Depression during the holidays

12/6/2018

December 2018
Article by Jon Platson, MSW, LCSW, Licensed Clinical Social Worker and Manager of Behavioral Health Outpatient Services (pictured right)


For many people, the holidays are a time to look forward to. Even with the stress of meal planning and gift giving, many of us still find it to be a happy time of year. But this isn’t always the case. For some people, the holidays can be an emotionally exhausting and difficult time.

In our work as mental health therapists at the Amery Hospital & Clinic Behavioral Health Center, my colleagues and I meet with many patients who describe concerns related to depression, not only around the holidays but all year round. Depression is considered one of the most common mental disorders in the United States. It is a medical condition that can impact a person’s body, feelings, thoughts and behavior.

It is important to recognize that depression is not a character flaw or a sign of weakness. It can affect anyone regardless of age, gender, ethnicity or occupation. While we may not always know what causes depression, there are some risk factors that can lead to depression. These risk factors include (but are not limited to): having a family or personal history of depression, chemical imbalances in the brain, chronic illness, experiencing abuse or violence, pregnancy and/or after giving birth (for women), or major life changes or stressors such as death, divorce, or relocating to a new home. And as I mentioned before, holidays, as well as the change in seasons, can also be significant stressors.

Feeling depressed during the holidays is a real but treatable concern. Here are some of the questions I get from patients, and how I answer them.

Is depression during the holidays a real thing?

Yes, it can be. Some people experience something called Major Depressive Disorder (MDD) with a seasonal pattern. This is what some people know as Seasonal Affective Disorder. It’s a clinical depression that tends to present itself beginning in late fall and can go on until early spring. It’s known to be linked with changes in light, so it’s more common in northern climates. Research shows that clinical depression with a seasonal pattern impacts as much as 6 percent of the population. But people who don’t normally struggle with depression can also have issues due to there being less daylight in the wintertime. The limited exposure to natural light can impact our body’s rhythms and neurochemical balance.

Can someone who normally does not suffer from depression be depressed over the holidays?

Yes. This may or may not be related to a diagnosis of MDD with a seasonal pattern. The holiday season comes with its own set of stressors and expectations, both internally and externally. Being overwhelmed by these holiday-related stressors can lead to symptoms of depression.

What triggers increased depression around the holidays?
The holiday season can be stressful. People are often busier. And trying to balance work and personal obligations can lead to more stress. It can also be a financially stressful time, since gift giving and events can take a toll on your wallet.

And while holidays are a time of joy, people sometimes have unrealistic expectations for how special something is going to be. This can lead to feelings of let-down later if those aren’t met. Similarly, people may be more likely to compare themselves to others during this time of year. It’s easy to look at someone’s holiday card and think their life is more perfect than it really is. This can lead to assuming everyone else around you is happy, and you’re the odd one out.

The holidays are also stereotypically a time to be surrounded by family or loved ones. This can bring up reminders of other emotions. There could be a family conflict that’s been going on for a while. Or, it could be the first holiday season after the passing of someone you love. That can re-trigger feelings of grief and loss, and be incredibly challenging.

In addition to the holiday-related stressors that winter can bring, the reduced sunlight and colder temperatures can also have effects. These seasonal changes can make people want to stay indoors or become less physically active during this time of year, which can have an impact on some people’s moods.

What should loved ones do to support someone with symptoms of depression during the holidays?

Listen empathetically. You don’t have to understand how someone is feeling to have respect for it.

Encourage your loved one to meet with a mental health professional who can do an individualized assessment with them and determine what they specifically need to get better. Our Behavioral Health Center has care teams who can help.

Be careful of accidentally shaming or minimizing someone’s experience. Instead, make a point to express feelings of hope. You can also offer to serve as a distraction. Invite them to go see a movie or try out a new restaurant with you.

And be sure to educate yourself. There’s a lot of misinformation about mental health issues. MakeItOK.org has some great resources and can help you with what to say and not to say to someone who is struggling.

What can someone with depression do during the holidays to take care of themselves?

There are many ways to help your mental well-being during the holidays. Some of these strategies may work better for you than others. But be sure to try a few to find what works best for your needs.
  • Make sure your expectations are realistic. Ask yourself if you’re expecting too much from yourself or others. Then, see how those expectations are making you feel. Are they helpful or hurtful?
  • Practice saying ‘no’. You’re one person, and there’s only so much you can do in a given day or a given holiday.
  • Limit external sources of holiday pressure. Maybe take a break from social media if seeing other people’s holiday photos is causing you to engage in self-comparison. Find winter activities to engage in that aren’t associated with the holidays – like snowshoeing, for example.
  • Don’t slack on self-care! If going to yoga helps you cope with stress, keep doing that. If spending time with friends helps, prioritize spending that time regardless of the season. Don’t underestimate the benefit of eating well, getting enough sleep and exercising. Prioritize taking time for yourself. Be open to experimenting with new self-care strategies. 
  • Work with a mental health professional. Talk therapy can help you cope with holiday-related stress. And if you’re dealing with MDD with a seasonal pattern, they may also recommend light box therapy or medication to help alleviate some of the symptoms. Talk with your primary care provider if you are interested in a referral for mental health services. 
  • Call the Polk County Crisis Line. If you or a loved one experience a mental health emergency and need immediate assistance, please call the Polk County Crisis Line at: 1-888-552-6642.

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