
When the sun makes you sad
The big picture: While most associate seasonal depression with overcast skies and long nights, a rare form — summer-pattern SAD — strikes when the sun and heat peak, disrupting sleep, appetite and emotional balance.
The big picture: Unlike winter-pattern SAD, which often brings lethargy, overeating and oversleeping, the summer version shows up differently — and sometimes more distressingly.
Symptoms include insomnia, poor appetite, restlessness, and anxiety, per the National Institute of Mental Health.
Zoom in: Patients with summer SAD are also more likely to report suicidal thoughts than those with winter depression, according to Norman E. Rosenthal, a Georgetown University professor known for his pioneering work on the disorder.
The mix of agitation and depression can be a dangerous combination, he wrote in a 2023 blog post.
In the winter, a person might feel suicidal but lack the energy to act, whereas in summer the risk can rise as lethargy lifts, Rosenthal told the Washington Post.
Patients have told him the constant heat and light of summer cut through them "like a knife," he said.
State of play: Unlike the winter blues, which are triggered by a lack of sunlight that disrupts circadian rhythms, summer-pattern SAD appears to be driven by the heat, says David Avery, professor emeritus at the University of Washington School of Medicine.
Studies show people with summer depression often run extra hot at night, and that interferes with the body's natural cooling process and blocks the deep, restorative sleep that keeps mood and energy in balance, Avery tells Axios.
Bringing cool air into the bedroom — with a fan, A/C or open windows — can help trigger the drop in temperature needed for restful sleep.
Exercise helps too, as it strengthens the body's heat loss mechanisms and improves its ability to regulate core temperature, a key factor in managing summer SAD, Avery adds.
Between the lines: Some patients describe feeling pressure to maximize every sunny day — to travel, hike, attend events — and when that urge doesn't appear, the guilt or confusion can deepen the distress, Seattle-area psychotherapist Sam Louie tells Axios.
"We only get a short window of good weather here," says Louie. "There's this pressure to pack every weekend with something — boating, swimming, hiking — and when that energy isn't there, it can feel like failure."
What's next: As fall nears, cooler nights and dimmer days could bring welcome relief for those worn down by the heat of summer.
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Axios
14 hours ago
- Axios
When the sun makes you sad
While Seattle is known as a city where spirits sour during the gray gloom of winter, some locals actually feel their moods darken during our sunny summers. The big picture: While most associate seasonal depression with overcast skies and long nights, a rare form — summer-pattern SAD — strikes when the sun and heat peak, disrupting sleep, appetite and emotional balance. The big picture: Unlike winter-pattern SAD, which often brings lethargy, overeating and oversleeping, the summer version shows up differently — and sometimes more distressingly. Symptoms include insomnia, poor appetite, restlessness, and anxiety, per the National Institute of Mental Health. Zoom in: Patients with summer SAD are also more likely to report suicidal thoughts than those with winter depression, according to Norman E. Rosenthal, a Georgetown University professor known for his pioneering work on the disorder. The mix of agitation and depression can be a dangerous combination, he wrote in a 2023 blog post. In the winter, a person might feel suicidal but lack the energy to act, whereas in summer the risk can rise as lethargy lifts, Rosenthal told the Washington Post. Patients have told him the constant heat and light of summer cut through them "like a knife," he said. State of play: Unlike the winter blues, which are triggered by a lack of sunlight that disrupts circadian rhythms, summer-pattern SAD appears to be driven by the heat, says David Avery, professor emeritus at the University of Washington School of Medicine. Studies show people with summer depression often run extra hot at night, and that interferes with the body's natural cooling process and blocks the deep, restorative sleep that keeps mood and energy in balance, Avery tells Axios. Bringing cool air into the bedroom — with a fan, A/C or open windows — can help trigger the drop in temperature needed for restful sleep. Exercise helps too, as it strengthens the body's heat loss mechanisms and improves its ability to regulate core temperature, a key factor in managing summer SAD, Avery adds. Between the lines: Some patients describe feeling pressure to maximize every sunny day — to travel, hike, attend events — and when that urge doesn't appear, the guilt or confusion can deepen the distress, Seattle-area psychotherapist Sam Louie tells Axios. "We only get a short window of good weather here," says Louie. "There's this pressure to pack every weekend with something — boating, swimming, hiking — and when that energy isn't there, it can feel like failure." What's next: As fall nears, cooler nights and dimmer days could bring welcome relief for those worn down by the heat of summer.


Axios
2 days ago
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RFK Jr.'s vaccine pullback stokes fears of lost medical breakthroughs
Health Secretary Robert F. Kennedy Jr.'s decision to cut federal funding for mRNA vaccine research is the latest in a series of moves that have the potential to crush future medical breakthroughs and accelerate a brain drain. Why it matters: America has historically led the world in scientific innovation — driving economic growth, strengthening national security, and attracting global talent. But scientists, including some who served in Trump's first administration, warn that lead is slipping away. The mRNA divestment "risks stalling progress in some of the most promising areas of modern medicine," Jerome Adams, surgeon general during the first Trump administration and now a professor at Purdue University, told Axios. "Walking away from this technology now would be like pulling funding from antibiotics after penicillin or from computers after the microchip. It's short-sighted and puts us at a disadvantage globally." State of play: Kennedy said last week that HHS's Biomedical Advanced Research and Development Authority would pull nearly $500 million worth of contracts with universities, drug companies and other labs working on new mRNA vaccines. No new mRNA-based projects will be launched as the administration shifts to "safer, broader vaccine platforms," he added. Scientists refute the implication that mRNA vaccines are unsafe. The technology that brought mRNA COVID vaccines in Trump's first term has been in development for decades. Large scientific trials and real-world data have shown that the vaccines are safe and effective — and capable of training the body's immune system to create antibodies to fight a host of afflictions. HHS, when asked for the research on which Kennedy based this decision, sent Axios a link to a citation collection put together by anti-COVID vaccine advocates, including Steven Hatfill, who promoted the use of the antimalarial drug hydroxychloroquine to treat the virus before vaccines were available despite reports of safety issues. Friction point: mRNA technology is what allowed the most common COVID vaccines to be deployed so quickly, and it's essential to responding to new viral pandemic threats, said Cynthia Leifer, a professor of immunology at Cornell University's College of Veterinary Medicine. "When we have a pandemic, we need to act quickly. We don't have time to wait several years or decades to do testing of older platforms the way they were normally done in years past," she said. "The newer technology could allow us to move so much faster to develop and have these vaccines rolled out to protect people when a pandemic is ongoing," Leifer added. Researchers are also studying how mRNA technology could treat or prevent cancer, HIV, and other chronic diseases — and the science so far is promising. Now, they're worried that progress could be lost. "If we stop now, we could delay or even miss the next generation of cures entirely," said Adams, the former surgeon general. Zoom out: Scientists say some of Kennedy's other changes are stifling innovation, too. Kennedy is working to implement massive staff cuts at HHS, reduce funding for research labs' overhead costs and end National Institutes of Health grants for a wide swath of projects. The cuts, along with the broader Trump administration's immigration restrictions, has already started to steer promising international scientific talent away from the country. Kennedy also is reportedly considering overhauling the U.S. Preventive Services Task Force, whose independent experts establish care and coverage guidelines to account for advances in medical treatments and new disease trends. Its past work included recommending beginning mammograms at 40, which has been credited with saving thousands of lives. The other side: HHS denies that its changes will stymie medical advances. "Those concerns are unfounded and not supported with facts," HHS Communications Director Andrew Nixon told Axios. Kennedy's decision to cut BARDA funding for mRNA work won't affect other government uses involving the technology, HHS said. The Centers for Disease Control and Prevention has endorsed mRNA COVID vaccines for most adults. Between the lines: An independent and bipartisan commission warned Congress in April that China has already pulled ahead of the U.S. in key life sciences areas. The U.S. can stay dominant, but it only has a few years to strengthen its position — and it needs to put significant resources into biotechnology resources, the commission's report said. Reality check: It's impossible to know whether breakthroughs actually won't happen as a result of these policy changes, or which advances we could miss out on. "That is a long-term impact that is hard to measure. What cure wasn't found? What question wasn't asked and investigated?" Richard Besser, CEO of the Robert Wood Johnson Foundation, said. mRNA therapy start-ups are also still raising private investment, which could keep research moving.
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2 days ago
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3 key therapies that treat borderline personality disorder
Mental health disorders come in many forms and affect thoughts, emotions and behaviors in complex ways. Conditions like anxiety, depression and bipolar disorder are among the most frequently diagnosed in the United States, but borderline personality disorder, or BPD, is a less common mental health condition that still impacts millions of people. In fact, some 1.4% of U.S. adults have BPD, according to the U.S. National Institute of Mental Health (NIMH). However, some research suggests the true prevalence may be much higher due to underdiagnosis and the stigma surrounding personality disorders. Here's what BPD is, what causes it, how it is treated and why there is hope. What is borderline personality disorder? Symptoms of BPD? Borderline personality disorder is a complex mental health condition "characterized by a persistent instability in mood, behavior and self-image," explains Amanda Darnley, a clinical psychologist based in Philadelphia. People with BPD 'feel things deeply and intensely,' she explains, which makes emotional regulation a significant challenge. It can lead to a range of symptoms and unwanted outcomes, including unstable relationships, intense anger, chronic feelings of emptiness, stress-related paranoia or dissociation and self-destructive behaviors such as substance abuse, reckless driving or self-harm. 'Sudden mood swings, fear of abandonment and impulsive behaviors are also common,' adds Jimmy Noorlander, LCSW, a clinical social worker at Deseret Counseling in Utah. 'It's also important to note that symptoms can vary in severity and may look different from person to person.' BPD can severely impact day-to-day functioning and often places intense strain on personal relationships. For instance, someone with BPD might have an overwhelming reaction to something like a canceled plan and feel devastated, rejected and question the entire relationship. Diagnosing BPD involves a comprehensive psychological evaluation by a licensed mental health professional. While such evaluations can happen at most any age, diagnosis typically occurs in individuals over the age of 18, since many symptoms can overlap with normal adolescent development. What is dissociative identity disorder? What to know about 'DID' What is the cause of borderline personality disorder? While "the exact causes of BPD are multifactorial and not fully understood," explains Amber McGregor, a doctor of education and the clinical director of 1st Priority Institute for Better Living in Colorado, "BPD is often linked to a combination of genetic predisposition, environmental factors and neurological differences in emotional regulation." For example, a highly sensitive child with a naturally reactive temperament may do well in a nurturing environment but could be at higher risk for BPD if raised in 'invalidating environments, where emotions are criticized, ignored, ridiculed or even punished,' says Darnley. These kinds of environments can impair the development of healthy coping strategies. Childhood trauma or abuse is also commonly reported among people diagnosed with BPD. Genetics play a significant role as well, as research shows that heritable factors account for about 40% to 60% of a person's risk for developing BPD. Indeed, the NIMH notes that those with a close family member who has BPD may be at increased risk themselves. Neurological differences may also contribute. 'People with BPD may have functional changes in brain areas that control impulses and regulate emotions,' McGregor explains. However, she says that much is still unknown about how – or if – these differences directly influence symptoms. In case you missed: He developed 'dissociative amnesia' after a rape. What is that? How is borderline personality disorder treated? There are proven, effective treatment options available to people with BPD. The cornerstone of BPD treatment is psychotherapy, particularly dialectical behavior therapy (DBT) as it's a method specifically developed for BPD. 'This treatment teaches strategies for regulating emotions, ways to tolerate distress and skills necessary for healthy relationships,' says Darnley. Other therapies, such as cognitive behavioral therapy (CBT) and schema therapy, can also be helpful in addressing unhelpful thought patterns and unresolved childhood experiences, adds Noorlander. While medication is not the primary treatment for BPD, a therapist may prescribe antidepressants, mood stabilizers or antipsychotics to help a patient manage symptoms like depression, anxiety or impulsivity. Also important is having "a strong support system," notes Noorlander, which includes family, friends and peer support groups helping individuals with BPD feel understood, connected and encouraged in their journey toward recovery. 'Living with borderline personality disorder can be incredibly challenging, but it's important to know that recovery is not only possible – it's common,' offers McGregor. 'With the right treatment, support and self-compassion, many individuals with BPD go on to build healthy relationships, develop emotional stability and lead fulfilling, meaningful lives.' This article originally appeared on USA TODAY: What is BPD? Experts explain borderline personality disorder