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Twitter Chat on Seasonal Affective Disorder with NCCIH

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On Tuesday, February 20, 2018, the National Institute of Mental Health (NIMH) and the National Center for Complementary and Integrative Health (NCCIH) co-hosted a Twitter chat on seasonal affective disorder (SAD).

NIH@NIH
Short days of winter make you depressed? Join @NIMHgov and @NIH_NCCIH for a Twitter chat on Seasonal Affective Disorder on February 20 at 1:30 p.m. ET. Bring your questions! #NIMHchats pic.twitter.com/G6CbREDi5d

UPMC@UPMCnews
We're excited to join @NIMHgov and @NIH_NCCIH for today's #NIMHchats on Seasonal Affective Disorder (#SAD). We'll be joined by Dr. Kathryn Roecklein (@roecklein) from @PittTweet's Department of Psychology. pic.twitter.com/DmVt44JgEZ

Mental Health NIMH@NIMHgov
If you want to tweet us questions during the chat, please make sure your Twitter account isn’t private. #NIMHchats https://twitter.com/NIMHgov/status/966016025484562439…

Mental Health NIMH@NIMHgov
We may collect, save, & post transcripts from our Twitter chats on our website. See our privacy policy: http://1.usa.gov/jfL9Qn #NIMHchats

Mental Health NIMH@NIMHgov
Please follow our tweets on our Twitter page @NIMHgov or use a Twitter management tool to view all of the #NIMHchats tweets.

Mental Health NIMH@NIMHgov
We’re cohosting today’s chat with @NIH_NCCIH. Please follow @NIH_NCCIH to learn what the science says about complementary and integrative approaches to treat SAD. #NIMHchats

Mental Health NIMH@NIMHgov
Please respect others and stay on the Twitter chat topic. See our comment policy: http://1.usa.gov/1icT9h5 #NIMHchats

Mental Health NIMH@NIMHgov
Please note that NIMH and @NIH_NCCIH are federal research agencies. We are not able to provide specific medical advice. #NIMHchats

Mental Health NIMH@NIMHgov
For specific medical advice, please consult a health care provider. #NIMHchats

Mental Health NIMH@NIMHgov
If you’re in a crisis & need help, call this toll-free # available 24/7: 1-800-273-TALK (8255). All calls are confidential #NIMHchats

Mental Health NIMH@NIMHgov
Welcome to our Twitter chat today on seasonal affective disorder, otherwise known as SAD #NIMHchats

Mental Health NIMH@NIMHgov
We’re using the hashtag #NIMHchats for today’s discussion. Please include it in all of your tweets.

Mental Health NIMH@NIMHgov
NIMH expert Dr. Matthew Rudorfer is on hand to today to answer your questions related to seasonal affective disorder. Dr. Rudorfer is chief of the Somatic Treatments Program at NIMH. He is a psychiatrist, with a research focus on treatment of mood and anxiety disorders #NIMHchats

Mental Health NIMH@NIMHgov
Dr. Rudorfer worked with the NIMH group that originally studied light treatment for SAD. Now he oversees NIMH treatment research grants, including light and other somatic interventions, medications and psychotherapies. #NIMHchats

Mental Health NIMH@NIMHgov
We’re joined today by @NIH_NCCIH and their Acting Director, Dr. David Shurtleff, who will share information on complementary and integrative approaches for seasonal affective disorder. #NIMHchats

NIH NCCIH@NIH_NCCIH
.@NIMHgov we are excited to be here! Looking forward to a great conversation! #NIMHchats https://twitter.com/NIMHgov/status/966017623757672454…

NIH NCCIH@NIH_NCCIH
Our Acting Director, Dr. David Shurtleff @NCCIH_David, is here to answer your questions. Dr. Shurtleff is a psychologist with a background in drug abuse research as well as complementary health. http://bit.ly/2EmDjTT #NIMHchats pic.twitter.com/16qGIFpa48

Mental Health NIMH@NIMHgov
Who else do we have joining us today? #NIMHchats

LA Mental Health@LACDMH
Join us and #NIMHchats co-hosts @NIMHgov & @NIH_NCCIH for today's tweetchat about seasonal affective disorder (SAD). https://twitter.com/NIMHgov/status/966017456551624710…

Everyday Health@EverydayHealth
Looking forward to this chat! SAD is in full swing right now so it's important to raise awareness! @NIH_NCCIH #NIMHchats

Randy Paulson@RPaulson96
@NIMHgov Hi Dr. Rudorfer. What are some tips for college students with SAD who struggle getting outside? Especially on days when their classes are cancelled due to winter weather conditions. #NIMHchats

NIH ADEAR Center@Alzheimers_NIH
@Alzheimers_NIH here! #NIMHchats

NIH@NIH
Thanks to @NIH_NCCIH & @NIMHgov for hosting today's chat on seasonal affective disorder (#SAD). @NIH is excited to be here! Ask questions using #NIMHchats. https://twitter.com/NIMHgov/status/966017931489529856…

NIH ODS@NIH_ODS
The NIH Office of Dietary Supplements is here, too! #NIMHchats @NIH_NCCIH @NIMHgov

Go4Life®@NIAGo4Life
Thanks to @NIH_NCCIH & @NIMHgov for hosting today's chat on seasonal affective disorder (#SAD). @NIAGo4Life is excited to be here! #NIMHchats

Toyin Adesola@iamtoyinadesola
EverydayHealth: Looking forward to this chat! SAD is in full swing right now so it's important to raise awareness! NIH_NCCIH #NIMHchats

ShereeseM, MS/MBA@ShereesePubHlth
Hello and thanks for the invite. I'm Shereese, here in Maryland #NIMHchats pic.twitter.com/otHv5DwN0J

Judi@JudiH80
#NIMHchats Is there anything new on the horizon other than "Happy Lights?" I hear they help but I cannot tolerate any type of fluorescent lighting. If so, I would be more than happy to look into this.

NIH NCCIH@NIH_NCCIH
Hi @JudiH80! Thanks for your question! We will be talking about other options later in the chat. Stay tuned! #NIMHchats https://twitter.com/JudiH80/status/966018655166324737…

NIAAA News@NIAAAnews
Thanks for hosting this chat! The National Institute on Alcohol Abuse and Alcoholism checking in. We're the nation's lead agency for research on alcohol and health #NIMHchats https://twitter.com/NIMHgov/status/966017931489529856…

Rachel Britt@RBritt15
Hi @NIMHgov! Where can I find reputable information and resources for #SAD treatment? #NIMHchats

Peter Hess@PeterNHess
Reporter here! How does SAD manifest differently from clinical depression, and what warning signs should people look out for? #NIMHchats

Helga Luest@HelgaLuest
How can someone tell the difference between #seasonalaffectivedisorder and #depression and how are they addressed differently? #NIMHchats @NIH @abtassociates

Barby Ingle Official *\O/*@BarbyIngle
Thanks to @NIH_NCCIH & @NIMHgov for hosting today's chat on #SAD. This is an important challenge that affects so many people every year, yet not well understood or believed in society. #NIMHchats

SAMHSA@samhsagov
SAMHSA is excited to participate! Thank you for hosting, @NIMHgov and @NIH_NCCIH! #NIMHchats https://twitter.com/NIMHgov/status/966017931489529856…

Lynn E Everling@everlily65
@NIMHgov @NIH_NCCIH Is there more to #SAD than just absence of sun? #NIMHchats

Helga Luest@HelgaLuest
Can kids experience #seasonalaffectivedisorder and what can #parents do to help? #NIMHchats @NIH @abtassociates

MedlinePlus.gov@medlineplus
MedlinePlus is here and excited to participate! Thank you for hosting, @NIMHgov and @NIH_NCCIH! #NIMHchats

Randy Paulson@RPaulson96
@NIMHgov A mental health advocate and student @SimpsonCollege #NIMHchats

NJhospitals@NJHospitals
Interested in learning more about Seasonal Affective Disorder, or SAD? Follow the #NIMHchats now! https://twitter.com/samhsagov/status/966020142445551616…

Mental Health NIMH@NIMHgov 
Let's get started! Q1: What is seasonal affective disorder? #NIMHchats pic.twitter.com/DTdahTYieE

NIH@NIH
A1: Seasonal Affective Disorder (SAD) is a type of depression that comes and goes with the seasons, typically starting in the late fall and early winter and going away during the spring and summer. Depressive episodes linked to the summer can occur, but are less common #NIMHchats https://twitter.com/NIMHgov/status/966019463215763457…

Randy Paulson@RPaulson96
@NIH Every winter on my college campus, it seems students tend to stay inside and keep to themselves more. Is this indicative of Seasonal Affective Disorder to an extent? #NIMHchats

NIH@NIH
A1: To be diagnosed with SAD, people must meet full criteria for major depression coinciding with specific seasons (appearing in the winter or summer months) for at least 2 years. Seasonal depressions must be much more frequent than any non-seasonal depressions. #NIMHchats

Hmm@MacDuff_LeadOn
@NIMHgov #NIMHchats - wondering how to improve things when living in a sun - starved northern area in winter. I do try using a light box, and sit by windows, but no noticeable effect.

UPMC@UPMCnews
A1: It's clinical depression that typically reoccurs in the winter - Major Depressive Disorder With Seasonal Pattern. There is a summer version, but winter is much more common. #NIMHchats

NIH NCCIH@NIH_NCCIH
A1: Seasonal Affective Disorder (SAD) is a type of #depression linked to the seasons. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966019463215763457…

Mental Health NIMH@NIMHgov
A1: Seasonal Affective Disorder (SAD) is a type of depressive disorder that comes and goes with the seasons, typically starting in the late fall and early winter and going away during the spring and summer. #NIMHchats https://twitter.com/NIMHgov/status/966019463215763457…

NIH NCCIH@NIH_NCCIH
A1. Most people with a seasonal pattern of #depression have their depressive episodes in the winter, but there’s also a less common pattern in which the depression occurs in the summer http://bit.ly/2lVD2vS #NIMHchats https://twitter.com/NIMHgov/status/966019463215763457…

Mental Health NIMH@NIMHgov
A1: Seasonal affective disorder, or SAD, is a type of recurrent depression, sometimes called “winter depression.” #NIMHchats https://twitter.com/NIMHgov/status/966019927000977408…

Larry Avid@anonemouse22
#NIMHchats @johannhari101's new book posits lack of connection to nature as one cause of depression. But SAD seems like a disorder of too much connection to nature! Paradox?

Mental Health NIMH@NIMHgov
A1: When there are fewer hours of sunlight, some people experience a serious and persistent mood change #NIMHchats https://twitter.com/NIMHgov/status/966020071998066694…

MedlinePlus.gov@medlineplus
A1: Seasonal affective disorder (SAD) is a type of depression that comes and goes with the seasons. It usually starts in the late fall and early winter and goes away during the spring and summer #NIMHchats pic.twitter.com/rBmBcXCm8Q

Mental Health NIMH@NIMHgov
A1: Depressive episodes linked to the summer can occur, but are much less common than winter episodes of SAD. #NIMHchats https://twitter.com/NIMHgov/status/966020184304750592…

Barby Ingle Official *\O/*@BarbyIngle
A1: From what I studied in college psych classes (my B.S. degree is in social psychology) #SAD is a mood disorder characterized by depression that occurs at the same time every year - typically winter when we dont get outside as much into sunlight. #NIMHchats https://twitter.com/NIMHgov/status/966019463215763457…

UPMC@UPMCnews
A1: It's a common misunderstanding that SAD is less severe than clinical depression. Winter blues is less severe, but when people talk about SAD, they are talking about MDD, Bipolar I Disorder, and Bipolar II Disorder, with seasonal pattern. #NIMHchats

Everyday Health@EverydayHealth
A1. Seasonal affective disorder is a type of depression that starts in early winter and lifts in the spring. It's more than just a winter "funk" affecting about 4 to 6 percent of people in the United States. https://trib.al/FWTxqeO #NIMHchats pic.twitter.com/uDGDVfY7gR

SAMHSA@samhsagov
A1: Seasonal Affective Disorder (SAD) is a type of seasonal mood disorder that usually occurs during winter. Learn more from @NIMHgov https://www.nimh.nih.gov/health/topics/seasonal-affective-disorder/index.shtml… #NIMHchats

Mental Health NIMH@NIMHgov
Q2: What are the signs and symptoms of SAD? #NIMHchats pic.twitter.com/f61S6eOyuZ

NIH NCCIH@NIH_NCCIH
A2: Seasonal Affective Disorder is more than “winter blues.” People with SAD have real #depression that occurs in a seasonal pattern. http://bit.ly/2lVD2vS #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

Mental Health NIMH@NIMHgov
A2: Seasonal Affective Disorder (SAD) is not considered a separate disorder. It is a type of depression displaying a recurring seasonal pattern. #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

NIH NCCIH@NIH_NCCIH
A2: Low energy, carbohydrate craving, overeating, and social withdrawal are among the symptoms reported by people who get Seasonal Affective Disorder in the winter. http://bit.ly/2lVD2vS #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

NIH@NIH
A2: Symptoms of SAD: feeling depressed, hopeless/worthless; having low energy, difficulty concentrating, problems w/sleep, or frequent thoughts of death or suicide; losing interest in usual activities; changes in appetite or weight; feeling sluggish/agitated #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

Go4Life®@NIAGo4Life
A2. Depression is a common problem among older adults, but it is NOT a normal part of aging. Read about depression and older adults: https://www.nia.nih.gov/health/depression-and-older-adults… #NIMHchats

NIH NCCIH@NIH_NCCIH
A2: Visit our website for quick tips on Seasonal Affective Disorder http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

NIH@NIH
A2: Symptoms of the Winter Pattern of SAD include: having low energy, hypersomnia, overeating, weight gain, craving for carbohydrates, and social withdrawal (feel like “hibernating”) #NIMHchats

UPMC@UPMCnews
A2: Generally, they are the same as MDD or Bipolar Disorder, but it is more common to hypersomnia than insomnia in SAD and overeating rather than loss of appetite. #NIMHchats

SAMHSA@samhsagov
A2: SAD symptoms can vary from mild to severe, may begin at any age, and can include many symptoms similar to major #depression https://www.psychiatry.org/patients-families/depression/seasonal-affective-disorder… @APAPsychiatric #NIMHchats

Everyday Health@EverydayHealth
A2. SAD is characterized by symptoms of anxiety, increased irritability, daytime fatigue, and weight gain. https://trib.al/B9Fe5D1 #NIMHchats pic.twitter.com/juuLz1OZck

Yvette Mack@Ivyprofessor
@NIMHgov A: depression , irritability , sadness .. prolonged isolation ... #NIMHchats

Mental Health NIMH@NIMHgov
A2: To be diagnosed with SAD, people must meet full criteria for major depression coinciding with specific seasons for at least 2 years. Depressive episodes linked to change in seasons must be much more frequent than any non-seasonal depressions. #NIMHchats https://twitter.com/NIMHgov/status/966020837559230465…

NIH@NIH
A2: Symptoms of the less frequently occurring summer seasonal affective disorder include: poor appetite with associated weight loss, insomnia, agitation, restlessness, anxiety, episodes of violent behavior #NIMHchats

Hmm@MacDuff_LeadOn
@NIMHgov #NIMHchats - what about dysthymia with a SAD component?

Mental Health NIMH@NIMHgov
A2: Tracking mood, sleep, and functioning over time can be important in diagnosing SAD. In fact, it was careful longitudinal charting by just a few individuals that led to NIMH studies that helped establish SAD as a special form of mood disorder. #NIMHchats https://twitter.com/NIMHgov/status/966021107676479488…

Counseling Today@ACA_CTOnline
For counselors and mental health practitioners, on equipping clients with tools and support to get through the long winter: https://wp.me/p2BxKN-4V1 #NIMHchats #seasonalaffectivedisorder https://twitter.com/NCCIH_David/status/964167126939570176…

NIAAA News@NIAAAnews
A2: A 2017 study found a strong link between SAD and alcohol use disorder in a large sample from Finland -- as well as a link between SAD and short-term memory problems http://bit.ly/2C8hQwl #NIMHchats

UPMC@UPMCnews
A2: Here at @PittTweet, fatigue is almost universally reported by our research participants with SAD. #NIMHchats

Mental Health NIMH@NIMHgov
A2: Symptoms of the Winter Pattern of SAD may include having low energy, oversleeping, overeating, weight gain, and social withdrawal or feeling like “hibernating.” #NIMHchats https://twitter.com/NIMHgov/status/966021271824879616…

Mental Health NIMH@NIMHgov
A2: For a more extensive list on the signs and symptoms of depression, check out our booklet, Depression: What You Need to Know: http://bit.ly/2t1fMyB #NIMHchats https://twitter.com/NIMHgov/status/966021413713989632…

Mental Health NIMH@NIMHgov
A2: Learn more about the signs and symptoms of seasonal affective disorder: http://bit.ly/2f9O3VV #NIMHchats https://twitter.com/NIMHgov/status/966021525290782725…

UPMC@UPMCnews
A2: The rates of thoughts of suicide are lower in SAD compared to non-seasonal depression, but it's still reported by 35 percent of individuals with SAD, making it a really important sign to watch for. #NIMHchats

NIH NCCIH@NIH_NCCIH
Thanks for your question! SAD is a form of depression known as seasonal depression or winter depression. People with SAD experience mood changes and symptoms like depression. - Dr. Shurtleff #NIMHchats 1/2 @PeterNHess https://twitter.com/PeterNHess/status/966018925430525952…

NIH NCCIH@NIH_NCCIH
The symptoms usually occur during the fall and winter months when there is less sunlight. It usually improves in the spring. The most difficult months in the U.S. tend to be January and February. - Dr. Shurtleff #NIMHchats 2/2 @PeterNHess

Hmm@MacDuff_LeadOn
@NIH How would one tell the difference between an episode of MDD versus SAD? #Nimhchats

Tracy Shields@tcshields
@NIMHgov Hi, Dr. Rudorfer. What is the idea behind chronotherapy (for SAD and depression? Is it related to light therapy? #NIMHchats

Barby Ingle Official *\O/*@BarbyIngle
A2. From interacting with friends who have #SAD I see that they suffer w depression along with increased fatigue, social withdrawal and a feeling of hopelessness. Its a yearly challenge for them, they they will try different techniques to get through it best they can. #NIMHchats https://twitter.com/NIMHgov/status/966020704293543936…

Mental Health NIMH@NIMHgov
Seasonal Affective Disorder (SAD) is not considered a separate disorder. It is a type of depression displaying a recurring seasonal pattern. #NIMHchats https://twitter.com/HelgaLuest/status/966018929935159297…

OAH@TeenHealthGov
A2: Diagnosing #mentalhealth disorders among adolescents can be tricky because they may have different symptoms than adults and the number of symptoms they display varies. Be sure to know what signs may indicate that a teen needs help: http://bit.ly/2r4FUGD #NIMHchats

Mental Health NIMH@NIMHgov
Q3: What are some of the risk factors for SAD? #NIMHchats pic.twitter.com/tFkNduBXKA

Mental Health NIMH@NIMHgov
A3: Regionally, the rates of SAD increase with more northern latitude in the U.S. For example, rates of SAD ranges from slightly over 1% in Florida to 9% in New England or Alaska #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Richard Long@RichardLong1854
#nimhchats My church's mental health wellness team is doing a set of outreach activities on SAD. Is there a place, report, publication on how to do this particular type of public health outreach?

Mental Health NIMH@NIMHgov
A3: Like other forms of depression, SAD occurs more often in women than in men. #NIMHchats https://twitter.com/NIMHgov/status/966022627117731840…

NIH@NIH
A3: Attributes that may increase your risk of SAD include: being younger or female, living far from the equator, family history, having depression or bipolar disorder #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Mental Health NIMH@NIMHgov
A3: Your #FamilyHealthHistory is important to talk about. People with a family history of other types of mood disorders are more likely to develop SAD than people who do not have a family history of depression. #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

SAMHSA@samhsagov
A3: Alcohol use and other #substance use disorders, as well as other serious #mentalillness often co-occur with depression: https://www.samhsa.gov/treatment/mental-disorders/depression… #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Mental Health NIMH@NIMHgov
A3: The symptoms of depression may worsen with the seasons if you already have depression or bipolar disorder (but SAD is diagnosed only if seasonal depressions are the most common). #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Mental Health NIMH@NIMHgov
A3: Your age - Younger adults have a higher risk of SAD than older adults. SAD has been reported even in children and teens. #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Barby Ingle Official *\O/*@BarbyIngle
A3. Risk factors for #SAD include low Serotonin levels, a reduction in sunlight, poor sleep habits (working nights) #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Hmm@MacDuff_LeadOn
@NIMHgov #NIMHchats - so if one is dealing with dysthymia, treatment-resistant depression, and SAD, just what are they supposed to do???

NIAAA News@NIAAAnews
Q3: Seasonal affective disorder can sometimes co-occur with problem drinking http://bit.ly/2okiNrT #NIMHchats https://twitter.com/NIMHgov/status/966022516589424641…

Barby Ingle Official *\O/*@BarbyIngle
So interesting, I didn't know that drinking alcohol was a contributing factor to #SAD. #NIMHchats https://twitter.com/NIAAAnews/status/966023632412725249…

UPMC@UPMCnews
A3: One important risk factor that we are newly exploring is how responsive the retina is to environmental light. Specifically, recent research discovering melanopsin in the retina has opened the door to research on the retina in SAD. #NIMHchats pic.twitter.com/ztm2NdnA1g

Irene Liu@irene9000
So interesting! #NIMHchats https://twitter.com/UPMCnews/status/966023966895861760…

NIH NCCIH@NIH_NCCIH
@RPaulson96 @NIH Not necessarily - if staying inside is also associated with feeling of sadness or depressed mood, loss of interest in activities, overeating, changes in sleep, loss of energy, restlessness, feeling guilty or trouble concentrating, then it could be signs of SAD #NIMHchats

UPMC@UPMCnews
A3: Everybody experiences lower light levels in the winter, but our evidence indicates individuals with SAD are less responsive to light levels in the winter. #NIMHchats pic.twitter.com/zgWi1J2zMy

UIC Health & MH RRTC@UICHealthRRTC
A3. New research finds that women’s experience of seasonal affective disorder differs from that of men’s, independent of social & lifestyle factors https://www.medicalnewstoday.com/articles/320562.php… #NIMHChats

Mental Health NIMH@NIMHgov
Q4: What are the causes of SAD? #NIMHchats pic.twitter.com/OSVacnUkNw

Mental Health NIMH@NIMHgov
A4: The causes of SAD are unknown, but research has found some biological clues for serotonin, a neurotransmitter that helps regulate mood and the sleep/wake cycle. #NIMHchats (1/2) https://twitter.com/NIMHgov/status/966024649128792066…

Mental Health NIMH@NIMHgov
A4: Preliminary evidence from PET brain scans has shown that the usually low levels of the transporter protein for serotonin are elevated during the winter in some people with SAD, reducing the availability of serotonin. #NIMHchats (2/2) https://twitter.com/NIMHgov/status/966024852753801217…

Mental Health NIMH@NIMHgov
A4: People with SAD may overproduce the hormone melatonin. Darkness increases production of melatonin, which regulates sleep. The fewer hours of sunlight in the fall and winter can disrupt the body's melatonin levels and daily rhythm. #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

Mental Health NIMH@NIMHgov
A4: Less available light in winter may cause a “phase delay” in circadian rhythms in people with SAD. Oftentimes, there may be multiple factors converging to create dysregulation of otherwise normal biological functioning. #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

SAMHSA@samhsagov
A4: According to @MentalHealthAm, reduced levels of light can ultimately affect an individual’s mood: http://www.mentalhealthamerica.net/conditions/sad #NIMHchats

MedlinePlus.gov@medlineplus
A4: The exact causes of SAD are unknown. Researchers have found people w/ SAD may have imbalance of serotonin, a chemical that affects mood. Their bodies also make too much melatonin, a hormone that regulates sleep, & not enough vitamin D. http://ow.ly/vpF830ivXG4 #NIMHCHATS pic.twitter.com/zBSOx0YWjM

UPMC@UPMCnews
A4: There are quite a few genes that we think are involved in SAD. - serotonin - dopamine - circadian clock - retinal genes - to name a few #NIMHchats pic.twitter.com/FXTGrYGTi2

Mental Health NIMH@NIMHgov
A4: People with SAD also may produce less vitamin D. Vitamin D is believed to play a role in serotonin activity. Vitamin D insufficiency may be associated with clinically significant depressive symptoms. #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

NIH@NIH
A4: The causes of SAD are unknown, but research has found some biological clues. People with SAD may have trouble regulating one of the key neurotransmitters involved in mood, serotonin; may overproduce the hormone melatonin; or may produce less Vitamin D #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

Everyday Health@EverydayHealth
A4. SAD might also be caused by changing seasons disrupting hormones such as serotonin and melatonin, which regulate sleep, mood, and feelings of well-being. https://trib.al/YWLfZVH #NIMHchats pic.twitter.com/SlPUszhXbo

NIAAA News@NIAAAnews
@PeterNHess SAD and alcohol use disorder have been shown to co-occur: https://www.ncbi.nlm.nih.gov/pubmed/28364591. Here are some hypotheses as to why: https://www.ncbi.nlm.nih.gov/pubmed/14671737 #NIMHchats

NIH NCCIH@NIH_NCCIH
@baxter_wa @NIH Yes - environment can play an important role in your mood. Stressful life events can lead to a sense of helplessness. Mindfulness-based approaches may be helpful in reducing #stress and anxiety. #NIMHchats https://nccih.nih.gov/health/providers/digest/mind-body-stress?nav=tw…

NIH NCCIH@NIH_NCCIH
A4. We’ll share some information on the use of vitamin D and #melatonin as dietary supplements a little later in the chat. #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

UPMC@UPMCnews
A4: Other causes of SAD can include cognitions and behaviors such as hybernation-like behaviors that include, but are not limited to, social withdrawal, sedentary activities and spending more time indoors. #NIMHchats

Barby Ingle Official *\O/*@BarbyIngle
A4. A cause of #SAD could include lack of sunlight which can disrupt our internal clock leading to depression and isolation #NIMHchats https://twitter.com/NIMHgov/status/966024649128792066…

Mental Health NIMH@NIMHgov
Q5: What are treatments for seasonal affective disorder? #NIMHchats pic.twitter.com/p2FWvJzEut

Mental Health NIMH@NIMHgov
A5: Evidence-based treatments for seasonal affective disorder include light therapy, antidepressant medications, and psychotherapy, especially a form of cognitive-behavioral therapy (CBT) tailored for SAD (CBT-SAD). These may be used alone or in combination. #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

Hmm@MacDuff_LeadOn
@NIMHgov Yet, it is said that watching TV, computers, smart phones also disrupt melatonin levels. So, shouldn't our electronics be reducing the occurrences of SAD? (I ask as devils advocate.) #NIMHchats

NIH NCCIH@NIH_NCCIH
A5: Some people try dietary supplements for Seasonal Affective Disorder, such as vitamin D, #melatonin, or St. John’s wort. Find out what the science says about these supplements here: http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

Mental Health NIMH@NIMHgov
A5: When you’re feeling depressed, talk about how you’re feeling with someone you trust. Try to be around people who are caring & positive #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

Mental Health NIMH@NIMHgov
A5: You should start by seeing your primary care doctor or by seeing a mental health provider. #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

NIH@NIH
A5: There are four main treatments for SAD: medication, light therapy, psychotherapy, and vitamin D. These may be used alone or in combination. #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

NIH NCCIH@NIH_NCCIH
A5. If you’re interested in trying dietary supplements for Seasonal Affective Disorder, it’s important to discuss them with your health care providers. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

NIH@NIH
A5: Here are some of the current #clinicaltrials for SAD. See if one is right for you: https://clinicaltrials.gov/search/open/condition=%22Seasonal+Affective+Disorder%22… #NIMHchats

NIH NCCIH@NIH_NCCIH
A5. Our Clinical Digest for Health Professionals discusses the use of complementary health approaches for Seasonal Affective Disorder http://bit.ly/2lVD2vS #NIMHchats https://twitter.com/NIMHgov/status/966026104971677696…

SAMHSA@samhsagov
A5: Check out @APA’s tips to manage SAD including access to daylight, a healthy diet, social interactions, and seeking professional help: http://www.apa.org/helpcenter/seasonal-affective-disorder.aspx… #NIMHchats

UPMC@UPMCnews
A5: While light therapy and anti-depressant medications must be used yearly, CBT-SAD can protect individuals from depression in subsequent years, representing a huge breakthrough in the treatment of SAD. http://bit.ly/2GwMmOK #NIMHchats

MedlinePlus.gov@medlineplus
A5: The main treatment for SAD is light therapy. The idea behind light therapy is to replace the sunshine that you miss during the fall and winter months. You sit in front of a light therapy box every morning to get daily exposure to bright, artificial light. #NIMHchats pic.twitter.com/u8OfUWBfdZ

SAMHSA@samhsagov
@NIMHgov
A5: If you or someone you know is experiencing a mood disorder or #depression, use SAMHSA’s Behavioral Health Services #Treatment Locator for support: http://1.usa.gov/1n03IDT #NIMHchats pic.twitter.com/rwX08A8qxw

UPMC@UPMCnews
A5: If you have low Vitamin D levels, as determined by your physician, it's recommended that you get Vitamin D treatment. But, not all individuals with SAD have this vitamin deficiency. http://bit.ly/2EEzchV #NIMHchats

NIH ODS@NIH_ODS
A5: For more information on vitamin D check out ODS fact sheets on #VitaminD #NIMHchats: http://1.usa.gov/16uXAeK

UIC Health & MH RRTC@UICHealthRRTC
A5. Research shows the importance of healthy diet & physical activity for coping with seasonal affective disorder. Our wellness journaling tool can be helpful @ http://bit.ly/2odhwns #NIMHChats

UPMC@UPMCnews
A5: Dawn simulators are light boxes scheduled to gradually turn when you set your morning alarm, and are empirically supported treatments for SAD, as well as very convenient and easy to use. Nobody likes waking up in the dark. #NIMHchats pic.twitter.com/M8bD2ZezlE

Andrew Philip, PhD@APhilipPsych
Dawn simulators can be a nice addition to treatment, especially for sleep inertia or difficulty rising in the morning #insomnia #NIMHchats #BH365 @NationalCouncil https://twitter.com/UPMCnews/status/966028512539959296…

Mental Health NIMH@NIMHgov
Q6: What role does light therapy play in treating seasonal affective disorder? What’s your experience with it? #NIMHchats pic.twitter.com/pNiQ76Vorr

Mental Health NIMH@NIMHgov
A6: Light treatment or “phototherapy” uses a special lamp with a very bright light (with an intensity of 10,000 lux) that mimics light from the sun. Light boxes typically use rows of full-spectrum fluorescent bulbs, filtering out ultraviolet rays. #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6: The idea behind light therapy is to compensate for the shorter days of winter using daily exposure to a light box. http://bit.ly/2nsy4r3 #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

Mental Health NIMH@NIMHgov
A6: Light therapy is best done first thing in the morning, typically for 30 – 60 minutes (starting with 10 – 15 min). #NIMHchats (1/2) https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6. .@NIH researchers recognized the link between light and seasonal affective disorder in the early 1980s and pioneered the use of light therapy, which is now a standard treatment. http://bit.ly/2nt7NsM #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6: Light therapy involves sitting in front of a light box for up to 60 minutes each day. The light’s much brighter than ordinary indoor lighting and harmful ultraviolet rays are screened out. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

Mental Health NIMH@NIMHgov
A6: Sitting about two feet from the light box (positioned at eye level or higher), a person can multitask, e.g. read, eat, or just relax, glancing at the light every minute or so. #NIMHchats (2/2) https://twitter.com/NIMHgov/status/966028083810750464…

NIH NCCIH@NIH_NCCIH
A6: Studies show that seasonal affective disorder symptoms improve with light therapy in most cases. http://bit.ly/2nt7NsM #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6. Side effects of light therapy for seasonal affective disorder are typically mild, and may include blurry vision or #headache. http://bit.ly/2nsy4r3 #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

Mental Health NIMH@NIMHgov
A6: Light treatment not only compensates for the reduced daylight hours of winter, but its ability to suppress melatonin production may help advance the circadian rhythms often delayed in SAD. #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH@NIH
A6: Light therapy has been a mainstay of treatment for SAD since the 1980s. The idea behind light therapy is to replace the diminished sunshine of the fall and winter months using daily exposure to bright, artificial light. #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6. There’s been some testing of portable light therapy devices, such as light-emitting visors that allow people to move around during therapy, but they may not work as well as light boxes do. http://bit.ly/2nt7NsM #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

Mental Health NIMH@NIMHgov
A6: Side effects from light therapy are relatively few and minor. Some cases of eye irritation, headache, nausea or jitteriness usually respond to sitting further from light or gradual dosing #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

NIH NCCIH@NIH_NCCIH
A6: Light therapy involves sitting in front of a light box for up to 60 minutes each day. The light’s much brighter than ordinary indoor lighting, and harmful ultraviolet rays are screened out. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

UPMC@UPMCnews
A6: The biggest drawback of light therapy is that participants tend not to use it. In research studies, only 12 to 45 percent of participants report using their light box. #NIMHchats

Barby Ingle Official *\O/*@BarbyIngle
A6. I have friends who use light therapy for #SAD, Its easy now to get the special lights... because you can get the light therapy boxes on Amazon now. I remember back in college another student had them in their room and it was the talk of the dorm at #GMU in 1992 #NIMHchats https://twitter.com/NIMHgov/status/966027887181795328…

UPMC@UPMCnews
A6: Studies are underway to increase adherence using motivational interviewing therapy techniques at UPMC/@PittPsychiatry. #NIMHchats

Mental Health NIMH@NIMHgov
Q7. Are antidepressants used to treat seasonal affective disorder? #NIMHchats pic.twitter.com/oECB0DiJ96

Lynn E Everling@everlily65
@NIMHgov Is it common for some to need the therapy lights during the summer month also? #SAD #NIMHchats

Mental Health NIMH@NIMHgov
A7: Antidepressants, including SSRIs and bupropion, help some people with SAD, in some cases combined with light therapy. #NIMHchats https://twitter.com/NIMHgov/status/966028846351962112…

Mental Health NIMH@NIMHgov
A7: Extended-release bupropion is approved by @US_FDA for preventive use before onset of fall/winter depressive symptoms #NIMHchats https://twitter.com/NIMHgov/status/966028846351962112…

Hmm@MacDuff_LeadOn
@NIMHgov - I have had a light box for several years. When I was working, it was difficult to get the time to use it in the morning. I actually put it on a timer to wake me up! Nevertheless, I have not found it made any significant impact. #NIMHchats

NIH ADEAR Center@Alzheimers_NIH
A7. Antidepressants are medicines that treat depression. There are many different types of antidepressants. They may help improve the way your brain uses certain chemicals that control mood or stress. Learn more about depression and older adults http://bit.ly/2obnDb7 #NIMHchats

SAMHSA@samhsagov
A7: There are treatments for mood disorders like seasonal affective disorder, including phototherapy, antidepressants, and cognitive behavior therapy https://www.samhsa.gov/treatment/mental-disorders/depression… #NIMHchats https://twitter.com/NIMHgov/status/966028846351962112…

MedlinePlus.gov@medlineplus
A7: Antidepressant medicines and talk therapy can reduce SAD symptoms, either alone or combined with light therapy: https://medlineplus.gov/seasonalaffectivedisorder.html… #NIMHchats pic.twitter.com/ugNpJJbSzv

Barby Ingle Official *\O/*@BarbyIngle
A7. Sometimes antidepressants are used to treat seasonal affective Disorder #SAD #NIMHchats https://twitter.com/NIMHgov/status/966028846351962112…

Mental Health NIMH@NIMHgov
Q8. Is cognitive-behavioral therapy helpful for seasonal affective disorder? If you’ve used it, tell us about your experience. #NIMHchats pic.twitter.com/NguMglC0Qn

Mental Health NIMH@NIMHgov
A8: Cognitive-behavioral therapy (CBT) is a type of psychotherapy that’s been proven effective when adapted for the treatment of SAD (CBT-SAD). #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

NIH NCCIH@NIH_NCCIH
A8. Cognitive-behavioral therapy (CBT) has been specially adapted for use in patients with seasonal affective disorder. It can be helpful, and it’s safe. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

Mental Health NIMH@NIMHgov
A8: CBT-SAD, which can be delivered either in an individual or group format, helps people change their thinking styles – including correcting automatic negative thoughts – and their behavioral responses in times of stress. #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

DetroitWayne MH Auth@DWMHA
.@NIMHgov & @NIH_NCCIH are talking all about Seasonal Affective Disorder (SAD)! Follow along to learn about SAD #NIMHchats https://twitter.com/NIMHgov/status/966019927000977408…

Kholoud Jamjoum@khjamjoum
Life is full of options, be creative! Healthy choices to start with, meditate, laugh and love life #NIMHchats

NIH NCCIH@NIH_NCCIH
A8. The effects of cognitive-behavioral therapy (CBT) can continue even after treatment ends. There’s evidence that the benefits of CBT for seasonal affective disorder may last from one year to the next. http://bit.ly/2DSCSR0 #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

Mental Health NIMH@NIMHgov
A8: For more information on traditional psychotherapies, please visit http://bit.ly/2ErIcXz #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

FDAWomen@FDAWomen
Seasonal affective disorder, postpartum depression, or both? New Moms: Get the facts about depression and pregnancy. https://go.usa.gov/xnFum #NIMHchats pic.twitter.com/dDB2EEG2An

NIH NCCIH@NIH_NCCIH
@NIMHgov A8. Cognitive-behavioral therapy for seasonal affective disorder uses basic CBT techniques, such as helping people replace negative thoughts with more positive ones, plus a technique called behavioral activation http://bit.ly/2nttgSy #NIMHchats 1/2

NIH NCCIH@NIH_NCCIH
@NIMHgov A8. Behavioral activation seeks to help the person with seasonal affective disorder identify engaging and pleasurable activities, indoors or out, that improve coping with winter http://bit.ly/2nttgSy #NIMHchats 2/2

NIH@NIH
A8: Cognitive behavioral therapy (CBT) is type of psychotherapy that is effective for SAD. Traditional cognitive behavioral therapy has been adapted for use with SAD (CBT-SAD). #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

NIH@NIH
A8: CBT-SAD relies on basic techniques of CBT like identifying negative thoughts and replacing them with more positive thoughts along with a technique called behavioral activation. #NIMHchats

NIH@NIH
A8: Behavioral activation seeks to help the person identify activities that are engaging to improve coping with winter. #NIMHchats

UPMC@UPMCnews
A8: There are patient workbooks and therapist manuals for CBT-SAD available on @amazon. #NIMHchats

SAMHSA@samhsagov
A8: If someone is experiencing a mood disorder, Cognitive Behavioral Therapy (CBT) can help maintain that individual’s mood. Learn more about the role of CBT: https://www.samhsa.gov/sites/default/files/programs_campaigns/samhsa_hrsa/cognitive-behavioral-therapy.pdf… #NIMHchats https://twitter.com/NIMHgov/status/966029238880100352…

Mental Health NIMH@NIMHgov
Q9. Are any dietary supplements helpful for seasonal affective disorder? #NIMHchats pic.twitter.com/3GP3Jldwnu

NIH NCCIH@NIH_NCCIH
A9. A few small studies have suggested that the herb St. John’s wort may improve some symptoms of seasonal affective disorder. However, this herb is risky. It can interact with many medicines in harmful ways. http://bit.ly/2GDgZ5Z #NIMHchats 1/3 https://twitter.com/NIMHgov/status/966029771414081536…

NIH NCCIH@NIH_NCCIH
A9. Taking St. John’s wort with antidepressants or other drugs that affect serotonin can cause serious serotonin-related side effects. This is an important concern for people with seasonal affective disorder because they may be taking these drugs. #NIMHchats 2/3

NIH NCCIH@NIH_NCCIH
A9. St. John’s wort can weaken the effects of many medicines, including some HIV drugs, cancer medications, and birth control pills http://bit.ly/2GDgZ5Z #NIMHchats 3/3

NIH NCCIH@NIH_NCCIH
A9. A small amount of evidence suggests that #melatonin supplements may improve sleep in some people with seasonal affective disorder http://bit.ly/2nttgSy #NIMHchats 1/2 https://twitter.com/NIMHgov/status/966029771414081536…

NIH NCCIH@NIH_NCCIH
A9. #Melatonin appears to be safe for short-term use, but it hasn’t been tested in long-term studies, so we don’t know if it’s safe for extended use. http://bit.ly/2fkycTz #NIMHchats 2/2

NIH ADEAR Center@Alzheimers_NIH
A9. Some people don’t get enough vitamins and minerals from their daily diet, and their doctors may recommend a supplement. Dietary supplements may provide nutrients that might be missing from your daily diet. http://bit.ly/2voJnBC #NIMHchats

NIH NCCIH@NIH_NCCIH
A9. Although low blood levels of vitamin D are often found in people with seasonal affective disorder, vitamin D supplements, by themselves, have not been shown to be an effective treatment http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966029771414081536…

NIH NCCIH@NIH_NCCIH
A9. The results of studies of vitamin D supplementation for seasonal affective disorder have been mixed. Some studies have suggested it works as well as light therapy but others indicated that it didn’t work at all. http://bit.ly/2nttgSy #NIMHchats https://twitter.com/NIMHgov/status/966029771414081536…

Go4Life®@NIAGo4Life
A9. There are a lot of vitamins and herbal remedies out there that claim to improve your health. Are you wondering about whether you should take one? Or, are you already taking one? Learn more: https://www.nia.nih.gov/health/dietary-supplements… #NIMHchats

NIH NCCIH@NIH_NCCIH
@NIMHgov A9. Seasonal affective disorder is a form of #depression, a serious illness. If you or someone you know may have depression, talk to a health care provider. Don’t try to treat depression on your own with dietary supplements or other products. #NIMHchats

Andrew Philip, PhD@APhilipPsych
So true, & shows of importance of #primarycare providers having integrated #behavioralhealth support! Majority of ppl w/ seasonal #depression are getting their treatment in primary care. @NationalCouncil & SAMHSA-HRSA Center for Integrated Health = great resources #NIMHchats https://twitter.com/NIH_NCCIH/status/966030238626058241…

Go4Life®@NIAGo4Life
A9. Talk with your doctor before taking any supplements. Some supplements can change how medicines you may already be taking will work. https://www.nia.nih.gov/health/dietary-supplements… #NIMHchats

UPMC@UPMCnews
A9: Empirically supported treatments for SAD are. - antidepressant medication - bright light therapy - CBT-SAD #NIMHchats

NIH ODS@NIH_ODS
A9: Have questions about dietary #supplements? ODS fact sheets have you covered from acai to zinc: http://1.usa.gov/Xsbsq4 #NIMHchats

Mental Health NIMH@NIMHgov
Q10. What activities/hobbies do you enjoy that help you to cope with winter? #NIMHchats pic.twitter.com/dItGuiiFQh

MedlinePlus.gov@medlineplus
A10: Winter can be a great time to get outside & keep fit for you & your family. Discover cold-weather sports options: http://ow.ly/mnG530ivZjE #NIMHchats pic.twitter.com/xtZzc7KqKN

SAMHSA@samhsagov
@NIMHgov
A10: #Wellness means overall well-being. Incorporating aspects of the Eight Dimensions of Wellness can help people live longer, improve quality of life & may also help people better manage their condition: https://www.youtube.com/watch?v=tDzQdRvLAfM&t=37s… #NIMHchats pic.twitter.com/y1J93yQwjT

Go4Life®@NIAGo4Life
A10. If you find yourself spending a lot of time alone, try adding a volunteer or social activity to your routine. https://www.nia.nih.gov/health/participating-activities-you-enjoy… #NIMHchats

NIH ODS@NIH_ODS
#SideEffects don’t just accompany RX drugs. Be alert to unexpected side effects when taking #supplements as well: http://1.usa.gov/PIxdd5 #NIMHchats

Randy Paulson@RPaulson96
@NIMHgov Is light therapy typically prescribed by a mental health professional first, similar to how medication is prescribed, or can light boxes be bought and used "over the counter"? #NIMHchats

NIH ADEAR Center@Alzheimers_NIH
A10. Exercise helps support emotional and mental health. During the winter, exercise can: -Reduce feelings of depression and stress -Increase your energy level. -Improve sleep. -Empower you to feel more in control. http://bit.ly/2nSUTmY #NIMHchats pic.twitter.com/Bw5feEBQc4

Barby Ingle Official *\O/*@BarbyIngle
A10. I have a sit down bike I use most days, right next to the window so I can look out. I also live in AZ so we have sun most days, when its not too cold and I am physically up to it, I try to take a daily walk. #NIMHchats https://twitter.com/NIMHgov/status/966030828793946115…

UPMC@UPMCnews
A10: Our research participants tell us they enjoy visiting @PhippsNews for a walk in a warm, plant-filled environment when the weather outside is less agreeable. #NIMHchats

 NIH ADEAR Center@Alzheimers_NIH
A10. You can still find ways to volunteer in your community in the winter. Studies suggest that older adults who participate in what they believe are meaningful activities, ie volunteering in their communities, say they feel happier & healthier. http://bit.ly/2xLVvkP #NIMHchats

Everyday Health@EverydayHealth
A10. Getting outside is the #1 recommendation, but if it's cold or snowy, choose a workout machine near a window to get some sunshine! https://trib.al/AIHhBng #NIMHchats pic.twitter.com/fGkqRFvGNJ

Go4Life®@NIAGo4Life
A10. Exercise and physical activity can help reduce feelings of depression and may improve mood and overall well-being. https://go.usa.gov/xnKZM #NIMHchats

Go4Life®@NIAGo4Life
A10. Engaging in social and productive activities you enjoy, like taking an art class or becoming a volunteer in your community, may help to maintain your well-being. https://www.nia.nih.gov/health/participating-activities-you-enjoy… #NIMHchats

UPMC@UPMCnews
A10: Many of our study participants enjoy mall walking with friends, family, etc. Other favorites are having a hot beverage by the fire or snuggling up with a book. #NIMHchats pic.twitter.com/Bk0YVwFblI

Illinois IPS@IPSinAction
We @IPSinAction want to share the good news that awareness of SAD in the workplace is on the rise. Here are great self-care tips, like taking an outdoor break & bringing your light box to work. http://bit.ly/2EG30Ot #NIMHchats pic.twitter.com/WYF8LqZPjR

Kholoud Jamjoum@khjamjoum
@NIMHgov A10 Aerobics dance with a group of friends #NIMHchats with some Pilates workout in the end in order to strengthen the back and improve the elasticity! #NIMHchats

Mental Health NIMH@NIMHgov
We hope that future research will help us better understand how the different interventions we’ve discussed today work, and for whom, so that treatment can be individualized for each person with SAD. #NIMHchats

Mental Health NIMH@NIMHgov
You may qualify to participate in a clinical research study on depression at NIMH: http://bit.ly/2wTaqXp #NIMHchats

Mental Health NIMH@NIMHgov
Thank you for participating in our Twitter chat today! Please continue the conversation & share your thoughts #NIMHchats

Mental Health NIMH@NIMHgov
Thank you to @NIH_NCCIH and their Acting Director, @NCCIH_David, for participating in this chat with us today #NIMHchats

Mental Health NIMH@NIMHgov
An archive of this chat will be available on our website later this week: http://1.usa.gov/1cpl5sG #NIMHchats

Everyday Health@EverydayHealth
Great chat today about seasonal affective disorder with @NIMHgov and @NIH_NCCIH! Click here for more information about SAD or other forms of depression. https://trib.al/xdRrgvf #NIMHchats

NIH@NIH
Thanks to @NIMHgov & @NIH_NCCIH for hosting! If you missed this Twitter chat on Seasonal Affective Disorder (SAD), check out #NIMHchats for some great resources. https://twitter.com/NIMHgov/status/966032736275312640…

UPMC@UPMCnews
In the Pittsburgh region, you may qualify to participate in a clinical research study on SAD @PittTweet. More information at http://www.roecklein.pitt.edu. #NIMHchats pic.twitter.com/ggoAEGSYPf

NIH ODS@NIH_ODS
Thank you @NIH_NCCIH @NIMHgov and all, for a great #NIMHchats

SAMHSA@samhsagov
Thanks for inviting SAMHSA and it is great to see so many important resources shared! If you or someone you know is experiencing emotional distress, help is available. Call or chat @800273TALK #NIMHchats https://twitter.com/NIMHgov/status/966032736275312640…

Mental Health NIMH@NIMHgov
If we didn't get a chance to answer your question during the chat, or if you have more questions about Seasonal Affective Disorder (#SAD), send us your Qs using #NIMHchats @NIH_NCCIH @NCCIH_David

UIC Health & MH RRTC@UICHealthRRTC
Thanks for the great chat @NIH_NCCIH @NIMHgov and everyone! #NIMHchats

LA Mental Health@LACDMH
@NIMHgov @NIH_NCCIH @NCCIH_David Thanks for hosting this #NIMHchats about SAD; can't wait for the transcript so we can share all these great tips & resources with our communities.