Evidence-based treatment options
- Light therapy (phototherapy)
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- Most effective, especially if it started early in the season.
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- Involves sitting near a 10,000-lux light box for ~20–30 minutes each morning.
- Cognitive behavioral therapy (CBT-SAD)
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- A modified form of CBT designed for SAD.
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- Aims at discovering pessimistic thoughts about winter and promoting behavioral activation.
- Medication
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- SSRIs like fluoxetine or bupropion XL are often prescribed.
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- Bupropion is FDA-approved for preventing SAD episodes if started before symptoms begin.
- Lifestyle support
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- Daily walks, mainly in daylight.
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- Keeping a regular sleep schedule.
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- Balanced diet and regular exercise.
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- Mindfulness or relaxation techniques.
I keep a tight workout schedule since it’s proven to release neurotransmitters that make us feel better.
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