The holidays are just around the corner. Although they can be filled with good tidings and cheer, not everyone feels happy during the holiday season.
For people who have lost loved ones, this time of year can evoke feelings of sadness and depression. For others, the pressures of gift giving and hosting holiday soirees can lead to anxiety and overspending.
“The “holiday blues” is a real phenomenon that can lead to unhealthy behaviors such as excessive drinking, overeating or insomnia,” said Kaiser Permanente San Jose Assistant Physician in Chief Jack Redwine, MD. “Just like physical health, mental health is influenced by a variety of factors – genetics, brain chemistry, family history, and social and environmental factors. Physical health factors – including nutrition and sleep – also play a role.”
Redwine added that it’s important to recognize the warning signs of anxiety and depression, which might include persistent sadness that lasts two weeks or more, feeling overly fearful or anxious, avoiding social interactions, and extreme anger or irritability. Other symptoms include drastic changes in eating habits, sleep, behavior and personality.

Older adults are particularly vulnerable
For people who have lost loved ones, this time of year can cause a yearning for past holiday celebrations. Older adults are particularly vulnerable. Although many seniors say they prefer to stay home, it’s actually better for them to be around their family and friends.
“Loneliness leads to depression,” Redwine said. “If your grandma doesn’t want to attend a large family gathering, bring the holiday to her in a small-group setting. Surprise her with a nutritious meal. You can use the holiday to honor and remember a family member who has passed away.”
Keep track of holiday finances
The pressures of gift giving can cause tremendous anxiety during the holidays. Be careful to stay within your budget when buying gifts.
“You can show love and caring with any gift that is meaningful and personal, and it doesn’t have to cost a lot,” Redwine said. “The gift of shared time or experiences creates lasting memories.”
A handwritten letter expressing appreciation for a friend or a donation in a loved one’s name are excellent gifts.
Tips to relax and enjoy the season
Family get-togethers can be a source of stress during the holidays, particularly when political conversations arise.
“If someone is being inappropriate at a family party, put a pin in it and redirect the conversation,” Redwine advised. “For example, if your cousin is pushing your buttons, simply say, ‘We don’t get to see each other very often. I don’t want politics to take time away from spending quality time with each other because I care about you.’”
Other health tips include getting enough rest, eating healthy food, limiting alcohol and taking vitamin D, which can help with mood.
“At Kaiser Permanente, we have therapists and other support groups for people of all ages,” Redwine said. “I encourage people to reach out for help and not to lose hope. With the right resources, the holidays can be a joyful time for all.”
Visit kp.org/mentalhealth for more information and resources.



