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      • Nicholas Balyint PMHNP-BC
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Seasonal Depression: Why Symptoms Can Start in Fall

By: Nicholas Balyint 8/27/2025

As summer comes to a close and the days begin to shorten, many people notice subtle shifts in their energy and mood. While it is common to associate Seasonal Affective Disorder (SAD) with the dark winter months, symptoms can often begin earlier than expected. For some, the end of summer marks the start of noticeable changes in motivation, sleep, and overall mood.

What is Seasonal Affective Disorder?

Seasonal Affective Disorder is a type of depression that follows a seasonal pattern. It typically appears as daylight hours decrease, though some people experience symptoms at other times of the year as well. The most recognized pattern is when symptoms begin in the fall and continue through the winter.

Common Symptoms of SAD

SAD shares many features with major depressive disorder, though the timing is tied to the seasons. Common signs include:

  • Persistent low mood or sadness
     
  • Loss of interest in activities
     
  • Fatigue or low energy despite adequate sleep
     
  • Changes in appetite or weight, often with cravings for carbohydrates
     
  • Difficulty concentrating
     
  • Withdrawal from social situations
     

It is important to distinguish SAD from the occasional “end of summer blues.” While it is normal to feel a little disappointed that vacation season is over, SAD involves more persistent and disruptive symptoms.

Treatment Options

The good news is that Seasonal Affective Disorder responds well to treatment. Options include:

  • Light therapy: Daily use of a light box can help regulate circadian rhythms and improve mood
     
  • Medication: Antidepressants or other medications may be recommended depending on symptom severity
     
  • Lifestyle adjustments: Regular exercise, structured sleep, and time outdoors can all provide benefits
     
  • Psychiatric care: If symptoms interfere with daily life, evaluation by a mental health professional is important
     

When to Seek Help

If you notice your mood consistently declining as the seasons change, do not wait until winter to reach out for support. Early treatment can make a significant difference and help prevent worsening symptoms.

For those living in New York, our practice offers psychiatric evaluation and medication management through secure telehealth visits. If you are experiencing seasonal changes in your mood, we can help you explore treatment options and find strategies to feel better.

FAQs

Can Seasonal Affective Disorder start in the fall instead of winter? Yes, symptoms often begin in early fall as daylight decreases.
How is SAD diagnosed? A provider evaluates your symptoms, history, and timing of mood changes across seasons.
Does light therapy really work for SAD? Yes, daily use of a light therapy box can be very effective for many people.
When should I consider medication for SAD? If symptoms interfere with your daily life, a psychiatric evaluation can determine if medication is appropriate.

*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.


Our practice is located in Long Island City, NY and is currently serving patients throughout New York State in compliance with current state and federal guidelines.

Nicholas Balyint, PMHNP-BC

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