Even though Punxsutawney Phil could not find his shadow (meaning we should be in for an early spring), it’s important to consult a doctor if you experience signs of seasonal affective disorder.

If ignored, the repercussions could be tragic.

SAD is a form of depression that typically presents itself in the fall and tapers off in the spring.

“(SAD) can be just as severe as any other case of depression,” said Dr. John Hanna, an OhioHealth primary care physician in Ashland. 

It can affect people differently — some may feel anxious, irritable, fearful, sad or sleepy. Some lose interest in activities they usually enjoy.

Males, for example, tend to bury themselves in work, Hanna said. “But you cannot treat depression by working harder,” he added. “You can only get more exhausted, which makes you more irritable and more depressed.”

Adolescents are more prone to display risk-taking behavior out of a desire to “feel alive,” Hanna said.

SAD can range from mild to severe, in which a person could experience psychosis and/or become suicidal.

Seasonal depression is more common in women than men at a ratio of about 4:1, though, as Hanna noted, one theory suggests the ratio may be off based on the claim that men are less likely to seek medical help if they’re experiencing symptoms.

Treatment of SAD requires a multi-faceted approach.

“You can’t just say, ‘Well, if they really wanted to be happy, they would be happy,’” Hanna said. “You can’t fix a broken tool with a broken tool. Nobody wants to be unhappy.”

Much like treating depression, SAD may be treated with medication to remedy the hormonal imbalance, as well as cognitive behavioral therapy — a form of psychotherapy. Light therapy is also used to treat SAD, which involves sitting near a special light that mimics natural lighting.

Exercise is another key component to alleviating symptoms, especially if it’s in a bright and/or sunny environment. Exercise can reduce cortisol levels, thereby relieving anxiety, Hanna said.

“Exercising in a natural environment is more effective at treating depression than exercising in a basement,” he said.

A healthy diet and adequate sleep (not too much or too little) are also helpful in managing SAD.

Above all, make sure to consult a medical professional, especially if you experience thoughts of suicide.

“Talk to a healthcare professional,” Hanna said. “The sooner the better.”

“It’s much easier to treat it before it gets bad,” he said.

If left untreated, it could lead to raised blood pressure, diabetic issues, substance abuse and other health issues. Hanna said depression has been linked with seizures and even heart disease.

“People who are depressed are much more likely not to survive a heart attack than people with good mental health and a good emotional support at around the time of their heart attack,” Hanna said.

And don’t be afraid to talk to a friend or loved one who is exhibiting signs of depression.

“You’re going to think no one wants to be asked if they’re depressed — nonsense,” Hanna said. “Everyone wants to know that they’re not alone.”