Treatment is usually conducted in the morning and may be initiated by a device that simulates the day's first light, known as a dawn simulator. Phototherapy works via the eyes. Light boxes can be obtained from a number of companies that specialize in phototherapy devices. Some insurance companies cover light boxes but will require a written prescription and may request clear documentation of a seasonal form of depression. Response to light therapy typically occurs in two to four days.
Side effects can include agitation, irritability, eyestrain and dry skin.
Tricyclic antidepressants, monoamine oxidase inhibitors, Wellbutrin and Lithium have also been used successfully, but generally patients experience more side effects. For some individuals medications are necessary year-round, and for others they may be used from fall to spring. Dosage and duration of use are based on individual history, the degree of response to other therapies and severity of symptoms. Psychotherapy Psychotherapy is usually used concurrently with other forms of treatment. The patient and mental health provider set goals for therapy and determine duration based on individual needs.