Why Is It Important To Be Thankful? Mental Health Benefits Of A Gratitude Journal

Medically reviewed by Melissa Guarnaccia, LCSW
Updated November 7th, 2025 by BetterHelp Editorial Team

In recent years, increasing attention has been directed toward the role of gratitude in mental health and emotional resilience. While gratitude has traditionally been seen as a matter of good manners or courtesy, recent research highlights it as a transformative mental health habit that can gently shift perception, improve relationships, and promote overall well-being.

With consistent practice, even small acts of appreciation have the power to expand perspective and create opportunities to feel joy, strengthen self-esteem, and build lasting resilience in everyday lives. In this article, we will explore the concept of gratitude along with its impact on mental health and how therapy can help individuals integrate gratitude into their day-to-day lives. 

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What is gratitude?

Gratitude can be described as conscious recognition and appreciation of the positive aspects of life. This could involve acknowledging both large and small moments that bring meaning, support, or comfort. Though often associated with polite “thank-yous,” the concept of gratitude can include an acknowledgement of what sustains, enriches, and nourishes everyday lives, even when difficulties are present. Overall, gratitude may be more than good manners. Regularly choosing to express gratitude can act as a protective buffer, offering stability and encouragement in tough times.

Why is it important to be thankful?

In terms of mental health, the importance of gratitude may lie in its ability to redirect focus. Studies suggest that human brains naturally lean toward  noticing threats, risks, and disappointments. This tendency, sometimes referred to as negativity bias, can create a cycle of stress and worry. Practicing gratitude can help interrupt this cycle by drawing attention to strengths, supportive relationships, and meaningful experiences.

By adjusting perception, gratitude can nurture optimism, resilience, and connection. It not only highlights what is working well but might also create room for compassion toward self and others.

What does it mean to practice gratitude?

To practice thankfulness is to intentionally notice, reflect upon, and appreciate what is valuable or supportive. This practice does not require ignoring challenges. Instead, it aims to create more balance by making space for the recognition of life’s positives, alongside its difficulties.

How practicing gratitude can help mental health

Evidence suggests that when individuals actively cultivate thankfulness, they can strengthen their capacity to manage stress, regulate emotions, and maintain perspective. Some research suggests that gratitude helps reduce depressive symptoms, ease anxiety, and promote self-compassion.

Practicing gratitude and the brain

Ongoing neuroscientific studies offer insight into how gratitude can operate within the brain:

  • Activates the reward system: Gratitude stimulates the ventral tegmental area and nucleus accumbens, areas linked with motivation and pleasure.
  • Releases dopamine: This neurotransmitter fosters positive reinforcement, creating a cycle that encourages ongoing thankfulness.
  • Strengthens neural pathways: Repeated appreciation strengthens circuits tied to positive thinking and emotional balance.
  • Harnesses neuroplasticity: With time, the brain learns to default toward optimism rather than negativity.
  • Counters negativity bias: Gratitude helps shift focus away from regrets or threats.
  • Engages prefrontal cortex: Enhances decision-making, emotional regulation, and impulse control
  • Reduces amygdala activity: Supports calmer responses to stress and fear
  • Builds stress resilience: Equips individuals to face challenges
  • Interrupts negative thought cycles: Allows for more attention to the present moment, easing cycles of worry
  • Eases anxiety: By focusing on appreciation, gratitude gently redirects attention.
  • Supports mental health: Higher levels of thankfulness have been associated with reduced depressive symptoms and greater stability.
An older man sits outside surrounded by trees, smiling and holding a book.
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Why is it important to be thankful? Practice gratitude for health

Research suggests gratitude not only influences emotions, but also benefits the body:

  • Heart health benefits: Reduced risk factors for cardiovascular disease
  • Lowers blood pressure: Research links thankfulness to reductions in diastolic blood pressure.
  • Regulates breathing & heartbeat: Encourages synchronization of body rhythms
  • Calms nervous system: Engages the parasympathetic system, slowing heart rate, breathing, and blood pressure.
  • Promotes healthy sleep: Grateful individuals tend to maintain bedtime routines that improve sleep.
  • Bedtime gratitude: Ending the day with appreciation may enhance both sleep quality and duration.

Gratitude and relationships

Interpersonal connections can deepen when appreciation is shared and received:

  • Strengthens social bonds: Trust, empathy, and mutual respect often grow stronger.
  • Boosts relationship satisfaction: Partners, friends, and colleagues report greater closeness and reduced conflict.
  • Encourages growth mindset: Gratitude frames challenges as learning opportunities.
  • Shifts focus to progress: Emphasizes achievements and supportive behaviors, which fuel resilience.
  • Raises life satisfaction: Those who practice gratitude may experience higher self- esteem, stronger connections, and more capacity to feel joy.

What is a gratitude journal?

A gratitude journal is a dedicated space where individuals can regularly record what they appreciate. This includes both big accomplishments, such as career achievements, as well as small joys such as interactions with friends, watching a beautiful sunset, or enjoying a favorite treat. 

This intentional act of writing encourages reflection, creating a tangible record of thankfulness. Over time, the practice may reinforce positive attention and provide a resource to revisit during challenging moments.

Tips for starting a gratitude journal

Gratitude journals can serve as a helpful tool for regularly practicing thankfulness. Some tips for starting a gratitude journal include:

  • Select a writing medium that suits you, such as a notebook, digital document, or a blank card set.
  • Choose a specific time each day when you feel thankful, such as the morning or evening, to write.
  • Keep entries simple; even one sentence can carry meaning.
  • Note both big experiences and small comforts.
  • Reflect on why a moment mattered, not just the moment itself.
  • Revisit earlier entries during tough times to strengthen resilience.

Can practicing gratitude help with depression?

Research suggests that regularly practicing gratitude can offer relief for those experiencing low mood, stress, or anxiety. However, depression is a specific mental health condition that often requires additional strategies and comprehensive care. While practicing gratitude may reduce symptoms, professional care and guidance can also play a significant role in effective treatment.

Addressing depression and other mental health conditions

Depression can include symptoms such as persistent sadness, fatigue, difficulty concentrating, disrupted sleep, and withdrawal from activities once enjoyed. Anxiety may involve restlessness, intrusive worry, and physical tension.

Seeking professional support can be an important step. Gratitude-based strategies may complement therapy or medical treatment, but guidance from trained therapists and clinicians can ensure that efforts are tailored to each person’s needs. When used alongside professional care, cultivating gratitude can become a grounding, stabilizing practice that improves coping.

How therapy can help

Therapy may provide space to explore and integrate gratitude into daily living. A therapist may encourage exercises that highlight strengths or uncover meaning in ordinary experiences. With professional guidance, individuals can learn to adopt this mindset naturally, using it as a steady anchor during both ease and difficulty.

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The benefits of online therapy

For many, flexibility plays a key role in receiving support. Research suggests that online therapy can be as effective as traditional in-person approaches. Online therapy platforms, such as BetterHelp, offer:

  • 100% online: Eliminates commuting or time in waiting rooms
  • Affordability: Provides an entry point into therapy that may be more cost-effective
  • Network size: Thousands of therapists are available, ensuring diverse expertise
  • Speed: Matching can occur in as little as 48 hours.
  • Flexibility: Sessions may be held from home, workplaces, or while traveling.
  • Control: The ability to switch therapists ensures alignment with personal needs.

This flexibility may allow gratitude-focused approaches to be incorporated into therapy, reinforcing healthier perspectives in the same way that other therapeutic skills are learned—gradually and with practice.

Takeaway

Gratitude practice can serve as a gentle yet powerful practice that can shape perception, nurture resilience, and strengthen bonds. From its influence on the brain to its ability to improve sleep, mood, and relationships, gratitude demonstrates a unique role in supporting mental health and overall well-being.

By finding simple ways to practice thankfulness, whether through journaling, reflection, or sharing appreciation with a loved one, individuals can gradually cultivate a mindset that fosters balance and stability. While not a replacement for professional therapy and care, gratitude can serve as a valuable companion in the journey toward healing.

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