February in central New York often records the lowest temperatures of the year. Along with the lowest temperatures, February also records the highest incidence of depression. Often described as cabin fever or the mid-winter blues, the condition is recognized by professionals and lay people alike as a recurring problem where activity and sunlight are diminished for a period of months.

While February is not a month visited by many suicides associated with depression, it can be the start of a mood disorder which can worsen through the winter months and into the spring. Springtime is the time of year when most successful suicides occur. Mood disorders starting during the winter can continue to become more severe throughout the winter and culminate in desperation by springtime.

It is important to heed the signs of depression while in the beginning phases to nip the disorder in its budding phase. There are a list of symptoms for depression which I will list, but remember that it is a change in noticeable behavior that is the most important.

The symptoms are: an eating problem, eating too much or too little, sleeping disorder, problems falling asleep or staying asleep, insomnia, gastrointestinal problems such as diarrhea or constipation, loss of interest in preferred activities, severely sad mood often accompanied by crying which can't be stopped, negative thinking, inability to concentrate and remember and being easily distracted. Often people with depression appear to be the last to know. It is important that we learn to observe those close to us and become aware of these signs if we are to be helpful.

Two or more of the symptoms listed above are good reasons to consult with your primary care physician to begin early treatment for this serious disorder. Like many other conditions, early diagnosis and treatment are the best defenses against winter and springtime depression.

Be aware of your own emotional well being and be sensitive to those around you, depression is a physical as well as an emotional disorder which is best treated with medication and counseling.

David Blair is director of the Mental Health Facility in Cayuga County