Stress, Anxiety and Depression During the Holidays
By Jocelyn R. Miller, PhD, Dean Medical Group Psychologist
Religious and cultural holidays lead most people to think of family, festivities, and fun. However, the holiday season presents many emotional, psychological, and physical challenges for which people are often unprepared.
Family Decisions & Flexibility
Although holidays are supposed to be an exciting time of celebration and renewal, the truth is that the holiday season contains many sources of stress.
Decisions have to be made as to when, how, and with whom various holidays will be observed. For families who have lost a central, organizing family member, making these types of decisions or changing traditions can be very stressful.
"My sisters and I had no idea what to do about Christmas after our mother passed away last summer," said one fifty-five year old woman. "In the past, we could all get along for one day at our mother's house, but this year, we could not agree on who should host the gathering, how to divide up the food and chores, or what to do about the gift exchange."
"Finally," she said, "after a lot of tears and phone calls, we decided that the oldest living sister should be the hostess. We just hope that our children and grandchildren will go along with the new plan."
Other families who struggle with decisions during the holiday season are separated, divorced, or two-household families.
Unless an agreement has been put in place by the courts specifying as many details as possible, parents can argue bitterly over exactly who will celebrate which holiday with their children. If both parents and their extended families live in the same area, children are often expected to somehow divide their holiday observances, sometimes celebrating the same holiday with as many as four different groups of relations.
Flexibility is the key for two-household families to have a peaceful holiday time.
Demands vs. Resources
Stress is defined as occurring when demands exceed resources. Thus, stress is an individual experience, based on the specific demands being placed on a person and offset by the various resources that the person can bring to bear to meet the demands.
Most adults already feel stretched to the limit of their resources just by the demands of daily life in today's fast-paced society. Holiday preparations create a new set of demands that can make many people feel overwhelmed.
Coping With Holiday Stress
Important factors in reducing this type of holiday stress include organization, advance planning, delegation of responsibilities, and simplification. Remember, holidays are not fun for the family if one family member is stressed, irritable, and exhausted from trying to make everything perfect for everyone else. Start working on holiday tasks several weeks earlier than you did last year, make and keep checklists in a central location, simplify holiday meals and desserts, and ask for help with other holiday chores so that everyone not only contributes to the special day, but is relaxed enough to enjoy it, too!
Expectations for holidays can run very high, and can trigger a lot of worries and fears. Anxiety lives in the thoughts of "what if . . .?" What if this or that doesn't turn out right? What if someone doesn't like their gift? What if everything isn't ready on time?
Holiday celebrations almost always involve large gatherings of people, as part of religious ceremonies, and as part of celebrations at the workplace or in people's homes.
Often times, people who have not seen each other in a year are spending time together and sharing space. All of this togetherness can be anxiety-provoking, particularly for those who suffer from social phobia, or for those who wish to avoid any type of conflict or disagreement. Although the goals of most holidays are family and community bonding, and spiritual renewal, the main result of the holiday season for many people is tension and worry.
If you find yourself struggling with frequent worries, feelings, of dread, loss of sleep, increased irritability or emotional outbursts, problems with appetite, or increased physical aches and pains, seek and evaluation from a health care provider. An objective professional can help assess the degree to which anxiety is affecting your life, and help you make a plan for appropriate interventions.
Holidays are supposed to be a happy time, right? But many people feel particularly sad and blue before, during, and after the holiday season. Family members and friends many not be very sensitive to someone who is experiencing depression during the holiday season, due to the cultural expectation that everyone should be joyful at certain times of year.
Grief & Loss
One reason why depression can appear or increase during holidays is due to feelings of grief and loss. Holidays are a time when people want to be with loved ones. Togetherness can trigger feelings of mourning for those who are not present, whether their absence is due to death, illness, or physical separation such as military duty overseas. Many people feel intense loneliness or abandonment as the holidays fill them with thoughts of absent loved ones.
Seasonal Affective Disorder (SAD)
Seasonal affective disorder is a second factor contributing to an upsurge in depression during the holiday season. SAD is a specific variant of the brain-based, chemical imbalances associated with clinical depression.
SAD usually occurs between November and March, especially in northern locations, when lower daily levels of sunlight affect the pineal gland in the brain.
If you are experiencing increased feelings of sadness, a pessimistic outlook on the future, increases in crying, fatigue, irritability, low self-esteem, sleep disturbance, or changes in appetite or weight, make an appointment with your health care provider at the earliest opportunity. As with anxiety, an objective professional assessment can help you choose among a variety of safe and effective interventions for any level of depression.
Jocelyn Miller, PhD is a psychologist with over 20 years of professional experience. She has two children, two adult stepchildren, and three step grandchildren, which challenges her to practice what she preaches on a daily basis. Dr. Miller joined Dean Medical Group in 1993. View Dr. Miller's profile.