How Holidays Affect Mental Health: Stress, Depression, Anxiety, And The Holiday Blues

Medically reviewed by Andrea Brant, LMHC
Updated November 7th, 2025 by BetterHelp Editorial Team

The holiday season can be a time of joy, meaning, and gratitude, as it brings family and friends together to celebrate and share meals. However, for some, it can also raise challenging feelings and create conflict. When left unaddressed, such stress can evolve into more serious mental health issues affecting various areas of an individual’s daily life after the festivities are over. This article discusses how the holiday season can impact mental health, and what you can do to balance celebration and well-being. 

A family sits on a couch while a young girl sits on the floor in front, posing for a photo.
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Holiday stress can cause mental health challenges

What are the “holiday blues”?

The “holiday blues” isn’t a formally recognized psychiatric condition. Instead, it is a colloquial term used to describe the temporary feelings of sadness, anxiety, or depression that many people experience during the holiday season. Symptoms may also include fatigue and tension, potentially resulting in physical discomfort. 

What causes the holiday blues? Is it a mental illness?

The holiday blues could be caused by a single factor; however, it’s more often an amalgamation of several factors that combine to become overwhelming. For example, the demands of travel, gift-giving, and social obligations can cause significant stress. Sometimes, media and society promote idealized images of the holidays, leading to feelings of inadequacy or disappointment when reality doesn't match. 

There may be individual factors as well. For example, the season can evoke memories of loved ones who have passed away or celebrations that can no longer be enjoyed in the same way. Additionally, disruptions in eating and sleeping patterns, such as a lack of sleep or excess eating and alcohol consumption, can affect stress levels. 

Holiday blues vs seasonal affective disorder (SAD)

Although the holiday blues and SAD share some characteristics, they aren’t the same thing. The holiday blues are typically temporary and can be caused by external holiday stressors. Seasonal affective disorder (SAD), on the other hand, is a type of depression directly linked to changes in daylight and seasons. SAD may involve a consistent pattern of seasonal depression that lasts for a significant period, whereas holiday blues could be short-lived and less intense. 

Holiday depression, anxiety, and mental illness

As evidenced by the “holiday blues” phenomenon, the holiday season can be tough on our mental health. For many, the distress is temporary and might not prevent them from making fond holiday memories. For some, however, stress and overwhelm might linger and affect other areas of daily life, possibly interfering with work, school, and relationships. If these challenges remain unaddressed, they can evolve into a more serious mental health condition.

How holidays affect mental health: Depression during the holiday season

Some people experience sadness, loneliness, and isolation during the holiday season. For example, people who have lost a loved one may have a tough time during the holiday season as they learn to cope with their absence. When intense emotions like these aren’t processed healthily, it can lead to prolonged depression well after the season is over.

A woman sits on a couch with her hands folded in her lap
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How holidays affect mental health: Anxiety during the holidays

Similarly, chronic stress can evolve into an anxiety disorder when a person is unable to cope properly. Stress can make us reactive, causing potential interpersonal issues when we act out towards others. For example, we may snap at a loved one or colleague, possibly creating issues that contribute to the cycle of stress and anxiety. 

The relationship between the holidays and mental illness 

If unprocessed, challenging emotions over the holiday season can lead to the development of mental health issues. Research suggests that the holidays can also exacerbate preexisting mental disorders. In a 2014 survey courtesy of the National Alliance for Mental Illness (NAMI), 64% of people who have an existing mental illness said their symptoms worsen during the holidays. Participants in the survey cited financial stress, loneliness, social pressure, and unrealistic expectations as common factors impacting their symptoms.  

Practical tips for handling stress in the moment

During the holidays, we may face hectic situations, short tempers, and overall stressful environments. There are several scientifically proven methods you can use that may help you remain calm and avoid reactivity. Some stress-relieving tactics could include:

  • Deep breathing exercises: Studies show that deep breathing can calm the nervous system and reduce stress in the moment. When you feel overwhelmed, breathe in deeply, hold for a moment, then exhale slowly. Repeat until you’re feeling calmer. 
  • The five senses exercise: Take a moment and notice your senses: What are five things you can see, four things you can feel, three things you can hear, two things you can smell, and one thing you can taste?
  • Take a quick break: If possible, step away from the task or situation to give yourself a mental break. Do some light stretching, get some air, or take a quick walk—whatever you can do to “reset.”

Self-care strategies for the holiday season and beyond

Maintaining mental health can be an ongoing endeavor combining physical, emotional, and psychological self-care. You can care for your body by prioritizing sleep and maintaining nutritious eating and exercise habits. You might care for yourself emotionally with mindfulness and gratitude. And you can care for your mental health by practicing self-empathy, reframing negative thoughts, and seeking support when needed. 

Physical self-care 

Between worry, a hectic schedule, and traveling or hosting others, it isn’t uncommon for people to lose sleep around the holidays. Try to prioritize sleep; experts say that adults should get 7-9 hours per night. Nourish your body with balanced meals. Incorporate daily physical activity, like walks or yoga, to boost your mood and maintain strength. 

Self-care for your emotional and mental health

To care for yourself emotionally, try to practice self-compassion and acknowledge your emotions without judgment. Reflect on the things you’re thankful for to improve your mood and perspective. Use deep breathing and meditation to calm your mind and reduce anxiety. Moreover, journaling can be an excellent way to stay present and get in touch with your thoughts and feelings. 

Manage social stress

If you’re inundated with a seemingly constant stream of activities involving friends and family, don’t be afraid to set boundaries. You can decline invitations and say “no” to commitments that overwhelm you. Likewise, consider taking a break from social media when it feels overwhelming. Set realistic expectations for yourself and others, and try to let go of the need for perfection. When needed, schedule time for yourself. Spending time doing things that nourish and bring you joy can be highly beneficial to your wellbeing. 

When to seek mental health support 

It might not always be easy to recognize the signs that it’s time to seek professional care. Consider reaching out if symptoms of depression persist after the holidays, or if they worsen notably during the season. You may also want to seek help if you’re experiencing overwhelming anxiety or stress. Common symptoms of anxiety and depression include:

  • Persistent sadness, hopelessness, and low mood
  • Disruptions in eating or sleep patterns
  • Trouble concentrating
  • Loss of pleasure in activities you once enjoyed
  • Withdrawal, isolation
  • Fatigue, lack of energy
  • Headaches, gastrointestinal distress, and body aches with no apparent cause
  • Irritability, anger
  • Feelings of shame or guilt with no apparent reason
An older man talks to his therapist during a session.
Getty/NoSystem images
Holiday stress can cause mental health challenges

Where to find support this holiday season

Though it can be beneficial, some people don’t seek therapy for depression or anxiety because they experience obstacles that make it too difficult to attend. Some of these obstacles might be particularly relevant around the holidays, such as hectic schedules and financial constraints. In such cases, the convenience and flexibility of virtual therapy might offer advantages over traditional treatment. Its key benefits may include flexibility in scheduling, comfortable sessions from home, and the ability to find a suitable therapist regardless of location. Therapy through online platforms like BetterHelp can be more affordable than in-person support without insurance. BetterHelp also offers financial assistance to qualifying individuals. Additionally, online therapy can be effective for treating a range of mental health concerns, including anxiety and depression. For instance, one Biomed Central meta-analysis reports significant improvements in symptoms of depression, anxiety, and stress for participants in online treatment.

Takeaway

The holidays can be an opportunity to bond with friends and loved ones, make fond memories, and connect with the meaning of the season. If mental health issues are interfering with your ability to appreciate the holidays, reaching out to a mental health professional may be the best gift you can give yourself. A licensed BetterHelp therapist can help you rediscover the joy of celebration during the holiday season.
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