Seasonal affective disorder – Keeping it creative

depression, depression management, life hacks, mental health, self care, wellbeing, wellness

Monday Matters: 7 practical ways to combat the winter blues

Posted on Oct 24, 2022Oct 23, 2022 by Laura

This morning I got up earlier than usual as I wanted to get a few things done before heading to do some work at the university. It was still quite dark as sunrise was not until 7.43am today and I switched on a little set of battery-operated candles I’ve recently bought (a bargain at £7.99 for three at various heights and including batteries from Festive Lights Store on Amazon) to bring some gentle light into the bedroom. They’re dinky enough to have on my bedside cabinet so are within easy reach – no having to pull back the duvet for me!

Although I’d enjoyed a good night’s sleep and managed to rouse myself pretty easily, I’ve noticed that I don’t jump out of bed raring to go like I did during the spring and summer months. I think many of us will acknowledge that we find it more difficult to get out of bed on dark mornings and, depending on our occupations or daily schedules we might also find that the lack of exposure to natural daylight during the autumn / winter months can dampen our mood somewhat. Even if we haven’t been diagnosed with Seasonal Affective Disorder (SAD for short, rather aptly), most of us will agree that limited sunlight has some sort of effect on our health and wellbeing. In today’s blog post, I want to share some practical tips for combating what I’m going to call the ‘winter blues’ and the associated symptoms which may be present at this time of year and continue until springtime.

Signs of the winter blues

The symptoms of ‘winter blues’ will generally be quite mild. They may have an impact on your life, to a small extent, but should not make your days feel like a constant struggle. Please seek medical advice if you are displaying many of the signs of depression as you may need professional help. Signs of ‘winter blues’ which are commonly experienced by individuals include:

being less active than usual
sleeping for longer and still struggling to get up in the morning
showing signs of lethargy – lacking energy and feeling sleepy during the day
having poorer concentration skills than usual (you might be easily distracted, tasks might take you much longer to complete or you might find them more difficult, you might also struggle to attentively listen to someone when they’re talking or not fully comprehend what they’re saying)
having an increased appetite (often craving carbohydrates such as cakes, sweets and biscuits) which may cause weight gain
finding yourself wanting more stimulating drinks such as coffee or energy drinks because you feel like you need a caffeine boost
being less enthusiastic about activities you usually enjoy
rejecting social invitations (e.g. due to lack of energy or your body telling you that you need to stay at home and chillax. Some people will say they like to hibernate for the winter!)

What’s the difference between Winter blues and Seasonal Affective Disorder?

Winter blues:

not a clinical diagnosis
a mental state which comprises of feelings of sadness and lower energy levels during the coldest and darkest months of the year (when compared to the lighter, brighter, warmer and sunnier months)
doesn’t have much impact on day-to-day functioning (you can still carry out usual tasks or you can go to work or school as normal)
generally happens in the winter time and possibly some of autumn too
can be managed by making a few lifestyle changes such as those suggested below

Seasonal Affective Disorder:

a clinical diagnosis made by a medical professional such as your GP or your psychiatrist
affects day-to-day functioning and can make life a struggle usually during the autumn and winter months but can also occur in the summertime – S.A.D. has a seasonal pattern of some sort
takes its toll on many aspects of life including relationships, work, school or home life, sense of worth and sleep patterns
sometimes referred to as ‘winter depression’
requires professional help such as a talking therapy or medication such as anti-depressants

Practical tips to help you cope with the winter blues

Try to stay active Exercise is known to boost your mood so it’s important to stay active even if you feel like curling up under a blanket or sitting in front of the fire for the day. Doing a workout each day will also help to improve your energy levels during the daytime and make you tired in the evening so you can enjoy a better night’s sleep. This could be a 15-30 minute walk, a gym class such as Zumba, spinning or flow yoga or a home-based exercise such as following a routine on YouTube. Anything which gets your heart pumping is good. You could even put on some music and dance around the room!

Get outside Going out for some fresh air, especially on bright days can help you get more light. Taking a walk in nature e.g. in woodland or your local park can be particularly mood boosting. I like to look for signs of autumn or winter such as changing leaves, glistening spiders webs, amazing fungi, conkers acorns and beech nut shells, wildlife such as jays, squirrels and nuthatches, brightly coloured berries, morning frosts, snowfall, icicles, early flowers such as snowdrops and crocuses. Just make sure you wrap up really warm on particularly cold days – remember there’s no bad weather, just bad clothing!

Eat healthily At this time of year, it can be tempting to comfort eat high calorie, sugary or fatty foods to give yourself a quick energy boost or to try to make yourself feel better in some way. Most of us crave carbs during the colder months and this often takes the form of junk foods, fatty snacks such as crisps, biscuits and cakes or high volumes of less healthy ‘white’ foodstuffs such as white bread, white pasta, white rice and white potatoes. However, it’s always important to try to maintain a balanced diet for a healthy body and mind (including stable mood). You can still eat foods which are high in carbohydrates but make sure they’re ones which are better for you. Examples of foods which are more healthy but also carb rich include quinoa, brown rice, buckwheat, pulses such as kidney beans, lentils and chickpeas, wholegrain oats, bananas, sweet potatoes, squashes, apples, carrots, broccoli and avocado.

During the autumn and winter seasons, we love to create homemade soups, stews, risottos and vegetable bakes. We also create lots of dishes with pulses such as lentils, beans and chickpeas. These are also comforting and warming foods but without a high calorie content. If we find recipes online, we tend to modify them in some way, so I type them out with the changes we made and add them to our recipe folder. We’ve found some really great veggie and vegan dishes this Autumn and most of them are pretty quick to make.

Keep yourself warm Research shows that feeling cold (and wet if you get caught in the rain) can cause your mood to dip so it’s important to try to keep yourself warm and cosy. With the current increasing energy prices, I appreciate that you might feel that this is very difficult and expensive at the moment. Try to make good use of blankets in the home and, when you can, get yourself moving to generate some heat in your body. I tend to get really cold when I’m sat at my laptop for long periods of time and in the past, I’ve resorted to a small heater but now I’m trying to remember to get up and move about at regular intervals. When you go outside, add lots of layers, hats, scarfs and gloves. You can also get thermal tops and leggings to wear under your clothes. I got mine from an outdoor clothing shop and they’re great for really cold days when I’m going to be outside for long periods of time.

Stay social It might be tempting to stay at home all the time during the dark and cold months but isolation isn’t good for your mental health. Why not meet a friend at a cafe and enjoy an autumn or winter special drink such as a Pumpkin spice latte, Apple crisp macchiato, Caramel apple spice, Peppermint Mocha, Gingerbread latte or Black Forest Hot chocolate? Or how about arranging a meal out in a traditional pub with homecooked food and maybe even an open fire? Try to say yes to some of the events you are invited to, even if you don’t feel like going, you may find that you really enjoy it when you get there.

Try something new Trying out a new hobby or having a go at some autumn or winter crafts can stimulate the mind, provide new and interesting challenges, give a really sense of achievement and boost your self-esteem and confidence. Mindful activities can also be great for relieving stress, reducing negative self-talk and generally creating a more positive mindset. I picked up a winter fox mini cross stitch kit and a ‘make your own reindeer’ felt sewing kit at Hobbycraft last week for less than £7 and they’ll keep me busy for hours. Also, when I’ve finished them, I can add them to my Christmas displays each year and remember what fun I had making them. There are lots of autumn and winter craft ideas on Pinterest too – why not create a board full of them and pick something different which requires minimal materials and will make a lovely display for your home or room?

I’m still working on developing my drawing and watercolour skills and something I want to try this year is sketching and painting different squashes. I’m then going to use the designs for my November theme. My husband and I have also enjoyed completing Christmas doodle challenges in the past too and we might give it a go again this year. I’m also doing December Daily for the second time – I’ve bought my album, page protectors and Christmas papers and stickers as well. In the new year, I’ll probably still have quite a bit of journalling to finish off and I’m hoping to finally get some of the jigsaws done which I’ve had for a while.

Boost your vitamin D levels Some of you will be aware that the biggest natural source of vitamin D is sunlight. It’s no surprise then, that our levels tend to dip in the darker autumn / winter months. Deficiency in this essential vitamin can cause fatigue, symptoms of depression and muscle pain so if you find yourself struggling with the winter blues, it’s important to find ways to raise your levels. When the weather allows, try to spend some time each day in the sunshine (about 30 minutes is good). This could mean going out for a walk, wrapping up and sitting in the garden to enjoy a tea or coffee, or working next to a brightly lit window at home or in the office. Eating foods which are rich in vitamin D can also help. Fatty fish and seafood are one of the best sources but if you’re vegetarian or vegan like my husband and I are, you’ll find most plant-based milk alternatives, orange juice, some vegetarian or vegan yogurts, many ready-to-eat cereals and tofu are usually fortified with vitamin D. Finally, if you still think you could do with a top up, as a last resort, you could also take a vitamin D supplement, especially on dark and dismal days.

Final words…

If after reading today’s post, you identify with many of the symptoms of S.A.D. in the link, I recommend seeking professional health from your GP (or psychiatrist if you are under a mental health team). As I explained earlier, Seasonal Affective Disorder can be quite severe and can seriously impact on your day-to-day functioning. Also, because it can occur from early autumn right through to the springtime, potentially it could last for over five months, which, as I know well myself, is a long time to be struggling with depression for.

For those of you that relate to the ‘winter blues’ symptoms, I hope you will consider trying out some of the self-management suggestions and that they help you to cope more effectively. If you have any further suggestions or have tried and tested methods that you personally use, it would be great if you could share them in the comments to support others who find this time of year a little challenging.

Bipolar disorder, CBT, compassion, depression management, mental health, wellbeing

Monday Matters: The importance of self-awareness and self-acceptance when managing a mood disorder

Posted on Apr 26, 2021Apr 25, 2021 by Laura

Those of you who follow my blog and regularly take the time to read my posts will know that I’ve recently been diagnosed with Bipolar Disorder 2. In brief, Bipolar Disorder is a mental health condition which is characterised by extreme mood swings including bouts of low mood known as depression, periods of elevated or high mood known as mania or hypomania and euthymic state where the mood is stable. Although it’s taken until the age of 43 to get what I now feel is an accurate diagnosis, I’ve been experiencing issues with my mood since the age of around 17 and, even though I’m not an expert in mental health conditions, I have developed a high level of self awareness through the years and have come to learn what helps me manage my moods and what doesn’t. So, in today’s Monday Matters, I’m going to talk about how important it is to be self- aware (which I believe I’m pretty good at) and self-accepting (which I’m probably not so good at – yet!). I’m also going to touch upon ways in which an individual can begin to make improvements and develop in both areas.

What is self awareness?

Self-awareness is a conscious knowledge of one’s own character, behaviours and feelings. Basically, it’s all about knowing exactly who you are and why you behave in the way you do. Self-awareness is not an inherent trait – it’s something than can be learnt and cultivated using a range of reflection and introspection techniques.

I believe increased self-awareness is vital in helping us to find ways of managing a range of mental health conditions including bipolar disorder, depression and S.A.D. (Seasonal Affective Disorder). It can also help anyone who has other issues with their moods too for example, in early pregnancy or in the days leading up to a period.

How does self-awareness help us to manage mood disorders?

Enables you to make helpful choices in terms of coping strategies If you know yourself well, you will be able to identify and describe how you feel more easily and be able to make better choices in terms of self help and coping strategies. For example, when you are depressed, you may need to focus on celebrating small achievements, practising gratitude or using distraction techniques to change the focus from negative thoughts. If you’re feeling manic, hypomanic, wound up or angry, you may need to turn to relaxation techniques or use some soothing rhythm breathing to create a sense of calm.

Helps you spot patterns and cycles If you have full knowledge of what your different moods look like e.g. the key features of your depressive cycle, or how you present when you are manic or hypomanic, then you can more easily spot patterns or cycles quickly and be more pro-active in managing your episodes. For example, careful monitoring has helped me to identify the times of year when I get depressed, triggers which impact on my mood and how long my cycles of low / high mood tend to last. This was particularly useful to share with my CPN (community psychiatric nurse) and the psychiatric but also really helps me to cope with my illness.

You can establish what works and what doesn’t more easily Through taking a step back and thinking about issues I’ve had in the past, I’m able to identify what works e.g. sticking to a routine, going for daily walks, practising yoga and mindfulness and what doesn’t work e.g. ruminating over past mistakes, avoiding all contact with friends and family.

Makes therapy even more useful When you attend therapy sessions, whether you access them via the NHS or if you pay for them privately, it’s really important to ensure quick progress due to the time constraints e.g. with CBT offered by the NHS there’s a maximum number of sessions you can have and if you are paying for each session you want to feel that each hour is worth the cost. Having a good understanding of how you’ve been feeling, the ability to explain the changes you’ve made and the impact they’ve had can all help with presenting issues, solving problems and making progress with your treatment. Obviously, professionals are very good at picking apart what you say but it helps speed up the process so you get better faster and learn new skills with maximum efficiency.

Helps you communicate better with others Whoever you are talking to about your illness, be it your CPN, psychiatrist, best friend, partner, family member or work colleague, having the confidence in your ability to explain how you feel and what you think might help or exacerbate your issues, is vital if you want help and support or to feel listened to. This can improve your relationships in a number of ways so that, depending on who you are talking to, you might feel accepted, closer in your friendships, better understood, more confident and able to assertive. It might also help others to see things from your point of view so that they can be more empathetic.

Improved personal and work relationships Being aware of yourself and your moods is useful for maintaining positive relationships with your partner, family, friends and work colleagues. If you know, for example that you are feeling particularly irritable, you can bear this is mind when you engage with others. For example, I know that one of my symptoms of hypomania is extreme irritability and that this results in little annoyances becoming hugely frustrating and me becoming less tolerant of situations and people. I have to try really hard not to display my irritation too much, accepting that it is my illness causing the difficulties and that others are not the issue. By recognising this symptom of my bipolar disorder, I can take steps to manage my feelings and hopefully avoid upsetting others with what I say and what I do. It doesn’t always work, but at least the awareness is there.

Another part of self-awareness is your knowledge of how you come across to other people. Sometimes people can become overly anxious about this to the point of becoming obsessed about what other people might think of them, but I think a little acknowledgement in this area can be useful. For example, in terms of my bipolar disorder, when my mood is stable, I’m probably seen as articulate, friendly, assertive and optimistic, whereas when I’m depressed, I’m probably viewed as quiet, negative and passive. During periods of hypomania, people are likely to see me as irritable, agitated, easily distracted, overly forward and impulsive. By knowing how you present to others, you can help your partner, family, friends and work colleagues to understand how your mood disorder impacts on you and it can also help them spot signs of deteriorating mental health so they can offer support.

What are some easy ways to develop my self-awareness?

You can improve your self-awareness by working with a trained therapist or by using a range of self help style strategies or a combination of both. Here are some ideas which may help.

Therapy Therapy sessions can be really useful for getting to grips with difficulties and the effect that thoughts, feelings and behaviours can have on each other and on our lives. I’ve had individual sessions which focus on CBT (Cognitive Behaviour Therapy) techniques and group sessions which have looked at compassion, mindfulness techniques and self-acceptance (i.e. it’s not your fault that you have difficulties etc) All of the forms of therapy I’ve accessed have been helpful and I’ve taken lots from them all but I think CBT is particularly good for finding out about yourself.

Journalling I wrote about the positive impacts of journalling a few weeks ago and if you choose a reflective style, you can find out lots about yourself, how you interact with others and positive and negative ways in which you tend to solve (or exacerbate) problems in every day life. You can either choose a free-form style where you just write what comes into your head, or a more structured style where you respond to particular prompts. Either way can be really eye opening. Try searching ‘journaling prompts’ on Pinterest and make a list of some of your favourites in your bullet journal or other notebook so you can pick and choose.

Try to be more open-minded It’s easy to think that our way of doing something is the best way or that our opinion is more valid than others, but what if someone else’s way is better or when you listen carefully enough, you find that a different opinion makes more sense or is more logical? Even if you don’t agree with another person, you should always try to listen to their point of view as it helps you learn things about yourself and can help you develop your own potential.

Take the helicopter view This one is a CBT technique and one which can be really difficult to do (for me anyway!). Basically, it’s a metaphor for taking a step back to see the bigger picture. If we’re too close in, our emotions take over and we lose the sense of perspective which we would likely gain if we were less involved. If you imagine a helicopter taking off and viewing your problem for a little further away, it would be able to assess the situation with clarity, see why you are reacting the way you are, offer impartial advice (as would be offered to you by a close friend) and take time to consider the best solution based on all of the information. If you would like more information about this click here for further explanation and a PDF worksheet.

Make some ‘about you’ lists If you love writing lists as much as I do, this is one which you’ll really enjoy whilst finding out about yourself as you go. Rather than writing endless to-do lists, why not write about you, your strengths and weaknesses, your likes and dislikes, what makes you happy, a personal bucket list etc. And no, this is not self-indulgent, it’s perfectly okay to make things all about you every once in a while – especially if you helps you get to know yourself and makes it easier to manage your moods.

Keep a mood diary I see lots of bullet journal spread mood trackers on Pinterest and Instagram which look really pretty any colourful by the end of the month due to different colours for the various moods. However, in my opinion, they tend to contain limited information and are therefore of limited use, as they just show that a person’s mood has changed throughout the month or has mainly stayed the same. Personally, I prefer to keep a detailed mood diary as this enables me to make notes about my mood alongside what has triggered it. I also like to be able to describe changes in my mood from one part of the day to the next. For example, I might wake up feeling really happy and full of energy, but then something might trigger a completely different mood e.g. I might see or hear something which upsets me or makes me cross. I find the Bipolar UK Mood Scale and Diary really useful as a starting point for tracking moods but I also like to create more detailed records by utilising space in sheets such as this one from Get Self Help. The first is designed to help individuals with lived experience of the various types of Bipolar Disorder but the second can be used by anyone who is dealing with mood changes.

What is self-acceptance?

Self-acceptance is about accepting everything about yourself – the good and the bad, the rough and the smooth. It’s about recognising that we are all unique, complex human beings with strengths and weaknesses. It’s also about knowing than no-one is perfect and that we all make mistakes and have periods of difficulty in our lives.

Self-acceptance is not about making excuses for bad or inappropriate behaviour, but it does make it easier for us to evaluate how our feelings and emotions may affect our actions so we can work on making changes for the better or recognising why we might be struggling with some of our relationships.

In my opinion, self-acceptance can be pretty difficult, especially if you have perfectionist tendencies like I do. Most of us are easily able to accept the good bits about ourselves, but can the same be said about our flaws and our failures?

How can I learn to accept myself?

Practise self compassion If you’re having a tough time at the moment, one of the worst things you can do is beat yourself up about it. During periods of difficulty, you need to be as compassionate towards yourself as you can. If you were ill with sickness or a headache you generally wouldn’t think twice about resting up, spending the day in bed or whatever you need to get well again. The same needs to apply during periods of high or low mood. Be kind and accept that you’re not your usual self and then either ask for help from one of your supporters or choose appropriate coping strategies that you know work. If you find it difficult to practise self compassion, think about what a good friend would say to you to make you feel better – then say it to yourself. Click here for some more ideas.

Be openly curious rather than judgemental

This is a primary aspect of mindfulness and one which I believe can be hugely helpful during times of difficult emotions. Being curious about what is going on for us allows us to accept what it happening and notice the associated feelings. For example, we might note that we feel anxious or angry and then explore the affect that this is having on us in terms of bodily sensations e.g. tension in the shoulders or tightness in the facial muscles. Then, rather than judging the feelings and sensations as good or bad, we accept that they are there are are just part of our experience.

Be proud of your strengths and celebrate your achievements We all have lots of strengths and we have all achieved things in our life (learning to manage our mental health is one of them). On a day when your mood is stable and you’re feeling okay, try making a list of things you’re good at and another of all of your achievements. So for example, you might be good at sleeping, drawing, cooking, papercrafting, planning, organising etc. You may have completed a degree or a distance learning course. You could be proud of yourself for all kinds of reasons such as singing in a choir, doing a presentation in front of others, teaching your children to have good manners or even developing a successful planning system in your bullet journal.

Find out more about your diagnosis Having recently been diagnosed with Bipolar Disorder (2) I am still coming to terms with accepting my diagnosis and learning more about the condition – including finding out about Lithium which is the medication I’ve been put on. For me, this was pretty straight forward as I have been dealing with the symptoms of the illness for a long time and it was more a case of finally being offered an explanation for the difficulties I have. But, everyone is different and you need to be patient with yourself and others in getting to grips with your mood disorder and what it means for you. The worst part for me, is knowing that I may improve my ability to manage my moods, but that doesn’t mean that I won’t continue to have difficulties in the future. This will take time to accept and also, due to different medication, I won’t know the effect this will have on my mood cycle in the future.

Try to be more accepting of others You might think this is a strange one to have on a list of ways to accept yourself, but bear with me! If you learn to accept others for who they are and accept that you can’t change how others think, feel and react, then you can focus on how you react to them. This can help you accept that everyone is different and we all have valid thoughts, ideas, beliefs etc. By doing this, you can increase your tolerance levels and improve your relationships with others whether it’s a romantic relationship that you want to develop or a work relationship which you find difficult to bear. It will also help you see that there’s no set right or wrong way to do things and may help you be more assertive, stopping you from worrying about the approval of others so much.

Use positive self talk Affirmations are a great way of accepting yourself as you are and recognising your strength to recover from periods of difficulty. Here are some good examples:

I choose to love and accept myself
I love and appreciate myself
I have many accomplishments that are worth celebrating
I value myself above all else
I’m proud of myself and my achievements
I’m filled with gratitude for who I am
I love that I am real, rather than perfect
I have enough, I do enough and I am enough
I am proud of myself for daring to try.
I am resilient and can get through this.

Final words…

Mood disorders are very common and there are lots of us out there who are striving to help ourselves manage our condition in any way we can. Even if you don’t have a diagnosis, I hope today’s post has been useful in some way. I appreciate that it is difficult to put into practice some or all of the ideas when you’re really struggling but if you develop a routine of self care during periods of euthymic (stable) mood it should be a little easier to keep going during high or low periods.

Wishing you all well,