The fall has finally arrived, bringing rain (hallelujah!), cooler temperatures, changing leaves, and of course pumpkin spice everything. Some people may experience big changes in their mood, motivation, sleep cycles, and food cravings during these months. Some changes are natural, expected, and manageable. A somewhat mild form of the ‘winter blues’ may affect up to 20% of people. However, for approximately 5% of Americans, these changes are disruptive and require extra care and attention.