days, compared with antidepressants which can take four to six weeks to work.

Use artificial bedroom lights. These help people who are suffering with insomnia and severe depression. Commercially available, these lights are set to simulate dawn, automatically going from dim lighting to bright, white light every morning.

Sit near a window. Move yourself close to a window and look outside for 15-minutes at a time, 3-times daily. You could sit near the window that gets the brightest  morning light while you eat breakfast, write out your to-do list, or read the morning paper.  If you work in an office, you could ask for your desk to face a window. If you work at home, you have many opportunities to "follow the sun."


(If you want to understand the concept of following the sun, just watch an in-door cat for a full day.
A cat will always find the spot on the rug where there is a circle of sun, and there you will find her until the sun moves. That's her sign to get up, stretch, and move to the next sun splotch.)


Spend at least one hour outdoors each day. Try to get in an half-an-hour in the early morning, and another half-an-hour in the early afternoon. This remedy is worth getting up an hour earlier.

Don't isolate from your family and friends. Pace yourself. Perhaps you won't accept all invitations this holiday season, but you'll be up for some. Try scheduling outdoor activities in the mid-day, and increase physical activities like walking, cross-country skiing, and skating. Invite your loved ones to join you.

Try not to get discouraged. Remember, after the winter solstice, each day gets a bit longer until the summer solstice in mid-June, when we celebrate the longest day of the year.

It's all cyclical.

2 comments:

Plot Whisperer said...

But, you get so much light in SC!! At least lately. We're moving over. Will be neighbors. Let get together. Need to establish friends and a life over here. Would be great to reconnect.
Tempted to unearth the lovely lavender plant you gave me so long ago -- now a giant, beautiful scented bush.
Great post, blog!!

Erik said...

Such good advice. I have fought this issue on and off over the years. Really appreciate this good information. One other thing I recommend is losing yourself in good books! They also can take you away from the blues of winter.