beginnerseasonal affective disorderlight therapycircadian rhythmnon-pharmacological treatmentSAD
A 25-year-old woman presents in October with her third consecutive fall-winter episode of depressed mood, hypersomnia, carbohydrate craving, and weight gain that fully remits each spring. Her PHQ-9 is 14. She has no prior medication trials and prefers a non-pharmacological treatment approach if evidence supports it. She works from home with a flexible morning schedule. What is the most appropriate first-line treatment recommendation?