The Daily Telegraph

SAD busters

This winter, get ready to face the darkness

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Page 25

The first signs of winter came a while ago, well before the clocks went back: the sudden shortening of the long summer nights that we came to expect this balmy year; some combinatio­n of cold and colour imparting a feel of chill to the air; some tone change in the mind’s middle-distance.

Then came the getting up in the dark, which the time change helped with a bit, not that I really noticed it. Like many others, I was already reeling internally at the darkening of the afternoons and will feel myself in winter until mid-march, at least.

Along with roughly six per cent of the population of northern regions, I suffer from SAD, Seasonal Affective Disorder. Its outriders are moodiness, lethargy and craving for carbs and sugar.

Regardless of where you are on the scale of normal happiness, most of us at this time of year would benefit from eating omega-3s, taking deliberate exercise – preferably outside – and popping vitamins D and B12 complex. These worked for me last year, in a definite, if an unscientif­ic, way. But I did not seek help until the very worst was more or less over, in March. As it was all happening, I wrote a book about last winter, The Light in the Dark.

We begin back in August, with the turning of the hills’ bracken, running through the departure of the swifts and swallows, the bumps and bucks in the weather (the strange days of mustard dust and pink suns and the eventual coming of the Beast from the East), all the way to the snowdrops, the up-shooting greens and primroses. We end in this year’s spring.

The book chronicles how my mood changes with the season and since it has been published it has been fascinatin­g to learn from readers how deeply the condition affects so many people. There is not a profession, career, sector of the economy, age group or social class where it is either absent or particular­ly noted. We are complex creatures in simple ways.

As all patients know, conditions and diseases by themselves are one thing but complicati­ons and combinatio­ns with others can double their power. I am cyclothymi­c (a milder subset of bipolar) so I go up and down anyway.

I can be level for long stretches, but cross cyclothymi­a with unhappy experience­s (a bad bill, a family or profession­al setback) with SAD and I enter a quiet hell. In the depths of last winter, I could not make the simplest decisions without agonising and getting them wrong. Memory, humour and hope all went. A potion two parts physical and physiologi­cal, then; one part cognitive, its effects were mad and terrifying.

Around mid-january I was sucking the air out of my family’s lungs, dimming any hope of the natural joy and souring the house like a black mould. Bereft of serotonin, I struggled to think clearly or make connection­s. A brave and logical person would go to the doctor. My father is such a man, my partner such a woman. Scared I was losing my mind and would be sectioned or prescribed lithium, I desperatel­y searched the web for admirable writers who have written well while taking such medication.

“The boys and I can’t breathe,” my partner Rebecca said and so finally, in March, I went, via the GP, to a superb assessor in a clinic in Halifax, near where we live. A mental health nurse of vast experience and insight asked: “Do you find you’re better in the sun?” “Yes! I am!”

I thought I was there for bipolar but it turned out my mood swings with the passing of the seasons make me an explicable specimen. Cyclothymi­a seems to have first found me at university around 1995, when I was 22. “We’re all cyclical to some extent,” said my nurse, who told me to keep seeing a therapist and imparted quiet advice about supplement­s.

Down to a Halifax health food shop I went, necking the first pills of vitamin D, omega-3 and St John’s wort at the counter. I have no light box, yet. I have been told it could help; parting with that cash has become my private test of whether I will practise my recently learned preaching, or prevaricat­e, penny-pinch and cross my fingers.

Instead, I am trying to follow good health advice. No matter what I do, I now do it in the name of balance and calm, conscious of winter’s coming depths and chills, believing I am in training to take on the black rains, the exhaustion and cravings to hibernate.

So I walk to the station, defiantly, getting some air and exercise. I cook oily fish because the omega-3 fatty acids may have “mood-improving” effects. It is a start. As a member of the fortunate Nineties generation, I have gleefully swallowed worse things than the two yellow vitamin D pills I am now taking every morning. I believe the experts who tell me vitamin D is vital in activating genes that regulate the immune system and release neurotrans­mitters that affect brain function and developmen­t – especially in the regions linked with depression.

I loathe exercise for its own sake, but living in the Pennines I make myself do a regular short climb, which grants views of Stoodley Pike, the ridges towards Todmorden and the brooding roofs and spires of Heptonstal­l. Even with the first bite of an east wind and crows jeering through the clouds, this gorgeous prospect spurs me on and makes me think: “What are you complainin­g about, really?”

This is not to minimise SAD. We are only in mid-november. Like vigorous brass sections, October trumpeted autumnal tones until November began beating the cymbals of winter. The world is absurdly beautiful now, if one can just get to a park or wood and smell it. More likely, most of us will work through to Christmas and not really raise our faces to the storm until January. By the time of darkness and last-chance tax payments, many of my fellow sufferers will feel desperate, wishing everything was different, that all choices had been otherwise, forever.

This year, though, I know the shapes and names of the thing. Messages come daily about how others experience it. Most are in identical boats. And since the best guide to the future is the past, I know resolving to keep my head up, hopes high and my perspectiv­e wide will get me and my family through.

We SAD people are not alone, we have done nothing to deserve our blues and we will feel better: this will be my mantra. My aunt, an intellectu­al and businesswo­man, has a concise formula for surviving storms, however menacing. “Adjust,” she says, “And fight back.”

Amen to that.

I am in training to take on the black rains, the exhaustion and cravings to hibernate

 ??  ?? Winter regime: Horatio Clare forces himself into the fresh air to help alleviate the symptoms of seasonal affective disorder (SAD)
Winter regime: Horatio Clare forces himself into the fresh air to help alleviate the symptoms of seasonal affective disorder (SAD)

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