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Data:
60-minute virtual session. Client presented with symptoms of seasonal affective disorder (SAD), reporting low energy, motivation, and increased difficulty completing daily tasks. Client stated, "I feel like I'm just dragging myself out of bed." Discussed the physical effects of winter, including lack of sunlight, and its impact on depression and lethargy. Client also noted a decrease in social interactions and a tendency to retreat into isolation during this time of year. Interventions included psychoeducation on sunlight exposure, light therapy, and exercise as strategies to manage symptoms.
Assessment:
Client appears to be experiencing worsening symptoms of SAD, including low energy, motivation, and social withdrawal, consistent with their treatment goals to address depressive symptoms. Client was receptive to suggested interventions but expressed uncertainty about integrating them into their routine.
Plan:
Client will attempt to spend at least 20 minutes outdoors daily, consider light therapy, and incorporate short daily walks to combat lethargy. Client will track their progress with these strategies, and the therapist will follow up in the next session to evaluate their effectiveness. Continuation of treatment will focus on refining strategies to manage SAD symptoms and addressing barriers to implementation.
Today’s 60-minute virtual session focused on the client’s experience with seasonal affective disorder (SAD). As the days grew shorter, they have started to feel increasingly down, with low energy and motivation. They said, "I feel like I'm just dragging myself out of bed," describing how it’s becoming harder to get through daily tasks. We discussed the physical effects of winter, particularly the lack of sunlight, and how this can exacerbate feelings of depression and lethargy. We also talked about how their mental health has been impacted by a decrease in social interactions, as they tend to retreat into isolation during this time of year.
I suggested that they try to integrate more sunlight into their daily routine by spending at least 20 minutes outdoors each day, even if the weather isn’t ideal. We also discussed the possibility of using light therapy to help manage their symptoms. The client seemed willing to try these strategies but expressed uncertainty about how to fit them into their routine. We also discussed the importance of exercise in combating the lethargy of SAD, and I encouraged them to start with something simple like short daily walks. Client agreed to try these steps and track their progress. We’ll check in next week to see how they’re doing with these adjustments.
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