Wendel Abel

The Yuletide season is here again and, for many people, these holidays are periods of stress, sadness and depression. It's the season to be jolly but, unfortunately, for many persons it is the season for heartbreak and flowing tears. The holidays unearth many hidden illnesses and open many psychological wounds.

Why are the holidays so difficult?

There is increased pressure associated with shopping, decorating, entertaining and socialising. "This is a period of unrealistic expectations, workers are expecting bonuses, family members are expecting gifts, friends are expecting something. It is very difficult to cope, especially, if you are having financial challenges," according to a community member.

"The pressure to buy, the pressure to spend and the pressure to give is just too great," commented Mary, another community member.

It is a period of grieving

For persons who having experienced the loss of a loved one through death, divorce, separation or migration, it can be very difficult. For many persons who are living alone, it is very difficult as the holidays unearth ideals of family. The elderly and single persons may find the holidays a rough period.

For example, Eleanor, an elderly woman, reported: "I lost my husband of 32 years ago. My children have all moved away from home. I have no company. No plans for family dinner. I am so lonely. I sit and cry all day. Christmas is difficult for me."

John is the only person in his family at home. "Everyone has migrated. Home is no longer a home. It is like an open tomb."

"Tears, tears and more tears. I lost my job. My marriage ended. It has been a difficult year for me," sighed one lady.

Recognise depression

One in three persons become depressed over a lifetime. Chances are you may be in the company of someone who is depressed.

How to recognise features of depression:

1) Sad or depressed mood

2) Change in sleep patterns

3) Change in appetite

4) Lack of interest or no pleasure in day-to-day activities

5) Easily tired

6) Poor concentration

7) Feelings of hopelessness, worthlessness or suicidal thoughts.

Seasonal depression

This time of the year is associated with shorter days and longer nights. The relative, shorter exposure to sunlight affects the brain in such a manner that some persons tend to get a seasonal depression.

Get over the blues

1) Recognise the features associated with depression

2) Be supportive of friends and family members who may be vulnerable

3) Volunteering also helps. Getting involved i activities and volunteering can be helpful. Visiting persons who are sick, visiting children's homes, nursing homes or elderly persons can provide a sense of giving back and can be emotionally elevating.

4) Avoid excessive intake of alcohol and substance use.

5) Pay attention to your diet. There are many parties and social events at this time of the year but avoid the temptation to overeat.

6) Make contact with family, friends and colleagues. A card, a call or an email can make a difference. Inviting someone over for dinner may make a difference.

Make a difference this holiday. Remember that it is in giving that we receive.

Dr. Wendel Abel is a consultant psychiatrist and head, Section of Psychiatry, Dept. of Community Health and Psychiatry, University of the West Indies; email: yourhealth@gleanerjm.com.