Holiday Depression

The holiday season can be a time of joy, cheer, parties and family gatherings. But for many, it can also be a time of self reflection, loneliness, memories of past failures and anxiety about an uncertain future.

Causes
Researchers still have a lot to learn about why people become depressed. Some say it is caused by an imbalance of certain chemicals in the brain (neurotransmitters). There’s also a genetic connection. Research indicates that depression in the family can increase your risk. Being diagnosed with a serious disease or medical condition can also cause depression. For instance, people who have suffered a heart attack have a 65 percent risk of developing depression. Women are also two times more likely to have depression when compared to men. Some seasons or situations can trigger depression such as Christmas, holidays, death of a close family member or friend, divorce or a traumatic event.

Seasonal depression, oftentimes referred to as the “holiday blues”, can be caused by stress, fatigue, unrealistic expectations, financial stress, and/or difficulty dealing with friends and family. Demands of shopping, parties, family reunions and house guests can also cause feelings of tension. Even more people experience a holiday letdown after January 1. This can result from disappointment after the holidays in addition to stress and fatigue.

Signs and Symptoms

• Emotional sadness
• Lack of interest in activities once enjoyed
• Feelings of guilt, worthlessness or restlessness
• Lack of energy or fatigue
• Changes in sleep patterns
• Irritability or anxiety
• Thoughts of death or suicide

Treatment
Treatment for depression may include therapy, medicine or both. The medical therapy may include medicine for anxiety or sleep and/or antidepressants. These drugs may be used on a temporary basis or more permanent basis, depending on the patient and situation. Below are some other strategies to help you cope with the holiday season:

• Keep expectations manageable. Set realistic goals for activities, shopping, etc. Make lists and prioritize them.
• Learn to say “NO”. Accept only the invitations you really want to attend and let the others go.
• Try to leave “yesteryear” in the past and look forward to the future. Life brings changes. Each season can be enjoyed in a different way. Try not to compare now to “the good ol” days.
• Volunteer. Helping others makes you feel good about your self and provides self worth.
• Know your spending limits.
• Enjoy activities that are free such as driving around to look at holiday decorations, attending lighting ceremonies, caroling parties, etc.
• Limit your alcohol intake.
• If being around family or relatives is stressful for you, set limits on time spent with them.
• Keep a regular meal, sleep and exercise schedule.
• Get plenty of sunshine when possible. A lack of sunlight can cause you to feel “blue.”