Coping with the Winter Blues during the Holiday Season

The winter season can bring emotional challenges for many people, with some experiencing Seasonal Affective Disorder (SAD) while others face the stress and emotional toll of the holiday season. Manning Regional Healthcare Center (MRHC) aims to help individuals recognize and cope with both SAD and depression during the holidays.

Recognizing Seasonal Affective Disorder (SAD)
SAD is a form of depression triggered by reduced sunlight. According to the American Psychiatric Association, its symptoms closely mirror those of depression, including:

  • Low mood and energy
  • Fatigue
  • Oversleeping or difficulty sleeping
  • Loss of interest in activities
  • Cravings for carbohydrates and subsequent weight gain

“Many of us have days that we don’t feel like ourselves, and sometimes the winter months can enhance those feelings,” said Janet Brus, RN, program director for Senior Life Solutions at MRHC. “Be aware of how you are feeling. If you normally get up and perform your daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities, you may be experiencing seasonal affective disorder.”

Brus recommends staying active, reading, maintaining a healthy diet, and seeking professional support if symptoms persist.

Understanding Holiday-Related Depression
While the holiday season is often filled with celebrations, emotional distress during this time is frequently linked to increased stress and elevated expectations. Some individuals may face grief, financial strain, loneliness, or pressure to “make the holidays perfect.”

“The holidays can be both joyful and emotionally challenging,” said MRHC Mental Health Therapist Tiffany Johnson, T-LMHC. “It’s important to use coping skills and lean on support to address difficult feelings before they get worse. The holidays are meant to bring us together and remind us of who we can trust.”

Practical Tips to Manage Holiday Stress and Depression
  • Set Realistic Expectations: Avoid pressure to create a perfect holiday. Focus on meaningful moments rather than perfection.
  • Maintain Routines: Stick to regular sleep, meals, and exercise routines, especially for children.
  • Establish Boundaries: Say no when needed to avoid burnout from over-commitment.
  • Engage in Self-Care: Dedicate time for relaxation and activities you enjoy.
  • Connect with Others: Combat loneliness by reaching out to friends, family, or support groups.
  • Manage Finances: Stick to a holiday budget and consider thoughtful, low-cost gifts.

While adults may typically feel the weight of the holiday stress, children can be affected too. Parents can support their child’s emotional well-being by keeping consistent routines, limiting screen time, and encouraging meaningful conversations.

“This is a great time to connect with your children and build a close relationship,” said MRHC Mental Health Therapist Hollie Schechinger, LISW. “Talk with your kids about their day during a fun activity where they can open up and not feel like they are being questioned. Most importantly, have fun with your kids!”

When to Seek Help
If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or your child is struggling with depression or anxiety, contact your primary care provider for an evaluation. MRHC also provides mental health services to support individuals of all ages:

Counseling Services in person or virtually for individuals 12 and older. Call (712) 655-2072 to schedule an appointment.

Play Therapy to support children five and older. Call (712) 655-2072 to schedule an appointment.

Senior Life Solutions for individuals 65+ struggling with anxiety, depression, or life transitions. Call (712) 655-8262.

The Recovery Center provides residential and outpatient treatment. Call (712) 655-2300 for help.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or call or text 988 for confidential, 24/7 support.

Setting Healthy Boundaries During the Holidays

Healthy boundaries and realistic expectations are essential for protecting mental health during the holiday season. Boundaries help safeguard your time, energy, emotional well-being, and personal space, while expectations influence how you feel the holidays “should” go. To support the community during this busy time, Manning Regional Healthcare Center (MRHC) is sharing tips to help individuals navigate these pressures and encourages anyone experiencing increased mental health concerns to seek professional support.

“The holidays are viewed as a joyful season, but the pressure to be happy can increase stress, especially for those already managing mental health conditions,” said MRHC Mental Health Counselor Hollie Schechinger, LISW. “This expectation can heighten feelings of depression or anxiety this time of year.”

When boundaries are unclear or expectations become unrealistic, individuals may experience guilt, heightened stress, and emotional fatigue. Clear boundaries and realistic expectations promote emotional stability and healthier holiday traditions. To support this, MRHC encourages individuals to intentionally establish boundaries, adjust expectations, and implement practical strategies that foster a more balanced and meaningful holiday season.

Types of Healthy Boundaries

  • Emotional Boundaries: Protecting emotional safety by taking breaks when needed.
    Example: “I need a few minutes to step away and take a break.”
  • Time and Energy Boundaries: Setting limits on availability or participation.
    Example: “I can come for a bit, but I’ll need to leave by 6:00.”
  • Role Boundaries: Adjust caregiving, hosting, or “doing it all” expectations.
    Example: “I can help set the table, but I can’t host this year.”
  • Conversation Boundaries: Redirect or decline topics that are stressful or triggering.
    Example: “Let’s focus on positive memories today instead of difficult topics.”
  • Physical/Sensory Boundaries: Honor comfort, mobility, and health needs.
    Example: “I need a chair with back support.”

Realistic Expectations to Hold

  • Expect Mixed Emotions: Gratitude and grief, joy and loneliness, connection and stress can all exist at once.
  • Expect Imperfection: Awkward silences, burnt food, last-minute changes, or tension are normal and do not mean failure.
  • Expect Energy Limits: Fatigue may occur more quickly, and taking breaks or leaving early may be appropriate.
  • Expect People to Be Themselves: Family members may continue their usual patterns, and individuals can focus on adjusting their own response regardless of others’ behavior.
  • Expect Your Needs to Matter: Participation itself is meaningful; contribution does not require perfectionism or taking on excessive tasks.

Practical Strategies for Navigating Boundaries & Expectations

  • Use “gentle but direct” phrases:
    “I’m going to pass on discussing that topic.”
    “Thank you for thinking of me, but that doesn’t work for me.”
    “I need a little space; I’ll rejoin in a bit.”
  • Practice “short & kind” responses when explanations aren’t needed:
    “No, thank you.”
    “Not this year.”
    “I’m taking care of myself today.”
  • Prepare a backup plan:
    A quiet room to step away to, a supportive person to sit with, have transportation available if an early exit is needed, or a list of “safe topics.”
  • Release the pressure to please everyone:
    Use the mantra: “I’m responsible for how I show up, not for how others feel.”
  • Normalize taking breaks:
    Join in the moments that feel good, sit near an exit if that helps, take slow breaths, or step out for a short walk when things feel heavy.
  • Focus on today, not the past:
    Stay present, let go of old roles or wounds, and create new traditions that fit your current reality.

Healthy boundaries and realistic expectations can make the holidays feel more manageable and emotionally safe. However, if feelings of sadness, anxiety, or stress begin to interfere with daily routines, seeking professional support is important. For those who are struggling, MRHC offers a range of mental health services for individuals of all ages:

Counseling Services: Available in person or virtually for individuals 12 and older. Call (712) 655-2072 to schedule an appointment.

Play Therapy: Supports children five and older dealing with stressful or traumatic experiences. Call (712) 655-2072 to schedule an appointment.

Senior Life Solutions: Group therapy for individuals 65+ struggling with anxiety, depression, or life transitions. Call (712) 655-8262 for support.

The Recovery Center: Residential and outpatient treatment for substance use concerns. Call the Recovery Center at (712) 655-2300 for help.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-8255 or text or call 988 for confidential, 24/7 support.

Seasonal Affective Disorder vs. Holiday Depression

The winter season can bring emotional challenges for many people, with some experiencing Seasonal Affective Disorder (SAD) while others face the stress and emotional toll of the holiday season leading to holiday depression. Manning Regional Healthcare Center (MRHC) aims to help individuals recognize the differences between these conditions and offers strategies to manage both.

“Many of us have days that we don’t feel like ourselves, and sometimes the winter months can enhance those feelings,” said Janet Brus, RN, program director for Senior Life Solutions at MRHC. “Be aware of how you are feeling. If you normally get up and perform your daily activities and instead find yourself staying in bed longer, not getting dressed, or avoiding activities, you may be experiencing seasonal affective disorder.”

Seasonal Affective Disorder (SAD)

SAD is a form of depression triggered by reduced sunlight. According to the American Psychiatric Association, its symptoms closely mirror those of depression, including:

  • Low mood and energy
  • Fatigue
  • Oversleeping or difficulty sleeping
  • Loss of interest in activities
  • Cravings for carbohydrates and subsequent weight gain

To combat SAD, Brus recommends staying active, reading, maintaining a healthy diet, and seeking professional support if symptoms persist.

Understanding Holiday Depression

Unlike SAD, holiday depression is tied to stress, expectations, and emotions surrounding the holiday season. This time of year can trigger stress, anxiety, and feelings of loneliness. Some people are excited to share Christmas with loved ones, while others are mourning a loss. Some are shopping for perfect gifts, but others are struggling financially and anxiously checking their bank accounts. Some can’t wait for their yearly Christmas party with friends and family; others may be stressed by the thought of it.

“Not everyone experiences the holidays in the same way,” shared Brus. “It’s important to prioritize mental health and address feelings of distress before they escalate.”

Practical Tips to Manage Holiday Depression

Set Realistic Expectations: Avoid pressure to create a perfect holiday. Focus on meaningful moments rather than perfection.

Maintain Routines: Stick to regular sleep, meals, and exercise routines, especially for children.

Establish Boundaries: Say no when needed to avoid burnout from over-commitment.

Engage in Self-Care: Dedicate time for relaxation and activities you enjoy.

Connect with Others: Combat loneliness by reaching out to friends, family, or support groups.

Manage Finances: Stick to a holiday budget and consider thoughtful, low-cost gifts.

For parents, taking time to engage with children, setting aside time where all devices (including parents’ cell phones) are put away, ensuring they aren’t isolating themselves, sticking to routines like consistent bedtimes, and having open conversations can help foster emotional well-being.

“This is a great time to connect with your children and build a close relationship to let them know that you are a safe person they can talk to,” said MRHC Mental Health Counselor Hollie Schechinger, LMSW. “Talk with your kids about their day during a fun activity where they can open up and not feel like they are being questioned. Most importantly, have fun with your kids!”

When to Seek Help

If feelings of sadness, anxiety, or stress persist and interfere with your daily routine, it is important to seek professional help. If you or your child are struggling with depression or anxiety, contact your primary care provider for an evaluation. MRHC also provides mental health services to support individuals of all ages:

Counseling Services: These services are available in person or virtually for individuals 12 and older. Call (712) 655-8100 to schedule an appointment.

Play Therapy: This is an intervention method to support children five and older in navigating traumatic experiences. Call (712) 655-8100 to schedule an appointment.

Senior Life Solutions: Group therapy for individuals 65+ struggling with anxiety, depression, or life transitions is available through this program at MRHC. Call (712) 655-8262 if you need support.

The Recovery Center: If the stress and pressure from the holidays have caused you or a loved one to turn to drugs and alcohol to cope, please call the Recovery Center at (712) 655-2300 for help. Residential and outpatient treatment are available.

If you or someone you know is in immediate distress, contact the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or dial 988 for confidential, 24/7 support.

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