Sad smiley emoticon face drawn on snow covered glass

If you find yourself feeling down during the coldest months of the year, you’re not alone. Whether on a ship or working shore duty, it can be challenging for Sailors to get outside and reap the benefits of natural sunlight, especially in winter.

Many people face the “winter blues” – a generally mild sadness that’s usually linked to something specific, like stressful holidays or reminders of absent friends or loved ones. The winter blues are unpleasant but usually short-term in duration. More severe sadness that sticks around longer may indicate that you are experiencing Seasonal Affective Disorder (SAD), and not just the winter blues.

According to the American Psychiatric Association, about five percent of Americans suffer from SAD, a form of depression that can last 40 percent of the year and is usually most severe in January and February in the U.S. SAD is a clinical disorder that must be diagnosed by a professional.

SAD, like other forms of depression, can be debilitating, with symptoms that may affect every aspect of daily life. Some common symptoms include fatigue, mood swings and changes in appetite. The effects of SAD are typically seen in the winter months when there is less sunlight (though this may vary with geographic location) and symptoms usually improve with the arrival of spring. Whether it’s SAD or the more-common winter blues, there are steps you can take to help yourself and your shipmates.

Why Winter?

We all have an internal biological or circadian clock. This 24-hour “master clock” uses cues in your surroundings to help keep you awake and to help you sleep. Our circadian clocks are highly sensitive to changes in light and dark. When days are shorter and nights are longer, the body’s internal rhythm can be altered, and lead to changes in two specific chemicals, melatonin and serotonin.

At night, a gland in the brain produces and releases melatonin, a chemical that helps you sleep. Changes in season and sunlight can disrupt the normal levels of melatonin, contributing to disrupted sleep patterns and mood changes. Serotonin is a brain chemical affecting mood, and reduced sunlight can cause serotonin levels to plummet.

Lack of direct exposure to sunlight can also lead to deficiencies in Vitamin D. Strong associations have been found between vitamin D deficiency and depression, according to the Mayo Clinic. “Many who are Vitamin D deficient don’t know it,” said CAPT Tara Smith, Ph.D., clinical psychologist assigned to OPNAV N171. “it’s very hard to get outside the skin of the ship and feel the sun on your face underway, and even in Iraq you’re completely covered. Although it’s a sunny 135 degrees, you’re not getting any sun on your skin.” Being Vitamin D deficient can contribute to sadness, especially in winter.

Beating the Blues

There are several treatments used to help those suffering from seasonal mood changes. For SAD, these can include talk therapy, light treatments, vitamin regimens or medications. Although symptoms of the winter blues usually improve with the change of season there are a few ways you can help your body adjust:

  • Optimize your sleep. Fatigue can affect mood, performance, memory and judgement. Aim for seven to eight hours of uninterrupted sleep per night, preferably at the same time each day. If you can’t get that amount of uninterrupted sleep, compensating with a nap has proven benefits. Crew Endurance, developed by Naval Postgraduate School with collaboration from Navy’s Operational Stress Control Program, offers practical tips, research and operational tools for promoting adequate rest.
  • Choose foods that help to balance your mood. Studies indicate people who suffer from SAD may have lower levels of serotonin in the winter months. A balanced diet that is high in fruits, vegetables, whole grains and lean protein can provide a natural source of serotonin. Try a breakfast of steel cut oatmeal, bananas and eggs for a mood-balancing boost. Check out this post for additional tips.
  • Go for a workout outdoors. It may be chilly, but exercising outdoors when possible during daytime hours can help you soak up some Vitamin D even when it’s not particularly sunny. Plus, physical activity improves your mood, helps you sleep, increases endurance and helps you navigate stress. Round up a few shipmates and go for a run around the flight-deck, try a group fitness class on your installation, sweat it out on the yoga mat or get fit with interval training.

When to Seek Help

It’s important to recognize that SAD is a serious condition and is characterized by the same symptoms as other forms of depression. Signs may include a sustained feeling of depression that occurs most days and most of every day, loss of interest in activities that were once enjoyed, low energy and feelings of sluggishness, hopelessness or agitation. Sometimes, symptoms may start off mild and progress in severity over time. Symptoms of a Vitamin D deficiency can mimic SAD, but also include issues like joint pain. If you suspect a Vitamin D deficiency, a simple visit to your Primary Care Manager (PCM) for a blood test can determine your levels, Smith said.

No one has to try and navigate seasonal depression or SAD alone. Reach out to a mental health provider at your command, installation or nearest military treatment facility, or seek confidential non-medical counseling from Military OneSource. If you feel hopeless or are thinking of suicide, get immediate help through the Military Crisis Line at 1-800-273-8255, press 1.

For more information on psychological health and navigating stress, like U.S. Navy Operational Stress Control on Facebook or follow @NavStress on Twitter. For additional resources, messages and materials, download the Every Sailor, Every Day campaign’s FY-19 1 Small ACT Toolkit.

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