SAD Light Therapy for Seasonal Affective
Disorders
In institutions such as the Mayo Clinic, SAD light therapy is
considered a standard form of treatment for seasonal affective
disorder, or SAD. Also referred to as a more serious form of
"winter depression", affected individuals suffer depression,
lethargy, fatigue, and many other symptoms when shorter days and
longer nights begin to raise their ugly heads in the fall and
winter.
SAD has been recognized by the American Psychiatric
Association's diagnostic manual, in the DSM-IV as an official
subtype of major depressive episode. Approximately 75% of those
involved are women, with the most common age of onset being the
thirties. A psychiatrist by the name of Norman Rosenthal in 1984
had published a paper SAD light therapy, with research still going
on today in regard to it. From that moment in time in the early
1980s, SAD light therapy--also been called bright light therapy or
phototherapy--and over the years has been associated with the
disorder SAD.
SAD light therapy requires about 30 minutes a day of daily light
treatments--with the light treatments working best in the mornings
with some using it in the evenings. The amount of light and when it
is to be used depends a lot on the individual and the type of light
box. A 10,000-lux light therapy box requires only 30 minutes a day
of light treatment as a SAD light therapy, with the initial
treatments requiring full spectrum lighting. More recent studies
show that regular fluorescent bulbs can work as well, with UV or
ultraviolet lighting needing to be filtered out as it damages the
eyes and skin. But people still prefer the full spectrum minus the
UV, as it is the closest to natural lighting available for SAD
light therapy.
There are three key elements combined in SAD light therapy:
intensity, duration, and timing. As many people know, light therapy
is best used early in the morning as compared to using it in the
evenings, as it has been known to disrupt sleep or cause insomnia.
How long of a duration may range from 30 minutes to two hours, with
initial doses as low as 15 minutes and working up. The intensity is
a little more complicated, as the lux of the light box
varies. The term "lux" refers to the measurement of light
received at a specific distance from a particular light source,
with the average light therapy box running between 2,500-lux and
the typical 10,000-lux. To put this into more clear terminology,
the average living room in the evening is about 400-lux, and the
bright sunny day runs about 100,000-lux.
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