Winter Holiday Affective Disorder (WHAD)

xmasmeds

by Patrick Redding & Rob Colfax

Memo to staff psychologists: please insert the following sheet into your copies of the Diagnostic and Statistical Manual of Mental Disorders (DSM). At this time of year, it is likely that you may see an increase in complaints of depression. Be aware of the diagnostic criteria for the specifier Seasonal Affective Disorder (or SAD) as well as this new category, Winter Holiday Affective Disorder (or WHAD).

Criteria for Winter Holiday Affective Disorder (WHAD):

At least five of the following symptoms have been present over the majority of a two-week period, and represent a change from previous functioning. At least one of the symptoms is either (1) Winter holiday-related complaints or (2) general lack of jolliness.

NOTE: Do not include symptoms that are clearly due to a general medical condition (for example, pregnancy) or delusions or hallucinations (for example, seeing dancing sugarplums during alcohol withdrawal).

1. Winter holiday-related complaints

2. Marked lack of jolliness and good will

3. Loss of interest in nearly all activities (do not include sitting in a stupor in front of the TV during football playoffs)

4. Significant weight gain or increase in appetite (especially cravings for “special” foods such as turkey, fudge, rum balls, etc.)

5. Insomnia (including sleeplessness due to carolers outside who just won’t shut up) or hypersomnia (including overdoses of tryptophan from excessive turkey consumption as well as repeated viewings of “Frosty the Snowman” reruns)

6. Psychomotor agitation (including twitching and “bite reflex” exhibited at the sight or sound of Salvation Army bell-ringers, but not including seizures due to those little chasing lights)

7. Repetitive vocalizations (such as “fa-la-la-la-la-la-la-la-la” or “Ho ho ho!”)

8. Fatigue or loss of energy at the mention of weekend shopping at the mall

9. Feelings of worthlessness or excessive or inappropriate guilt when unable to come up with “the perfect gift”

10. Discoloration of extremities (such as red nose – do not include redness due to excessive alcohol consumption from self-medication)

11. Paranoia, as evidenced by random vocalizations such as “He knows when you’re sleeping! He knows when you’re awake!”

12. Diminished ability to think or concentrate, or indecisiveness, particularly when changing lanes in downtown traffic

13. Recurrent homicidal ideation without a specific plan, or a homicide attempt (including attacking the mall Santa with a picket from the fence around the “Santaland” display) or a specific plan for committing homicide (do not include shooting at the neighbor’s plastic rooftop reindeer)

14. Bizarre ideations (including, but not limited to, belief in elves, talking reindeer, and peace on earth)
Keep Calm and Hibernate

Statistics indicate that WHAD symptoms may be more apparent in individuals employed in retail occupations, but WHAD has been diagnosed over a widespread range of demographics.

In most cases, WHAD symptoms decrease significantly after 6-8 weeks, though flare-ups may continue until St. Patrick’s Day.

There is currently no treatment for WHAD, although symptoms may be alleviated by mild sedatives, antipsychotics, or a weekend in the Bahamas.

© Copyright 2003 by Patrick Redding & Rob Colfax. Republished 2007, 2011, 2014, 2015.

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