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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Persistent, pervasive symptoms of depression during wintertime?

By R. Robert Auger, M.D.



JewishWorldReview.com | DEAR MAYO CLINIC: I've been diagnosed with clinical depression. I'm taking duloxetine (Cymbalta), which helps. But I always feel more blue and have a hard time finding the energy to do my normal activities when fall and winter come. My neurologist thinks I should see a therapist, but talking about depression makes me feel worse. Is there anything else I can do?

ANSWER: Because your symptoms get worse as the seasons change, you could have seasonal affective disorder, or SAD, a form of clinical depression. If so, several treatment options are available that may help.

SAD is a type of depression that affects people during the fall and winter months. The lower levels of sunlight in the winter and fall may upset your sleep patterns and lead to feelings of depression. When combined, these factors may lead to SAD.


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SAD is different from non-seasonal depression in several unique ways, particularly in its timing. SAD is more than just feeling blue as the days get shorter or having the doldrums during January. Instead, it involves persistent, pervasive symptoms of depression during wintertime.

Symptoms may include feeling sad or angry; irritability; lack of interest in activities you usually enjoy; difficulty concentrating; lack of energy; and, in some cases, feeling that life isn't worth living or having suicidal thoughts.

People with SAD also usually feel the need to sleep considerably more than usual. That's not always the case with those who have depression that is not linked to seasonal changes. SAD generally causes people to want to eat more, too, and they often gain weight. Carbohydrate cravings are particularly common. Individuals with depression that is not seasonal typically do not have an increase in appetite and weight loss is more common.

SAD symptoms may get worse as winter progresses. They typically fade as daylight increases during spring.

Antidepressant medications can help treat SAD. The antidepressant bupropion (Wellbutrin) is approved for the treatment of SAD. But in a situation like yours, where you're already taking an antidepressant, another treatment option is light box therapy.

For people with SAD, sitting in front of a light box is most helpful during the early morning hours because it simulates the sunrise. Typically people sit several feet from the illuminated box for about 30 minutes while they eat breakfast, read or watch television.

Some lifestyle changes may help, too. For example, get in the habit of going outside on sunny days. In the winter when snow is on the ground, clear days can be brilliantly bright. Exposure to that natural sunlight can help relieve SAD symptoms, as can regular exercise, healthy sleep habits and a balanced, healthy diet.

For some people, talking with a therapist may be helpful for combating symptoms of both SAD and non-seasonal depression.

Treatment for SAD often is most effective if you start it before the days begin to grow shorter in the fall. In most cases, consistent light therapy and, when needed, antidepressant medication, can prevent symptoms of SAD during the winter months. Talk to your doctor to see if treatment for SAD may help you. -- R. Robert Auger, M.D., Psychiatry and Psychology, Mayo Clinic, Rochester, Minn.

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