Holiday Stress and Anxiety: Unwrapping Joy

The holiday season is often expected to be a time of joy, warmth, and togetherness. However, These are not the only feelings you might experience. For many individuals, it can also be a source of holiday stress and anxiety. A recent poll by the American Psychiatric Association found that nearly one in three people expect an increase in stress this holiday session. If this sounds like you, you are not alone. 

The pressure of holiday shopping, gifts, travel expenses, hosting or attending social gatherings, and managing a packed calendar of holiday events can increase stress and anxiety. Coping with all these pressures and expectations accompanying the holidays can be challenging. Still, with the right strategies, it is possible to experience the season with more tranquillity and happiness. In this article, we explore how psychotherapy can help individuals cope with holiday stress and anxiety.

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Holiday Stress and Anxiety Quiz

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Holiday stress refers to the emotional and physical strain experienced during the festive season due to various triggers. Anxiety related to the holidays can manifest as anticipatory worry, panic attacks, or even social anxiety. Before delving into the strategies, it is essential to understand what holiday stress and anxiety entail. To manage holiday stress and anxiety, it’s important to understand their causes and take steps to enjoy the holidays to the fullest.

It is essential to recognize your triggers. Otherwise, you won’t know what is causing you additional stress and anxiety this holiday season. If you find it challenging to identify your triggers, working with a therapist might help.  

Common Cause of Holiday Stress and Anxiety

  1. High unattainable expectations: Many people associate the holidays with social gatherings, rituals, and happy memories. The pressure to perfect every meal and gift can lead to overwhelming stress, anxiety, and disappointment.
  2. Financial concerns: The holidays can be expensive, and the pressure to buy gifts for loved ones can be overwhelming. Especially as things have gotten more expensive over the past year, overspending on gifts, groceries, and travel can lead to financial stress.
  3. Family issues and conflicts: The holidays can exacerbate family issues and conflicts. Feeling as though you need to live up to others’ expectations or that they are not living up to yours. Hosting gatherings or managing a packed calendar of holiday events can add to the stress, as there needs to be more time in the month to get everything done.
  4. Loneliness and grief: The holidays can be difficult for those who are alone or grieving. Loneliness and grief can also be heightened during the holidays.
  5. Excessive eating and drinking: The temptation to self-medicate, binge eat, or drink excessively during the holidays can exacerbate negative feelings and lead to stress, anxiety, and disappointment. It can also be disappointing not to follow your healthy eating/drinking plan.
  6. Overcommitment: The holiday season can be long and full of commitments, from parties to PTA meetings. Overcommitment can lead to stress and anxiety. Again, if only there were more time in your day to get everything done! Finding the time to attend every party you were invited to or feeling like you haven’t been invited to enough parties can increase stress.
  7. Holiday noise and bustle: The noise and bustle in stores and malls during the holiday season can irritate even the calmest shopper. And why do the stores seem more disorganized and find it harder to find what you are looking for? 
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Take a moment to reflect: Which of these feels like the biggest trigger for you and increases your holiday stress? You can choose more than one if needed.

How do you know if you are experiencing holiday stress? 

Holiday stress and anxiety can present themselves in many different ways. They could be emotional, mental or physical. Either way, it is essential to recognize the symptoms of holiday stress and anxiety so that you can take practical steps to reduce them leading up to the holidays. It is also important to know the symptoms of holiday stress in case you need to seek appropriate help and support.

Here are some common symptoms of holiday stress and anxiety: 

  • Anxiety: Anxiety can be a common symptom of holiday stress. It can manifest as feelings of nervousness, worry, or unease. You can also feel it physically, like a tightness in your chest or a racing heart, for no apparent reason. 
  • Sadness: The holidays can be difficult for those who are alone or grieving. Loneliness and grief can also be heightened during the holidays, leading to an increase in feelings of sadness.
  • Headaches: Stress can cause tension in your body, especially around your shoulders, neck and jaw. This manifests as headaches, a common symptom of holiday stress, especially if you can’t identify another reason for the headaches. 
  • Body aches: Not only can you experience headaches, but stress can also cause muscle tension and aches. Sometimes, it can feel like you’ve just worked out even though you haven’t.
  • Inability to sleep: Stress and anxiety can make falling or staying asleep difficult. This is because your mind keeps spiralling around many thoughts, plans and preparations. As discussed in my previous blog post: The Importance of Sleep Hygiene. Getting a good night’s sleep is incredibly important for our mental health. 
  • Irritability:  Even for those who are generally calm and patient, stress and anxiety can make individuals more irritable and short-tempered. Suppose you find yourself getting annoyed easily or snapping at people when you usually wouldn’t or at things that generally wouldn’t bother you. You might be experiencing higher levels of stress and anxiety. 
  • Excessive drinking and Overeating: Stress and anxiety can lead to overeating and/or excessive drinking, which can cause physical discomfort and feelings of guilt. The temptation to cope using unhealthy coping strategies like binge eating or excessive drinking coincides with the party spirit of the holidays, which can exacerbate negative feelings. 
  • Fatigue: The demands of shopping, parties, family obligations, and house guests can contribute to feeling overwhelmed and increased tension, leading to fatigue. Plus, if you do not sleep enough each night, you will wake up the next day feeling exhausted, irritated, and in a lower mood. Learn how to get The Importance of Sleep Hygiene: Tips for a Better Night’s Rest on my other post.
  • Post-holiday sadness: Some individuals may experience post-holiday sadness, usually around or after New Year’s Day. This can result from having high unmet expectations and
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Managing stress and anxiety during the holiday season can be challenging. However, there are some practical steps that you can take to minimize your stress levels.  Practicing mindfulness and meditation, preventing burnout, maintaining healthy habits, being realistic, and reaching out to others can all help reduce stress and anxiety. Setting boundaries and saying no to commitments that may be overwhelming, developing a holiday budget, creating relaxing surroundings, sharing feelings, and accepting imperfection.

Here are some tips for managing stress and anxiety during the holiday season:

  1. Practice mindfulness and meditation: Mindfulness can be a valuable mental wellness tool all year round, not just for the holidays. It involves focusing on the present moment and accepting it without judgment. Meditation can help reduce stress and anxiety by calming the mind and body. Our bodies can’t be both calm and anxious at the same time. 
  2. Maintain healthy habits: Healthy habits during the holiday season will be one of your best defences against stress. This means getting enough sleep, eating well, and staying physically active. It also means maintaining what you can of your daily routine, like workouts, book club, or personal self-care time. Fit holiday obligations into your everyday routine rather than letting them upset your life.
  3. Be realistic: The holiday season can be long and full of commitments, from parties to PTA meetings. To help manage stress, list what you expect from yourself, what others expect from you, and what your holiday responsibilities are. Place them on a calendar to get a feel for what the coming months will look like. Get comfortable with the idea that you don’t have to do everything; everything doesn’t have to be perfect, which is okay.
  4. Reach out: The holidays can be difficult for those who are alone or grieving. Reach out to friends and family, or volunteer at a local charity. Helping others can be a great way to boost your mood and reduce stress. 
  5. Preventing burnout – It’s okay to say no: For many, the holiday season brings joy but can also bring more stress and conflicting obligations. It is important to prioritize and simplify: prioritize things that bring you joy and allow you to emotionally recharge (people or activities) and simplify when possible. It might be nice to make your grandmother’s cookie recipe from scratch for every holiday, but buying cookies at the store and celebrating is okay if making the cookies is stressful for you this year. However, If you really want your grandmother’s cookies for the holidays but have too much on your plate, ask someone for help.

Setting realistic expectations and boundaries is essential to preventing excessive stress and anxiety. Not only is it important to communicate openly with loved ones regarding limitations and learn to say no when necessary, it is also essential to have realistic expectations and boundaries for yourself. Rather than stretching yourself too thin, focusing on essential activities and traditions helps create a more enjoyable holiday experience. If you struggle with setting boundaries in general, my post on The Importance of Healthy Boundaries may be helpful.

Some of those boundaries may look like:

  1. Develop a holiday budget: Decide what you can afford and stick to it. Spending money on your loved ones is a kind gesture, but paying your energy bill is important, ensuring you have food on the table and covering rent or your mortgage. Don’t buy gifts that you’ll be paying off for the rest of the year.
  2. Create relaxing surroundings: Turn on music, light candles, or open the windows on a sunny day. Research has found that listening to music and the scent of citrus can boost feelings of well-being, and vitamin D is always a happiness booster, which is something those of us in Canada struggle with getting enough of. 
  3. Share feelings: You are only one person and can do so much. Be realistic about how much you can handle this season. Forget about perfection. Those around you most likely won’t notice anything is imperfect. Relax and enjoy the company surrounding you.
  4. Keep sight of what really counts: Determine what is most important to you and prioritize those things. This will help you say no to commitments not aligning with your values or interests.

The holiday season can be a stressful time, but there are ways to manage stress and anxiety. Practicing mindfulness and meditation, preventing burnout by saying no, maintaining healthy habits, being realistic, and reaching out to others can all help. Setting boundaries and saying no to commitments that may be overwhelming, developing a holiday budget, creating relaxing surroundings, sharing feelings, accepting imperfection, and not losing sight of what counts are also effective strategies.

While self-help techniques can be beneficial in the short term, seeking support from a qualified therapist can be beneficial for managing holiday stress and anxiety effectively in the long term. Therapy can be incredibly beneficial in managing stress and anxiety during the holidays. It provides a safe and supportive space to explore your feelings, develop effective coping strategies, and gain insight into your thoughts and behaviours, which might keep you stuck in repeating patterns and cycles. Therapists specialize in providing personalized guidance and strategies tailored to your circumstances. If any of the strategies listed to help you cope with holiday stress seem challenging to do alone, therapy can help.

 Remember to take care of yourself this holiday season!

References

4 Mindful Tips to De-Stress This Holiday Season. (2023, October 26). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/wellness-and-prevention/4-mindful-tips-to-destress-this-holiday-season

Coping with holiday anxiety and stress. (2017). University of Iowa Hospitals & Clinics. https://uihc.org/health-topics/coping-holiday-anxiety-and-stress

DCStudio. (n.d.). close up person playing video games console losing. FreePik.

Gordon, J. P. (2016, December 19). 6 tips for managing Holiday stress. Healthline. https://www.healthline.com/health/holiday-stress

Kelly, L. (2019, December 16). Housecall: 10 tips for coping with holiday stress. Mayo Clinic News Network. https://newsnetwork.mayoclinic.org/discussion/housecall-10-tips-for-coping-with-holiday-stress/

Northwestern Medicine Staff & Northwestern Medicine. (2021a, May 17). 7 tips to help with Holiday stress. Northwestern Medicine. https://www.nm.org/healthbeat/healthy-tips/emotional-health/tips-to-help-with-holiday-stress

Northwestern Medicine Staff & Northwestern Medicine. (2021b, May 17). 7 tips to help with Holiday stress. Northwestern Medicine. https://www.nm.org/healthbeat/healthy-tips/emotional-health/tips-to-help-with-holiday-stress

Reisner, P. (2021, December 3). 9 tips to fend off holiday stress. Mayo Clinic Health System. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/fend-off-holiday-stress-with-these-tips

Seven Ways to Cope with Holiday Stress. (n.d.). https://www.psychiatry.org/news-room/apa-blogs/seven-ways-to-cope-with-holiday-stress

Stress, anxiety and the holidays. (2023, June 6). Stress, Anxiety and the Holidays | Brain & Behavior Research Foundation. https://www.bbrfoundation.org/blog/stress-anxiety-and-holidays

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Conquering the Chaos: A Comprehensive Guide to Managing OCD

Obsessive-Compulsive Disorder (OCD) is a complex mental health condition that affects millions of people worldwide. It is characterized by persistent, intrusive thoughts (obsessions) and repetitive behaviours or mental acts (compulsions) that make someone feel compelled to perform to alleviate anxiety or prevent a feared outcome. It’s a disorder that can significantly disrupt daily life, affecting work, relationships and overall quality of life.

OCD is more prevalent than people may realize, affecting about 2-3% of the global population. In Canada, 1 in 100 people aged 15 and older has been diagnosed with OCD, and the impact on daily life can be profound and far-reaching. 

It’s important to understand that OCG is not just about being tidy or a perfectionist. It can cause significant distress and impairment in various aspects of life. The obsessions in OCD are unwanted and intrusive, often causing fear, anxiety, or disgust. The compulsions, while temporarily relieving, ultimately reinforce the cycle of anxiety and ritualistic behaviour. 

Despite its challenges, it’s important to note that OCD is manageable. With proper diagnosis and evidence-based treatments, many individuals with OCD can significantly reduce their symptoms and effective strategies for Managing this challenging condition. 

Whether you’re living with OCD, supporting someone who is, or simply seeking to understand this condition better, this post aims to provide valuable insights and practical advice. Remember, while OCD can feel overwhelming, you’re not alone, and there is hope.

Taking the time to understand OCD is crucial for effective management and treatment. While many people have a general idea of what OCD entails, media portrayals often influence it. The realities of living with this condition are far more complex and challenging. 

Types of Obsessions and Compulsions

Obsessions are persistent, intrusive thoughts, urges or images that cause distress or anxiety. 

Compulsions are repetitive behaviour or mental acts that a person feels driven to perform in response to an obsession. The table below helps us delve a little deeper into the intricacies of OCD, exploring the various types of obsessions and compulsions that characterize the disorder. 

Common Types of Obsessions Common Types of Compulsions
Contamination: Fear of germs, dirt or environmental contaminations. 
Harm: Worry about hurting yourself or others. 
Symmetry and Order: Need for things to be arranged in a specific way 
Forbidden or Taboo Thoughts: Unwanted thoughts about sex, religion, or violence. 
Doubting and uncertainty:  Constant fear of making mistakes or forgetting important information. 
Washing and cleaning: Excessive hand washing, showering, or cleaning objects.
Checking: Repeatedly checking locks, appliances, or body parts.
Counting and arranging: Needing to count to a certain number or arrange objects in a specific order.
Mental rituals: Silently repeating words, praying, or reviewing events.
Seeking reassurance: Constantly asking for confirmation that everything is okay.

Research indicates that obsessions are not simply excessive worries about real-life problems but are intrusive and unwanted (American Psychiatric Association, 2013). Compulsions are typically excessive and not realistically connected to the problem they intend to prevent (National Institute of Mental Health, 2019).

While the exact causes of OCD are not fully understood, research suggests a combination of factors contribute to its development. 

  1. Genetic Factors: Studies have shown that OCD tends to run in families. The chances of developing OCD are higher if your first-degree relatives (parents, sisters, brothers, and children) have been diagnosed. Twin studies have estimated the heritability of OCD to be around 40-50% (Pauls, 2010). 
  1. Environmental Factors:  Environmental factors often interact with genetic predispositions and can potentially lead to the onset of OCD (Grisham et al., 2011).  However, certain life experiences may trigger or exacerbate OCD symptoms, which include:
    1. Stressful life events 
    2. Trauma or abuse 
    3. Significant life changes 
    4. Certain infections (e.g., streptococcal infections in children, leading to PANDAS – Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections).
  1. Neurobiological Factors: Brain imaging studies have shown that there are some differences in those with OCD as compared to those without. These differences include:
    1. Abnormalities in the cortico-striato-thalamo-cortical (CSTC) circuits
    2. Imbalances in neurotransmitters, particularly serotonin
    3. Increased activity in specific brain regions, such as the orbitofrontal cortex and caudate nucleus

In order to lead a life with the symptoms of OCD, using effective treatment options for OCD is important. Typically, treatments involve a combination of therapy, medication and lifestyle changes. Let’s explore each of these options.

Therapeutic Options

  1. Cognitive Behavioral Therapy (CBT)
    CBT is a type of psychotherapy that has shown significant effectiveness in treating OCD. It focuses on identifying and changing negative thought patterns and behaviours associated with OCD.
  • CBT helps patients recognize the relationship between their thoughts, feelings, and behaviours.
  • It teaches coping strategies to manage obsessive thoughts and reduce compulsive behaviours.
  • Studies have shown that CBT can lead to a 50-80% reduction in OCD symptoms for many patients (Öst et al., 2015).
  1. Exposure and Response Prevention (ERP)
    ERP is a specific type of CBT that is considered the gold standard for OCD treatment.
  • In ERP, patients are gradually exposed to situations that trigger their obsessions while refraining from performing compulsive behaviours.
  • This helps break the cycle of obsessions and compulsions and reduces anxiety over time.
  • Research indicates that ERP is effective for about 70% of patients who complete the treatment (Foa et al., 2005).

Medical Options

  1. Selective Serotonin Reuptake Inhibitors (SSRIs)
    SSRIs are the first-line medication treatment for OCD.
  • Common SSRIs prescribed for OCD include fluoxetine, sertraline, and paroxetine.
  • These medications work by increasing the levels of serotonin in the brain, which can help reduce OCD symptoms.
  • Studies show that 40-60% of patients with OCD respond to SSRIs (Soomro et al., 2008).
  1. Other medication options
    When SSRIs are not effective, other medications may be considered:
  • Clomipramine: A tricyclic antidepressant that can be effective for OCD but may have more side effects than SSRIs.
  • Antipsychotics: Sometimes used as an augmentation strategy in combination with SSRIs for treatment-resistant OCD.
  • N-acetylcysteine (NAC): An over-the-counter supplement that has shown promise in some studies for reducing OCD symptoms (Oliver et al., 2015).

Lifestyle Changes

  1. Exercise
    Regular physical activity can be beneficial for managing OCD symptoms:
  • Exercise can help reduce anxiety and improve mood.
  • It may also help in managing stress, which can exacerbate OCD symptoms.
  • A study found that a 12-week exercise program led to significant reductions in OCD symptoms (Abrantes et al., 2017).
  1. Stress management techniques
    Implementing stress reduction strategies can help manage OCD symptoms:
  • Mindfulness meditation Can help individuals become more aware of their thoughts without judgment.
  • Deep breathing exercises can help reduce anxiety at the moment.
  • Progressive muscle relaxation: This can help reduce overall tension and stress.

It’s important to note that the most effective treatment plan often involves a combination of these approaches tailored to the individual’s specific needs and symptoms. Treatment should always be guided by a mental health professional experienced in treating OCD.

Coping Strategies for Managing OCD

Living with OCF can be challenging, and while medication and therapeutic practices can be helpful, there are some effective coping strategies you can do that will also help make a significant difference in managing symptoms and improving quality of life. Here are some evidence-based methods tailored for those who struggle with OCD: 

Mindfulness and Meditation

Mindfulness and meditation can be particularly beneficial for individuals struggling with OCD. These practices encourage you to focus on the present moment, helping to reduce the intensity of obsessive thoughts and compulsive behaviour. Techniques such as deep breathing, body scans, and guided imagery can help you stay grounded and provide a sense of calm. Apps like Headspace and Calm offer specific guided meditations that can be tailored to address anxiety and intrusive thoughts. By dedicating just a few minutes each day to mindfulness exercise, you can create a mental buffer against the stress and anxiety that are associated with OCD.

Journaling and Tracking Symptoms 

Journaling is a valuable tool for individuals with OCD, providing a structured way to document obsessive thoughts and compulsive behaviours. Tracking your symptoms can identify patterns, triggers, and progress over time. This practice offers an emotional outlet and is a useful resource for discussions with mental health professionals.

Consider setting aside time each day to write about your experiences, noting specific obsessions, compulsions, and any coping strategies you tried. This can help you gain insight into your symptoms and work on effective management. 

Support Groups and Peer Networks. 

Creating a connection with others who understand the challenges of OCD can be incredibly therapeutic. Support groups and peer networks offer a safe space to share your experiences and coping strategies and receive encouragement. These communities can be found both in-person and online. In Ottawa, you can visit OCD Ottawa

Engaging in a support group can reduce feelings of isolation and offer practical advice from those who have faced similar struggles. Whether through local community centers, online forms, or social media groups, finding your network of supportive peers can make a significant impact.

Incorporating these coping strategies into your daily life can help you build resilience and manage OCD more effectively. Remember, seeking professional help when needed is crucial.

Navigating daily life with OCD often presents unique hurdles, but there’s hope. Numerous practical strategies can help alleviate symptoms and enhance overall well-being. Let’s explore some actionable tips for better managing OCD in everyday situations.

Establishing Routine

Creating a structured daily routine can provide a sense of control and predictability, which is often comforting for individuals with OCD. Consistency in daily activities, sleep patterns, and meal times can help reduce anxiety and compulsive behaviours.

Setting Realistic Goals

It is important to break larger tasks into smaller, manageable steps. Setting achievable goals helps build confidence and reduce overwhelming feelings. Celebrating small victories along the way can reinforce positive behaviours and boost motivation.

Communicating with Loved Ones

Open and honest communication with family and friends is crucial. Educate them about OCD and how it affects you. Explain what support you need and how they can help during difficult moments. A strong support system can make a significant difference in managing OCD.

Self-care Practices

Prioritize self-care activities that promote relaxation and stress reduction. Regular exercise, mindfulness meditation, and engaging in hobbies can help manage anxiety and intrusive thoughts. 

Remember, self-care isn’t selfish – it’s essential for mental health. 

By implementing these strategies, individuals with OCD can develop coping mechanisms to manage their symptoms better and improve their overall well-being. Remember, seeking professional help is always recommended for personalized treatment and support.