www.health.mil
Open in
urlscan Pro
214.10.40.15
Public Scan
Submitted URL: https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDQsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkI...
Effective URL: https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinician...
Submission: On February 14 via api from AU — Scanned from DE
Effective URL: https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinician...
Submission: On February 14 via api from AU — Scanned from DE
Form analysis 1 forms found in the DOM
POST /Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness?utm_medium=govdelivery&utm_source=email
<form method="post" action="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness?utm_medium=govdelivery&utm_source=email" id="mainform">
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="5033F601">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="2sdCxaxuWfsPHEsllw2MfJusn9S4eMpC7zwp6IaztOIkKFriB8lEYE734x/TxM1L7z6uUpOZqkExjRsHDIpkACmm11uc0v25Ysq0faTUjxcbkm91XnrLhfP/nbpMGlxjVYdehEAxIvS8HjoQ1Qwy/eoK8v5MuHhL">
</div>
<div class="wrapper">
<header>
<div id="LeftShadowEdge"></div>
<div id="RightShadowEdge"></div>
<div id="ctl02_title" class="MainLogoH1">
<a href="/" data-ga-cat="Main Nav" data-ga-action="https://health.mil" data-ga-lbl="Home Button">
<span class="visiblyHidden">Health.mil: the official website of the Military Health System (MHS)</span>
<span class="MHSseal"></span>
<span class="HealthMilLogo"></span>
</a>
</div>
<div id="ctl02_pnSiteSearch" class="HeaderUtilities" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl02_btnSearch')">
<h2 class="HiddenHeaders">Utility Navigation Links</h2>
<ul class="UtilityNav" data-ga-cat="Utility Nav">
<li id="ctl02_liForContactUs"><a id="ctl02_hlContactUs" href="/About-MHS/Contact-Us" target="_self">Contact Us</a></li>
<li id="ctl02_liForFaqs"><a id="ctl02_hlFaqs" href="/Reference-Center/Frequently-Asked-Questions" target="_self">FAQs</a></li>
<li id="ctl02_liForGallery"><a id="ctl02_hlNewsGallery" href="/News/Gallery" target="_self">Gallery</a></li>
<li id="ctl02_liForTricare"><a id="ctl02_hlTricare" rel="noopener" href="https://www.tricare.mil" target="_blank">TRICARE</a></li>
</ul>
<div class="GlobalSiteSearch">
<label for="txtHeaderSearch" id="ctl02_lblSearchInput">Site Search</label>
<input name="ctl02$txtHeaderSearch" type="search" id="txtHeaderSearch" class="SearchInput">
<input type="submit" name="ctl02$btnSearch" value="Site Search" onclick="javascript:encodeQuery(); return true;" id="ctl02_btnSearch" class="GlobalSiteSearchBtn">
</div>
<h2 class="HiddenHeaders">Social Media Links</h2>
<ul class="socialMediaBlock social-header" data-ga-cat="Social Header">
<li id="ctl02_liForFacebook">
<a id="ctl02_hlFacebook_hdr" class="facebook" title="Visit us on Facebook" rel="noopener" href="https://www.facebook.com/militaryhealth" target="_blank">
<span>Visit us on Facebook</span>
</a>
</li>
<li id="ctl02_liForTwitter">
<a id="ctl02_hlTwitter_hdr" class="Twitter" title="Visit us on Twitter" rel="noopener" href="https://twitter.com/militaryhealth" target="_blank">
<span>Visit us on Twitter</span>
</a>
</li>
<li id="ctl02_liForYouTube">
<a id="ctl02_hlYouTube_hdr" class="YouTube" title="Visit us on YouTube" rel="noopener" href="https://www.youtube.com/militaryhealth" target="_blank">
<span>Visit us on YouTube</span>
</a>
</li>
<li id="ctl02_liForFlickr">
<a id="ctl02_hlFlickr_hdr" class="Flickr" title="Visit us on Flickr" rel="noopener" href="https://www.flickr.com/photos/militaryhealth" target="_blank">
<span>Visit us on Flickr</span>
</a>
</li>
<li id="ctl02_liForGovDeliver">
<a id="ctl02_hlGovDelivery_hdr" class="GovDelivery" title="Visit us on GovDelivery" rel="noopener" href="https://public.govdelivery.com/accounts/USMHS/subscriber/new" target="_blank">
<span>Visit us on GovDelivery</span>
</a>
</li>
<li id="ctl02_liForGooglePlus">
<a id="ctl02_hlGooglePlus_hdr" class="InstaGram" title="Visit us on Instagram" rel="noopener" href="http://www.instagram.com/militaryhealth" target="_blank">
<span>Visit us on Instagram</span>
</a>
</li>
</ul>
</div>
<style>
.flexnav {
opacity: 1;
transition: opacity .2s;
}
.iehidden .flexnav {
opacity: 0;
}
</style>
<nav class="module cq-gte10 cq-gte15 cq-gte20 cq-gte25 cq-gte30 cq-gte35 cq-gte40 cq-gte45 cq-gte50 cq-gte55 cq-gte60 cq-gte65 cq-only65" data-ga-cat="Main Nav" data-cqprev="930">
<a href="javascript:void(0);" class="DropMenuTrigger" aria-label="Open Menu"></a>
<h2 class="HiddenHeaders">Main Navigation</h2>
<ul id="MainNav" class="flexnav" aria-label="Open Menu">
<li id="Home">
<a id="ctl02_ctl00_hlHomeMenu" aria-label="Homepage" data-ga-lbl="Home Button" href="/"></a>
</li>
<li id="AboutMHS" data-menu="MM_AboutMHS" data-next-menu="Topics" data-textbreakpoint="895" style="display: list-item;">
<a id="ctl02_ctl00_hlAboutMHS" data-textshort="About" data-textlong="About the MHS" href="/About-MHS">About the MHS</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="aboutTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for About the MHS</span></a>
</span></span>
</li>
<li id="Topics" data-menu="MM_Topics" data-next-menu="Training" data-past-menu="aboutTabber" style="display: list-item;">
<a id="ctl02_ctl00_hlTopics" href="/Military-Health-Topics">Topics</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="topicsTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for Topics</span></a>
</span></span>
</li>
<li id="Training" data-menu="MM_Training" data-next-menu="Policies" data-past-menu="topicsTabber" style="display: list-item;">
<a id="ctl02_ctl00_hlTraining" href="/Training-Center">Training</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="trainingTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for Training</span></a>
</span></span>
</li>
<li id="Policies" data-menu="MM_Policies" data-next-menu="ResourceCenter" data-past-menu="trainingTabber" style="display: list-item;">
<a id="ctl02_ctl00_hlPolicies" href="/Reference-Center/Policies">Policies</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="policiesTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for Policies</span></a>
</span></span>
</li>
<li id="ResourceCenter" data-menu="MM_ResourceCenter" data-next-menu="News" data-past-menu="policiesTabber" data-textbreakpoint="870" style="display: list-item;">
<a id="ctl02_ctl00_hlReferenceCenter" data-textshort="References" data-textlong="Reference Center" href="/Reference-Center">Reference Center</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="referenceCenterTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for Reference Center</span></a>
</span></span>
</li>
<li id="News" data-menu="MM-newsroom" data-next-menu="I-am-a" data-past-menu="referenceCenterTabber" data-textbreakpoint="830" style="display: list-item;">
<a id="ctl02_ctl00_hlNews" data-textshort="News" data-textlong="News & Gallery" href="/News">News & Gallery</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="newsTabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for News & Gallery</span></a>
</span></span>
</li>
<li id="I-am-a" data-menu="MM_I-Am-A" data-past-menu="newsTabber" data-textbreakpoint="930" style="display: list-item;">
<a id="ctl02_ctl00_hlIAmA" data-textshort="I am a" data-textlong="I am a..." href="/I-Am-A">I am a...</a>
<span class="touch-button"><span class="icon" aria-hidden="true">
<a id="iAmA_Tabber" href="javascript:void(0);" class="touch-button-trigger"><span class="visiblyHidden">Open sub menu for I am a...</span></a>
</span></span>
</li>
</ul>
<div class="megaMenuWrap" data-ga-cat="Mega Menu" style="display: block; visibility: visible;">
<div class="megaMenu MM-newsroom MM-hasLeftNav" data-ga-cat="News" id="newsTab" style="display: none;">
<div class="MM-leftNav">
<h2 class="HiddenHeaders">Jump to News page content</h2>
<ul class="MM-pageCategories">
<li><a id="ctl02_ctl00_hlArticles" href="/News/Articles">Articles</a></li>
<li><a id="ctl02_ctl00_hlCalendar" href="/News/Calendar-of-Events">Calendar of Events</a></li>
<li><a id="ctl02_ctl00_hlGallery" href="/News/Gallery">Gallery</a></li>
<li><a id="ctl02_ctl00_hlInfographics" href="/News/Gallery/Infographics">Infographics</a></li>
<li><a id="ctl02_ctl00_hlPhotos" href="/News/Gallery/Photos">Photos</a></li>
<li><a id="ctl02_ctl00_hlVideos" href="/News/Gallery/Videos">Videos</a></li>
<li><a id="ctl02_ctl00_hlSocialMedia" href="/News#SocialMediaDirectory">Social Media Directory</a></li>
<li><a id="ctl02_ctl00_hlSpotlight" href="/News/In-the-Spotlight">In the Spotlight</a></li>
</ul>
<div class="agendaCalendar calendar">
<h2><span><a id="ctl02_ctl00_hlUpcomingEvents" href="/News/Calendar-of-Events">Upcoming Events</a></span></h2>
<ul>
<li>
<div class="datePlate">
<span class="decoration"></span>
<span class="datePlate-Month">Jan</span>
<span class="datePlate-Day">6</span>
</div>
<a id="ctl02_ctl00_lvCalendar_hlCalendarEvent_0" class="eventTitle" href="/News/In-the-Spotlight/MHS-Research-Symposium">MHS Research Symposium</a>
</li>
<li>
<div class="datePlate">
<span class="decoration"></span>
<span class="datePlate-Month">Feb</span>
<span class="datePlate-Day">16</span>
</div>
<a id="ctl02_ctl00_lvCalendar_hlCalendarEvent_1" class="eventTitle" href="/Military-Health-Topics/Acquisition-Procurement-and-Small-Business/Small-Business-Programs/Small-Business-Events/GSA-Federal-Acquisition-Service-Training-FAST-Virtual-Monthly-Conference-Series">Human Capital Solutions for the Future of Government</a>
</li>
</ul>
</div>
</div>
<div class="MM-content">
<h1><span>Most Recent Updates</span></h1>
<div class="MM-panel mainPanel">
<h2><a id="ctl02_ctl00_hlMainArticles" href="/News/Articles">Articles</a></h2>
<span class="imgWrap">
<a id="ctl02_ctl00_hlArticleImg" class="ImgLink" href="/News/Articles/2022/02/11/Enjoy-Your-Super-Bowl-Snacks-with-a-Side-of-Food-Safety"><img src="/-/media/Images/MHS/Photos/Grill-2022.ashx?h=170&la=en&mw=300&w=300&hash=0A98CCD646607D0E87336D63F20A0604E9E39C2A529B70498986169554DED313" alt="Military personnel grilling food " width="300" height="170"></a>
</span>
<a id="ctl02_ctl00_hlTitle" class="itemTitle" href="/News/Articles/2022/02/11/Enjoy-Your-Super-Bowl-Snacks-with-a-Side-of-Food-Safety">Enjoy Your Super Bowl Snacks with a Side of Food Safety</a>
<span class="itemDesc">
<a id="ctl02_ctl00_hlDesc" href="/News/Articles/2022/02/11/Enjoy-Your-Super-Bowl-Snacks-with-a-Side-of-Food-Safety">While millions watch NFL players battle it out in the Super Bowl, the real MVPs on Sunday will be chicken wings—more than 1 billion will be consumed before, during and after the game! Whether you bake, roast, fry or order in your ...</a>
</span>
</div>
<div class="module row row-thirds cq-only0" data-cqprev="74">
<div class="col col-1">
<div class="MM-panel">
<h2><a id="ctl02_ctl00_hlMainPhoto" href="/News/Gallery/Photos">Photos</a></h2>
<span class="imgWrap">
<a id="ctl02_ctl00_hlPhotoImg" class="ImgLink" href="/News/Gallery/Photos/2022/02/11/Heart-Attacks-Men-vs-Women"><img src="/-/media/Images/MHS/Photos/heart_attack_symptoms_725.ashx?h=169&la=en&mw=300&w=300&hash=00DC3973DB79D4C5C352E2D351C226F1E4A7B2B5E0414B44D064DE42FC462617" alt="Signs and symptoms of a heart attack can differ between women and men. If you have any of these symptoms, call 911 quickly." width="300" height="169"></a>
</span>
</div>
</div>
<div class="col col-2">
<div class="MM-panel">
<h2><a id="ctl02_ctl00_hlMainVideo" href="/News/Gallery/Videos">Videos</a></h2>
<span class="imgWrap">
<a id="ctl02_ctl00_hlVideoImg" class="ImgLink" href="/News/Gallery/Videos/2022/02/11/Anger"><img id="ctl02_ctl00_videoImg" src="/-/media/Images/MHS/Video-Thumbnails/Default-DHA-Seal/Anger720x428.ashx" alt="Two men fist fighting"></a>
</span>
</div>
</div>
<div class="col col-3">
<div class="MM-panel">
<h2><a id="ctl02_ctl00_hlMainInfographic" href="/News/Gallery/Infographics">Infographics</a></h2>
<span class="imgWrap">
<a id="ctl02_ctl00_hlInfographicImg" class="ImgLink" href="/News/Gallery/Infographics/2022/02/07/Patient-Safety-Awareness-1"><img src="/-/media/Images/MHS/Infographics/March-Toolkit-2022/PSAW-2022/1319Mar_PSAW2022_1.ashx?h=300&la=en&mh=300&mw=300&w=300&hash=74F68BAA990CE98402E0B3EDFF08B9E654BB958F8FDF31EC7CEA4EF0B9B4405F" alt="Standardizing Safety Solutions, Uniting for Ready Reliable Care" width="300" height="300" title="Patient Safety 1"></a>
</span>
</div>
</div>
</div>
<div class="MM-contentFooter MM-socialMediaHub">
<h2><a id="ctl02_ctl00_hlFollowUs" href="/News#SocialMediaDirectory">Follow us on Social Media</a></h2>
<h3 class="HiddenHeaders">Listing of Health.mil's Social Media Outlets</h3>
<ul class="socialMediaBlock social-NewsMegaMenu largeIcons">
<li id="ctl02_ctl00_liFacebook">
<a id="ctl02_ctl00_hlFacebook" class="facebook" title="Visit us on Facebook" href="https://www.facebook.com/militaryhealth">
<span>Visit us on Facebook</span>
</a>
</li>
<li id="ctl02_ctl00_liTwitter">
<a id="ctl02_ctl00_hlTwitter" class="Twitter" title="Visit us on Twitter" href="https://twitter.com/militaryhealth">
<span>Visit us on Twitter</span>
</a>
</li>
<li id="ctl02_ctl00_liYoutube">
<a id="ctl02_ctl00_hlYouTube" class="YouTube" title="Visit us on YouTube" href="https://www.youtube.com/militaryhealth">
<span>Visit us on YouTube</span>
</a>
</li>
<li id="ctl02_ctl00_liFlickr">
<a id="ctl02_ctl00_hlFlickr" class="Flickr" title="Visit us on Flickr" href="https://www.flickr.com/photos/militaryhealth">
<span>Visit us on Flickr</span>
</a>
</li>
<li id="ctl02_ctl00_liGovDelivery">
<a id="ctl02_ctl00_hlGovDelivery" class="GovDelivery" title="Visit us on GovDelivery" href="https://public.govdelivery.com/accounts/USMHS/subscriber/new">
<span>Visit us on GovDelivery</span>
</a>
</li>
<li id="ctl02_ctl00_liGooglePlus">
<a id="ctl02_ctl00_hlGooglePlus" class="InstaGram" title="Visit us on Instagram" href="http://www.instagram.com/militaryhealth">
<span>Visit us on Instagram</span>
</a>
</li>
</ul>
</div>
</div>
</div>
<div class="MegaMenus MM_Topics" data-ga-cat="Topics" style="display: none;">
<span class="MM_introText"> Select a topic to learn more... </span>
<h2 class="HiddenHeaders">Topics Submenu</h2>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_0" href="/Military-Health-Topics/Access-Cost-Quality-and-Safety">
<h3 class="MM_HeadersLight">
Access, Cost, Quality, and Safety
</h3>
<span class="MM_bodyCopy">
How the MHS provides safe, quality care when and where you need it
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_1" href="/Military-Health-Topics/Acquisition-Procurement-and-Small-Business">
<h3 class="MM_HeadersLight">
Acquisition and Procurement
</h3>
<span class="MM_bodyCopy">
Learn how to do business with the Defense Health Agency
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_2" href="/Military-Health-Topics/Business-Support">
<h3 class="MM_HeadersLight">
Business Support
</h3>
<span class="MM_bodyCopy">
Standardizing business operations and reducing costs
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_3" href="/Military-Health-Topics/Centers-of-Excellence">
<h3 class="MM_HeadersLight">
Centers of Excellence
</h3>
<span class="MM_bodyCopy">
Providing evidence-based practices for diagnosis and treatment of diseases
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_4" href="/Military-Health-Topics/Combat-Support">
<h3 class="MM_HeadersLight">
Combat Support
</h3>
<span class="MM_bodyCopy">
Providing medical capabilities for Combatant Commands, the military services, federal partners and partners and allies around the world
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_5" href="/Military-Health-Topics/Conditions-and-Treatments">
<h3 class="MM_HeadersLight">
Conditions and Treatments
</h3>
<span class="MM_bodyCopy">
How MHS treats health conditions our patients may face
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_6" href="/Military-Health-Topics/Combat-Support/Public-Health/Coronavirus">
<h3 class="MM_HeadersLight">
Coronavirus
</h3>
<span class="MM_bodyCopy">
Coronavirus
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol1_hlItem_7" href="/Military-Health-Topics/Health-Readiness">
<h3 class="MM_HeadersLight">
Health Readiness
</h3>
<span class="MM_bodyCopy">
Health readiness in support of global operations
</span>
</a>
</li>
</ul>
<h2 class="HiddenHeaders">Topics Submenu</h2>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_0" href="/Military-Health-Topics/MHS-Toolkits">
<h3 class="MM_HeadersLight">
MHS Toolkits and Branding Guidance
</h3>
<span class="MM_bodyCopy">
Ready-to-use material to promote consistent messaging on key topics and issues
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_1" href="/Military-Health-Topics/MHS-Transformation">
<h3 class="MM_HeadersLight">
Military Health System Transformation
</h3>
<span class="MM_bodyCopy">
Building a more integrated system of health and readiness
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_2" href="/Military-Health-Topics/Military-Medical-History">
<h3 class="MM_HeadersLight">
Military Medical History
</h3>
<span class="MM_bodyCopy">
Celebrating the history of military medicine
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_3" href="/Military-Health-Topics/Privacy-and-Civil-Liberties">
<h3 class="MM_HeadersLight">
Privacy and Civil Liberties
</h3>
<span class="MM_bodyCopy">
Protection of personally identifiable and protected health information
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_4" href="/Military-Health-Topics/Research-and-Innovation">
<h3 class="MM_HeadersLight">
Research and Innovation
</h3>
<span class="MM_bodyCopy">
MHS is an industry leader in research, development and innovation
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_5" href="/Military-Health-Topics/Technology">
<h3 class="MM_HeadersLight">
Technology
</h3>
<span class="MM_bodyCopy">
Information Technology Supporting the Military Health System
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvTopicsCol2_hlItem_6" href="/Military-Health-Topics/Total-Force-Fitness">
<h3 class="MM_HeadersLight">
Total Force Fitness
</h3>
<span class="MM_bodyCopy">
Connecting eight dimensions of fitness to optimize health, performance and readiness holistically
</span>
</a>
</li>
</ul>
<div class="col3">
<div id="campaignTile">
<a href="/Military-Health-Topics/MHS-Toolkits/TRICARE-Communications-COVID-19-Vaccine-Toolkit">
<img src="/-/media/Images/MHS/Campaign-Images/COVID_vax_header_164x237.ashx?h=203&la=en&mw=140&w=140&hash=ABFD0203393978247A9D0969D40B5B376065C2CE533581AF024C80974F7D08E7" alt="Image for COVID-19 Vaccine Toolkit page" width="140" height="203">
</a>
</div>
<h3 class="MM_HeadersDark">Recent News Articles</h3>
<ul class="MM_Topics-Articles">
<li><span class="MM_ArticleDateStamp"> 2/11/2022 </span>
<a id="ctl02_ctl00_lvRecentArticles_hlArticle_0" class="MM_ArticleTitle" href="/News/Articles/2022/02/11/Enjoy-Your-Super-Bowl-Snacks-with-a-Side-of-Food-Safety">Enjoy Your Super Bowl Snacks with a Side of Food Safety</a>
</li>
<li><span class="MM_ArticleDateStamp"> 2/11/2022 </span>
<a id="ctl02_ctl00_lvRecentArticles_hlArticle_1" class="MM_ArticleTitle" href="/News/Articles/2022/02/11/Womens-Heart-Attacks-Symptoms-Can-Differ-from-Mens-Know-the-Signs">Women’s Heart Attacks Symptoms Can Differ from Men’s: Know the Signs</a>
</li>
<li><span class="MM_ArticleDateStamp"> 2/10/2022 </span>
<a id="ctl02_ctl00_lvRecentArticles_hlArticle_2" class="MM_ArticleTitle" href="/News/Articles/2022/02/10/For-Thousands-of-Troops-Eye-Surgery-is-Key-to-Vision-Readiness">For Thousands of Troops Eye Surgery is Key to Vision Readiness</a>
</li>
</ul>
</div>
</div>
<div class="MegaMenus MM_Training" data-ga-cat="Training" style="display: none;">
<span class="MM_introText"> Training opportunities in the Military Health System... </span>
<div class="col1">
<h3>Training for MHS Staff</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvAudience1_hlCourse_0" href="https://training.fema.gov/" target="_blank">
<span class="MM_CourseName">
Federal Emergency Management Agency
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience1_hlCourse_1" href="http://www.wpafb.af.mil/library/factsheets/factsheet.asp?id=19923">
<span class="MM_CourseName">
USAF School of Aerospace Medicine
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience1_hlCourse_2" href="/Training-Center/US-Army-Institute-of-Surgical-Research">
<span class="MM_CourseName">
U.S. Army Institute of Surgical Research (USAISR)
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience1_hlCourse_3" href="https://jkodirect.jten.mil/Atlas2/faces/page/login/Login.seam?ORG=MHS" target="_blank">
<span class="MM_CourseName">
Joint Knowledge Online (JKO)
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience1_hlCourse_4" href="http://www.med.navy.mil/sites/nmotc/Pages/default.aspx">
<span class="MM_CourseName">
Navy Medicine Operational Training Center
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
</ul>
</div>
<div class="col2">
<h3>Training for Clinicians & Healthcare Providers</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvAudience2_hlCourse_0" href="/Training-Center/Navy-Medical-Department-GME">
<span class="MM_CourseName">
Navy Medical Department GME
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience2_hlCourse_1" href="/Training-Center/Medical-Education-and-Training-Campus">
<span class="MM_CourseName">
Medical Education and Training Campus
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience2_hlCourse_2" href="/Training-Center/Medical-Education-Directorate">
<span class="MM_CourseName">
Medical Education Directorate
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience2_hlCourse_3" href="https://www.tecom.usmc.mil/cdet/SitePages/home.aspx">
<span class="MM_CourseName">
College of Distance Education and Training
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAudience2_hlCourse_4" href="http://www.wpafb.af.mil/library/factsheets/factsheet.asp?id=19923">
<span class="MM_CourseName">
USAF School of Aerospace Medicine
</span>
<span class="MM_bodyCopy">
Training Center
</span>
</a>
</li>
</ul>
</div>
</div>
<div class="MegaMenus MM_Policies" data-ga-cat="Policies" style="display: none;">
<span class="MM_introText"> Find Health Affairs and Defense Health Agency policy documents... </span>
<div class="col2">
<h3>Most Popular Policy Downloads</h3>
<ul class="MegaMenuContent">
<li>
<a id="ctl02_ctl00_lvPopularPolicies_hlItem_0" href="/Reference-Center/Policies/2013/10/07/Immunizations-and-Chemoprophylaxis-for-the-Prevention-of-Infectious-Diseases">Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_1" href="/Reference-Center/Policies/2018/10/09/DHA-PI-6025-11">6025.11</a>
</li>
<li>
<a id="ctl02_ctl00_lvPopularPolicies_hlItem_2" href="/Reference-Center/Policies/2021/11/03/Policy-Memorandum-on-the-Defense-Health-Agency-Coronavirus-Disease-2019-Vaccination-Attestation-Screening-Testing-and-Vaccination-Verification">DHA-Policy Memorandum 21-004: Coronavirus Disease 2019 Vaccination Attestation, Screening Testing, and Vaccination Verification</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_3" href="/Reference-Center/Policies/2022/01/03/DHA-PI-6025-45">6025.45</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_4" href="/Reference-Center/Policies/2022/01/21/DHA-PI-6025-44">6025.44</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_5" href="/Reference-Center/Policies/2019/09/01/DHA-PM-6025-13-Volume-3">6025.13, Volume 3</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_6" href="/Reference-Center/Policies/2022/01/25/DHA-AI-6025-04">6025.04</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_7" href="/Reference-Center/Policies/2019/09/01/DHA-PM-6025-13-Volume-4">6025.13, Volume 4</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_8" href="/Reference-Center/Policies/2022/01/26/DHA-PM-6430-08">6430.08</a>
</li>
<li><a id="ctl02_ctl00_lvPopularPolicies_hlItem_9" href="/Reference-Center/Policies/2022/01/06/HIPAA-Compliant-Business-Associate-Agreement">HIPAA Compliant Business Associate Agreement</a>
</li>
</ul>
</div>
<div class="col3">
<h3>Recently Posted Policies</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvRecentPolicies_hlItem_0" href="/Reference-Center/Policies/2022/01/26/DHA-PM-6430-08">6430.08</a>
</li>
<li><a id="ctl02_ctl00_lvRecentPolicies_hlItem_1" href="/Reference-Center/Policies/2022/01/25/DHA-AI-6025-04">6025.04</a>
</li>
<li><a id="ctl02_ctl00_lvRecentPolicies_hlItem_2" href="/Reference-Center/Policies/2022/01/21/DHA-PI-6025-44">6025.44</a>
</li>
<li><a id="ctl02_ctl00_lvRecentPolicies_hlItem_3" href="/Reference-Center/Policies/2022/01/06/HIPAA-Compliant-Business-Associate-Agreement">HIPAA Compliant Business Associate Agreement</a>
</li>
</ul>
</div>
</div>
<div class="MegaMenus MM_ResourceCenter" data-ga-cat="Reference Center" style="display: none;">
<span class="MM_introText"> Select a category to see reference products... </span>
<div class="col1">
<h3>References by Type</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_0" href="/Reference-Center/Congressional-Testimonies">Congressional Testimonies</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_1" href="/Reference-Center/Fact-Sheets">Fact Sheets</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_2" href="/Reference-Center/FOIA-Documents">FOIA Library</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_3" href="/Reference-Center/Forms">Forms & Templates</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_4" href="/Reference-Center/Frequently-Asked-Questions">Frequently Asked Questions</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_5" href="/Reference-Center/Meeting-References">Meeting References</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_6" href="/Reference-Center/Glossary-Terms">MHS Health Care Glossary</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_7" href="/Reference-Center/Policies">Policies</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_8" href="/Reference-Center/Presentations">Presentations</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_9" href="/Reference-Center/Publications">Publications</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_10" href="/Reference-Center/Reports">Reports</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_11" href="/Reference-Center/Studies">Studies</a>
</li>
<li><a id="ctl02_ctl00_lvReferenceCategories_hlItem_12" href="/Reference-Center/Technical-Documents">Technical Documents</a>
</li>
</ul>
</div>
<div class="col2">
<h3>Most Popular References</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_0" href="/Reference-Center/Meeting-References/2021/09/15/Cumulative-Minutes-2020">Cumulative Minutes 2020</a>
</li>
<li>
<a id="ctl02_ctl00_lvPopularReferences_hlItem_1" href="/Reference-Center/Forms/2021/03/25/DHA-Form-207-COVID-19-Vaccine-Screening-and-Immunization-Document">DHA Form 207: COVID-19 Vaccine Screening and Immunization Document, v17</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_2" href="/Reference-Center/Meeting-References/2003/11/13/Cumulative-Minutes-2003">P&T Meetings 2003</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_3" href="/Reference-Center/Publications/2020/07/30/Military-Acute-Concussion-Evaluation-MACE-2">Military Acute Concussion Evaluation 2 (MACE 2)</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_4" href="/Reference-Center/Technical-Documents/2021/03/04/DoD-COVID-19-Practice-Management-Guide-Version-7">DoD COVID-19 Practice Management Guide Version 7</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_5" href="/Reference-Center/Publications/2020/07/31/ICD10-Coding-Guidance-for-TBI">ICD-10 Coding Guidance for TBI</a>
</li>
<li>
<a id="ctl02_ctl00_lvPopularReferences_hlItem_6" href="/Reference-Center/Fact-Sheets/2017/05/12/The-Defense-Medical-Epidemiology-Database-System-Overview-Fact-Sheet">The Defense Medical Epidemiology Database System Overview Fact Sheet</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_7" href="/Reference-Center/Reports/2021/11/01/Medical-Surveillance-Monthly-Report-Volume-28-Number-11">MSMR Vol. 28 No. 11 - November 2021</a>
</li>
<li><a id="ctl02_ctl00_lvPopularReferences_hlItem_8" href="/Reference-Center/Publications/2018/07/27/MHS-GENESIS-Patient-Portal-Brochure">MHS GENESIS Patient Portal Brochure</a>
</li>
<li>
<a id="ctl02_ctl00_lvPopularReferences_hlItem_9" href="/Reference-Center/Policies/2013/10/07/Immunizations-and-Chemoprophylaxis-for-the-Prevention-of-Infectious-Diseases">Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases</a>
</li>
</ul>
</div>
<div class="col3">
<h3>Recently Posted References</h3>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvRecentReferences_hlItem_0" href="/Reference-Center/Technical-Documents/2022/02/11/DHA-Campaign-Plan" target="_blank">Defense Health Agency Campaign Plan</a>
</li>
<li><a id="ctl02_ctl00_lvRecentReferences_hlItem_1" href="/Reference-Center/Technical-Documents/2022/02/09/MDR-Future-SIDR" target="_blank">MDR Future SIDR</a>
</li>
<li><a id="ctl02_ctl00_lvRecentReferences_hlItem_2" href="/Reference-Center/Fact-Sheets/2022/02/08/Federal-JHIE-Total-Partners-Configured" target="_blank">Federal JHIE Total Partners Configured</a>
</li>
<li>
<a id="ctl02_ctl00_lvRecentReferences_hlItem_3" href="/Reference-Center/Publications/2022/02/08/TBI-and-Caregiver-Programs-in-the-Department-of-Veterans-Affairs-and-Resources-for-Caregivers" target="_blank">TBI and Caregiver Programs in the Department of Veterans Affairs and Resources for Caregivers</a>
</li>
</ul>
</div>
</div>
<div class="MegaMenus MM_AboutMHS" data-ga-cat="About Us" style="display: none;">
<span class="MM_introText">
</span>
<h2 class="HiddenHeaders">About MHS Submenu</h2>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_0" href="/About-MHS/MHS-Elements">
<h3 class="MM_HeadersLight">
Elements of the MHS
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_1" href="/About-MHS/MHS-Initiatives">
<h3 class="MM_HeadersLight">
Initiatives and Areas of Impact
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_2" href="/About-MHS/Biographies">
<h3 class="MM_HeadersLight">
MHS Leaders
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_3" href="/About-MHS/Employment">
<h3 class="MM_HeadersLight">
Careers
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_4" href="/About-MHS/OASDHA">
<h3 class="MM_HeadersLight">
Office of the Assistant Secretary of Defense for Health Affairs
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_5" href="/About-MHS/Contact-Us">
<h3 class="MM_HeadersLight">
Contact Us
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_6" href="/About-MHS/Social-Media">
<h3 class="MM_HeadersLight">
MHS Social Media
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_7" href="/About-MHS/Other-MHS-Organizations">
<h3 class="MM_HeadersLight">
Other MHS Organizations
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvAboutMHS_hlItem_8" href="/About-MHS/We-Want-Your-Feedback">
<h3 class="MM_HeadersLight">
We Want Your Feedback!
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
</ul>
</div>
<div class="MegaMenus MM_I-Am-A" data-ga-cat="I Am A" style="display: none;">
<span class="MM_bodyCopy"> Find helpful links and resources based on who you are... </span>
<h2 class="HiddenHeaders">Submenu for I am a</h2>
<ul class="MegaMenuContent">
<li><a id="ctl02_ctl00_lvIAmA_hlItem_0" href="/I-Am-A/Caregiver-or-Family-Member">
<h3 class="MM_HeadersLight">
Caregiver or Family Member
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_1" href="/I-Am-A/Leader">
<h3 class="MM_HeadersLight">
Leader
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_2" href="/I-Am-A/Media">
<h3 class="MM_HeadersLight">
Member of the Media
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_3" href="/I-Am-A/Medical-Professional-Educator-Researcher">
<h3 class="MM_HeadersLight">
Medical Professional, Educator or Researcher
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_4" href="/I-Am-A/MHS-Staff">
<h3 class="MM_HeadersLight">
Member of the MHS Staff
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_5" href="/I-Am-A/Service-Member">
<h3 class="MM_HeadersLight">
Service Member
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_6" href="/I-Am-A/TRICARE-Beneficiary">
<h3 class="MM_HeadersLight">
TRICARE Beneficiary
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_7" href="/I-Am-A/Vendor">
<h3 class="MM_HeadersLight">
Vendor
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
<li><a id="ctl02_ctl00_lvIAmA_hlItem_8" href="/I-Am-A/Veteran">
<h3 class="MM_HeadersLight">
Veteran
</h3>
<span class="MM_bodyCopy">
</span>
</a>
</li>
</ul>
</div>
</div>
</nav>
<script>
mhs.events.add('ready', function() {
var n = 'iehidden';
var ieh = document.getElementsByClassName(n)[0];
if (ieh) setTimeout(function() {
ieh.classList.remove(n);
}, 10);
});
</script>
</header>
<script>
function encodeQuery() {
var txtHeaderSearch = document.getElementById("txtHeaderSearch");
txtHeaderSearch.value = encodeURI(txtHeaderSearch.value);
}
</script>
<div class="content">
<div class="needLargerText">
<a id="pagecolumns_0_hlLargerText" href="/Get-Larger-Text">Need larger text?</a>
</div>
<div id="breadcrumb">
<script id="jsonld_breadcrumbs" type="application/ld+json">
{
'@context': 'https://schema.org',
'@type': 'BreadcrumbList',
'itemListElement': [{
'@type': 'ListItem',
'position': '1',
'name': 'MHS Home',
'item': 'https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness'
}, {
'@type': 'ListItem',
'position': '2',
'name': 'Military Health Topics',
'item': 'https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness'
}, {
'@type': 'ListItem',
'position': '3',
'name': 'Centers of Excellence',
'item': 'https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness'
}, {
'@type': 'ListItem',
'position': '4',
'name': 'Psychological Health Center of Excellence',
'item': 'https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness'
}, {
'@type': 'ListItem',
'position': '5',
'name': 'Clinician'
s Corner Blog ','
item ':'
https: //www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog/Seasonal-Sadness' },{'@type':'ListItem','position':'6','name':'Seasonal Sadness'}] }
</script>
<ol vocab="https://schema.org/" typeof="BreadcrumbList" class="breadcrumbs">
<li property="itemListElement" typeof="ListItem">
<a id="pagecolumns_0_ctl01_breadcrumbs_link_0" href="/">MHS Home</a>
<meta property="position" content="1">
</li> > <li property="itemListElement" typeof="ListItem">
<a id="pagecolumns_0_ctl01_breadcrumbs_link_1" href="/Military-Health-Topics">Military Health Topics</a>
<meta property="position" content="2">
</li> > <li property="itemListElement" typeof="ListItem">
<a id="pagecolumns_0_ctl01_breadcrumbs_link_2" href="/Military-Health-Topics/Centers-of-Excellence">Centers of Excellence</a>
<meta property="position" content="3">
</li> > <li property="itemListElement" typeof="ListItem">
<a id="pagecolumns_0_ctl01_breadcrumbs_link_3" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence">Psychological Health Center of Excellence</a>
<meta property="position" content="4">
</li> > <li property="itemListElement" typeof="ListItem">
<a id="pagecolumns_0_ctl01_breadcrumbs_link_4" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog">Clinician's Corner Blog</a>
<meta property="position" content="5">
</li> > <li property="itemListElement" typeof="ListItem"> Seasonal Sadness
<meta property="position" content="6">
</li>
</ol>
</div>
<div id="SlideTrayTab">
<a href="javascript:void(0);"></a>
</div>
<div id="leftNav" data-ga-cat="Left Column">
<h2 class="HiddenHeaders">Sidebar Navigation</h2>
<ul class="SideNav_TopicTree" data-ga-cat="Multilevel Nav">
<li class="ParentTopicName"><a id="pagecolumns_0_leftcolumn_0_navRoot" href="/Military-Health-Topics/Centers-of-Excellence">Centers of Excellence</a></li>
<li id="pagecolumns_0_leftcolumn_0_navTree_li_0" class="SideNav_L2">
<a id="pagecolumns_0_leftcolumn_0_navTree_navLink_0" href="/Military-Health-Topics/Centers-of-Excellence/EACE">Extremity Trauma and Amputation Center of Excellence</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_li_1" class="SideNav_L2">
<a id="pagecolumns_0_leftcolumn_0_navTree_navLink_1" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence">Psychological Health Center of Excellence</a>
<ul id="pagecolumns_0_leftcolumn_0_navTree_ul_1" class="SideNav_L3">
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_0">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_0" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_0" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Clinicians-Corner-Blog">Clinician's Corner Blog</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_1">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_1" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_1" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Keep-in-Touch-with-PHCoE">Keep in Touch with PHCoE</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_2" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_2" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_2" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/PHCoE-Research-and-Analytics">PHCoE Research and Analytics</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_3" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_3" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_3" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/PHCoE-Clinician-Resources">PHCoE Clinician Resources</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_4" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_4" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_4" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Primary-Care-Behavioral-Health">Primary Care Behavioral Health</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_5" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_5" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_5" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Psychological-Health-Readiness">Psychological Health Readiness</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_6">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_6" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_6" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Department-of-Defense-Suicide-Event-Report">Department of Defense Suicide Event Report (DoDSER)</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_7" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_7" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_7" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/inTransition">inTransition</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_8">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_8" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_8" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Psychological-Health-Resource-Center">Psychological Health Resource Center | 24/7</a>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_li_9" class="WithChildren-Closed">
<span id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_icon_9" class="NAVicon"></span>
<a id="pagecolumns_0_leftcolumn_0_navTree_navSubTree_1_navLink_9" href="/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/Real-Warriors-Campaign">Real Warriors Campaign</a>
</li>
</ul>
</li>
<li id="pagecolumns_0_leftcolumn_0_navTree_li_2" class="SideNav_L2">
<a id="pagecolumns_0_leftcolumn_0_navTree_navLink_2" href="/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence">Traumatic Brain Injury Center of Excellence</a>
</li>
</ul>
</div>
<div id="content" class="main2Column" data-ga-cat="Main Column">
<div>
<h1 id="pageDetailHeader">Seasonal Sadness</h1>
<span></span>
<div class="wysiwygcopy" data-ga-cat="Page Body">
<p><strong>By Amanda Edwards Stewart, Ph.D., ABPP<br> Oct. 21, 2021</strong></p>
<figure style="width: 450px; font-size: 12px; margin-left: 20px; float: right;">
<img style="width: 450px; height: 248px;" alt="Master Sgt in Rain dvidshub"
src="/-/media/Images/MHS/General-Images/PHCoE/Blogs/MasterSgt_in_Rain_dvidshub.ashx?h=248&w=450&la=en&hash=4548E8F8C6D3F2FC9C930E966E693B908F7D74C65B09E3D2585A5B8F8F81B865"> U.S. Army photo by John Wayne Liston
</figure>
<p>I live in Seattle, Washington, a city known for its rain and overcast days. In 2020, Seattle only had 71 days with full sun, and in the same year, we had 41 inches of rain. To put this in the content of typical rainfall, the U.S. had
an average of 30 inches of rain in 2020. When I look out my window between September and May, I usually see a gray sky with rain ranging from a fine mist to torrential downpour. </p>
<p> Much of the northern U.S. shares my fate, living in the same temperate climate. For some individuals, the seemingly endless gray of winter can affect their mood, especially those who suffer from major depressive disorder. Depression
symptoms include a low mood or loss of interest in all activities lasting for at least two weeks, nearly every day.</p>
<p>Depressed individuals often experience: </p>
<ul>
<li>Weight loss or gain</li>
<li>Sleeping too much or too little</li>
<li>Loss of energy</li>
<li>Feeling worthless</li>
<li>Problems concentrating</li>
<li>Recurring thoughts of death </li>
</ul>
<p>Major depression is a serious issue resulting in poor quality of life, decreased productivity and could lead to thoughts of suicide.<sup>1</sup> An estimated 16 million American adults suffer from major depression, and one study found
active duty soldiers have five times higher 30-day prevalence of depression than a comparative civilian group.<sup>2</sup> The World Health Organization identified major depression as one of the leading causes of disability.<sup>3</sup>
Depression is often underdiagnosed; only a third of individuals with severe depressive symptoms were treated by mental health professionals in the last year.</p>
<p>For those suffering from depression with seasonal patterns (formerly known as seasonal affective disorder), this shift in mood starts in the fall and ends in spring. These episodes of mood change are present for at least two years with
no non-seasonal depressive episodes during other seasons.<sup>5</sup> Research has not found a strong relationship between population rates of depression based on the seasons. However, seasonal depression is still a severe issue for
some individuals. </p>
<p>There are effective treatments for depression. For those with major depression with seasonal patterns, there is some evidence for the effectiveness of
<a href="/Reference-Center/Publications/2021/04/27/Light-Therapy-for-Major-Depressive-Disorder">light therapy</a> (also known as bright light therapy or phototherapy). This treatment involves exposure to bright artificial light
(2,500 to 10,000 lux) using a fluorescent lightbox once a day for 30 to 60 minutes, prescribed by a professional.<sup>7</sup> There are also other effective treatments for depression regardless of its relationship with the seasons.
These treatments include acceptance and commitment, behavioral activation, cognitive-behavioral, interpersonal, mindfulness-based cognitive, and problem-solving therapies, as well as medications such as bupropion.</p>
<p>To some extent, seasonal sadness affects everyone, but many people find ways of coping with these changes. For example, as soon as I sense fall coming, which involves a certain crispness to the air where I smell the decay of leaves and
feel the nights grow colder, I start to plan what soups I will make and go on bread baking binges. Healthy coping strategies that could benefit everyone includes finding something you enjoy and relating it to this change of season. For
those struggling with major depression with seasonal patterns, reach out to a mental health provider today. You don’t have to struggle with depression alone.</p>
<p><strong>References</strong></p>
<ol>
<li>
<p>Department of Veterans Affairs and Department of Defense (VA/DoD). (2016). <em>VA/DoD clinical practice guideline for the management of major depressive disorder</em>. Retrieved October 6, 2021, from
<a href="https://www.healthquality.va.gov/guidelines/MH/mdd/"><span style="text-decoration: underline;">https://www.healthquality.va.gov/guidelines/MH/mdd/</span></a></p>
</li>
<li>
<p>Kessler, R. C., Heeringa, S. G., Stein, M. B., Colpe, L. J., Fullerton, C. S., Hwang, I., Naifeh, J. A., Nock, M. K., Petukhova, M., Sampson, N. A., Schoenbaum, M., Zaslavsky, A. M., Ursano, R. J., & Army STARRS Collaborators
(2014). Thirty-day prevalence of DSM-IV mental disorders among nondeployed soldiers in the US Army: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). <em>JAMA
psychiatry</em>, <em>71</em>(5), 504–513. https://doi.org/10.1001/jamapsychiatry.2014.28</p>
</li>
<li>
<p>World Health Organization (WHO). (2017). <em>Depression and other common mental disorders: Global health estimates</em>. Retrieved on October 6, 2021, from
<a rel="noopener noreferrer" href="https://www.who.int/publications/i/item/depression-global-health-estimates" target="_blank">https://www.who.int/publications/i/item/depression-global-health-estimates</a></p>
</li>
<li>Pratt, L., & Brody, D. (2014, December). <em>Depression in the U.S. household population, 2009-2012</em>.
<a rel="noopener noreferrer" href="https://www.cdc.gov/nchs/data/databriefs/db172.pdf" target="_blank">https://www.cdc.gov/nchs/data/databriefs/db172.pdf</a></li>
<li>American Psychiatric Association (APA). (2013). <em>Diagnostic and statistical manual of mental disorders fifth edition</em>. American Psychiatric Association.</li>
<li>Øverland, S., Woicik, W., Sikora, L., Whittaker, K., Heli, H., Skjelkvåle, F. S., Sivertsen, B., & Colman, I. (2020). Seasonality and symptom of depression: A systematic review of the literature. <em>Epidemiology and Psychiatric
Science, 29</em>(e31), 1-15. https://doi.org/10.1017/S2045796019000209</li>
<li>Psychological Health Center of Excellence (PHCoE). (2021). <em>Light therapy for major depressive disorder</em>. Retrieved on October 6, 2021, from
<a href="/Reference-Center/Publications/2021/04/27/Light-Therapy-for-Major-Depressive-Disorder">https://health.mil/Reference-Center/Publications/2021/04/27/PHCoE-Evidence-Brief-Light-Therapy-for-Major-Depressive-Disorder-508</a>
<p> </p>
</li>
</ol>
<div class="clearfix"></div>
</div>
</div>
</div>
<div class="clearfix"></div>
</div>
<footer data-ga-cat="Footer">
<div class="FooterColumns">
<h3><a href="/About-MHS">About the MHS</a></h3>
<ul>
<li><a href="/About-MHS/MHS-Elements">Elements of the MHS</a></li>
<li><a href="/About-MHS/MHS-Initiatives">Initiatives and Areas of Impact</a></li>
<li><a href="/About-MHS/Biographies">MHS Leaders</a></li>
<li><a href="/About-MHS/Employment">Careers</a></li>
<li><a href="/About-MHS/OASDHA">Office of the Assistant Secretary of Defense for Health Affairs</a></li>
<li><a href="/About-MHS/Contact-Us">Contact Us</a></li>
<li><a href="/About-MHS/Social-Media">MHS Social Media</a></li>
<li><a href="/About-MHS/Other-MHS-Organizations">Other MHS Organizations</a></li>
<li><a href="/About-MHS/We-Want-Your-Feedback">We Want Your Feedback!</a></li>
</ul>
</div>
<div class="FooterColumns">
<h3><a href="/Military-Health-Topics">Military Health Topics</a></h3>
<ul>
<li><a href="/Military-Health-Topics/Access-Cost-Quality-and-Safety">Access, Cost, Quality, and Safety</a></li>
<li><a href="/Military-Health-Topics/MHS-Toolkits">MHS Toolkits and Branding Guidance</a></li>
<li><a href="/Military-Health-Topics/Business-Support">Business Support</a></li>
<li><a href="/Military-Health-Topics/Centers-of-Excellence">Centers of Excellence</a></li>
<li><a href="/Military-Health-Topics/Combat-Support">Combat Support</a></li>
<li><a href="/Military-Health-Topics/Conditions-and-Treatments">Conditions and Treatments</a></li>
<li><a href="/Military-Health-Topics/Health-Readiness">Health Readiness</a></li>
<li><a href="/Military-Health-Topics/MHS-Transformation">Military Health System Transformation</a></li>
<li><a href="/Military-Health-Topics/Total-Force-Fitness">Total Force Fitness</a></li>
<li><a href="/Military-Health-Topics/Privacy-and-Civil-Liberties">Privacy and Civil Liberties</a></li>
<li><a href="/Military-Health-Topics/Research-and-Innovation">Research and Innovation</a></li>
<li><a href="/Military-Health-Topics/Technology">Technology</a></li>
<li><a href="/Military-Health-Topics/Military-Medical-History">Military Medical History</a></li>
<li><a href="/Military-Health-Topics/All-Topics">All Topics</a></li>
</ul>
</div>
<div class="FooterColumns">
<h3><a href="/News">News</a></h3>
<ul>
<li><a href="/News/Articles">Articles</a></li>
<li><a href="/News/Calendar-of-Events">Calendar of Events</a></li>
<li><a href="/News/Gallery">Gallery</a></li>
<li><a href="/News/In-the-Spotlight">In the Spotlight</a></li>
</ul>
<h3><a href="/Training-Center">Training Center</a></h3>
<ul>
<li><a href="/Training-Center/Federal-Healthcare-Consortium">Federal Healthcare Consortium</a></li>
<li><a href="/Training-Center/Clinicians-and-Healthcare-Providers">Clinicians and Healthcare Providers</a></li>
<li><a href="/Training-Center/MHS-Staff">Military Health System Staff</a></li>
<li><a href="/Training-Center/COVID-19-Toolbox">COVID-19 Toolbox</a></li>
</ul>
<h3><a href="/Reference-Center/Policies">Policies</a></h3>
</div>
<div class="FooterColumns">
<h3><a href="/Reference-Center">Reference Center</a></h3>
<ul>
<li><a href="/Reference-Center/Congressional-Testimonies">Congressional Testimonies</a></li>
<li><a href="/Reference-Center/Fact-Sheets">Fact Sheets</a></li>
<li><a href="/Reference-Center/FOIA-Documents">FOIA Library</a></li>
<li><a href="/Reference-Center/Forms">Forms & Templates</a></li>
<li><a href="/Reference-Center/Frequently-Asked-Questions">Frequently Asked Questions</a></li>
<li><a href="/Reference-Center/Meeting-References">Meeting References</a></li>
<li><a href="/Reference-Center/Glossary-Terms">MHS Health Care Glossary</a></li>
<li><a href="/Reference-Center/Policies">Policies</a></li>
<li><a href="/Reference-Center/Presentations">Presentations</a></li>
<li><a href="/Reference-Center/Publications">Publications</a></li>
<li><a href="/Reference-Center/Reports">Reports</a></li>
<li><a href="/Reference-Center/Studies">Studies</a></li>
<li><a href="/Reference-Center/Technical-Documents">Technical Documents</a></li>
</ul>
</div>
<div class="FooterColumns">
<h3><a href="/I-Am-A">I am a...</a></h3>
<ul>
<li><a href="/I-Am-A/Caregiver-or-Family-Member">Caregiver or Family Member</a></li>
<li><a href="/I-Am-A/Leader">Leader</a></li>
<li><a href="/I-Am-A/Media">Member of the Media</a></li>
<li><a href="/I-Am-A/Medical-Professional-Educator-Researcher">Medical Professional, Educator or Researcher</a></li>
<li><a href="/I-Am-A/MHS-Staff">Member of the MHS Staff</a></li>
<li><a href="/I-Am-A/Service-Member">Service Member</a></li>
<li><a href="/I-Am-A/TRICARE-Beneficiary">TRICARE Beneficiary</a></li>
<li><a href="/I-Am-A/Vendor">Vendor</a></li>
<li><a href="/I-Am-A/Veteran">Veteran</a></li>
</ul>
</div>
<div id="DIVContactUs">
<h2 class="HiddenHeaders">Utility Navigation Links</h2>
<ul class="UtilityNav-footer">
<li><a href="/About-MHS">About MHS</a></li>
<li><a href="/About-MHS/Contact-Us">Contact Us</a></li>
<li><a href="/Reference-Center/Frequently-Asked-Questions">FAQs</a></li>
<li><a href="https://www.tricare.mil" target="_blank" rel="noopener">TRICARE</a></li>
</ul>
<a aria-label="Homepage" href="/">
<img src="/img/MHSseal.png" width="91" height="91" alt="MHS seal, opens Health.mil home page" class="MHSseal-Footer">
</a>
<div id="DIVsubscribe">
<a href="https://public.govdelivery.com/accounts/USMHS/subscriber/new">
<img src="/img/Contact-SocialMedia/SubscribeEnvelopeIcon.png" alt="Subscribe" id="subscribeicon">
Subscribe<br>for updates
</a>
</div>
<fieldset>
<legend>Contact Us</legend>
<ul class="socialMediaBlock social-footer largeIcons">
<li><a class="facebook" title="Visit us on Facebook" href="https://www.facebook.com/militaryhealth">
<span>Visit us on Facebook</span>
</a></li>
<li><a class="Twitter" title="Visit us on Twitter" href="https://twitter.com/militaryhealth">
<span>Visit us on Twitter</span>
</a></li>
<li><a class="YouTube" title="Visit us on YouTube" href="https://www.youtube.com/militaryhealth">
<span>Visit us on YouTube</span>
</a></li>
<li><a class="Flickr" title="Visit us on Flickr" href="https://www.flickr.com/photos/militaryhealth">
<span>Visit us on Flickr</span>
</a></li>
<li><a class="GovDelivery" title="Visit us on GovDelivery" href="https://public.govdelivery.com/accounts/USMHS/subscriber/new">
<span>Visit us on GovDelivery</span>
</a></li>
<li><a class="InstaGram" title="Visit us on Instagram" href="http://www.instagram.com/militaryhealth">
<span>Visit us on Instagram</span>
</a></li>
</ul>
<div id="emailLink" class="MediaBlock">
<a class="MB-imgWrap" href="/About-MHS/Contact-Us">
<img src="/img/Contact-SocialMedia/Icon_Envelope.png" alt="Email MHS">
</a>
<div class="MB-contentWrap">
<a href="/About-MHS/Contact-Us">Questions or feedback, let us know!</a>
</div>
</div>
</fieldset>
<div class="outreachLinks-footer">
<a href="https://www.safehelpline.org" target="_blank" rel="noopener">
<img src="/img/SafeHelplineBadge.jpg" alt="DoD Safe Helpline. Sexual Assault Support for the DoD Community. safehelpline.org. 877-995-5247">
</a>
<a href="https://www.veteranscrisisline.net/" target="_blank" rel="noopener">
<img src="/img/VeteransCrisisHotline-logo_v04.png" border="0" alt="Veterans Crisis Line, Military Crisis Line. 1-800-273-8255, press 1">
</a>
</div>
</div>
</footer>
<div id="footnotes" data-ga-cat="Footer">
<div class="FootnoteLogos">
<a href="/">
<img class="mhsfootnotelogo" src="/img/MHS-FootnoteLogo.png" alt="MHS Seal, opens Health.mil home page">
</a>
</div>
<img src="/img/Stethoscope.png" alt="" class="stethescope">
<ul id="footnoteLinks1">
<li><a href="/About-MHS/OASDHA/Defense-Health-Agency/DHA-Campaign-Plan" target="_blank" rel="noopener">DHA Strategic Plan</a></li>
<li><a href="http://dpcld.defense.gov/Privacy.aspx" target="_blank" rel="noopener">Privacy Policy</a></li>
<li><a href="/About-MHS/OASDHA/Defense-Health-Agency/EODM-Office" target="_blank" rel="noopener">No FEAR Act</a></li>
<li><a href="/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity" target="_blank" rel="noopener">Fraud and Abuse</a></li>
<li><a href="http://dodcio.defense.gov/DoDSection508/Std_Stmt.aspx" target="_blank" rel="noopener">508 Compliance</a></li>
<li><a href="/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA" target="_blank" rel="noopener">FOIA</a></li>
<li><a href="/About-MHS/OASDHA/Defense-Health-Agency/DHA-Office-of-the-Inspector-General" target="_blank" rel="noopener">DHAOIG</a></li>
<li><a href="http://dod.defense.gov/resources/dod-information-quality-guidelines" target="_blank" rel="noopener">Information Quality</a></li>
<li><a href="http://open.defense.gov/" target="_blank" rel="noopener">Open Government</a></li>
<li><a href="http://www.esd.whs.mil/dd/plainlanguage/" target="_blank" rel="noopener">Plain Writing</a></li>
<li><a href="http://www.usa.gov/" target="_blank" rel="noopener">USA.Gov</a></li>
<li><a href="http://www.whitehouse.gov/" target="_blank" rel="noopener">White House</a></li>
<li><a href="https://osc.gov/" target="_blank" rel="noopener">OCS</a></li>
</ul>
</div>
<div class="PDFnotice" data-ga-cat="Footer">
<p class="DHAaddress"><strong>DHA Address:</strong> 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101</p> Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing.
<a href="http://get.adobe.com/reader/" target="_blank" rel="noopener" title="Download PDF Reader">Download a PDF Reader</a> or
<a href="http://helpx.adobe.com/support.html" target="_blank" rel="noopener" title="Learn about PDFs">learn more about PDFs</a>.
</div>
<div class="ModalOverlay exitModal" data-ga-cat="Modal: Exit Notice">
<div class="ModalWindow exitModal" role="dialog" aria-labeledby="modalTitle" aria-describedby="modalDesc">
<span class="Modal-HealthMilLogo exitModal"></span>
<span class="Modal-ExternalLinkMessage exitModal">
<span class="Modal-MessageTitle exitModal" id="modalTitle">You are leaving Health.mil</span>
<p>The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use
these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the
stated purpose of this website.</p>
</span>
<span class="Modal-ExternalLinkMessage-Mobile exitModal">
<span class="Modal-MessageTitle-Mobile exitModal">You are leaving Health.mil</span>
<a href="/Disclaimer" title="Go to External Links Disclaimer" target="_blank" rel="noopener">View the external links disclaimer</a>. </span>
<a href="javascript:void(0)" class="Modal-OKbutton exitModal">OK</a>
<a href="javascript:void(0)" class="Modal-Cancelbutton exitModal">Cancel</a>
</div>
</div>
</div>
<script>
if ('doLaunchFeedback' in window) {
var dlf2 = doLaunchFeedback;
doLaunchFeedback = 'FSR' in window ? dlf2 : function(pLink) {
setTimeout(function() {
('FSR' in window && 'launchFeedback' in FSR) ? dlf2(pLink): doLaunchFeedback(pLink);
}, 1000);
return false;
}
}
mhs.events.add('ready', function() {
var n = 'iehidden';
var ieh = document.getElementsByClassName(n)[0];
if (ieh) setTimeout(function() {
ieh.classList.remove(n);
}, 10);
mhs.forEach('[data-modal]', function(x) {
x.addEventListener('click', function(e) {
window.open(this.href, 'ZipTool', 'toolbar=0,location=1,status=0,menubar=0,scrollbars=1,resizable=1,width=1100,height=768,top=0,left=0');
e.stopPropagation();
});
})
});
var fdl = document.getElementsByClassName('fdl-select')[0];
if (fdl) fdl.addEventListener("change", function() {
this.click()
});
mhs.events.add('load', function() {
mhs.forEach('.photoSlider, #spotlightVideoSlider', function(slider) {
slider.style.height = slider.id == 'spotlightVideoSlider' ? '270px' : '180px';
mhs.forEach(slider.getElementsByTagName('li'), function(li) {
var img = li.getElementsByTagName('img')[0];
if (!img) return;
li.style.width = img.width + 'px';
});
});
mhs.events.add('resize', function() {
setTimeout(function() {
var vid = document.querySelectorAll('[data-videosource=DVIDS]')[0];
if (vid) vid.style.width = "95%";
}, 500);
});
var n = 'iehidden';
var ieh = document.getElementsByClassName(n)[0];
if (ieh) setTimeout(function() {
ieh.classList.remove(n);
}, 10);
});
</script>
<script>
if (navigator.share) {
mhs.forEach('.shareThisBtn', function(btn) {
btn.style.opacity = "1";
btn.style.display = "inline-block";
});
}
mhs.events.add('fancybox', function() {
(function(i, s, o, g, r, a, m) {
i['GoogleAnalyticsObject'] = r;
i[r] = i[r] || function() {
(i[r].q = i[r].q || []).push(arguments)
}, i[r].l = 1 * new Date();
a = s.createElement(o),
m = s.getElementsByTagName(o)[0];
a.async = 1;
a.src = g;
m.parentNode.insertBefore(a, m)
})(window, document, 'script', 'https://www.google-analytics.com/analytics.js', 'gapgc');
gapgc('create', 'UA-42641570-11', 'auto');
gapgc('send', 'pageview');
});
</script>
<script type="text/javascript">
//<![CDATA[
var theForm = document.forms['mainform'];
if (!theForm) {
theForm = document.mainform;
}
function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
<script src="/WebResource.axd?d=aSyMVFVPXBlhQl-MM-1_k_yuevGBUH7jpchk3FM-syaXnBIs7WNV7FsofIb6gXAkGKw4tT21CxFZpfrWJb--nXKy-lpSHKRi0&t=637729440413207958" type="text/javascript"></script>
</form>Text Content
Tag Manager Back to Top Skip to main content Skip to sub-navigation
Health.mil: the official website of the Military Health System (MHS)
UTILITY NAVIGATION LINKS
* Contact Us
* FAQs
* Gallery
* TRICARE
Site Search
SOCIAL MEDIA LINKS
* Visit us on Facebook
* Visit us on Twitter
* Visit us on YouTube
* Visit us on Flickr
* Visit us on GovDelivery
* Visit us on Instagram
MAIN NAVIGATION
*
* About the MHS Open sub menu for About the MHS
* Topics Open sub menu for Topics
* Training Open sub menu for Training
* Policies Open sub menu for Policies
* Reference Center Open sub menu for Reference Center
* News & Gallery Open sub menu for News & Gallery
* I am a... Open sub menu for I am a...
JUMP TO NEWS PAGE CONTENT
* Articles
* Calendar of Events
* Gallery
* Infographics
* Photos
* Videos
* Social Media Directory
* In the Spotlight
UPCOMING EVENTS
* Jan 6
MHS Research Symposium
* Feb 16
Human Capital Solutions for the Future of Government
MOST RECENT UPDATES
ARTICLES
Enjoy Your Super Bowl Snacks with a Side of Food Safety While millions watch NFL
players battle it out in the Super Bowl, the real MVPs on Sunday will be chicken
wings—more than 1 billion will be consumed before, during and after the game!
Whether you bake, roast, fry or order in your ...
PHOTOS
VIDEOS
INFOGRAPHICS
FOLLOW US ON SOCIAL MEDIA
LISTING OF HEALTH.MIL'S SOCIAL MEDIA OUTLETS
* Visit us on Facebook
* Visit us on Twitter
* Visit us on YouTube
* Visit us on Flickr
* Visit us on GovDelivery
* Visit us on Instagram
Select a topic to learn more...
TOPICS SUBMENU
* ACCESS, COST, QUALITY, AND SAFETY
How the MHS provides safe, quality care when and where you need it
* ACQUISITION AND PROCUREMENT
Learn how to do business with the Defense Health Agency
* BUSINESS SUPPORT
Standardizing business operations and reducing costs
* CENTERS OF EXCELLENCE
Providing evidence-based practices for diagnosis and treatment of diseases
* COMBAT SUPPORT
Providing medical capabilities for Combatant Commands, the military services,
federal partners and partners and allies around the world
* CONDITIONS AND TREATMENTS
How MHS treats health conditions our patients may face
* CORONAVIRUS
Coronavirus
* HEALTH READINESS
Health readiness in support of global operations
TOPICS SUBMENU
* MHS TOOLKITS AND BRANDING GUIDANCE
Ready-to-use material to promote consistent messaging on key topics and
issues
* MILITARY HEALTH SYSTEM TRANSFORMATION
Building a more integrated system of health and readiness
* MILITARY MEDICAL HISTORY
Celebrating the history of military medicine
* PRIVACY AND CIVIL LIBERTIES
Protection of personally identifiable and protected health information
* RESEARCH AND INNOVATION
MHS is an industry leader in research, development and innovation
* TECHNOLOGY
Information Technology Supporting the Military Health System
* TOTAL FORCE FITNESS
Connecting eight dimensions of fitness to optimize health, performance and
readiness holistically
RECENT NEWS ARTICLES
* 2/11/2022 Enjoy Your Super Bowl Snacks with a Side of Food Safety
* 2/11/2022 Women’s Heart Attacks Symptoms Can Differ from Men’s: Know the
Signs
* 2/10/2022 For Thousands of Troops Eye Surgery is Key to Vision Readiness
Training opportunities in the Military Health System...
TRAINING FOR MHS STAFF
* Federal Emergency Management Agency Training Center
* USAF School of Aerospace Medicine Training Center
* U.S. Army Institute of Surgical Research (USAISR) Training Center
* Joint Knowledge Online (JKO) Training Center
* Navy Medicine Operational Training Center Training Center
TRAINING FOR CLINICIANS & HEALTHCARE PROVIDERS
* Navy Medical Department GME Training Center
* Medical Education and Training Campus Training Center
* Medical Education Directorate Training Center
* College of Distance Education and Training Training Center
* USAF School of Aerospace Medicine Training Center
Find Health Affairs and Defense Health Agency policy documents...
MOST POPULAR POLICY DOWNLOADS
* Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases
* 6025.11
* DHA-Policy Memorandum 21-004: Coronavirus Disease 2019 Vaccination
Attestation, Screening Testing, and Vaccination Verification
* 6025.45
* 6025.44
* 6025.13, Volume 3
* 6025.04
* 6025.13, Volume 4
* 6430.08
* HIPAA Compliant Business Associate Agreement
RECENTLY POSTED POLICIES
* 6430.08
* 6025.04
* 6025.44
* HIPAA Compliant Business Associate Agreement
Select a category to see reference products...
REFERENCES BY TYPE
* Congressional Testimonies
* Fact Sheets
* FOIA Library
* Forms & Templates
* Frequently Asked Questions
* Meeting References
* MHS Health Care Glossary
* Policies
* Presentations
* Publications
* Reports
* Studies
* Technical Documents
MOST POPULAR REFERENCES
* Cumulative Minutes 2020
* DHA Form 207: COVID-19 Vaccine Screening and Immunization Document, v17
* P&T Meetings 2003
* Military Acute Concussion Evaluation 2 (MACE 2)
* DoD COVID-19 Practice Management Guide Version 7
* ICD-10 Coding Guidance for TBI
* The Defense Medical Epidemiology Database System Overview Fact Sheet
* MSMR Vol. 28 No. 11 - November 2021
* MHS GENESIS Patient Portal Brochure
* Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases
RECENTLY POSTED REFERENCES
* Defense Health Agency Campaign Plan
* MDR Future SIDR
* Federal JHIE Total Partners Configured
* TBI and Caregiver Programs in the Department of Veterans Affairs and
Resources for Caregivers
ABOUT MHS SUBMENU
* ELEMENTS OF THE MHS
* INITIATIVES AND AREAS OF IMPACT
* MHS LEADERS
* CAREERS
* OFFICE OF THE ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS
* CONTACT US
* MHS SOCIAL MEDIA
* OTHER MHS ORGANIZATIONS
* WE WANT YOUR FEEDBACK!
Find helpful links and resources based on who you are...
SUBMENU FOR I AM A
* CAREGIVER OR FAMILY MEMBER
* LEADER
* MEMBER OF THE MEDIA
* MEDICAL PROFESSIONAL, EDUCATOR OR RESEARCHER
* MEMBER OF THE MHS STAFF
* SERVICE MEMBER
* TRICARE BENEFICIARY
* VENDOR
* VETERAN
Need larger text?
1. MHS Home
>
2. Military Health Topics
>
3. Centers of Excellence
>
4. Psychological Health Center of Excellence
>
5. Clinician's Corner Blog
>
6. Seasonal Sadness
SIDEBAR NAVIGATION
* Centers of Excellence
* Extremity Trauma and Amputation Center of Excellence
* Psychological Health Center of Excellence
* Clinician's Corner Blog
* Keep in Touch with PHCoE
* PHCoE Research and Analytics
* PHCoE Clinician Resources
* Primary Care Behavioral Health
* Psychological Health Readiness
* Department of Defense Suicide Event Report (DoDSER)
* inTransition
* Psychological Health Resource Center | 24/7
* Real Warriors Campaign
* Traumatic Brain Injury Center of Excellence
SEASONAL SADNESS
By Amanda Edwards Stewart, Ph.D., ABPP
Oct. 21, 2021
U.S. Army photo by John Wayne Liston
I live in Seattle, Washington, a city known for its rain and overcast days. In
2020, Seattle only had 71 days with full sun, and in the same year, we had 41
inches of rain. To put this in the content of typical rainfall, the U.S. had an
average of 30 inches of rain in 2020. When I look out my window between
September and May, I usually see a gray sky with rain ranging from a fine mist
to torrential downpour.
Much of the northern U.S. shares my fate, living in the same temperate climate.
For some individuals, the seemingly endless gray of winter can affect their
mood, especially those who suffer from major depressive disorder. Depression
symptoms include a low mood or loss of interest in all activities lasting for at
least two weeks, nearly every day.
Depressed individuals often experience:
* Weight loss or gain
* Sleeping too much or too little
* Loss of energy
* Feeling worthless
* Problems concentrating
* Recurring thoughts of death
Major depression is a serious issue resulting in poor quality of life, decreased
productivity and could lead to thoughts of suicide.1 An estimated 16 million
American adults suffer from major depression, and one study found active duty
soldiers have five times higher 30-day prevalence of depression than a
comparative civilian group.2 The World Health Organization identified major
depression as one of the leading causes of disability.3 Depression is often
underdiagnosed; only a third of individuals with severe depressive symptoms were
treated by mental health professionals in the last year.
For those suffering from depression with seasonal patterns (formerly known as
seasonal affective disorder), this shift in mood starts in the fall and ends in
spring. These episodes of mood change are present for at least two years with no
non-seasonal depressive episodes during other seasons.5 Research has not found a
strong relationship between population rates of depression based on the seasons.
However, seasonal depression is still a severe issue for some individuals.
There are effective treatments for depression. For those with major depression
with seasonal patterns, there is some evidence for the effectiveness of light
therapy (also known as bright light therapy or phototherapy). This treatment
involves exposure to bright artificial light (2,500 to 10,000 lux) using a
fluorescent lightbox once a day for 30 to 60 minutes, prescribed by a
professional.7 There are also other effective treatments for depression
regardless of its relationship with the seasons. These treatments include
acceptance and commitment, behavioral activation, cognitive-behavioral,
interpersonal, mindfulness-based cognitive, and problem-solving therapies, as
well as medications such as bupropion.
To some extent, seasonal sadness affects everyone, but many people find ways of
coping with these changes. For example, as soon as I sense fall coming, which
involves a certain crispness to the air where I smell the decay of leaves and
feel the nights grow colder, I start to plan what soups I will make and go on
bread baking binges. Healthy coping strategies that could benefit everyone
includes finding something you enjoy and relating it to this change of season.
For those struggling with major depression with seasonal patterns, reach out to
a mental health provider today. You don’t have to struggle with depression
alone.
References
1. Department of Veterans Affairs and Department of Defense (VA/DoD). (2016).
VA/DoD clinical practice guideline for the management of major depressive
disorder. Retrieved October 6, 2021, from
https://www.healthquality.va.gov/guidelines/MH/mdd/
2. Kessler, R. C., Heeringa, S. G., Stein, M. B., Colpe, L. J., Fullerton, C.
S., Hwang, I., Naifeh, J. A., Nock, M. K., Petukhova, M., Sampson, N. A.,
Schoenbaum, M., Zaslavsky, A. M., Ursano, R. J., & Army STARRS Collaborators
(2014). Thirty-day prevalence of DSM-IV mental disorders among nondeployed
soldiers in the US Army: results from the Army Study to Assess Risk and
Resilience in Servicemembers (Army STARRS). JAMA psychiatry, 71(5), 504–513.
https://doi.org/10.1001/jamapsychiatry.2014.28
3. World Health Organization (WHO). (2017). Depression and other common mental
disorders: Global health estimates. Retrieved on October 6, 2021, from
https://www.who.int/publications/i/item/depression-global-health-estimates
4. Pratt, L., & Brody, D. (2014, December). Depression in the U.S. household
population, 2009-2012. https://www.cdc.gov/nchs/data/databriefs/db172.pdf
5. American Psychiatric Association (APA). (2013). Diagnostic and statistical
manual of mental disorders fifth edition. American Psychiatric Association.
6. Øverland, S., Woicik, W., Sikora, L., Whittaker, K., Heli, H., Skjelkvåle,
F. S., Sivertsen, B., & Colman, I. (2020). Seasonality and symptom of
depression: A systematic review of the literature. Epidemiology and
Psychiatric Science, 29(e31), 1-15.
https://doi.org/10.1017/S2045796019000209
7. Psychological Health Center of Excellence (PHCoE). (2021). Light therapy for
major depressive disorder. Retrieved on October 6, 2021, from
https://health.mil/Reference-Center/Publications/2021/04/27/PHCoE-Evidence-Brief-Light-Therapy-for-Major-Depressive-Disorder-508
ABOUT THE MHS
* Elements of the MHS
* Initiatives and Areas of Impact
* MHS Leaders
* Careers
* Office of the Assistant Secretary of Defense for Health Affairs
* Contact Us
* MHS Social Media
* Other MHS Organizations
* We Want Your Feedback!
MILITARY HEALTH TOPICS
* Access, Cost, Quality, and Safety
* MHS Toolkits and Branding Guidance
* Business Support
* Centers of Excellence
* Combat Support
* Conditions and Treatments
* Health Readiness
* Military Health System Transformation
* Total Force Fitness
* Privacy and Civil Liberties
* Research and Innovation
* Technology
* Military Medical History
* All Topics
NEWS
* Articles
* Calendar of Events
* Gallery
* In the Spotlight
TRAINING CENTER
* Federal Healthcare Consortium
* Clinicians and Healthcare Providers
* Military Health System Staff
* COVID-19 Toolbox
POLICIES
REFERENCE CENTER
* Congressional Testimonies
* Fact Sheets
* FOIA Library
* Forms & Templates
* Frequently Asked Questions
* Meeting References
* MHS Health Care Glossary
* Policies
* Presentations
* Publications
* Reports
* Studies
* Technical Documents
I AM A...
* Caregiver or Family Member
* Leader
* Member of the Media
* Medical Professional, Educator or Researcher
* Member of the MHS Staff
* Service Member
* TRICARE Beneficiary
* Vendor
* Veteran
UTILITY NAVIGATION LINKS
* About MHS
* Contact Us
* FAQs
* TRICARE
Subscribe
for updates
Contact Us
* Visit us on Facebook
* Visit us on Twitter
* Visit us on YouTube
* Visit us on Flickr
* Visit us on GovDelivery
* Visit us on Instagram
Questions or feedback, let us know!
* DHA Strategic Plan
* Privacy Policy
* No FEAR Act
* Fraud and Abuse
* 508 Compliance
* FOIA
* DHAOIG
* Information Quality
* Open Government
* Plain Writing
* USA.Gov
* White House
* OCS
DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA |
22042-5101
Some documents are presented in Portable Document Format (PDF). A PDF reader is
required for viewing. Download a PDF Reader or learn more about PDFs.
You are leaving Health.mil
The appearance of hyperlinks does not constitute endorsement by the Defense
Health Agency of non-U.S. Government sites or the information, products, or
services contained therein. Although the Defense Health Agency may or may not
use these sites as additional distribution channels for Department of Defense
information, it does not exercise editorial control over all of the information
that you may find at these locations. Such links are provided consistent with
the stated purpose of this website.
You are leaving Health.mil View the external links disclaimer. OK Cancel