There may not be a diagnosis for ‘New Year Depression,’ about 10% to 20% of individuals in the US may get a milder form of these winter blues.
As clinicians, we know that feeling down or having increased symptoms of clinical depression around the new year is not uncommon. However, keep in mind this not only true for our patients, but for us as providers and human beings. While there is no official diagnosis for a “New Year’s Depression,” we can associate many of the symptoms we see during this time of year with holiday stress, anticipatory anxiety for the coming year, as well as possible seasonal affective disorder (SAD)—a form of depression that is triggered by colder and darker weather. According to researchers at the Cleveland Clinic, around 5% of adults in the US experience SAD. They believe about 10% to 20% of individuals in the US may get a milder form of these winter blues, and that it affects women more than men.1
There are several potential inciting factors for low or irritable moods after the change in year including:
Assessing for underlying major depressive, bipolar affective, anxiety and substance use disorders would be clinically indicated for any patient exhibiting the associated hallmark signs and symptoms. A diagnostic work-up and treatment plan for those individuals meeting DSM-5 criteria would be appropriate regardless of the season or situational stressors. It is important to identify a behavioral health disorder in our patients in the New Year as quickly as possible in order to treat them effectively.
Though onset of SAD often occurs during changes of seasons, delayed or undiagnosed symptomatology may occur midwinter. SAD carries unique risk factors as well as opportunities for targeted treatment options beyond psychotherapy and medications including morning phototherapy (10,000 lux light) and vitamin D supplementation.
In addition to psychiatric interventions, there are opportunities as clinicians to guide our patients toward healthy practices in the new year, such as:
Finally, it is important to talk to our patients about preventive measures prior to going into the holidays and new year. In my experience, I like to suggest a few tips to my patients as we transition into the colder fall months each year. These can also translate to New Year’s resolutions for some patients. For example:
While preventative steps before and during the New Year may work for many patients who are experiencing these symptoms, some patients may need more concrete professional psychiatric help to manage their depression during this time. It is incumbent on all of us as professionals to assess and diagnose appropriately. There are instances when the Winter Blues or a “new year slump” is something more.2
For more insights on how to look out for these sorts of symptoms for your patients when heading into the New Year, we have compiled some additional resources from SonderMind here that can be helpful to share with your client community during this challenging time of year.
Dr Newton is the chief medical officer at SonderMind.
1. Seasonal affective disorder. Cleveland Clinic. Accessed January 13, 2023. https://my.clevelandclinic.org/health/diseases/9293-seasonal-depression
2. Seasonal affective disorder: more than the winter blues. National Institute of Mental Health. Accessed January 13, 2023. https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder-sad-more-than-the-winter-blues