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Introduction. Seasonal affective disorder (SAD) is a type of depression that comes and goes in a seasonal pattern. SAD is sometimes known as winter depression  because the symptoms are more apparent and tend to be more severe during the winter. The symptoms often begin in the autumn as the days start getting shorter. They're typically most severe during December, January and February.
SAD is a subtype of major depression characterized by onset at a certain time of year, usually the winter. First defined in 1984, SAD is also called âseasonal depressionâ, âwinter bluesâ or âmajor depression with a seasonal pattern.â Each of these terms refers to. a subtype of major depressive disorder. SAD is characterized by the following four central features: â¢ Recurrent major depressive episodes that start at approximately the same time every.