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Blue Monday: One-Session SAD Protocols

Blue Monday: One-Session SAD Protocols

January blues hit hard, but evidence-based interventions can make a real difference in just one session. This article presents three practical protocols for addressing Seasonal Affective Disorder symptoms, drawing on insights from mental health professionals who specialize in rapid-relief techniques. These straightforward strategies offer immediate tools to combat the winter slump without requiring weeks of therapy.

Take One Values-Aligned Action Today

I keep it very simple and focused on behavioral activation rather than trying to fix mood directly.
One exercise that consistently resonates is a values based activity prompt:
"Today, what is one small action you could take that would make the day feel 5 percent more like you?"
It might be a short walk in daylight, sending one message, or doing something mildly meaningful, not joyful. The goal isn't to feel better instantly, it's to interrupt withdrawal and rebuild momentum.
In a single session, that shift from "fix my mood" to "take one doable action" often creates noticeable relief.

Ali Yilmaz
Ali YilmazCo-founder&CEO, AI therapy

Do A Sensory Novelty Walk

I utilize a biopsychosocial CBT triage protocol that simultaneously addresses physiological components of seasonal affective disorder (SAD), including disrupted circadian rhythms, as well as their cognitive distortions, within one session. I focus on identifying "lethargy-induced rumination," in which clients have negative self-evaluations resulting from being physically inactive. By working on both the biological need for light and the cognitive need for objective self-evaluation, we can help clients prevent a seasonal mood dip from developing into a major depressive episode.

One of the most successful behavioral activation tasks is the "Sensory Novelty Walk." During this task, I assign clients to take a 10-minute walk while searching for three environmental features they haven't noticed before. This task has an enormous impact on clients because it allows them to have an external focus on their environment, directly counteracting the hibernation instinct associated with SAD. Most clients will report a reduction in SUDs almost immediately after completing the task. The transition from internal rumination to external sensory awareness significantly enhances their cognitive clarity and emotional regulation.

Judy Serfaty
Judy SerfatyClinical Director of The Freedom Center, The Freedom Center

Reframe The Dip And Schedule Relief

I utilize a brief behavioral activation along with a cognitive reframe protocol that helps clients differentiate seasonal mood dip from global hopelessness. During the 'Blue Monday' period, many clients over-generalize the dip ("This is how my life is now"), so the triage goal is to interrupt that fusion.

One worksheet prompt I use is: "If this low mood were seasonal and temporary, what would it ask of you this week?"

We then translate this into a behavioral activation task: Identify a low-effort activity (10-20 mins) that has previously shifted your mood; When exactly you will make it happen (day/time); what do you predict you mood will be before vs. after.

Clients report feeling in control and that they can, to an extent, change their mood and how it affects them overall.

Pragya Sharma
Pragya SharmaClinical Psychologist, Psyche in Motion

Pair A Cold Rinse With Warmth

A brief cold shower followed by a warm drink can create a sharp energy boost and a calm landing in one session. Start with 30 to 60 seconds of cool to cold water on the upper back and neck while keeping breathing steady. Step out, dry off, and prepare a hot tea or coffee, holding the cup and taking slow sips to anchor a sense of warmth. The temperature contrast can raise alert chemicals and focus, then shift the body toward comfort and ease.

Keep the shower short to avoid a stress crash, and stop if tingling or pain shows up. People with heart issues, blood pressure problems, or pregnancy should speak with a clinician before cold exposure. Set a timer and try a 45 second cool rinse followed by a mindful hot drink today.

Try Morning Bright Light For Reset

A brief dose of bright light can reset the body clock and lift mood on dark days. Use a 10,000 lux box placed at about arm's length and angled toward the face while doing a calm task. Keep eyes open, but do not stare into the light, and aim for 20 to 30 minutes in the early morning. Consistency and timing matter more than how interesting the task is during the session.

People with eye issues, skin light sensitivity, or bipolar disorder should check with a clinician first. Pair the session with water and a plan for the next step to carry the lift forward. Set up the lamp now and begin a 20 minute morning session today.

Set A Firm Dawn Wake Signal

One firm morning wake time followed by real daylight can nudge the body clock toward a brighter day. On waking, step outside within minutes, face the open sky, and allow 5 to 15 minutes of light to reach the eyes. Clouds still work, and a short walk or gentle stretch helps the signal get stronger. Avoid sunglasses during this brief window, and look around the horizon rather than at screens.

This approach can raise daytime alertness by giving the body a clear morning signal and setting night sleep on time. It works best when the wake time does not drift, even on days off, so choose a time that can be kept. Pick tomorrow's wake time now and plan a quick step outside as the very first task.

Practice The Physiological Sigh For Calm

A short breathing drill can shift the nervous system out of low mood tension and into a steadier state. Perform five rounds of the physiological sigh by taking a deep nasal inhale, adding a small top-up sniff, then a long relaxed exhale through the mouth. Sit or stand tall, relax the jaw and shoulders, and let the exhale be longer than the inhale. This pattern helps clear carbon dioxide and signals the body to lower heart rate and ease tightness.

There is no need to force the breath, and pausing for a few normal breaths between rounds can prevent lightheadedness. The practice pairs well with a short mood check and a plan for a simple task right after. Take one minute now and complete five calm rounds of the physiological sigh.

Move With Music To Raise Energy

A single session of rhythm entrainment can pull mood and movement upward through sound. Choose one to three songs around 120 beats per minute, and let the body match the beat with head nods, steps, or gentle bouncing. Keep the volume comfortable, breathe with the phrases, and picture a place or goal that feels bright. Moving to the beat raises energy and feel-good brain chemicals, while singing along can add social warmth even when alone.

Stopping on a high note helps the brain tag the session as rewarding, which makes the next try easier. This works in a chair or standing, and it pairs well with daylight or a tidy task done right after. Press play on a three song, 10 minute mini set and move with the beat now.

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Blue Monday: One-Session SAD Protocols - Counselor Brief