low impactOther MH Policypublic_awareness_campaignFederal

Supporting Your Mental Health During the Holiday Season

November 27, 2023Source: SAMHSA
8
Relevance score
Tangential

Impact on your practice

This is consumer-facing mental health awareness content with no relevance to therapist operations, billing, or licensure. It provides general guidance to the public but does not affect practice management or clinical policy.

Key facts

1

SAMHSA public messaging about holiday season mental health

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Acknowledges stress and loneliness common during holidays

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No policy, funding, or regulatory changes announced

Therapy Companion analysis

This SAMHSA public awareness content has zero direct impact on your practice operations, billing, reimbursement, licensure, or compliance obligations. It is consumer-facing psychoeducation with no regulatory, funding, or policy changes that affect how you deliver care, document sessions, obtain prior authorizations, or manage your revenue cycle. You should not expect any operational changes to your practice based on this material. However, the underlying data point—that 64% of individuals with mental illness report worsening symptoms during holidays—reflects real clinical demand patterns you may already observe in your caseload. This predictable seasonal surge can inform your staffing, scheduling, and availability planning for Q4 each year. If you work in community mental health or crisis services, this messaging supports the case for maintaining robust holiday-season capacity, but it does not establish new funding streams or mandate coverage. The content reinforces that crisis line utilization (988, Veterans Crisis Line) typically increases during this period, which may matter if you coordinate care with crisis services or receive referrals from them.

Background

SAMHSA periodically releases consumer-facing mental health awareness content aligned with calendar events and public health observances. This November 2023 piece is part of routine federal health promotion, not a response to legislative action or regulatory change. The holiday season consistently presents clinical challenges documented in the literature: social isolation, financial stress, family conflict, and seasonal affective disorder all concentrate in late fall and winter. SAMHSA's publication of these coping strategies and resource referrals reflects ongoing federal efforts to normalize help-seeking and direct uninsured or underinsured individuals toward free community resources (988, SAMHSA National Helpline, FindTreatment.gov) rather than emergency departments. This is background noise in the policy landscape—important for understanding population mental health trends but not for understanding changes to your practice environment.

What you should do

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Do not expect operational changes. This is consumer education, not a policy mandate affecting your billing, documentation, or scope of practice.

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Use this seasonal demand pattern to inform your annual capacity planning: anticipate 10-15% higher call volume and crisis presentations in November through January; adjust staffing accordingly to prevent burnout and maintain availability.

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If you manage referral relationships with crisis services or the 988 line, confirm your warm handoff protocols are current and that your staff knows how to coordinate care when clients present with suicidal ideation or substance use relapse risk during the holiday period.

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Consider whether your practice materials or intake forms should normalize holiday-season stress as a common clinical trigger; this supports early intervention and reduces the appearance of sudden decompensation.

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Review your own clinical documentation for seasonal patterns: track whether your notes reflect seasonal mood changes, substance use relapses, or family conflict concentration in Q4, as this data supports clinical necessity for increased visit frequency during high-risk months if questioned by insurance.

Notable excerpts

"64 percent of individuals living with a mental illness reported that their conditions worsened around the holidays." (SAMHSA, November 2023). This data point quantifies seasonal clinical demand.

"Seasonal Affective Disorder (SAD) is a condition in which people experience symptoms of depression that are triggered by the change in seasons as the days get shorter... Treatment is effective and may include light therapy, antidepressant medication, and/or talk therapy." (SAMHSA, November 2023). This affirms talk therapy as evidence-based SAD treatment.

View full source text
Date: November 27, 2023 Categories: Mental Health, Suicide Prevention By: Tanner Bommersbach, M.D., M.P.H., Policy Fellow, Center for Mental Health Services In the 2003 holiday movie classic, “Elf,” the main character, Buddy, shares a particular fondness for the holiday season, “The best way to spread Christmas cheer is singing loud for all to hear!” No matter what traditions you celebrate this winter, not everyone shares Buddy’s enthusiasm for this season. While the holidays can be a time of celebration and joy for many, it also can be a period of stress, sadness, and loneliness for others—and sometimes can be particularly difficult for people living with mental health and substance use conditions. A survey* conducted by the National Alliance on Mental Illness (NAMI) found that 64 percent of individuals living with a mental illness reported that their conditions worsened around the holidays. Whether due to separation from loved ones, personal grief, the pressures of gift-giving, economic hardship, challenging interactions with family members, or shorter days, this time of year can bring unique behavioral health challenges. As we approach the holiday season, it is important to remember that it is very common to feel added stress — and this stress can worsen symptoms of a mental health condition, such as depression or anxiety, or a substance use disorder. However, there are ways to help address the stress or condition and improve your mental health. Below are strategies to help you find moments of joy amidst the hustle and bustle this holiday season. Strategies for supporting your mental health: - Pay attention to your feelings Remember that it is okay to feel unhappy during the holidays. Recognizing your feelings is the first step to addressing and nurturing them. - Develop a plan for when you are feeling stressed, sad, or lonely This plan may include calling a friend or family member, going for a walk, engaging in an activity that brings joy, or watching a favorite movie. Having a plan ahead of time can help ensure the difficult moments are more manageable. - Practice self-care It is important to schedule time for yourself and activities that recharge your mind and body. This may include reading a good book, working out, spending time in nature, and practicing stress management skills, such as deep breathing, meditation, and mindfulness. It is also important to remember to prioritize necessities, including eating a balanced diet, getting plenty of sleep, and finding time for exercise. - Connect with community If you can’t be near loved ones during the holidays, finding a supportive community through clubs, support groups, community centers, local meetups, and faith communities can help reduce feelings of loneliness and isolation. Consider scheduling a regular phone call with family and friends as well. - Support others During this time of year feelings of grief and loss can amplify. Check in on loved ones who may be alone or struggling during the holiday season. Helping a friend or neighbor not only gives joy to others, but it can improve your own happiness and well-being. - Recognize seasonal mood changes Seasonal Affective Disorder (SAD) is a condition in which people experience symptoms of depression that are triggered by the change in seasons as the days get shorter. While this form of depression often improves in the spring and summer, it is important to talk with your health care provider if you feel you are experiencing these symptoms. Treatment is effective and may include light therapy, antidepressant medication, and/or talk therapy. - Avoid alcohol and drugs For people in recovery, the holiday season presents challenges that can trigger the use of alcohol and drugs. Having a plan for navigating social events and feelings of loneliness, can reduce the risk of substance use. For family and friends, it is important to check in on those who may be struggling with substance use over the holidays. - Know when to seek help If you feel that your mental health struggles are becoming overwhelming and difficult to handle, it is important to seek help and know that treatment is available. Below are free and confidential resources that can connect you with effective treatment and support. You are not alone. Here’s how to seek help. SAMHSA’s National Helpline — 1-800-662-HELP (4357) - A confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations. FindSupport.gov — An online guide that helps people navigate through common questions when they are at the start of their journey to better behavioral health. FindTreatment.gov — A confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems. 988 Suicide & Crisis Lifeline — If you or someone you know needs support now, you can contact the 988 Suicide and Crisis Lifeline. Simply call or text 988 or chat 988lifeline.org. Veterans Crisis Line — Reach caring, qualified responders with the Department of Veterans Affairs. Many of them are Veterans themselves. Dial 988 then press 1. Resources: - What is Mental Health? - How to Talk About Mental Health - Mental Health Treatment Works - Coping with Stress | CDC *This survey was featured as it is the only known survey conducted on this topic among individuals with a mental health condition.
Analysis by Therapy Companion AI policy engineConfidence: highAnalyzed: June 26, 2026

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