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Psychiatry · Mood disorders: seasonal pattern
Sample itemA woman has depression every winter with hypersomnia, carbohydrate craving and weight gain, remitting in spring. Which treatment is specifically effective?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bright light therapy
The seasonal pattern specifier describes episodes recurring at a particular time of year, usually winter. Bright light therapy (about 10,000 lux in the morning) is a first-line treatment, alongside SSRIs.
Option by option
A. Lithium alone
Lithium is not the specific treatment of seasonal depression.
B. Bright light therapy (correct)
Correct. Morning bright light is the specific treatment.
C. Benzodiazepines
Benzodiazepines do not treat depression.
D. Sleep deprivation every night
Repeated sleep deprivation is not a routine remedy and can destabilise mood.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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