The holiday season can be a time of great joy. It can also be a trying time.

Sharing time with family and friends, exchanging gifts and celebrating creates good feelings.

However, for some, it’s a challenging time. Perhaps you’re missing loved ones who are no longer with us. Maybe you’re not where you want to be in your career or relationship. In these cases and many more, the holiday season can be a trying time.

Feeling grateful often comes naturally when your life is going well. It’s the more difficult times that gratitude may become hard to find. Practicing gratitude in your toughest moments can have a positive effect on your mood. This is when it’s most important.

How gratitude affects the body

Your nervous system kicks in to decrease the stress hormone cortisol1 when you’re thinking about what you appreciate or feel gratitude for. Your body also increases the “feel-good” chemical oxytocin, which helps improve your mood. When your mood improves, you may feel more motivated to do things you enjoy.

If you find yourself struggling, try some of these gratitude practices below.1,2

Make a gratitude list

Take some time to list everything you are grateful for—no matter how big or small. You can be grateful that the sun rose this morning, for example. Keep this list handy for a time when you may need a pick-me-up.


Pick one thing you’re grateful for and write about it. Give yourself a time limit, and don’t stop until your time’s up. This also creates a touchstone for later.

Thank someone

Think of something someone has done for you recently. Write them a personal note, send a text, or even better, reach out to thank them in person. Not only do you feel good about thanking them, but they will also get a jolt of good feeling too.

Be sense-ible

Get in touch with your senses—touch, see, smell, taste and hear. Be mindful of your environment as you go about your day. Think about one thing you appreciate through each sense. Perhaps it’s the feel of water on your skin, the smell of coffee or the sound of children’s laughter.

Look inward

Utilize self-reflection. “Naikan” is a practice from Japan3 that revolves around asking three questions:

  • What have I received?
  • What have I given?
  • What troubles or difficulties have I caused?

Taking stock and thinking about how you fit in the greater universe can help you appreciate the smaller things. It also helps you reflect on the bigger things.

Gratitude can create a positive feedback loop for your mood and behavior. It can also help you handle stress better and may even reduce symptoms of depression and anxiety.

Coping with complex emotions all at once is not easy. There is rarely a one-step solution. Creating a daily gratitude practice can help.

Find my therapist

Exercise and activity is a sure way to make yourself feel better. Practicing mindfulness can also improve your health.

Published December 6, 2023


This portion of the Teladoc Health website occasionally offers health, fitness and nutritional information and is provided for educational purposes only. You cannot rely on any information provided here as a substitute for or replacement of professional medical advice, diagnosis or treatment. Teladoc Health cannot assure that the information contained on this site always includes the most recent findings or developments with respect to the particular subject matter covered.

If you ever have any concerns or questions about your health, you should always consult with a physician or other healthcare professional. Do not disregard, avoid or delay obtaining medical- or health-related advice from your healthcare professional because of something you may have read on this site. The use of any information provided on this site is solely at your own risk.

If you are in the United States and think you are having a medical or health emergency, call your healthcare professional, or 911, immediately.