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ÓDr RW Lam, 2009 Last revised Sep/2009
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Light
Devices Seasonal affective
disorder (SAD) is a type of clinical depression that regularly occurs in the
winter, with normal mood in the summer. Light therapy is an effective and
safe treatment for SAD. Other treatments for depression (for example, antidepressant
medications) are also effective. Self-diagnosis or self-treatment of SAD is
not recommended because there are other medical causes for depressive
symptoms, and because light therapy may be harmful to people with certain
medical conditions (for example, eye disease). See your doctor first! Although light therapy is
effective for SAD, we still do not fully understand how the light works and
what is the best method for light therapy. There are
now many light therapy devices available on the market making claims about
light treatment, but light therapy devices are not well regulated in Canada.
Therefore, we believe it is wise to be cautious about recommending light
therapy devices. Our recommendations are
based on the following principles: 1)
the light
device should be tested and found effective in scientifically valid studies 2)
the light
device should have a filter that blocks harmful ultraviolet rays 3)
the light
device should be 4)
the light
device company should have a track record of reliability We recommend fluorescent
light boxes because they have been extensively tested with the greatest
evidence for effectiveness in scientific studies, and we have experience with
these devices. Other light devices, for example light emitting diode (LED)
devices, light visors and dawn simulators, may be beneficial for some
patients but there is less evidence for effectiveness compared to light
boxes. Most light devices use white
light. We do NOT recommend narrow-band blue-light devices because they have
not been extensively tested, there is no indication that blue light is better
than white light for SAD, and there is no information on long term safety
(unlike white light devices). There are some theoretical reasons why blue
light may be harmful to the eyes. We have NO direct financial
interest in any companies listed below, nor can we take any responsibility
for their products. In Vancouver: Shoppers Drug Mart
carries a range of light devices. Clinical Sleep Solutions,
1-866-432-9271. VitalAire,
604-881-0214. Direct order Canadian light
box companies (and U.S. Uplift Technologies, Tel:
1-902 422-0804 / 1-800-387-0896 Northern Light
Technologies, Tel:
1-514-335-1763 / 1-800-263-0066 Litebook Company,
Tel:
1-877-723-5483 Bio-Brite Inc.,
Bethesda, MD ( Tel:
1-301-961-5943 Enviro-Med,
Portland, OR ( Tel:
1-800-222-3296 Direct order international
light box companies: Circadian
Lighting Association Does your health benefits insurance company
cover the cost of light boxes? |