Abstract |
DIAGNOSIS: Recurrent major depressive episodes in winter with full remission in summer. DURATION OF LIGHT THERAPY: For 10,000 lux light boxes 30 minutes/day, for 2500 lux light boxes 1-2 hours/day. TIME OF DAY: If possible in the morning after awakening, otherwise at a time of day when a regular daily light therapy is practicable. ONSET OF LIGHT THERAPY EFFECT: Often already after a week (2-4 weeks treatment produces a stable antidepressant effect). SIDE EFFECTS: Rare, can be avoided by reducing the light dosis. OPHTHALMOLOGICAL RISKS: None under normal conditions. Patients with ocular risk factors (e.g. photosensitizing medications) or preexisting retinal diseases should undergo ophthalmologic examination. LIGHT OR ANTIDEPRESSANT DRUGS:
Light therapy is the first line treatment for SAD. For partial or non-response, combination of light with SSRIs is recommended. LIGHT THERAPY MAY BE AN ADJUVANT TREATMENT FOR OTHER PSYCHIATRIC ILLNESSES WITH A SEASONAL TIME COURSE:
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Authors | A Wirz-Justice, P Graw |
Journal | Therapeutische Umschau. Revue therapeutique
(Ther Umsch)
Vol. 57
Issue 2
Pg. 71-5
(Feb 2000)
ISSN: 0040-5930 [Print] Switzerland |
Vernacular Title | Lichttherapie. |
PMID | 10730100
(Publication Type: English Abstract, Journal Article, Review)
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Topics |
- Adult
- Combined Modality Therapy
- Female
- Humans
- Male
- Phototherapy
(methods)
- Seasonal Affective Disorder
(psychology, therapy)
- Treatment Outcome
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