http://www.feelbrightlight.com/FAQ.46.0.htmlFrequently Asked Questions
What are Winter Blues and Seasonal Affective Disorder (SAD)?
'Winter Blues' refers to a set of symptoms many people get in the short daylight months (typically September to March), including sadness, fatuge, decreased libido, difficulty concentrating, irritability, increased sleep and appetite, carbohydrate craving and weight gain. SAD is the severe form of Winter Blues, so that you become clinically depressed and other symptoms become seriously debilitating. A key feature of Winter Blues and SAD is that symptoms appear as daylight decreases in the fall and disappear as daylight increases in the spring.
How common are Winter Blues and SAD?
Winter Blues and SAD tend to be more common as you move further from the equator. Winter days are shorter and daylight decreases as you move toward the North or South Poles. Perhaps 25% of people in the northern US & Canada suffer from Winter Blues, with 15-30% of these have SAD. People living in lower latitudes may also experience Winter Blues if they spend their days in offices that are typically much less bright than outdoors or if their winter weather is cloudy.
What is a circadian rhythm?
We all have an internal clock that determines our wake/sleep cycle known as the circadian rhythm. This circadian rhythm normally matches our day/night cycle, but may be disrupted by jet travel across time zones, work shift changes (day shift to night shift and back again), or some insomnias where our sleep phase gets 'out of sync'. When your circadian rhythm is disrupted, you suffer fatigue, decreased concentration and productivity, and increased work errors.
What is light therapy?
Light therapy is the shining of bright light into your eyes, typically for a half hour each session. Since the 1980's, light therapy has become the first line treatment for Winter Blues and SAD. Bright light can also be used to shift your circadian (wake/sleep) cycle, so it is used to prevent jet lag, minimize work shift change fatigue, and help abnormal sleep phase insomnias.
How does light therapy work?
We know that shining bright light into your eyes:
a) suppresses brain melatonin, causing wakefulness,
b) enhances brain seratonin, causing mood elevation.
Light therapy takes advantage of these effects to alter your circadian rhythm to prevent jet lag and work shift change fatigue and some insomnias, as well as to treat Winter Blues and SAD.
How much light is best?
Light therapy is measured in lux, which is a measure of the intensity of light as perceived by our eyes. Typical room light intensity is several hundred lux. Light therapy began years ago with what we now consider to be low doses - 500-2500 lux - for 1 to 2 hours. Studies show that treatment times can be reduced by increasing the light dose. Now 10,000 lux for 1/2 hour is considered by many to be a standard dose. The Feel Bright Light brackets this 'standard dose' by providing 8,000 or 12,000 lux, so you can adjust to surround light conditions while receiving a very effective dose of light.
How can I compare light doses between different devices?
Each device manufacturer publishes the intensity of their device (usually in lux) as measured at the recommended distance from your eyes. So the lux from a portable device that is 1-2 inches from yoru eyes is comparable to the lux of a desk-top device that is 18 inches from your eyes, etc.
What time of day is best?
For Winter Blues, a bright light session shortly after rising in the morning works best for most people. Some people benefit from an additional session in the late afternoon. Bright light use in the evening may disrupt your sleep pattern.
For circadian rhythm shifting, i.e. jet lag, shift work and sleep phase insomnias, the time of day to use bright light depends on whether you want to shift your circadian clock forward or backward. Detailed instructions come with the Feel Bright Light that recommend various schedules.
Some people use bright light to provide a temporary period of wakefulness, for example in the middle of a night shift, as an added 'boost'. However, there is little research available on this use of bright light and additional studies are needed.
What color is best?
Studies indicate that the blue-to-green range of light has the most effect on brain melatonin and seratonin. By using a narrow-range blue-green light, the Feel Bright Light provides more of this most effective light than blue, white or full-spectrum lights.
What type of lamp is best?
The best lamp provides:
a) high intensity;
b) maximum blue-to-green spectrum;
c) focused light for the best use of device light
d) long life;
e) small power requirement.
The bright, blue-green, narrow-angle, long-life LED bulbs used in the Feel Bright Light satisfy these needs very well.
Are bright lights medically approved and reimbursed?
Although clinicians increasingly understand and prescribe bright light therapy, there is, as yet, no light device that has completed the FDA process. Since bright light therapy is relatively new, insurance coverage is spotty. A claim may be initially rejected, but upon further explanation may be covered. Medicare does not routinely cover such devices. Expect coverage for SAD to improve as insurance companies learn that light therapy is far less expensive than antidepressants.
What research has been done?
Many studies have been done over the years that yield information about various aspects of phototherapy. Bright light effectiveness for Winter Blues and circadian rhythm shifting is well established. In addition, research is now looking at using bright light for: non-seasonal depression, post-partum depression, pre-menstrual syndrome, chronic fatigue syndrome, ADD, ADHD, bulimia, sustained wakefulness, substance abuse.
Does bright light cause side effects?
Reported side effects from bright light are generally uncommon and mild. They include:
a) nausea - which tends to pass quickly as light is continued;
b) headache, eye strain, agitation, insomnia - which is usually controlled by decreasing the light dose or altering the time of day that the bright light is used.
Significant side effects should be reported to your clinician.
Should I use bright light?
Reasons to consider bright light:
Most people with Winter Blues are likely to respond well to bright light. If your symptoms are severe, you may suffer from SAD. Light therapy may work well for you, but you should consult your clinician before choosing any therapy. Bright light can be used along with other treatments - for example, with antidepressants for SAD. Likewise, most people will respond to bright light for circadian rhythm adjustment - i.e., jet lag, shift change work and some insomnias.
Reasons to not use bright light:
Generally, bright light is very safe. You should consult your clinician prior to starting bright light sessions if you:
a) have any eye disorder (e.g., cataracts, glaucoma, retinal disease);
b) have any disease with high risk for eye problems (e.g., diabetes, lupus);
c) have any problem triggered by bright light (e.g., migraine)
d) take photosensitizing medication (e.g., certain psychiatric drugs, melatonin).
The Feel Bright Light should not be used in dimly lit areas, as you may have difficulty seeing beyond the visor lights. Likewise, the Feel Bright Light should not be used while driving or operating equipment.
Why should I use the Feel Bright Light?
The Feel Bright Light is the lightest, brightest, most user-friendly device available. It allows you to move about, doing most of your normal activities, while receiving your bright light session. Since you do not have to sit in one place for 1/2 hour each day, you are much more likely to stay with your bright light program.
In addition, the Feel Bright Light provides you more of the effective blue-green light than any other light device - blue, white or full spectrum.
Only the Feel Bright light allows you to choose 8,000 or 12,000 lux, matching your light dose to your preference.
The Feel Bright Light has an automatic 30-minute shut-off, a desirable feature for "medical phototherapy devices".
The long-lived, rechargeable battery will last for 3 one-half hour sessions at 12,000 lux or 4 sessions at 8,000 lux. It will last for thousands of recharge cycles.
Unlike other bright light devices, you can use your Feel Bright Light overseas in countries that have 220/240 volt power. Only a plug converter is needed.
Under heavy use, the Feel Bright Light lamps and battery will last over 10 years.
The Feel Bright Light comes with a 30-day, no-questions-asked, money-back guarantee and a lifetime warranty against defects of materials or workmanship.
The price is very competitive.
Should I use a portable or a desktop device?
Most desktop devices provide 10,000 lux and are effective. If you can sit in one place for a half-hour each morning, a desktop device may work well for you. However, you may find it much more convenient to do your normal daily activities while receiving your bright light sessions. A portable device may be the only way to achieve your goals and stay with a bright light program. The Feel Bright Light is the most effective, most convenient device for this purpose. Many people own both a desktop and a portable device and they use either under different circumstances.
How soon should I feel better after using bright lights?
The effect of bright light is prompt - hours to days, generally not weeks or months. For jet lag and shift change fatigue, the bright light is used to prevent symptoms before they actually occur.
How long will I need to use bright lights?
For Winter Blues, most people use the lights daily each winter until their symptoms abate as the days lengthen (typically in March or April). For jet lag, bright lights are used prior to the trip to adjust circadian rhythms to match the day/night cycle of the destination. For shift change fatigue, lights are used prior to changing shifts (day to night, or night to day). For sleep phase insomnias, the problem may be long-term for the elderly, but teens tend to 'grow out of it'.
Should I look directly at the light?
No. You should let the light be in your peripheral visual field - preferably above your line of sight, so the bright light hits your lower retina for the best effect. Some clinicians recommend occasionally looking directly at the light for brief periods.
Can I get light therapy with my eyes closed?
The positive effects of most light therapy studies have been done with the eyes open. The standard 10,000 lux for 30 minutes session assumes your eyes are open.
Will the bright light hurt my eyes?
Bright light at 10,000 lux is within the range of light we experience almost every day - from a dimly lit room of 100 lux to a sunny day outside of 40,000 lux. Eye exams of subjects receiving up to 20,000 lux have revealed no risks. Bright lights may cause some people to "see spots" for a short period after use. These "spots" normally disappear within a few minutes. Elderly people ma take longer - up to 10 minutes - to return to normal.
Can I drive my car while using the Feel Bright Light?
No. The Feel Bright Light may be safely used while doing many daily activities, but should not be used while driving or operating equipment. Depending upon the background (ambient) light, it may be difficult to see well beyond the lights mounted on your visor.
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