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is light therapy a placebo ? PLEASE LOOK

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rangers
joined 20 Dec 2006
47 posts

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Posted by rangers, 23:22 23 May 2007

please excuse me if this sounds silly, last night i was watching the apprentice on television and one of the products they had to sell was small lamp used for light therapy(the lamp looked far too small to actually benefit anyone). the woman who was selling it, did work in the pharmacutical industry and the information she had with the product was that the lamp was actually a placebo. i have just been recently (january) diagnosed with s.a.d, and started light therapy around jan/feb and at the time i thought that the lightbox improved my life by about 75%. as i was experimenting with how long i needed to sit beside my lightbox i experienced hypomania, so i then contacted the doctor at the s.a.d clinic that i visited ( i was only allowed to visit the clinic once as i stay in a different region from the clinic and the nhs would only permit one appointment). the doctor told me i was sensitive to light and that i may be "overdosing", and that i was to cut down my time in front of the lightbox. anyway as spring started i stopped using my lightbox but after a few weeks i felt quite low so i have started using it again but i feel i am not getting the extreme energy boosts i had when i first started using it.
i started to suspect that the light therapy is not giving me such a lift after all, i then saw this television programme and my doubts started to grow.
so i searched the internet and came across this http://cat.inist.fr/?aModele=afficheN&cpsidt=14097288http://cat.inist.fr/?aModele=afficheN&cpsidt=14097288

i would like to know what anybody else thinks on this matter, as i feel very confused.
Linda
Linda
joined 15 Dec 2004
997 posts

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Posted by Linda, 08:16 24 May 2007

It's quiet here, I think a lot of people are enjoying some sun. However I do know that many members of this forum feel they benefit at least partially from light therapy.

When I had my first winter of what I thought was full blown SAD, light therapy was my first treatment choice. It did help some. I'd say maybe 20-30%. I used more and more and more because I couldn't understand why it wasn't lifting the depression, after all it's supposed to be the natural cure for SAD. I suspect a lot of people find their way here when they also can't understand why they aren't getting the depression to lift completely in the winter no matter what they do. In my experience, people who are happy with the way they treat their SAD and don't have much trouble with it anymore, don't come here to talk LOL. Though occasionally we've had a post from someone who's dropped in to say that that is the case for them, to give hope to the others here.

The general assumption following the failure of light therapy to help significantly is usually that the SAD symptoms need "treatment" in other ways. You'll find loads of topics here discussing methods people have used.

A source I trust told me that if up to an hour of light therapy per day does not lift the symptoms, then there are other underlying problems. I used this as a springboard to continue my own search for answers, because I am not going to sit back and resign myself to feeling awful most of the time, and I don't think anyone else has to do this either. These are causes for these things.

In my case I believe I am still depressed because I haven't been working for 5 years (at home raising my daughter), and this lifestyle doesn't suit me at all. I have been working on getting a job. I have also cleaned up my diet, am taking nutritional supplements, and looking at any other possible avenues to improve my health: talking to a therapist, getting my mercury amalgam fillings removed. I'd like to exercise more but don't have much opportunity for that right now. It does help.

I wouldn't worry about what you saw on the TV. Pharma reps have one aim and that is to sell drugs. It's not surprising they are rubbishing light therapy, it's a natural treatment.

You are welcome to visit the Nutrition Info topic for some ideas about how to find the causes of your depression. I don't pretend to have all the answers but there are some ideas there that may help.

Best wishes,
Linda.
paulst
joined 5 Oct 2005
808 posts

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Posted by paulst, 16:03 24 May 2007

Hi rangers, I use a lightbox quite often, mainly during the darker months of the year and find that it does help. But for me personally, the lightbox combined with medication gives me the best results and almost stops my deppresion completly. Of course, we all have different levels of illness, and this might not work for everyone but I thought I would share that :)



paul
rangers
joined 20 Dec 2006
47 posts

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Posted by rangers, 19:37 24 May 2007

first of all i really appreciate the replies, your knowledge and advice is priceless and something i value very highly. i was strongly advised to take prozac with my light therapy but decided not to do so( i have used prozac in the past), i now realise i am going to have to go down this route starting with next winter.
also i just recently started to take care of my diet (with the help of the nutrition topic) and after a couple of weeks i already feel and look healthier, anything that improves my quality of life is very welcome indeed.

thank you
Linda
Linda
joined 15 Dec 2004
997 posts

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Posted by Linda, 21:46 24 May 2007

I'm glad you've found some help here. Just one thing -- you do not HAVE to take Prozac next winter. It is your choice to make. Some people here obviously feel meds help them. They did not help me, and after following in the footsteps of another person here who said they quit theirs cold turkey without any problems, I did the same and got very sick. I am still experiencing problems from that over a year later.

Meds are your choice, they are not a necessity. There's a lot of time between now and next winter to assess all options available to you and try some different things out. We'll be here to help if you need it.

Take care,
Linda.
siddy
joined 22 Jan 2003
674 posts

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Posted by siddy, 22:35 24 May 2007

Hello,

the debate will always rage but it's whats best for you, I think light helps me but is not a cure. I would like better results from light therapy but I also know I would be worse without it.
sunlizard
joined 5 Apr 2007
17 posts

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Posted by sunlizard, 06:27 25 May 2007

Hi Rangers

Use this time of year when you are feeling more motivated, becuase once winter hits and you are unprepared then you may not have the motivation to pull yourself out of it!

As Linda says - you need to look at lots of different aspects of your life not just the SAD. There may be really basic things which can illeviate the symptoms which are what we should all be doing anyway.

Look at your sugar intake and refind carbs. There are also other types of food you can eat which may elleviate drepression. I found a food encyclopeadia in the shop "The Works" for a couple of pound and it is so helpful.

Excercise - a bit each day. It will give you a bit boost especially cardio work!

Cut back on alchohol.

Light therapy at the right time of day (see Circadian Rythems)

Talk to a doctor about taking/not taking meds

Give yourself a project over winter or take a class with something to aim for at the end of it.

Keep busy, once you get into that Duvet mood, it's really hard to shift it.

Oh yeah - some people with SAD make the mistake of constantly wearing shades when the sun it out! Take them off occasionally as this limits the light that gets to the retina.

I hope this helps! I am looking at all these things at the moment for myself.

Stay in touch!

Sunlizard
(off for some rays now! 8) )
PurpleIvy
PurpleIvy
joined 16 Mar 2005
773 posts

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Posted by PurpleIvy, 15:11 25 May 2007

Hi

Linda is right. You do not have to take Prozac. For the rest Linda and I will have to disagree. She has had bad experiences with antidepressants and wouldn't use them again.

I, along with many others, have had positive results with antidepressants along with light therapy as a treatment plan for SAD. Light therapy isn't a cure, it merely alleviates the symptoms somewhat until the days bring enough natural light to allow me to live normally. I also have a sunrise gadget on my bedside lamp, but I think I won't feel the effect of this until we get dark mornings again..... I can bear to wait for that experiment!

There are other medications than Prozac, which certainly for me proved not to be the drug of choice. I talked to my GP about it and tried another drug. Another medication combined with light therapy really eased the difficulties that winter brings and I shall start with that as my basis for treatment next winter.

As far as the SAD lamp is concerned, the new one I have bought is very small AND very bright. I got it because I thought it would help me to be strict about using it if it was more portable than my present lamp.
ally may
joined 3 Jan 2006
75 posts

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Posted by ally may, 21:48 13 June 2007

I find the lightbox is great for the physical symptoms but not a panacea for mental symptoms eg it stops the carb cravings and lethargy but I am far more sensitive and paranoid in winter even with the light box use
best wishes

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