As the days grow shorter and temperatures drop, many people begin to feel the effects of the changing seasons. For individuals living with complex health needs, the transition into winter can be particularly challenging. Reduced daylight, disrupted routines and increased time spent indoors can contribute to low mood and Seasonal Affective Disorder (SAD) — a form of depression that follows a seasonal pattern.
While SAD affects around 1 in 15 people in the UK, those with long-term conditions, mobility limitations or communication difficulties may be even more vulnerable. With the right support, however, winter can remain a time of comfort, connection and stability.
What is Seasonal Affective Disorder?
SAD is a type of depression triggered by reduced sunlight during autumn and winter. Common symptoms include:
- persistent low mood
- reduced energy or fatigue
- changes in sleep patterns
- loss of interest in usual activities
- difficulty concentrating
- increased anxiety or irritability
For people with complex needs — such as brain injury survivors, individuals with learning disabilities, spinal cord injuries or neurological conditions — symptoms may be harder to express or spot. Observing subtle changes becomes an essential part of daily care.
Why people with complex needs may be more affected
Some individuals may have limited opportunities to go outdoors, rely heavily on routine, or experience communication barriers that make describing their feelings difficult. Others may be more isolated during winter due to illness, reduced mobility or weather-related restrictions.
Additional factors can include:
- reduced sensory stimulation
- increased time indoors
- changes to therapy schedules or community activities
- disrupted sleep patterns
- higher levels of fatigue
- increased reliance on carers
All of these can influence emotional wellbeing.
How carers and families can help
Even small adjustments can make a meaningful difference to mental health during the darker months.
1. Create a predictable, calming routine
Regular activities, meals and sleep times help maintain stability and reduce anxiety.
2. Increase exposure to natural light
Open curtains early, sit near windows or encourage short outdoor time where possible. Some clients benefit from light therapy lamps, which mimic natural daylight.
3. Keep social connections strong
Regular visits, phone calls, sensory sessions or joint activities support emotional wellbeing and prevent isolation.
4. Encourage gentle activity
Movement — even simple chair-based exercises — boosts mood and circulation. For some clients, guided physiotherapy can help maintain routine and stimulation.
5. Prioritise sensory comfort
Warm lights, calming music, weighted blankets, aromatherapy and tactile activities can support emotional regulation, especially for people with autism or sensory differences.
6. Monitor changes closely
Look for differences in sleep, appetite, communication, engagement or cooperation with care. Early recognition helps teams intervene before symptoms escalate.
Our commitment at Synergy Complex Care
At Synergy Complex Care, we understand that mental health is just as important as physical wellbeing — especially during the winter months. Our carers are trained to recognise early signs of emotional distress, support meaningful daily routines and work alongside community mental-health teams when needed.
We tailor support to each person’s communication style, preferences and sensory needs, helping them feel safe, understood and connected throughout the darker months.
With compassionate support and proactive planning, winter does not have to be a difficult season. Together, we can help individuals with complex needs maintain confidence, comfort and wellbeing — no matter the time of year.
If you would like to explore how we support emotional and mental health alongside physical care, please contact our team.