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Thread: Sad

  1. #11
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    I hate any proposition that begins with 'some people think, argue, say...'. It is a bit like that other great oracle: some guy down the pub told me [insert some crazy proposition]. As the great man himself said in reply to such a question 'whose people?'.


    Quote Originally Posted by magicalman9357 View Post
    I know a few people who suffer from SAD or Seasonal Affective Disorder and their lives are a complete misery at this time of year. I have heard some people say it's all in the mind but I believe it's a very real thing myself. Any thoughts?

  2. #12
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    Quote Originally Posted by magicalman9357 View Post
    I know a few people who suffer from SAD or Seasonal Affective Disorder and their lives are a complete misery at this time of year. I have heard some people say it's all in the mind but I believe it's a very real thing myself. Any thoughts?
    Very real for those who suffer with this, lol doc
    Never mistake kindness for weakness .: doc

  3. #13
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    Magicalman good thread but piss takers will ruin it and we all know who they are lol doc
    Never mistake kindness for weakness .: doc

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  5. #14
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    Quote Originally Posted by magicalman9357 View Post
    I know a few people who suffer from SAD or Seasonal Affective Disorder and their lives are a complete misery at this time of year. I have heard some people say it's all in the mind but I believe it's a very real thing myself. Any thoughts?
    I think we should all be prescribed a month away to a warm sunny climate.

    Mind you, I always feel more sad when I return from holidays!

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  7. #15
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    And specially for those light skinned freckly ginger types who get SAD, MAD and BAD when all that vitimen D bombards them in the summer...................



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  9. #16
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    Seasonal affective disorder (SAD) is a form of recurrent depressive or bipolar disorder, with episodes that vary in severity. Seasonal patterns of depressive episodes are common, but SAD seems to be less common than such patterns suggest. SAD was at first believed to be related to abnormal melatonin metabolism, but later findings did not support this hypothesis. Studies of brain serotonin function support the hypothesis of disturbed activity. The short-allele polymorphism for serotonin transporter is more common in patients with SAD than in healthy people. Atypical depressive symptoms commonly precede impaired functioning, and somatic symptoms are frequently the presenting complaint at visits to family physicians. The best treatment regimens include 2500 lx of artificial light exposure in the morning. When patients seem to have no response or to prefer another treatment, antidepressants should be considered.
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  11. #17
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    Bright artificial light has been found effective in reducing winter depressive symptoms of Seasonal Affective Disorder, although conclusions about the true magnitude of treatment effect and importance of time of day of light exposure have been limited by methodologic problems. Individual subjects' data from 14 research centers studying 332 patients over 5 years were analyzed with a pooled clustering technique. Overall, 2500-lux intensity light exposure for at least 2 hours daily for 1 week resulted in significantly more remissions--Hamilton Depression Rating Scale (HAM-D) score reduction of 50% or more to a level under 8--when administered in the early morning (53%) than in the evening (38%) or at midday (32%). All three times were significantly more effective than dim light controls (11%). Dual daily exposures (morning-plus-evening light) provided no benefit over morning light alone. In morning-evening crossovers, remission rates were 62% under morning light alone, compared with 28% under evening light alone, with a differential morning-evening response present in 59% of morning responders compared with 10% of evening responders (p less than 0.001). Remission rates with morning light were highest given low severity at baseline (HAM-D score of 10-16: 67% remission), as compared with moderate-to-severe cases (HAM-D score above 16: approximately 40% remission) where no morning-evening differences were found. Firmer conclusions await treatment studies with larger sample sizes and full assessment of atypical vegetative symptoms seen in winter depression but underrepresented in the Hamilton scale. Longer treatment course and greater light intensity may help clarify clinical response despite the impossibility of achieving a conventional blind placebo control.
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