I first came across the idea, rather than the name, when my father announced that he hated the Autumn as it was the precursor to him feeling down over the winter months. It was only in my 30s that I started to experience the same thing. So, what exactly is SAD?

Seasonal Affective Disorder (SAD) is a type of depression. It generally happens at a specific time of year, usually during the Autumn and winter months when daylight hours are shorter and we tend to spend more time indoors. It makes sense doesn’t it. We have less exposure to natural light at this time. This can disrupt the body’s internal clock and even prevent hormones like melatonin being released at the right time. Melatonin affects our sleep and lack of sleep can impact all aspects of our life.  It is most commonly associated with the winter months, but some people may experience a form of SAD during the summer, especially if they find themselves housebound or working in a basement, for instance.

Common symptoms of SAD are:

1. Persistent sadness or low mood.
2. Loss of interest or pleasure in usual activities. You withdraw and also loose the structure and connection those activities used to bring to your life.
3. Increased fatigue and a desire to sleep more.
4. Finding it harder to get going in the morning.
5. Difficulty concentrating and making decisions, perhaps even brain fog.
6. Changes in appetite and weight, often with a craving for carbohydrates, or “stodge.”
7. Social withdrawal and irritability.
8. Feelings of hopelessness or worthlessness.
9. Physical symptoms like aches and pains.

Even if symptoms are small, such as feeling more tired than usual, they can have a knock-on effect on your life. You end up being less productive, for instance, and this impacts your self-esteem.

How to help SAD

For many people, it’s surprisingly simple and easy to feel better. Here are some ideas:

Light Therapy (Phototherapy)

Light therapy involves exposure to a bright light box that mimics natural sunlight. It can be a highly effective treatment for SAD.  I bought a simple lightbox from Amazon for under £30 and it’s been a faithful part of my office every winter for five years now. You only need a short time every morning, and it doubles as a great light for zoom calls!

Lifestyle Changes

It may sound pretty obvious but sometimes not so easy to do if you are working – get out into the daylight early in the morning. Perhaps you can adjust your working hours to start a bit later after a walk, or get off public transport or park further away and bring a walk into your daily routine. See what you can fit in lunch time too.

See people

Do not withdraw as this makes things worse. If you’re not feeling that sociable, do something where you can be around people, but perhaps not relying on talking so much, like an activity. Or, still see people, but in shorter bursts.

Vitamin D

Some people with SAD may benefit from vitamin D supplements, as they can be deficient during the darker months.

Look at your stress levels

Stress can make things worse, and winter brings its own worries. Concerns over paying energy bills, affording Christmas or even relationship issues as we spend more time together can feel hard at this time of year. Building up a menu of stress-reduction techniques like mindfulness, meditation, and deep breathing can help. Talk to a friend and build in more exercise.

Support Groups

Not for everyone, but joining a SAD support group can provide emotional support and a sense of community with others who are experiencing similar challenges. This can be useful if you are feeling isolated and lonely already.

Your GP

If you’ve tried these natural ideas, then it could be an idea to talk to your GP. In some cases, antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to alleviate symptoms.

Counselling or Psychotherapy

Working with someone like myself can help you develop coping strategies for managing SAD symptoms. If the depressed mood is bringing other things to the surface, we can work with these.

Hope

It’s important to remember that SAD is a real and treatable condition. If you’d like to talk about how I could help you, contact me here, or book in a chat here. I offer counselling in Folkestone and Hythe, as well as online therapy.

The post Will therapy help with SAD? appeared first on The Good Therapy Practice.

Paula Gardner is a business psychologist, coach and founder of The Good Therapy Practice, seeing clients online and in Folkestone and Canterbury, Kent.

What’s a typical work day look like for you?

I’m usually up by eight, and working by ten. I like a bit of a slow start to my day! I tend to see my business consultancy clients in the mornings, and therapy clients in the afternoons, although this can vary. I work in Canterbury one day a week, seeing therapy clients at the Umbrella Centre. The rest of the time I am seeing clients via Zoom or in person in Folkestone. If I’m not seeing clients then I’m likely to be doing things like writing blogs and articles, or catching up on work reading. At the end of each day I write up my client case notes, review my to-list for the next day and reread case notes for any clients I will be seeing the next day. I only do therapy one evening a week, and work every other Saturday morning, so most evenings and weekends are my own.

Why is mental health so important for business owners?

It’s important for everyone, but business owners face extra pressures. These apply whether they are a freelancer working with a handful of clients, or a growing business owner who is making decisions that impact their employees’ ability to pay their bills and mortgages. Business owners carry a lot of responsibility on their shoulders, making decisions that impact the future of their business every day. Entrepreneurs, and freelancers in particular, are susceptible to feelings of isolation, as they are often working solo. Finally, if you’re ill or grieving, you generally have to just get on with it. It’s a big decision to take a day off, unless you’ve been very wise and set your work up to allow you to do so.

What have been your biggest mental health challenges?

I have been knocked sideways by grief more times that I care to remember, the most recent being when my father died at the beginning of the first lockdown. Incidentally, work kept me going at that time. The structure and companionship (even on Zoom) gave me connection, community, meaning and purpose, vital needs as identified by the Human Givens.

What three things have you done, or are doing that help boost your mental health?

I moved to Folkestone, and just being able to take walks along the coastline has been hugely beneficial. Even on a wet and windy day they are invigorating. During lockdown in London, I only had access to a school playing field for exercise, and I remember walking round and round that field as though I was a prisoner!

I also try and take at least an hour out a week, just sitting in a coffee shop with a notepad. I’ll use that time to journal and check in with myself. Am I doing too much? Am I doing what I want? Who would I like to spend time with right now? Am I getting enough exercise and doing enough fun things? Often, if I’m not careful, they can turn into to-do list sessions, so I have to force myself to pull back and be more reflective. This weekly check in really helps me consider if what I am spending my time on is serving me well.

Finally, I don’t own a car. This means that not only am I not worrying about paying for it, but I am forced to walk. I’ve always worked a lot; even my schools tended to be at least a half hour walk away when I was a child. Walking always lifts my mood and, like that coffee shop and notebook time, helps me feel grounded. If I travel, I travel by train. This means that I can settle down with a good book, or Audible book on my headphones, and relax.

Are there any books you have found helpful?

Reading self-help and psychology books is work for me, so I find it most helpful to lose myself in fiction. I’ve always been a Thomas Hardy fan, ever since I did The Return of The Native at school. Picking up one of his books is like putting on a pair of soft, comfortable slippers. I also love the thrill of discovering new authors and realising they’ve written a whole library of books I have ahead of me!

Interestingly, I often find that clients tell me they can’t read when they are going through something. It’s as if their brain hasn’t got the capacity to concentrate. I know that things are improving for them when they can finally pick up a book again. That’s why I really encourage my clients to read, whether it’s magazines or page turning pot-boilers. Books, physical books are better too as we spend so much time on gadgets.

Are there any ways you sabotage yourself and what do you do about it?

I pack out my diary far too much. I like doing things, seeing people and feeling busy. However, this doesn’t leave much time for rest and sometimes it can catch up with me. I now book in rest times, just like meetings and appointments. I am a member of a local health club with a pool, and spend one afternoon a week there. I also book myself in for art classes on a regular basis. That enforced creativity and chat with others again helps me turn off. Finally, as well as my online calendar, I still use a physical diary. This lets me see, at a glance, how busy a week is looking. Too much writing on the pages and I know I shouldn’t be taking on any more.

It’s been a hard lession, but i’ve learned the value of having my own space.

What have you found is bad for your mental health?

Too much sugar doesn’t make me feel great about myself, although I do find it hard to turn down a cake when I have a coffee. Staying in and doing nothing, watching too much TV (usually box-sets), in fact anything that makes me feel like I am stagnating. I do suffer from SAD (seasonal affective disorder) which means that I can get quite tired and a little down in the winter months, but a lightbox really helps with that. I also haven’t really felt the full brunt of it since moving to the seaside at Folkestone and getting out and about much more. So who knows, perhaps it’s a thing of the past.

Do you have any mental health advice for other entreprenuers, business owners and freelancers out there?

Start noticing what makes you tick and what makes you feel bad. It sounds simplistic but so many of us don’t even think about what we enjoy doing on a daily basis. It’s not the big things, the cars and the holidays, that help determine our happiness. It’s things like allowing ourselves to savour a really good mug of Earl Grey and watch the birds in the garden before we get going on our day. How many moments like this are you allowing yourself to have?

Choosing a psychotherapist who understands business can be really useful. If you’d like to book a therapy session with Paula you can contact her here, or book an appointment here.

The post My Mental Health: Therapist Paula Gardner appeared first on The Good Therapy Practice.