Seasonal Affective Disorder

Disclaimer:

This publication is based on a Mind UK publication and the original version may be found here: https://www.mind.org.uk/information-support/a-z-mental-health/

Thank you to Mind UK for sharing their valuable content with us. Content included in Mental Health A-Z is made available free of charge and does not form part of any commercial activity. The adaptation has been done independently by Mind HK and is intended for general information purposes only.

What causes SAD? 

The exact causes of SAD aren’t clear. It seems that the things we know can cause depression in general can lead to SAD, and research has also suggested that there are a few things that could contribute to the development of SAD in particular. 

Depression can vary a lot between different people and you might have SAD due to a combination of factors, or there might not seem to be any specific reason. 

In this section, you can find information about possible causes of SAD: 

The effects of light 

When light hits the back of your eye, messages go to the part of your brain that controls sleep, appetite, sex drive, temperature, mood and activity. If there isn’t enough light, these functions can slow down and gradually stop. 

Some people seem to need a lot more light than others. This may mean they’re more likely to get SAD during winter months. Some people seem to have the opposite experience, finding bright light and sunshine hard to cope with. 

“It’s like someone has switched off the light suddenly and I am plunged into darkness which paralyses me and keeps me pinned down to my bed.” 

Disrupted body clock 

Your brain sets your body clock by the hours of daylight. One theory is that if you experience SAD, this part of your brain isn’t working in the same way. This could mean your body clock slows down, leading to tiredness and depression. 

Some researchers think this is because your sleep pattern (also known as your ‘sleep phase’) starts at a different time. This is sometimes described as having a delayed sleep phase. 

Daylight and SAD 

SAD is thought to be more common in countries where there are greater changes in the weather and daylight hours during different seasons. People who live near the equator for part of their lives and then move further away may also be especially vulnerable to getting SAD. 

“The evening is endless and I would watch the clock and feel trapped in the dark.” 

High melatonin levels 

When it’s dark, your brain produces a hormone called melatonin which helps your body get ready for sleep. Some people with SAD seem to produce much higher levels of melatonin during winter (which is also what happens to animals when they hibernate). 

The exact relationship between melatonin and SAD isn’t clear. Researchers have found that if you have high levels of melatonin and you’re exposed to bright light, your melatonin levels drop to a more usual amount. But this doesn’t seem to help with symptoms of depression. 

“When winter comes and I feel the change in the seasons, I feel more drained and find it very hard to motivate myself into getting dressed or out of bed.” 

Weather and temperatures 

We all have different experiences of particular seasons and types of weather. You might feel particularly uncomfortable in hotter or colder temperatures, which could contribute to you developing depression (or any existing depression worsening) at those times. 

While more people are aware of SAD happening in winter, some people have more difficulty in warmer weather. Some studies have suggested a possible link between higher temperatures and poor mental health, but more research is needed to understand why. 

“Sunshine and heat make me feel defensive, misanthropic, angry, anxious, resentful, impatient and turn my thoughts inwards. I don’t want to see anyone, go anywhere or do anything. Even bright, low winter light depresses me. I feel under siege.” 

Stressful times of year 

Whether or not you have symptoms of SAD, there might be some occasions or times of year you find especially difficult – for example, due to upsetting memories of abuse, bereavement, money problems, loneliness or other mental health problems that get worse at particular times of year. Occasions like Christmas can also be particularly stressful, whether or not you have SAD in winter. 

Our self-care tips for SAD have some suggestions for you to think about, and our pages on coping with loneliness and stress may also be helpful. 

What is iACT Service?

Improving Access to Community Therapies (iACT®) is one of the services from Mind HK. Trained Wellbeing Practitioners will offer initial assessment and early intervention for people dealing with mild to moderate symptoms of depression, anxiety, or other emotional difficulties.

 

The service includes 6-8 sessions of low-intensity psychological support, the flexibility of the service allows individuals to receive free and timely support when needed.

If you’re aged between 18 – 65 and are facing some emotional challenges, we would like to invite you to take an online assessment for us to gain a better understanding of your current emotional struggle.

 

If you’re eligible, we’ll get you connected with a Wellbeing Practitioner within two weeks to sort out the next steps.

The service runs for about 3 months and includes 6-8 support sessions, tailored to your needs.

 

We encourage you to attend all sessions and actively practice the tips and exercises provided by your Wellbeing Practitioner.

We take your privacy seriously. Your chats with the Wellbeing Practitioner are confidential.

 

We won’t share any of your info unless you’ve provided consent or if there are risks detected.

This programme isn’t suitable for people facing emergencies, major setbacks, or those diagnosed with serious or complex mental health conditions.

 

If you’re having thoughts of suicide or self-harm, this programme might not meet your needs, so please seek help right away. You can check out Mind HK’s “Find Help Now” page for immediate information and services.

Most of our Wellbeing Practitioners have backgrounds in psychology or counselling and are passionate about mental health. They’ve gone through about 140 hours of intensive training and completed at least 120 hours of supervised clinical practice over 9 months to ensure the quality of service.

 

They’re trained by accredited local experts in the mental health field, including clinical psychologists, counselling psychologists, counsellors, and psychiatrists. Plus, we regularly check how effective our services are. All service outputs and performances are subject to consistent monitoring.

Who is suitable for participating in this programme?

This programme welcomes anyone between the ages of 18 and 65 who may be feeling lost or facing emotional difficulties. Please note that this programme is not suitable for individuals diagnosed with severe or complex mental health conditions.

This programme is not suitable for individuals diagnosed with severe or complex mental health conditions, but suitable for those who experience mild to severe moderate anxiety, mild to moderate depression, or other emotional challenges. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

After signing up, our Wellbeing Practitioner will contact you within two weeks to schedule a convenient time for a 45-minute conversation, either via video or phone call, according to your preference. During the conversation, the Wellbeing Practitioner will understand your current situation and help you gain a better understanding of your emotional state based on the questionnaire you filled out during application. Additionally, they will provide recommendations for appropriate community resources based on your needs, helping you take an important first step in taking care of your mental health.

Although the intervention procedure is mostly standardised, Wellbeing Practitioners will work flexibly with clients to address individual presenting problems and unique characteristics.

Our Wellbeing Practitioners are trained to support people who experience mild to moderate mental health difficulties primarily. This programme is not suitable for the situations mentioned above. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

Your conversations with the Wellbeing Practitioner are absolutely confidential. Any information about you will not be shared with anyone without your consent unless you or others are at immediate risk or the Wellbeing Practitioner has reason to believe that you may be in imminent danger.
Supervisors will monitor trainees’ development throughout the placement to ensure that they are meeting the required level of competency to pass the training course at the end of the placement.

Yes, it is necessary to book an appointment in advance by filling out the form. Additionally, you can select one of the five stores yourself. We will allocate clients to different Wellbeing Practitioners based on their chosen location.

Before having the conversation, we will ask you to fill out a basic questionnaire for preliminary screening assessment. This screening process aims to ensure that the training received by the Wellbeing Practitioners is sufficient to meet the needs of the individuals receiving the service. If it is determined after the screening assessment that the service is not suitable for you, Mind HK will provide alternative recommendations to ensure your safety and support.

For adults who are suitable for this service, all Wellbeing Practitioners have received training on how to identify and respond to safety and risk issues. If you have any concerns about the support process, the Wellbeing Practitioners have appropriate measures in place and will develop response plans based on the urgency of the situation. They can also access support from clinical practitioners from Mind HK or participating organisations.

What private training does Mind HK provide?

Mind HK provides 4 themes of mental health training, including: Supporting Self, Supporting Others, Family Wellbeing and DEI (Diversity, Equity and Inclusion).

 

Check out the brochure here for more information.

Mind HK provides a wide range of standardised mental health training, which can be tailored to different circumstances. Chat with our team to explore more

Our trainers come from a diverse, accredited pool of clinically experienced professionals. Check out our trainers’ biographies here.

Yes, the Mental Health First Aid class of Mind HK is internationally accredited by the MHFA International. The content and certification is delivered by trainers certified from the Mental Health Association of Hong Kong. You can find out our trainers accreditation here.

We are here to support your mental health education journey! Reach out to us and chat with our team.

Causes

What causes SAD? 

The exact causes of SAD aren't clear. It seems that the things we know can cause depression in general can lead to SAD, and research has also suggested that there are a few things that could contribute to the development of SAD in particular. 

Depression can vary a lot between different people and you might have SAD due to a combination of factors, or there might not seem to be any specific reason. 

In this section, you can find information about possible causes of SAD: 

The effects of light 

When light hits the back of your eye, messages go to the part of your brain that controls sleep, appetite, sex drive, temperature, mood and activity. If there isn't enough light, these functions can slow down and gradually stop. 

Some people seem to need a lot more light than others. This may mean they're more likely to get SAD during winter months. Some people seem to have the opposite experience, finding bright light and sunshine hard to cope with. 

“It’s like someone has switched off the light suddenly and I am plunged into darkness which paralyses me and keeps me pinned down to my bed.” 

Disrupted body clock 

Your brain sets your body clock by the hours of daylight. One theory is that if you experience SAD, this part of your brain isn't working in the same way. This could mean your body clock slows down, leading to tiredness and depression. 

Some researchers think this is because your sleep pattern (also known as your 'sleep phase') starts at a different time. This is sometimes described as having a delayed sleep phase. 

Daylight and SAD 

SAD is thought to be more common in countries where there are greater changes in the weather and daylight hours during different seasons. People who live near the equator for part of their lives and then move further away may also be especially vulnerable to getting SAD. 

“The evening is endless and I would watch the clock and feel trapped in the dark.” 

High melatonin levels 

When it's dark, your brain produces a hormone called melatonin which helps your body get ready for sleep. Some people with SAD seem to produce much higher levels of melatonin during winter (which is also what happens to animals when they hibernate). 

The exact relationship between melatonin and SAD isn't clear. Researchers have found that if you have high levels of melatonin and you're exposed to bright light, your melatonin levels drop to a more usual amount. But this doesn't seem to help with symptoms of depression. 

“When winter comes and I feel the change in the seasons, I feel more drained and find it very hard to motivate myself into getting dressed or out of bed.” 

Weather and temperatures 

We all have different experiences of particular seasons and types of weather. You might feel particularly uncomfortable in hotter or colder temperatures, which could contribute to you developing depression (or any existing depression worsening) at those times. 

While more people are aware of SAD happening in winter, some people have more difficulty in warmer weather. Some studies have suggested a possible link between higher temperatures and poor mental health, but more research is needed to understand why. 

“Sunshine and heat make me feel defensive, misanthropic, angry, anxious, resentful, impatient and turn my thoughts inwards. I don’t want to see anyone, go anywhere or do anything. Even bright, low winter light depresses me. I feel under siege.” 

Stressful times of year 

Whether or not you have symptoms of SAD, there might be some occasions or times of year you find especially difficult – for example, due to upsetting memories of abuse, bereavement, money problems, loneliness or other mental health problems that get worse at particular times of year. Occasions like Christmas can also be particularly stressful, whether or not you have SAD in winter. 

Our self-care tips for SAD have some suggestions for you to think about, and our pages on coping with loneliness and stress may also be helpful.