Ask Dr. Steve: Seasonal depression peaks now — not in early winter
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Steven A. SzykulaContrary to common belief, seasonal depression doesn’t peak when winter begins — it peaks in late January through February. After months of reduced sunlight, accumulated sleep disruption, and limited outdoor activity, the body’s reserves are depleted. This is when Seasonal Affective Disorder (SAD) symptoms reach maximum intensity.
In Northern Utah, the situation intensifies further. Valley inversions trap cold air and pollution for weeks, blocking even the limited winter sunlight. The result: extended periods where stepping outside provides neither light exposure nor fresh air. For the estimated 10 million Americans with SAD and 20-30 million more with milder “winter blues,” February often feels like hitting a wall.
Understanding that this is the hardest stretch — not the beginning — helps calibrate expectations and intensify coping strategies precisely when they’re most needed.
Understanding the Issue
Q: Why does seasonal depression peak in February, not December?
A: SAD results from cumulative light deprivation, not immediate onset. The body’s serotonin stores gradually deplete over months of reduced sunlight. By February, this depletion reaches its lowest point. Additionally, the holiday structure of November-December provides social connection and activity that February lacks.
Q: How do Utah’s inversions worsen seasonal depression?
A: Winter inversions trap cold air in valleys, creating a lid that blocks sunlight and traps pollution. During inversions, even midday sun is significantly dimmed. This eliminates the primary natural intervention for SAD — light exposure — while simultaneously reducing motivation to go outside due to poor air quality and cold.
Q: What’s the difference between winter blues and clinical SAD?
A: Winter blues cause noticeable but manageable mood dips: less energy, some irritability, craving carbohydrates. SAD significantly impairs functioning: severe fatigue, social withdrawal, difficulty working, major appetite and sleep changes, and feelings of hopelessness. If symptoms substantially interfere with daily life, it’s likely beyond typical winter blues.
Q: Does light therapy actually work?
A: Yes, light therapy is the primary evidence-based treatment for SAD. A 10,000-lux light box used for 20-30 minutes each morning can improve symptoms within days to weeks. Timing matters: morning use helps reset circadian rhythms; evening use can disrupt sleep. Most people need consistent daily use throughout winter.
Q: What should I look for in a light therapy box?
A: Choose a 10,000-lux box (lower intensity requires longer sessions), position it at eye level about 16-24 inches away, and use it within an hour of waking. Look for UV-filtered lights. Avoid using it in the evening. Some insurance plans cover light boxes with a prescription; otherwise, effective models cost $30-100.
Q: Can vitamin D help with seasonal depression?
A: Vitamin D deficiency is common in winter and may worsen mood, though research on supplementation for SAD is mixed. Many people benefit from having levels tested and supplementing if deficient. However, vitamin D alone typically doesn’t resolve SAD — it works best combined with light therapy and behavioral strategies.
Q: What behaviors make seasonal depression worse?
A: Hibernation instincts backfire: sleeping more, isolating, reducing activity, and increasing carbohydrate intake all worsen symptoms despite feeling like natural responses. The brain interprets these behaviors as confirmation that something is wrong, deepening the depressive cycle. Fighting these urges — even minimally — helps break the pattern.
Q: How do I motivate myself to exercise when I can barely get out of bed?
A: Start with “movement snacks” — brief activity so minimal it doesn’t require motivation. Stand up and stretch for 30 seconds. Walk to the mailbox. The goal isn’t exercise; it’s interrupting inertia. Often, starting tiny leads to doing more, but even if it doesn’t, any movement helps. Commit only to starting, not to a full workout.
Q: Should I try to maintain summer activity levels in winter?
A: Adjusting expectations seasonally is healthy — humans aren’t meant to maintain identical energy year-round. However, the goal is intentional adjustment, not passive surrender. Plan for reduced but consistent activity. Schedule social contact even when you don’t feel like it. Accept lower energy while actively preventing complete withdrawal.
Q: When should I seek professional help for seasonal depression?
A: Seek evaluation if symptoms significantly impair work, relationships, or daily functioning; if light therapy and behavioral strategies aren’t helping after 2-3 weeks; if you’re having thoughts of self-harm; or if this pattern repeats annually despite your efforts. Antidepressants, particularly those affecting serotonin, can be effective for SAD and are sometimes used preventively.
Closing
February’s difficulty isn’t in your head — it’s predictable biology meeting environmental challenge. Recognizing this as the peak, not the plateau, helps you deploy maximum coping precisely when needed.
The strategies that work require going against instinct: seeking light when you want darkness, moving when you want stillness, connecting when you want isolation. These feel unnatural because depression lies about what helps. The discomfort of pushing against symptoms is temporary; the improvement that follows is real.
For those whose winter struggles significantly impair functioning or repeat annually despite self-help efforts, professional intervention changes the trajectory. Evaluation can distinguish SAD from other conditions, identify optimal treatment combinations, and provide targeted strategies beyond general advice.
For those experiencing significant seasonal mood changes, professional evaluation can clarify whether symptoms indicate SAD, underlying depression, or other conditions requiring specific treatment. Comprehensive Psychological Services (WeCanHelpOut.com) offers comprehensive assessment to identify what’s happening and develop targeted intervention strategies.
