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Managing Holiday Stress When You’re Struggling with Mental Health

A multigenerational family enjoying a holiday meal together, sharing laughter and conversation around a dining table filled with food.

The holiday season is often described as the “most wonderful time of the year,” but if you’re struggling with your mental health, it can also be one of the most challenging. While others may seem full of joy, you might feel weighed down by pressure, expectations, or painful memories. Understand that your feelings are valid. The holidays can bring both light and shadow, and finding balance between the two takes intention, patience, and self-care.

Why the Holidays Can Bring Extra Stress

Even though the holidays are meant to be a time of connection and joy, they can also stir up a complex mix of emotions. For someone managing a mental health condition such as anxiety, depression, or bipolar disorder, the extra demands of the season can feel overwhelming.

  1. Unrealistic expectations. You may feel pressure to make everything perfect, whether it is hosting the ideal gathering, buying thoughtful gifts, or appearing happy even when you’re not. Social media and movies often portray the holidays as picture-perfect, which can make it hard not to compare your own experience to an idealized version of what “should” be.
  2. Financial strain. Giving the perfect gift, traveling to see friends or family, and attending holiday celebrations can quickly add up, creating stress that impacts both your mind and your wallet. Financial pressure can be especially difficult if you’re already feeling emotionally stretched thin.
  3. Family tensions and loss. Spending time with family can be comforting, but it can also be a trigger for past wounds. Conflicts, complicated relationships, or grief over loved ones who are no longer here can make this time of year painful.
  4. Disrupted routines. Holiday schedules often mean less sleep, more social events, and irregular meals. These can all destabilize your mood and energy levels. When your usual structure disappears, symptoms of anxiety or depression may become more noticeable.
  5. Loneliness and isolation. Not everyone has family nearby or a strong support system. You might feel left out when others are surrounded by loved ones, or you might find yourself retreating from social activities altogether. This sense of isolation can deepen feelings of sadness and disconnection.

What You Can Do to Minimize Holiday Stress

The holidays don’t have to feel like an emotional rollercoaster. With some gentle planning and self-awareness, you can create a season that supports your mental health rather than strains it.

  • Set realistic expectations. You don’t have to do it all. Permit yourself to scale back. Maybe that means buying fewer gifts, skipping a crowded event, or saying no to something that doesn’t bring you joy. Remind yourself that it’s okay if things aren’t perfect—what matters most is your well-being.
  • Protect your routine. Try to maintain the habits that help you feel stable. Keep a consistent sleep schedule, eat balanced meals, and make time for physical movement, even if it’s just a short walk outside. Routine helps anchor you when life feels unpredictable.
  • Create boundaries. Boundaries are not selfish—they’re essential. If certain situations or people drain your energy, plan for how you’ll manage them. You can limit how long you stay at gatherings, step outside for a break, or politely decline invitations that cause stress.
  • Prioritize self-care. Take time each day to recharge and take care of yourself. That might mean journaling, meditating, reading, or simply sitting quietly with a cup of tea. Even five minutes of intentional calm can make a difference. If you notice your emotions building, pause and breathe deeply—this small act helps signal safety to your nervous system.
  • Reach out for support. You don’t have to go through this season alone. Talk with trusted friends, join a support group, or schedule time with a therapist. If you’re already receiving treatment, continue attending appointments and be honest about how you’re feeling. If things become too difficult to manage on your own, reaching out for professional help is a sign of strength, not weakness.
  • Focus on what truly matters. Shift your attention from what you “should” do to what truly matters. Maybe that’s volunteering, spending quiet time with loved ones, or honoring a tradition that brings you comfort. When you focus on connection and gratitude rather than expectations, you often find deeper satisfaction and peace.
  • Plan for triggers. If certain situations or memories tend to make you anxious or sad, plan ahead. Have coping tools ready, like calming music, grounding exercises, or a trusted person you can call. Knowing you have a plan can help you feel more in control.

Finding Balance During the Holidays

The holidays are a time when emotions tend to feel bigger—both the joyful and the painful ones. It’s okay to experience both. Healing doesn’t mean forcing yourself to be cheerful when you’re not; it means allowing yourself to feel what you feel and responding with compassion.

Located in Kingsport, Tennessee, Creekside Behavioral Health is here to support you through every season of life. Our team provides compassionate care for adults and older adults experiencing mental health challenges such as anxiety, depression, and mood disorders. Whether you need inpatient stabilization or outpatient support, we offer personalized treatment plans designed to help you feel safe, supported, and empowered to heal.

If you or someone you love is struggling with mental health this holiday season, reach out to us today to learn more about our inpatient and outpatient programs and take the next step toward recovery.

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