COVID-19 may be making winter blues worse


UTICA — While some people love the cold weather months, hitting the ski slopes or watching snowflakes float to the ground, others, however, find winter a dreary time filled with feelings of loneliness and gloom.

“The winter blues doesn’t have a formal diagnosis, but it is very real,” said Dr. Sudha Bakshi, a psychiatrist and medical director for behavioral health at Excellus BlueCross BlueShield.

Feeling sad during the winter may also be a sign of seasonal affective disorder (SAD), which is a formally diagnosed disorder that often occurs this time of year when we have fewer hours of daylight. According to the National Institute of Mental Health, millions of adults in the U.S. may suffer from SAD, but many are not aware that they have the condition. Women experience SAD more often than men.

“This year, we must also acknowledge the pandemic, and its impact on mental health,” said Bakshi. According to a Kaiser Family Foundation poll conducted in mid-July of 2020, 53% of American adults reported that their mental health had been negatively impacted by worry and stress over the coronavirus.

“In times of stress, people often self-medicate,” said Bakshi. According to a 2020 national survey from the Blue Cross Blue Shield Association, certain negative behaviors that can impact anxiety, depression and substance use disorders have increased during the pandemic, including:

23% increase in alcohol

19% increase in smoking;

15% increase in vaping; and

13% increase in non-medical drug use

Prior to the pandemic, on average, 1 in 5 U.S. adults experienced a mental health condition in a given year, making mental illness more common than cancer, diabetes or heart disease. The myths and the stigma that surround mental illness can result in feelings of shame and isolation that can cause affected persons to deny symptoms and delay treatment.

“If there is any good news to come from the COVID-19 pandemic, it is the rapid adoption of telemedicine and the resulting increase in access to behavioral health services,” said Bakshi. Behavioral health services include treatment for mental health conditions and substance use disorders.

According to an analysis of health plan claims data by Excellus BCBS, there were about 950,000 telemedicine visits for behavioral health services from January to December 2020, which is a 13,000% jump in telemedicine visits for behavioral health compared to the same time period in 2019.

“Telemedicine for behavioral health services isn’t for everyone and every situation,” said Bakshi. “A conversation with your primary care provider is a good place to start if you have concerns about the winter blues or seasonal affective disorder.”

Excellus advises people to check with their health insurer to learn which telemedicine providers are recommended. Other resources include the National Alliance on Mental Illness at, and the U.S. Centers for Disease Control and Prevention at Oneida County also has a host of resources available at its website at


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