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Seasonal Affective Disorder (SAD): Coping in Winter Months

It is hard when the days feel shorter, the light fades early, and our energy seems to go with it. Many of us notice our mood dipping as winter settles in, and for some, that heaviness turns into something that feels much bigger than “just the winter blues.” If you are caring for yourself, a partner, a parent, or a child who struggles more in the darker months, you are not alone, and you are not imagining it.

Seasonal Affective Disorder, often called SAD, is a type of depression that follows a seasonal pattern, most often in fall and winter. The gentle, honest answer is this: coping in the winter months usually means combining several small supports instead of waiting for one big fix. Light therapy, routine, gentle movement, connection with others, and sometimes counseling or medication can work together to make winter more bearable and, for many, much brighter. It is not a quick path, but there is a path.

You are not weak if winter weighs on you. Your body and brain are responding to real changes in light, sleep, and hormones, and there are caring, practical ways to ease that load.

Understanding Seasonal Affective Disorder (SAD)

When we care for someone who struggles in winter, it helps to understand what they are facing. SAD is more than feeling a bit gloomy on a gray day. It follows a seasonal pattern and affects how a person thinks, feels, and functions.

What SAD Is (And What It Is Not)

SAD is a form of depression linked to changes in seasons, most commonly beginning in late fall and easing in spring. There is also a less common summer pattern, but this article focuses on winter SAD.

People with winter SAD often experience:

  • Low mood most of the day, on most days
  • Loss of interest or pleasure in activities they normally enjoy
  • Low energy and fatigue that sleep does not fully fix
  • Changes in sleep, often sleeping more or struggling to get out of bed
  • Changes in appetite, with cravings for carbohydrates and sugar
  • Weight gain or trouble managing weight
  • Difficulty concentrating, remembering, or making decisions
  • Feelings of worthlessness, hopelessness, or guilt
  • Withdrawal from friends, family, or usual hobbies

These symptoms appear during certain months, most often in late fall and winter, then lift or improve in spring and summer. The pattern tends to repeat year after year.

SAD is not simply “being dramatic about winter,” and it is not laziness. For caregivers, it can be painful to watch a loved one who thrived in summer struggle to get dressed or reply to a text in winter. Understanding that there is a real condition behind these changes can soften frustration and open the door to more gentle support.

How SAD Affects Caregivers and Families

SAD does not only touch the person who has the diagnosis. It can strain the whole household:

  • A spouse may feel as if their partner has “disappeared” emotionally for several months each year.
  • Parents may worry when a teenager spends long winter afternoons in a dark bedroom, sleeping or scrolling on their phone.
  • Adult children may notice an older parent losing interest in cooking, cleaning, or social visits once the clocks change.
  • Caregivers themselves may experience SAD, while still trying to support another family member with health needs.

This seasonal weight can lead to tension, guilt, and misunderstandings. Someone who has SAD might say, “I am trying, I just cannot seem to move,” while a loved one thinks, “If you tried harder, you would feel better.” Both are in pain.

We can hold two truths at once: people with SAD are working very hard just to get through the day, and caregivers are also working hard to keep daily life going. Blame does not ease the burden for either person, but shared knowledge and small shared steps often do.

Why Winter Triggers SAD

Researchers are still learning about SAD, but several factors seem to play a role:

Factor How it may affect SAD
Reduced daylight Less exposure to natural light affects the body clock (circadian rhythm), mood, and hormone levels.
Melatonin changes Longer nights can lead to higher melatonin levels, which can increase sleepiness and low energy.
Serotonin changes Reduced sunlight can affect serotonin, a brain chemical linked to mood and feelings of well-being.
Vitamin D levels Less sun can lower vitamin D levels, which might relate to mood in some people.
Genetics and history Family history of depression or bipolar disorder can increase the risk of SAD.

For caregivers, this knowledge offers something gentle but powerful: the understanding that winter triggers real biological changes. The goal is not to “snap out of it,” but to work with the body and environment to bring support where light and warmth are missing.

Recognizing SAD Early In The Season

Catching SAD early often makes it easier to manage. Many people can look back and see a pattern, even if they did not have a name for it yet.

Early Signs To Watch For

You might notice early hints of winter SAD around the time clocks change or when days begin to feel much shorter. Some early signs include:

  • Wanting to sleep longer on weekdays and weekends
  • Feeling “foggy” or heavy during the day, even after enough sleep
  • Putting off tasks that felt manageable during summer
  • Craving heavier, starchy foods more than usual
  • Canceling social plans more often or feeling relief when plans fall through
  • Spending less time outside, even on bright days
  • Feeling an unexplained sense of dread about the coming months

For someone you care for, you might notice quieter changes:

  • A usually talkative person gives shorter answers
  • A neat person starts letting chores slide
  • A child or teen loses interest in favorite cold-weather hobbies
  • An older adult stops opening curtains or going for their usual walk

These shifts can be subtle. It sometimes helps to keep a simple mood or energy journal as summer ends and fall starts.

Gentle Ways To Talk About SAD

Talking about mood changes can feel delicate. Many people feel ashamed of depression or do not want to “worry” their family.

You might find it helpful to:

  • Use “we” language: “We have both noticed you are more tired since the days got shorter. I wonder if this might be seasonal depression. What do you think?”
  • Focus on the pattern, not on blame: “Every winter this seems to happen around the same time. That makes me think your brain is responding to the season, not that you are failing.”
  • Invite their view: “How have you been feeling since the clocks changed? What have you noticed in yourself?”
  • Offer support, not a lecture: “If this is SAD, there are things we can try together. You do not have to figure it out alone.”

Naming SAD can bring relief. Many people feel less alone once they understand that their winter struggle has a name, a pattern, and possible treatments.

Coping Strategies: Building A Winter Support Plan

There is rarely one single fix for SAD. The most helpful approach usually combines several gentle supports that work together. Think of it as building a “winter support plan” for yourself or your loved one.

Light Therapy: Bringing More Light To The Day

Light therapy is one of the most common treatments for winter SAD. It uses a special light box that mimics natural outdoor light.

  • What it is: A light box that gives off bright light (usually 10,000 lux) without much UV. It is not the same as a regular lamp or a tanning bed.
  • How it is used: People typically sit in front of the light box for about 20 to 30 minutes each morning, with the light slightly off to the side, not directly into the eyes.
  • When it helps: Many feel some benefit within 1 to 2 weeks. It can help with energy, mood, and focus.

If you or your loved one are exploring light therapy, it helps to:

  • Talk with a health professional first, especially if there is a history of eye problems, bipolar disorder, or certain skin conditions.
  • Place the light box in a consistent morning spot, like near the breakfast table or at a desk.
  • Pair light time with a daily habit, such as reading, journaling, or eating breakfast.
  • Use it daily during the darker months, not just once in a while.

Caregivers can offer support by setting up the light, reminding gently about use, and sitting nearby during sessions so it feels less like a chore and more like a shared morning ritual.

Natural Light And Time Outdoors

Even on cloudy days, outdoor light is stronger than most indoor light. Short, regular time outside can give a meaningful lift.

You might find it helpful to:

  • Open curtains and blinds early and keep them open until sunset.
  • Arrange chairs or favorite spots near windows to catch as much daylight as possible.
  • Plan a short daily walk, even 10 minutes around the block, in the late morning or early afternoon.
  • If mobility is limited, sit by an open door, on a porch, or near a bright window for part of the day.

When energy is low, “a short walk around the block” can feel huge. It can be kind to say, “Let us step outside for two minutes and see how we feel,” rather than pushing for a long outing.

Balancing Sleep: Rest Without Retreating From Life

SAD often pulls people toward more sleep and more time in bed. While rest is valuable, too much daytime sleep can make mood and energy worse.

Some gentle supports for sleep include:

  • Regular wake time: Try to keep a steady wake-up time, even on weekends, to help the body clock stay steady.
  • Light in the morning: Open curtains right away, and, if using a light box, use it soon after waking.
  • Short naps: If naps feel necessary, aim for 20 to 30 minutes earlier in the day rather than long naps late in the afternoon.
  • Calm evening routine: Create a simple wind-down routine with dimmer lights, less screen time, and calming activities like reading or soft music.

Caregivers can help by building predictable morning and evening routines for the household, which can support the person with SAD without singling them out.

Movement: Gentle Activity For Mood And Energy

Movement can help lift mood, but for people with SAD, the usual advice to “exercise more” can feel impossible. A kinder approach is to start very small.

You might find it helpful to think in terms of:

  • Tiny steps: Walking to the end of the driveway, stretching in a chair, or slowly walking in place while watching television.
  • Functional movement: Folding laundry, sweeping, or tidying a surface can count as movement when energy is scarce.
  • Shared activity: Moving together, such as putting on one song and swaying or slowly dancing in the kitchen, can feel less like “exercise” and more like connection.
  • Realistic goals: Aiming for “more than yesterday” rather than a fixed workout target.

For older adults or those with mobility challenges, physical or occupational therapists can suggest safe, simple movements that fit their abilities.

Food And SAD: Comfort Without Criticism

Many people with SAD crave carbohydrates, sweets, and heavier foods. This can be the body seeking quick energy and comfort. Shame or strict rules around food usually make things harder.

Gentle ways to support eating during SAD include:

  • Offering regular meals and snacks, rather than letting long gaps build up.
  • Pairing comfort foods with protein and fiber, such as adding beans to a pasta dish or having nuts with a sweet snack.
  • Keeping some easy, healthy options ready, like cut fruit, yogurt, or pre-chopped vegetables.
  • Avoiding harsh comments about weight or “willpower,” and instead asking, “What helps your body feel a bit more steady through the day?”

Food during winter can be both comfort and fuel. The goal is not a perfect diet, but enough nourishment to support mood, sleep, and energy.

Emotional Coping: Caring For The Heart In Winter

SAD lives in the body and the brain, but it is also deeply felt in the heart. People often describe feeling numb, guilty, hopeless, or like a burden. Caregivers can carry worry, frustration, and fatigue. Both sides deserve compassion.

Self-Compassion For People Living With SAD

Many people with SAD blame themselves. They say things like:

  • “Everyone else handles winter. Why cannot I?”
  • “My family has to work around my moods every year.”
  • “If I just tried harder, I would not feel this way.”

A more caring inner voice might say:

  • “My brain and body struggle more in winter. That is real, not a failure.”
  • “Getting out of bed and showering is already effort. I can give myself credit for that.”
  • “I deserve support, not punishment, when I am having a hard season.”

Simple practices can help grow this kind of self-compassion:

  • Writing down one thing you managed each day, no matter how small.
  • Talking to yourself as you would speak to a dear friend in the same situation.
  • Letting trusted people know when you are having a heavy day, instead of hiding it.

Compassion For Caregivers And Family

Caregivers are often deeply affected by SAD in the household. They might feel:

  • Lonely, because their partner or parent feels emotionally distant
  • Overloaded, because they are picking up more chores or emotional work
  • Guilty for feeling frustrated with someone who is already struggling
  • Worried about safety, work, or the future if SAD feels severe

It can help when caregivers:

  • Acknowledge their own feelings without judging them. “I love my partner deeply and I am also tired and sad about how winter affects us.”
  • Seek their own support, through friends, a support group, or a counselor.
  • Share gently with the person who has SAD: “I know you are not choosing this. I want to help, and I am feeling worn down too. Can we talk about how we can support each other this season?”

Caring for someone with SAD is real work. Your need for rest, comfort, and understanding is not selfish. It is part of keeping both of you afloat.

Managing Guilt, Shame, And Hopelessness

Guilt and shame often wrap around SAD. People may feel guilty for “ruining” holidays, for missing work, or for needing more help. Over time, this can turn into hopelessness: “It is always like this. Nothing will change.”

Some gentle ways to address these feelings include:

  • Remembering the pattern: Reminding yourself or your loved one that mood has lifted in past springs can soften the feeling that winter will last forever.
  • Creating a “spring letter”: Writing a short note to your future self during a brighter month, describing what helped, what gave joy, and reminding yourself that light returns.
  • Breaking the season into chunks: Looking at the winter in small parts, like “just this week,” rather than the whole season at once.
  • Seeking therapy: Counselors can help untangle guilt and hopelessness and offer tools to handle negative thoughts.

Medical And Professional Support For SAD

While home strategies can help, many people with SAD benefit from professional support. This is particularly important when symptoms are moderate to severe or when they affect safety.

When To Seek Professional Help

A health professional visit is wise when:

  • Low mood or lack of interest lasts most of the day, nearly every day, for two weeks or more
  • Daily tasks such as work, school, or caregiving feel very hard most days
  • Sleep or appetite are strongly affected
  • There are thoughts of self-harm, wishing to die, or feeling that others would be better off without you
  • There is a pattern of depression that appears each winter, especially if it returns year after year

For caregivers, it can feel intrusive to suggest a doctor visit, but framing it as shared problem-solving can help: “We have been seeing this pattern in winter. I care about you and I am worried. Can we talk with your doctor together and see what support would help?”

Counseling And Talk Therapies

Therapy can help people with SAD understand and manage their thoughts, behaviors, and routines during winter. Common approaches include:

  • Cognitive behavioral therapy (CBT) for SAD: Helps people notice and gently challenge unhelpful thoughts, and build balanced routines around activity and rest.
  • Interpersonal therapy: Focuses on relationships, communication, and role changes, which can be strained by seasonal depression.
  • Supportive counseling: Offers a safe space to talk about fears, burdens, and hopes for the season.

Family or couples therapy can also help when SAD affects the whole household, providing tools to communicate and share tasks more fairly during hard months.

Medication And SAD

For some, antidepressant medication is part of their SAD care plan. A doctor or psychiatrist may suggest:

  • Starting medication before symptoms typically appear, as a preventive step
  • Continuing medication through winter and sometimes reducing in spring, with medical guidance
  • Combining medication with light therapy and counseling

Medication choices depend on medical history, other conditions, and any past responses to treatment. It is helpful to have open, honest discussions with the prescribing clinician about benefits, side effects, and concerns.

Vitamin D And Lab Testing

Some people with SAD have low vitamin D levels, especially in regions with long, dark winters. A clinician may test vitamin D and suggest supplements if needed.

While vitamin D alone does not fix SAD for most people, correcting a deficiency can support overall health and may help mood for some. It is wise to follow a provider’s guidance, since too much vitamin D can cause problems.

Adapting The Home And Daily Life For Winter

Our surroundings matter more when we are spending extra time indoors. Small changes in the home can support mood, energy, and connection through winter.

Creating A Brighter, More Supportive Space

Simple adjustments can make a home feel lighter and more inviting in darker months:

  • Keep curtains and blinds open during the day, especially in the rooms most often used.
  • Use brighter, warm-toned bulbs in key areas like the living room, kitchen, and reading spots.
  • Arrange seating near windows to draw people toward the light.
  • Add small touches of color with blankets, pillows, or wall art that feel comforting to the person who has SAD.

For someone with limited mobility, consider:

  • Positioning their favorite chair by a window with a good view.
  • Placing the light box on a stable surface nearby.
  • Keeping frequently used items within easy reach to reduce the energy cost of moving around.

Routines And Rhythms That Support SAD

Consistent daily rhythms can gently guide the body and mind when the inner rhythm feels off.

You might find it helpful to build routines around:

  • Morning light: Wake, open curtains, use the light box, and eat a small breakfast at roughly the same time each day.
  • Midday activity: A short walk, stepping outside, or doing a brief household task that involves movement.
  • Afternoon check-in: A cup of tea, a call with a friend, or a moment to notice how the day is going.
  • Evening wind-down: Dim lights, softer activities, and a regular bedtime.

Caregivers can support by gently protecting these rhythms, such as helping keep appointments in the morning when energy is highest, or arranging visits during the brighter part of the day.

Staying Connected When You Want To Withdraw

SAD often pushes people toward isolation. Yet gentle social contact is one of the things that can soften depression.

Some ways to stay connected without overwhelming the person include:

  • Short, regular check-ins instead of big gatherings, such as a weekly phone call or a 15 minute visit.
  • Shared quiet time, like watching a show together or sitting with separate books in the same room.
  • Online support groups or forums for people with SAD or depression, which can be accessed from home.
  • Sending simple messages like “Thinking of you” without expecting long replies.

Connection during winter does not have to be noisy or intense. Gentle, predictable contact tells the person with SAD that they are still part of the world, even on heavy days.

Special Considerations Across Ages And Situations

SAD can show up differently in children, teens, adults, and older adults, and caregiving needs often change with age and circumstance.

SAD In Children And Teens

Children and teenagers might not describe their mood in words like “depressed.” Instead, you might see:

  • Irritability, anger, or frequent crying
  • Drop in school performance or sudden difficulty concentrating
  • Less interest in friends, sports, or hobbies
  • Changes in sleep, such as sleeping in much later or staying up much later
  • Complaints of physical symptoms like headaches or stomachaches

Caregivers can support by:

  • Talking with teachers or school counselors when a seasonal pattern appears.
  • Encouraging light exposure before school, such as eating breakfast by a window or walking part of the way.
  • Keeping reasonable limits on screen time, especially late at night, while offering empathy rather than harsh criticism.
  • Seeking pediatric or adolescent mental health support if symptoms are strong or persistent.

SAD In Older Adults

Older adults may be at higher risk for social isolation, medical problems, and medication effects, all of which can blend with SAD.

Signs in older adults may include:

  • Withdrawing from social groups, clubs, or religious gatherings
  • Less interest in cooking, eating, or home care
  • Confusion that worsens in winter, which may overlap with cognitive changes
  • More time spent in bed or in one chair

Caregivers can help by:

  • Checking that vision and hearing are supported, so light therapy or reading are easier.
  • Coordinating transportation to appointments during daylight hours.
  • Arranging regular visits, calls, or community services (meals, friendly visitor programs) during winter.
  • Working with their doctor to review medications and mood.

When The Caregiver Also Has SAD

Sometimes, the person providing care is also the one struggling with SAD. This is common among adult children caring for aging parents, partners caring for each other, and parents of children with health needs.

If you are a caregiver with SAD, you might:

  • Have less energy for both caregiving tasks and your own care
  • Feel guilty about needing help when you are used to giving it
  • Struggle to ask for support or to take breaks

Some ways to support yourself include:

  • Being honest with your health provider about your own mood changes.
  • Sharing with trusted family or friends that winter is harder for you and asking for specific help (for example, “Could you visit Mom on Tuesdays this winter?”).
  • Exploring community resources, such as respite care, home health, or adult day programs, to lessen your daily load.
  • Creating a very simple self-care list for winter: light use, one short movement break, a 5 minute quiet moment, and one small point of connection each day.

Planning Ahead: Preparing Before Winter Arrives

While many people reading this are already in the midst of winter, it can be helpful to think about planning ahead for future seasons. Preparing in advance can make the next winter feel a little less overwhelming.

Creating A Personal “Winter Plan”

A winter plan is a simple, written guide that you and your loved ones can follow when energy and clarity are low. You might write it during spring or summer when you feel more like yourself.

A winter plan can include:

  • The usual month when SAD tends to appear.
  • Which symptoms you tend to notice first.
  • What helped most in past winters (light therapy, therapy sessions, medication, walks, routines).
  • Names and contact information of health professionals, therapists, and supportive friends or relatives.
  • Early steps to start in late summer or fall, such as booking appointments or setting up a light box.

Caregivers can help their loved one write and keep this plan, and can also create their own plan that includes their support network and coping strategies.

Coordinating With Healthcare Providers Before Winter

If you or your loved one have a regular doctor or mental health professional, consider:

  • Scheduling a check-in in early fall.
  • Discussing whether to start or adjust medication before symptoms usually begin.
  • Reviewing light therapy options and safe use.
  • Talking about how to reach the provider or crisis support if symptoms become severe.

This kind of early planning can reduce the feeling of panic that sometimes appears when symptoms surge suddenly in winter.

Gathering Tools And Supports

Before winter, you might:

  • Set up the light box and test it.
  • Adjust home lighting and seating to favor bright, welcoming spaces.
  • Plan winter routines for walks, phone calls, or visiting days.
  • Explore local or online support groups related to depression or SAD.

Preparing these supports ahead of time can make them easier to follow through on when energy is low.

We cannot change the tilt of the earth or the length of winter nights, but we can gently change the way we care for ourselves and each other as the seasons shift.

Thomas Wright

A senior care specialist. His articles focus on navigating the healthcare system, finding local support groups, and understanding patient rights.

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