Seasonal affective disorder
- Bright-light therapy is first-line for winter pattern
- Standard antidepressants also work
- Bupropion XL can prevent recurrent seasonal episodes
- Start prevention before usual onset when pattern is clear
- Dawn simulation/CBT-SAD are alternatives
- Screen for bipolarity before antidepressant-only treatment
Use at a glance
- Bright-light therapy is first-line for winter pattern
Choosing treatment
- Start prevention before usual onset when pattern is clear
- Screen for bipolarity before antidepressant-only treatment
Practical pearls
- Standard antidepressants also work
Other practical pearls
- Bupropion XL can prevent recurrent seasonal episodes
- Dawn simulation/CBT-SAD are alternatives
Self-check
- What should be started in Seasonal affective disorder?
prevention before usual onset when pattern is clear.
- What is first-line treatment for Seasonal affective disorder?
Bright-light therapy.
Drugs used for this (1)
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