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Holiday Stress and Anxiety

The Holiday Season and the Worry it Brings

Author: Megan K. Fischer with Peter J. Rice

The holiday season is a wonderful time of year for most people, however it does come with some consequences. We try to share our appreciation for most people in our lives and it often times leads to stress, anxiety, and debt. For those of us who may not be able to spend the holidays with those we care about, there can be serious side effects. Depression runs amok for many people during the holidays. It decides to roar its angry head and that sadness is only strengthened by the anxiety that follows the holidays.

Depression is one of the most common mental disorders in the United States. It can be caused by genetic factors, biology, environment, and psychological factors. There are many different forms of depression that have various different impacts of a person’s life. Seasonal affective disorder is a type of depression that is common during winter months. Generally, this type of depression will begin to lift in the spring and summer months. Winter is accompanied by less natural light, social withdrawal, increased sleep, and weight gain.

Symptoms of depression include but are not limited to:

  • Persistent sad, anxious, or “empty” mood
  • Feelings of hopelessness
  • Irritability
  • Feelings of guilt, worthlessness, or helplessness
  • Loss of interest or pleasure in hobbies and activities
  • Moving or talking more lowly
  • Feeling restless
  • Difficulty concentrating, remembering, or making decisions
  • Decreased energy or fatigue
  • Difficulty sleeping, early morning awakening, or oversleeping
  • Appetite and or weight changes
  • Thoughts of death or suicide

There are many treatments for depression that can greatly help with it symptoms. Talk to your healthcare provider or local pharmacist about your options for treatment and to learn more about resources for help.

holiday stress tips from easy drug card

Some tips that can help in addition to treatment for depression are:

  • Stay active and exercise
  • Set realistic goals for yourself
  • Try to spend time with others
  • Try not to isolate yourself
  • Expect your mood to gradually improve, not immediately
  • Continue to educate yourself about depression
  • Talk to your healthcare provider or counselor

Anxiety is often considered an expected part of a person’s life. Feelings of mild anxiousness can normally accompany problems, big tests, or even important decisions. If these feelings do not fade it could be signs of an anxiety disorder. In anxiety disorders, these symptoms do not go away and can worsen over time until they begin to interfere with daily activities.

Symptoms of anxiety can include:

  • Feeling restless, wound up, or on edge
  • Easily fatigued
  • Difficulty concentrating
  • Irritability
  • Muscle tension
  • Difficulty controlling feelings of worry
  • Sleep problems, such as staying asleep or falling asleep

Panic disorders are a form of anxiety where people have recurrent unexpected panic attacks. A panic attack is a sudden episode of intense fear that comes on quickly and reaches their peak within minutes. An attack can occur unexpectedly or can be triggered by a feared object or situation.

Symptoms of a panic attack can include:

  • Heart palpitations, pounding heartbeat, or an accelerated heartbeat
  • Sweating
  • Trembling or shaking
  • Shortness of breath, or sensation of smothering or choking
  • Feelings of impending doom
  • Feelings of being out of control

There are many ways to help manage anxiety disorders. There are support groups for anxiety, both in person and online. Some people may find benefit in group support. Always check with your healthcare provider before initiating any new treatments. Stress management techniques and meditation can also help with anxiety disorders. These techniques can enhance the effects of anxiety therapies and help promote calming effects. Research also suggests that exercise can also improve anxiety but it should not take the place of standard care.

While both anxiety and depression can vastly impact your life, there are many ways to manage them. For more information about depression and anxiety or management techniques, please talk to your local pharmacist of healthcare provider. More information can be found at the National Institute of Mental Health. While the holidays often exacerbate these symptoms, understanding how to manage these conditions can allow the holidays to be enjoyable. The key is to take time for your own self-care and not let the stress of the season impact your health.


Megan K. Fischer

Megan K. Fischer

About Megan K. Fischer

Megan Fischer is a Doctor of Pharmacy student with University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences. A student by day and a workhorse by night, Megan works as a student researcher at her school of pharmacy and as an intern pharmacist at Poudre Valley Hospital. She is an active member of the American College of Clinical Pharmacy (ACCP) and Industry Pharmacists Organization (IPhO). She graduated from University of Colorado at Boulder with a degree in Biochemistry and minored in Chemistry and Economics. Megan plans to work as a clinical pharmacist specializing in critical care or infectious disease after graduation. In her free time, she hikes and camps all the while trying to find moments for a nice nap.

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Dr. Peter J. Rice

Dr. Peter J. Rice is a professor of Pharmacology emeritus at the East Tennessee State University Quillen College of Medicine and Professor of Clinical Pharmacy at the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences. He received his BS in pharmacy from Northeastern University, PhD in pharmacology from the Ohio State University and PharmD from the University of Kentucky. He is a Board Certified Pharmacotherapy Specialist and practices in the ambulatory care and community pharmacy settings. Professor Rice is the author of Understanding Drug Action: An introduction to pharmacology (APhA, 2014) and is a fellow of the American Pharmacists Association.




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