EHS Holiday Mental Health

Far Rockaway, New York, December 24, 2025 — An EHS Behavioral Health Services Discussion around SAD & Depression During the Holidays with Tanya Barros MA, LMHC, CCTP, Vice President of BHS, Dr. Margaret Mooney, MD Attending Psychiatrist, and Jamie Oyathelemi, LCSW Social Work Manager, BHS.

1. Do more people deal with depression during the holidays? In what ways do you see this in your practice at EHS/St. John’s Hospital?
   (All): The holidays can be a challenging time for many people, particularly those already experiencing mental health concerns. According to the National Alliance on Mental Illness (NAMI), 64% of individuals living with mental illness report that their symptoms worsen during the holiday season. We do see an increase in people seeking mental health services to address signs and symptoms of depression during this time. While the season is festive for many, it can also bring feelings of loneliness, grief, and overwhelm for a variety of personal and emotional reasons.
2. What is Seasonal Affective Disorder (SAD)? How long does it last?
   (M. Mooney): Seasonal Affective Disorder is a form of depression triggered by seasonal changes, often appearing in the fall and winter months. Common symptoms include loss of interest, fatigue, social withdrawal, changes in sleep patterns, irritability, and increased cravings for carbohydrates. Episodes can last four to six months, and treatment typically involves a combination of medication and psychotherapy, depending on the individual’s needs.
3. What factors bring on depression around the holidays?
   (M. Mooney): Several factors can contribute to depression during the holidays, including feelings of inadequacy, grief, loneliness, stress, and disappointment, as well as the pressure of high expectations around gift giving, affordability, and family dynamics. Being separated from family members who live far away can also intensify these emotions and add to the sense of isolation during the season.
4. Has this gotten worse in recent years? If so, why is that?
   (All): While the factors contributing to holiday-related depression vary and are shaped by each person’s unique circumstances, clinicians have observed a consistent pattern in how these feelings present over the years. What matters most is recognizing how you are feeling and addressing symptoms early to support your overall well-being.
5. What are the symptoms and behaviors people should look out for in themselves, friends or family?
   (J. Oyathelemi): There are several key signs and symptoms individuals should watch for during the holidays. These can include changes in sleep patterns (sleeping too much or too little), shifts in appetite, persistent low mood, loss of energy or motivation, and difficulty managing work, school, or daily responsibilities. A lack of interest in activities that once felt enjoyable is also common. In more serious cases, individuals may experience thoughts of death or suicide, which warrant immediate attention and support.
6. What are the different levels of depression and associated behaviors that people may go through at this time?
   (M. Mooney): Depression can range from mild to moderate to severe, and individuals at any level are encouraged to seek help. Effective treatments are available, and no one should feel they have to manage these symptoms alone.
7. What are some of the negative things people might do to cope?
   (M. Mooney): Unfortunately, some people turn to unhealthy coping behaviors during the holidays, such as overspending, gambling, overeating, or substance use. These behaviors may offer temporary distraction but ultimately create additional problems rather than relief. Connecting with a behavioral health professional can help individuals understand the underlying issues and develop healthier, more effective ways to cope.
8. What can people do to avoid holiday depression? What are some of the things they can do to help themselves to get out of it?
   (J. Oyathelemi): Individuals can practice good self-care by maintaining a consistent sleep schedule, engaging in regular exercise, spending time in natural light or increasing vitamin D exposure, participating in social activities, walking in nature, and practicing gratitude. For many, spirituality is also an important source of strength. Staying connected with family and friends can provide meaningful support, and setting personal boundaries and realistic expectations around the holidays is essential. If symptoms persist, seeking mental health treatment is important—starting with a conversation with your primary care provider to explore appropriate options.
9. What resources might they turn to at times like this? What resources does St. John’s/EHS offer?
   (T. Barros): When it comes to emotional health, it is always best to seek support from professionals. There is no shame in reaching out for help or accessing services. At EHS, we are proud of our dedicated team of behavioral health experts, available to assist individuals of all ages. Our services include a wide range of clinical, supportive, and peer-based programs tailored to meet the unique needs of our patients. Using evidence-based practices, we provide a holistic and culturally sensitive approach to care.

You can reach us at:
Community Mental Health Center
(718) 869-8822