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You are here.

Technically, we all are here, but that’s not the point. You are here, you are on the struggle bus, you are in good company. Today’s post is literally just links to a bunch of our glorious resource pages. Feel free, encouraged even, to share this post far and wide. We’ll start with mental health:

Depression

Anxiety

Stress

PTSD

Self-harm

Next up, Feelings:

Stress

Anger

Loneliness

Fear

Guilt

Maybe you or someone you love is struggling:

Domestic violence

Addiction

Rape

Child neglect

Child abuse

Maybe you or someone you love is losing, or has lost, their battle:

Hospice

Grief

Suicide– If you or someone you know is thinking about suicide please call! 

Parent loss

Partner loss

Child loss

Pet loss

We love you. We are here for you. If what you need isn’t listed above, please let me know at stacey@bandbacktogether.com and I will do my level best to fix it! Stay safe, wash your hands, stop licking hand rails.

 

Vicarious Trauma and Compassion Fatigue Resources

What is Trauma?

A traumatic experience can mean a number of different things, from being a victim of some form of abuse or life-threatening situation, to witnessing any event where a person’s life or physical safety is threatened or where sexual violence occurs.

Please see our page about emotional trauma to find out more about trauma and trauma responses.

Many people report few symptoms or are able to bounce back relatively quickly after experiencing a trauma. And while resilience is our natural tendency as humans, some people find that the typical course of healing goes astray and many symptoms remain. This persistence of symptoms is known as post-traumatic stress disorder (PTSD).

Please see our Post Traumatic Stress Disorder Resources for more information.

PTSD symptoms, including nightmares, upsetting memories of the event, avoiding reminders of the trauma, and increased depression, anxiety, guilt, shame, and irritability or anger, can remain with a person for a long time, even many years, after the initial traumatic event is over. These longer lasting symptoms can interfere with our lives and prevent people from achieving some of the goals that may be most important to them, including performing well at work or school, or forming close and trusting connections with friends and loved ones.

Trauma and addiction have a two way relationship: people who have experienced trauma in the past are more apt to abuse drugs and alcohol as a means to cope with emotional stress; while people who abuse drugs and/or alcohol are more likely to experience a traumatic event due to their addictions. Recent studies indicate that nearly half of people who have PTSD also meet the criteria for substance use and abuse, and 75% of people who are dealing with addiction have experienced trauma(s) in their lives. In addition, many people who abuse substances also have underly

It’s unfortunate that while addiction and substance use and abuse often do help with the feelings of trauma in the short term; however avoiding emotional issues can’t last forever.

Please see our resources about addiction, addiction recovery, and alcoholism for more information.

Understanding Vicarious Trauma, Compassion Fatigue, And Burnout: 

Vicarious trauma generally involves a shift in the way you view the world; your beliefs about the world may be altered and/or damaged by repeated exposure to traumatic material, for example.

Compassion fatigue and burnout are related concepts that share some similarities with vicarious trauma, and a person might find themselves experiencing one or more of these states at the same time. For the purposes of this resource page, we are going to use vicarious trauma and compassion fatigue interchangeably, but for reference, the comparison is written below.

Compassion fatigue is the condition of emotional and physical fatigue that results when you feel compassion for those you care for, see on the news, hear about on the television but do not have adequate time away to refuel and care for themselves. It differs from vicarious trauma in that it is not typically characterized by the presence of trauma-related symptoms and does not necessarily involve a change in one’s world view.

Burnout is a term sometimes used interchangeably with vicarious trauma, but this condition does not necessarily involve a traumatic element. People can experience burnout when they have a toxic work environment or when they feel themselves to be doing tedious or otherwise trying work without getting enough time for rest or appropriate self-care.

What is Vicarious Trauma?

The term was first used by in 1990; vicarious trauma described the constant barrage of life and death situations experienced by nurses, doctors, therapists, first responders, and the police. To really nail down this definition, the American Counseling Association defines vicarious trauma as a “state of tension and/or preoccupation of the stories and trauma experienced by others.” It’s also sometimes referred to as secondary trauma or compassion fatigue.

With all that’s been going on in the world, it’s no wonder so many of us of walk around like zombies, trying to understand how to feel good when life – and the world seems so terrible. Social media has connected us, obviously, but it also tends to show us much suffering of others. And with all the events screaming through your Facebook (or Twitter) accounts, it can become incredibly difficult for us to feel happiness. A lot of us take social media breaks, only to find the same issues blaring at us through our television.

And it’s hard to look away; you want to support campaigns like #MeToo, send love to the survivors of mass shootings, and pray (if that’s the sort of things you do) for those losing house and home. It’s the number of awful of events occurring every single day that can make us fearful, unhappy, depressed, apathetic, and/or pessimistic.

As the speed of news flashes before us, barely giving us the chance to breathe in between horrifying things going on, it’s important for us to understand how these traumas affect us. Are they leading to bad, awful feelings? Are we reminding ourselves to take extra care of ourselves during this stressful time? Are we isolating ourselves from loved ones? Are we behaving differently; as though the constant threat is looming over us? Vicarious trauma is considered to be the cost of caring for others.

For many years, vicarious trauma was considered in terms of the helping professions: an ER doc, a hospice nurse, a therapist, a firefighter, a police officer. These were the people on the front lines: they saw things no one else had to, experienced things that not everyone would understand, and it tended to increase as time went on. How many years can a therapist listen to rape victim(s), doctors try to save dying people, nurses put into untenable situations that no one really understands before it’s all too much to handle.

It’s the advent and increasing access to the news as it happens that’s now causing previously unexposed people to feel these traumatic situations as if they were right there.

pet loss

Caregiver Stress and Burnout:

When we typically discuss vicarious trauma and compassion fatigue, it’s assumed that we’re talking about medical staff, therapists, and first responders. Perhaps, though, the biggest number of people who are experiencing compassion fatigue and vicarious trauma are those who are unpaid, untrained caregivers. Caregivers are unpaid people who care for a number of different kind of people:

  • Ailing Parents
  • Friends
  • Mentally Ill People
  • Special Needs Children

And often at the same time with various people.

Over 50 million people in the United States alone provide care for aging and ailing parents. 

And if you’re a full-time caregiver, it’s likely a 24/7 job with no breaks, no reprieve, no time for personal care, no time fo fun, and no time to process anything that is thrown at you every minute of every day. This can lead to major health issues, mental health issues, feelings of being overwhelmed and not appreciated.

Please read Caregiver Resources for more information on caregiver burnout, stress, and ways to help alleviate some of that stress. 

Please read Hospice Resources for more information.

What Is The Sandwich Generation?

Most notably the sandwich generation, which is a descriptor for people who are both caregiving for their older adult parents who are sick AND trying to care for their children – sometimes they try to work as well. This is a major stress and often, with finances being drained quickly, caregiver stress can feel unmanageable.

As people around us age, “learning to parenting your parent” is becoming increasingly common. People in this Sandwich Generation are generally stuck in the middle between caring for aging parents and caring for their own children. The ever-increasing lifespan of people means that more and more of us will be put in this position – many of us having to do this on top of a full-time job. While living longer and longer can be excellent, each year that goes by means that age-related problems are becoming a burden on the members of the sandwich generation. These problems can include chronic illnesses, long hospital stays, multiple medications, dementia, deafness, becoming bedridden, and eventually unable to properly care for themselves. Often, without the funds, these caregivers must care for their aging parent in their own home – often with parents who need round-the-clock care.

This is nearly impossible feat and it can put a strain on everything from finances, to relationship issues, to being unable to properly parent your child.

Please visit our caregiver resources for more information on coping with caregiving

 

How Do We Know If The Impact Is Too Much For Us To Handle?

As is the case with any type of traumatic event, some people will be able to handle vicarious trauma and have it not affect their daily lives. Others feel a sense of hopelessness and feel overwhelmed. Don’t expect that your response will be the same as, well, mine. This isn’t a contest and there are no real rules as to how vicarious trauma affects us. If you’re wondering if you’re experiencing vicarious trauma, look below and see if you see yourself in these symptoms:

  • How’s your daily mood? Is it the same as it usually is? Are you experiencing mood changes?
  • Are you increasingly worried or irritable?
  • Do you feel unsafe?
  • Do you feel hopeless and helpless?
  • Are you isolating yourself from your loved ones?
  • Are you engaging in risk-taking behavior by drinking or drugging to escape your daily life?
  • Has it become hard to concentrate?
  • Do you find yourself constantly thinking about the traumas?
  • Has your beliefs about the world changed?

If you see yourself in these statements, you may be dealing with vicarious trauma and compassion fatigue.

Who Is at Risk of Being Affected by Vicarious Trauma?

Really, anyone who has been working with trauma survivors, trauma as a part of their job, or those who experience vicarious trauma from the news can be affected. These factors may increase your vulnerability:

  • Having lived through other traumatic experiences
  • Difficulty discussing your feelings
  • Having traumatic experience happen on the regular at your job
  • Feeling social isolation, loneliness – both at work or in your personal life
  • People who withdraw to avoid experiences, feelings, or blame other people in super stressful situations
  • At work, people who’ve not been properly prepared, oriented, or trained in their job
  • If you’re newer and less experienced in your job
  • Unending, constant intense exposure to trauma on the job
  • Lack of availability of people to support and help you discuss your trauma

What Are Some Of The Warning Signs That You’re Developing Compassion Fatigue?

Physical Warning Signs

  • Getting sick more often
  • Sore back and neck
  • Total exhaustion
  • Insomnia
  • Headaches
  • Irritable bowel, GI distress
  • Rashes, breakouts
  • Teeth grinding during the night
  • Heart palpitations
  • Hypochondria

Behavioral Signs

  • Not returning phone calls at work and/or at home
  • Anger and Irritability at home and/or at work
  • Avoiding social events
  • Using drugs and/or alcohol
  • Bingeing a ton of Netflix/Hulu/TV at night
  • Watching high trauma shows and news as entertainment
  • Decreased decision-making abilities
  • Increasing issues in personal relationships
  • Challenges with intimacy and/or sex due to trauma
  • Frequently negatively gossiping
  • Changing in eating – restrictive eating or overeating
  • Inability to stop thinking about the trauma

Emotional/Psychological Signs

  • Emotional exhaustion
  • Negative self-image
  • Depression
  • Increased anxiety
  • Feelings of hopelessness
  • Guilt
  • Reduced ability to feel sympathy and empathy towards clients or family/friends
  • Cynicism
  • Anger
  • Resentment of demands asked of you at work and/or at home
  • Diminished sense of enjoyment/career(i.e., low compassion satisfaction)
  • Depersonalization – spacing out during work or the drive home
  • Disruption of world view/heightened anxiety or irrational fears
  • Intrusive imagery
  • Hypersensitivity to emotionally charged stimuli
  • Insensitivity to emotional material/numbing
  • Suicidal thoughts

What Are Some Other Symptoms That May Indicate Vicarious Trauma/Compassion Fatigue?

While many of the below symptoms can be described as symptoms of depression, there’s much more to symptoms of vicarious trauma; these symptoms are a bit more like PTSD because they are in relation to a number of involuntarily traumatic situations. It’s the culmination of a large number of problems and trauma all rolled into one.

  • Avoiding talking about the trauma
  • Beginning to feel numb to what they are experiencing
  • In a constant state of fight or flight or flee or free
  • Survivor’s guilt
  • Sleep issues (sleeping too much or insomnia)
  • A free-floating anger or irritation at others
  • Losing sleep
  • Fear that they’re not doing enough to help others
  • Dreams being overtaken by trauma
  • Feeling less and less joy for things they once loved
  • Feeling trapped and helpless; unable to get out
  • Intrusive thoughts about the trauma(s)
  • Less feelings of satisfaction and feeling like they’re not making a difference
  • Absenteeism and tardiness to work
  • Rejecting interpersonal and physical closeness to other people
  • Dropping out of activities once enjoyed
  • Dissatisfaction with like and other people
  • Blaming other people for the trauma
  • Low-self image
  • Hopelessness and/or apathy
  • Problems with interpersonal relationships
  • Changing their world view

Coping With Compassion Fatigue And Vicarious Trauma:

With the news constantly spitting out horrible images of people dying, planes crashing, and catastrophic events, so naturally, we have to find ways to manage and overcome vicarious traumatizations. Let’s go over some good ways to cope:

First, you need to recognize that you’re experiencing this and start to make your very own self-care plan. This may look different for everyone, but the following ideas are the basic tenant of your recovery.

Second, make sure you’re spending quiet time alone. If you can practice meditation, you may like to try it. If you don’t, make sure that you spend some time coming back to the core of who you are. Returning and reminding you of your former self can be very centering and help you achieve some inner balance.

Third, you also need to connect and have meaningful conversations at least once a day. Talking to someone about something other than just pleasantries can do your soul a whole lot of good; especially if you’ve managed to isolate yourself.

Fourth, do something you love every day that’s good for you. Vow to learn to cook, take up a hobby you have time for, and do it every single day.

Fifth, self-care is a total must. Most of us, when we develop compassion fatigue through vicarious traumas have a tendency to avoid taking care of yourself. This isn’t an option when you’re struggling with compassion fatigue.

This is gonna make a lot of people mad, but this is important, create your own principles about dealing with vicarious trauma and your exposure to it – turn off the TV, get off Facebook, and turn your phone totally off when you’re not feeling as though you’re able to handle it. You’re not going to die if you don’t constantly read status updates or see what your BFF is making for dinner.

If your in the medical field, a therapist, or a first responder, making a plan isn’t as easy as clicking a button. This requires some serious soul searching: what makes you happy? What (pardon the phrase) sparks joy in you? These questions should help you understand some principles of care to use in traumatic situations. For example, if you’re emotionally exhausted while thinking about your job, maybe it isn’t the gig you wanted it to be. There are always a zillion different jobs for medical professionals, therapists, and first responders.

No news is good news. It’s a familiar enough phrase, between accounts of natural disasters, sexual assault, child abuse, and maltreatment in detention centers and violence against racial, ethnic, and sexual orientation, and gender minorities, there is more than enough going on in the world to lead one to feel anxious and sad.

The emotions and reactions, along with a number of other thoughts and feelings, are challenging enough to cope with. For people who have survived a trauma, this barrage of information can be particularly overwhelming and can result in feelings of hopelessness, despair, paralyzing fear, and rage at the people and systems who commit or condone violence.

The Don’ts of Managing Compassion Fatigue and Vicarious Trauma:

Unfortunately, as much as we don’t like hearing about the don’ts in life, it is necessary when it comes to healing yourself from vicarious trauma.

Don’t blame other people for your issues. They are your own and you must deal with them; even though developing compassion fatigue isn’t your fault. Wait until you’ve healed so that you can properly see what needs to change in your life.

Do not make big decisions: now is NOT the time to buy a new house, divorce your spouse, buy a fancy car. When you’ve recovered emotionally and physically from compassion fatigue, you can better assess what you really need. Even though you get an endorphin rush from a big purchase, it won’t last. And when it stops, the guilt creeps in. Always, always, always, always remember that old AA saying “wherever you go, there you are.”

Don’t bother trying a quick fix – drinking and/or engaging in risky behaviors only cover up your feelings only delays them. They’ll be right there with you when you wake up. Addiction and addictive behaviors can only escalate your continued downward spiral.

This is a toughie for most of us, because complaining can feel sooooo good, especially with people who share your views, but don’t make complaining a habit – it’ll only serve to make you feel worse. If you want to share your feelings, talk to a close friend, loved one, or even a therapist. That way, you’re dealing with your emotions and feelings in a safer, more constructive environment.

a crowd of people hands shaped into a heart

Help! My Loved One Has Compassion Fatigue and Vicarious Traumatization!

One of the best things you can possibly do to help someone struggling with compassion fatigue and vicarious trauma is to be kind and supportive. In fact, be kind and supportive to everyone you meet!

If your loved one is disclosing their compassion fatigue for the first time, it can be extremely hard to hear that what they’ve thought they’d been hiding is being noticed.

With the main focus on treatment of compassion fatigue and vicarious trauma is to do more self-care and find better work/life balances, some people feel blamed – as though they’ve caused this issue themselves and not as a result of their work – “if you feel compassion fatigue, YOU are not doing enough to care for yourself.”

See, the biggest contributions fo developing compassion fatigue is your work location, your workload, the amount of support staff available, working conditions, and whether or not you’ve gotten training in dealing with trauma-related stress.

Self-care, a wonderful ideal, doesn’t look the same for everyone, it must be figured out based upon how we’ve dealt with other types of stresses in our lives. For some, it can involve leisure activities, doing fun things, developing a satisfying physical activity regime, or getting yourself on a consistent eat and sleep cycle. The balance between self-care and vicarious traumatization is incredibly important to give yourself and your body time to process the event.

When you’re feeling overwhelmed, being social and finding good social groups to join is one of the very best things you can do for yourself.

Write it down – let it out. We’re open 24/7 and a lot of people have been where you are. 

When you can’t avoid exposure to traumas and retraumatization, you may feel helpless and hopeless. This is where getting a sense of control in other parts of your life comes in. Helping others, attend local counsel meetings, do something good for others can honestly help to counteract the feelings of helplessness or hopelessness.

Limiting your exposure to traumatic situations is important when you’re trying to reduce vicarious trauma and managing symptoms as they happen can do a lot toward making you feel better about yourself and your life. If you’re in a helping field, reducing your hours, or changing your job to a less-traumatic one can really help reduce vicarious trauma and compassion fatigue.

Additional Resources for Compassion Fatigue and Vicarious Traumatization: 

The Offices For Victims of Crimes offers strategies and a toolkit for professionals and lay-people alike to help to learn to understand traumas and begin to heal

Professional Quality of Life Questionnaire  

National Sexual Assault Resource Center offers a plan to work on your compassion fatigue and vicarious trauma

American Nurses Association did a study on compassion fatigue, PTSD, and vicarious trauma. These are the results – they’re dense but can be applied to any helping professions.

Remember Your Purpose.

Losing a pet can be as awful as losing another family member.

Please, share your stories of your wonderful animals.

Sebastian was a foster fail. My fiancee and I took in he and his two kitten brothers after they were dumped in box outside our Humane Society. Sebastian and his brothers were tuxedo cats, their black fur so shiny and soft. Sadly we lost one of the brothers, George, early on from a terrible respiratory infection.

The other brother, Bellamy, stole my Love’s heart. Another foster fail.

But Sebastian…Sebastian was mine.

pet loss tuxedo cat

While we were supposed to be fostering them until they were adopted, we just couldn’t let them go. Our family of 4. So 4 became 6 – we’d become a foster-fail family, and we loved it.

Alex and I were outnumbered by cats but we wouldn’t have had it any other way. We got them fixed and they settled right in.

Sebastian became affectionately known as “Bash” or “Limp Noodle”. Whenever you picked him up he went limp and let you hold him however you wanted.

Sebastian wasn’t quite two years old when we first started seeing signs of lethargy. One day, that same lethargy led to a temperature check. While it was supposed to be 99.5-102.5 Fahrenheit.

It was 106.

We raced to the emergency vet only to hear the devastating news of Feline Leukemia. We were distraught. but It was a road we had been down before and understood. We lost my fiancee’s first kitty love to feline leukemia.

The emergency vet suggested that we put him down. We just weren’t there yet.

We felt he still had more time and we wanted to look into to doing something, anything that might help Sebastian. As he was also fighting a secondary infection due to the lowered immune system caused by leukemia we started my sweet foster fail on antibiotics. His regular vet suggested an immuno-reglan booster –  $26 a shot on a strict schedule. Not a problem.

We were willing to go into deep debt for this guy.

The first several shots brought on massive improvement; it was like he was a kitten again, jumping and playing around with everyone. We thought that maybe, just maybe, he could have some quality of life. Then came another secondary infection.

He spent 3 days in the hospital fighting it. Got to come home and continued his shots, but they were no longer working. He was spending his days sleeping and hiding in cabinets.

Not two weeks later, his infection came back and back he went to the hospital.

This time he stopped having any interest in food.

The Thanksgiving holiday was coming up and after three days in the hospital, the vet thought it might be getting close to time. He gave us a choice, put him down or wait through the holidays and see if his appetite returns.

We chose to wait.

I look back on that now and wonder just how selfish I was being. We just kept hoping that our pet wouldn’t die.

The following Monday there was no change. We took some final precious moments with our baby boy. He lay on us and meowed at us when we spoke to him. He was tired and he had fought all he could. He was letting us know it was okay and that he knew it was his time. He went quietly and peacefully.

tuxedo kitten before pet loss

I had been through the loss of fosters before, but never one that became a pet. He was my first foster fail.

I loved him so much; missed him so much, that I cried for three weeks almost every day.

It’s late August and I’m crying as I type this.

Pain can lessen, but it never fully goes away. Not when the loss is so intertwined in your heart.

Recently our Humane Society shut down. We’ve affiliated ourselves with another rescue and have continued to foster cats. We end finding a lot on our own through people who reach out via Facebook saying there’s a kitten here or a litter there. We’ve also started working with a group of people who TNR ( trap/neuter/release) feral cats.

Our city here in Arkansas has a horrible cat overpopulation problem.

One night after doing “surveillance” on an area we are hoping to trap some adult cats to TNR we noticed a tiny little kitten head poking out from behind a bush. We stopped and spoke to the kitten who became very chatty with us. He was not a feral, he was entirely too friendly. Someone had dumped this poor baby.

Alex opened a can of wet food and approached him. He was apprehensive at first but eventually she was able to pick him right up.

Alex came back to the car with him and was nearly in tears. “Look at him,” she said.

It nearly took my breath away.

This four month old baby looked exactly like Sebastian.

He’s been with us for three days now. He’s a goofy thing. And I swear walking through our apartment and running into him I think it’s Sebastian. I don’t know that we will keep Cooper but I will be forever grateful to him, for reminding me of my sweet boy and that I serve a purpose here.

Tuxedo kitty pet loss

Save and fight for those who have no voice. Love the forgotten and uncared for.

The Band’s Guide For Surviving The Holidays

The holiday season can bring mixed emotions for many people, so if you’re not feeling the holiday season, you’re not alone. Seeing old friends and family members may be exciting, dysfunctional families may cause you stress or anger,  maybe you’re spending your first holiday alone, maybe you want to spend this holiday season alone, you may be learning to live with life after a loss (a loved one or even a divorce), you may be dealing with tremendous amounts of pressure, your illness – mental or physical – may be pushing you to the edge, and some people find that the holidays may bring up memories of disappointments.

Feeling depressed or anxious is not unusual during the holiday season, in fact many people consider the “happiest time of the year” as “the worst time of the year,” and that’s okay. There’s no law that says you have to enjoy any part of the holidays, not do you have to say yes to everything everyone invites you to. You’re allowed to say NO to events and you’re allowed to feel upset.

Just know that the perfect families you see on Facebook, in those sappy holiday movies, and every freaking commercial are actually bullshit. Sappy holiday movies and commercials act happy because they are full of actors acting happy because they’re getting paid to behave that way. And we all know how you can manipulate your Facebook (or other social media outlets) to make it appear that your family is happy, content, normal, and (clearly) better than yours. Plenty of people (raises hand) have a tremendously hard time skimming their social media during the holidays because it brings up something they don’t have: a child, a family, a loved one, friends, or even a place to stay.

This is also bullshit. Don’t buy into it. Seriously, it’s not worth it.

We’re (I’m) going to be splitting the list up based upon different scenarios you may be facing, divorce, addiction, dysfunctional families (etc), but let’s start with the general tips for surviving the holidays.

General Tips for Surviving The Holidays:

First things first: if you don’t think it’s going to be healthy for you to be around holiday stuff (commercials, social media posts, movies), DON’T. I mean it. Pay the $10 bucks to get Netflix or Hulu (I am a Netflix aficionado, by the by, so if you need some grisly things to watch to get your mind off the season, I’m your woman), delete the social media apps from your phone until the season is over, and practice my favorite word: FUCK NO. If doing what other people ask of you will do you in in someway (not judging a bit), say FUCK NO. Or just NO.

Remember: you DON’T have to be everyone’s everything.

If you’re afraid that using the n-word (NO) will piss people off, remember that there are sometimes that you simply MUST put yourself first. Your sanity, health; those are more important that eating Auntie Jean’s radish pie.

If you simply can’t face someone who’s going to yell at you or give you a damn guilt trip about the holidays, turn off your phone. Block their number. Block their email. Just until it’s over and your world has been righted again.

Ah, guilt. My default emotion. For someone raised agnostic, I carry a tremendously large amount of guilt on my shoulders. Is the problem my fault? 99.9% of the time it is not, but I still can’t stop with the guilt. If you’re feeling tremendous guilt for not doing That Thing (cooking, hosting, attending, buying presents, being cheerful, not whistling Zip-A-De-Do-Dah out of your damn asshole, whatever it is), my suggestion after years and years and years wallowing in it is to do something to get out of your headspace (no drugs, presumably no alcohol). What’s your absolute favorite thing to do? Build Legos? Buy a kit especially for the occasion. Needlepoint? Order yourself a couple of new patterns. Video games? Buy a couple of new ones to escape into. Really, this part is up to you, and it really does work.

As much as you can, stick to your routine to avoid unwanted (and avoidable) stress. If this isn’t possible (especially if you’re traveling), try to make sure you take at least a couple minutes devoted to yourself. I find hiding in the bathroom or garage or basement works quite well as it gives you a chance to just BE yourself BY yourself.

A lot of the stress around the holidays (for me, at least) is having to play the role that’s expected of me. I know that sounds weird and I’d like to be all “Free To Be You And Me” but that’s simply not always doable. I have to curb my mouth, NOT express my wildly different opinions, and pretend that I shoot rainbows and glitter out of my ass every single moment of every single day. I don’t, so it’s another role for me to take on.

When I was not estranged from my family, I’d have to be The Fuck Up (my role in the family)(see also: addiction), which made me feel about 12 again, which is how I would invariably act. If you’re going to be forced to play a role that you cannot abide by (i.e. The Fuck-Up), get out of going.

Personally, I find that the stomach flu works best. NOBODY wants to be exposed to that shit, even those of us with iron-clad immune systems. It’s a tactic you can only use right before the holiday starts, which may be stressful, but it’s The Easy Way Out.

The Hard Way Out involves being absolutely, undeniably, and often anger-inducing honest. Being honest is something important to me as an ex-addict, which is why it took me getting sober to cease our relationship. While that’s sad, what’s more sad is being treated like a gigantic toddler who can’t do anything right – at age 38!

I’ve got no judgement whatsoever for whichever method you choose, but I will tell you that The Hard Way Out will make you feel strong, mighty, and in charge of your own life.

Every other “guide to the holidays” will tell you to do it all in moderation. That’s bullshit. The holidays come once or twice or three times a year, so if you can enjoy them? Do. Eat that delicious radish pie (do not ask me where that idea came from). Chug on some ‘nog. Enjoy every second of it, if that’s possible. My only objection is drinking and driving. Or getting high and driving. Stay safe. You don’t want to ruin someone else’s holiday.

If you’re (your age here), you know that nothing will go as planned. Murphy’s Law LIVES for the holidays. And that’s okay. No, I mean it. You there, in the back, worrying yourself into a tizzy, trying to control all of the things, seriously, TAKE A BREATH. 9 times out of 10, no one will even notice what went wrong. They’re too busy getting drunk, singing “God Save The Queen” and passing out on your amazing, new mink rug.

If, by chance, you actually believe that one of your friends or family is able to pull off a perfect holiday, I’ve got some waterfront property in Arizona to sell you.

If you need help, say so. You’re not going to ruin anyone’s time by saying, “Hey, I need some help with (XYZ),” and if they act like you’re ruining your time, you have my permission photoshop the shit out of their photos.

If you want to be alone, that’s cool. Don’t let anyone tell you that you “shouldn’t be alone” during the holidays – UNLESS YOU ARE A DANGER TO YOURSELF OR OTHERS, in which case GET THEE TO AN ER IMMEDIATELY. But if you’re just an introvert who doesn’t get into the holidays or the crowds or whatever, you’re perfectly normal.

However, if you don’t want to be alone, find somewhere to go celebrate. Put a call out on Social Media, ask friends and family, find out what activities are in the area for people who can’t or don’t have a family. There’s absolutely NO SHAME in that.

If you anticipate spending the holidays alone, try to volunteer somewhere, like in a soup kitchen, with children in group homes, or the elderly in various facilities. People will so appreciate you that you may feel better about yourself, but more importantly, you’ll have company.

Let the past stay buried. A fair number of us (raises hand) have some wrongs in our past that we cannot seem to right, no matter how hard we try. This becomes problematic if you allow yourself to become an Injustice Collector. We’ve all met them, they’re the people who remember that thing you did once when you were 11 and no I will not let it go. If you’ve got one in your holidays, prepare for it, or (my favorite thing to do) is to record them with your phone if they start on that thing you did wrong – so wrong – 80 years ago and play it back for them, just so they can see how ridiculous they sound. It might not do anything, but it’s hilarious to watch their reactions.

Dude, you matter too. Yes you. If anyone tells you differently or makes you feel as though you should be doing X, Y, or Z and you don’t feel you can? Don’t. Say no.

Do something nice for yourself. I mean beyond the eating and merriment, something that you’re really going to enjoy. A massage for after the holidays. Buy yourself something you want. Stuff for a new hobby. Anything that makes you feel good (and is NOT illegal) so that during those nasty moments you experience throughout the holidays, you can look forward to something concrete.

Don’t go for broke. Yeah, it may be awesome to get your entire family elaborate, expensive gifts, but if you can’t swing it? DON’T. I’m not crafty (and I often think of crafty gifts as something terrifyingly – often hilariously – awful), but I can make cookies and shit like that. It’s cheap and easy. The holidays aren’t a dick measuring contest, they’re supposed to be about togetherness. Or, at least, that’s what the commercials tell me.

Addiction and Sobriety During The Holidays:

The holidays are a stressful time for everyone.

See also: Addiction, Addiction Recovery and Alcoholism

Between gift-giving, travel, and family, it’s really easy to jump into the easiest coping mechanism you have, whatever that may be – overeating, overspending, you get my drift. Addicts in recovery (as well as those facing an active addiction), are at particular risk for relapse and a nasty downward spiral. Sobriety is hard enough to deal with during the less stressful times in the year, the holidays practically beg for you to relapse or engage in an ugly downward spiral.

Why Are The Holidays So Difficult For Addicts?

As amazing as a holiday can be, addicts (in recovery or not), the stress and even merriment of the season can trigger the issues responsible for developing an addiction in the first place; money, loss, divorce, family, stress are all reasons that addicts may begin to use and abuse their substance of choice. Old conflicts with family and friends that haven’t yet been addressed can trigger a relapse. Much of the research on addiction has verified that the extra extra of the holidays can drive even a person long into recovery back into its claws.

On the other end of the spectrum, addicts without a stable family or group of friends are often left feeling alone and isolated during the holidays, another powerful source of the shame and boredom that can drive addictive behavior.

So we all agree: the holidays can lead to relapse. Period.

Tips For Avoiding Relapse During The Holidays:

The first – and best – thing an addict can do is to make – and stick to – a plan that accounts for the stress of the holidays. Some options I use are:

Go to a meeting before or after a get together.

Maybe plan a call with a sober friend during the event to check in on you.

Bring a sober buddy (or even your sponsor) with you to the occasion

Making sure you have a way to leave the event on your own so that in the event you need to get away from your relapse triggers, you can do so without depending upon Uncle Bob to drive you home

Make SURE you have an escape plan if things become too much.

Keep a soda or water in hand at all times; that’ll stop people from asking you if you need a drink.

Avoid those you’ve got to avoid to save your sanity. If Auntie Rachel, for example, is going to try to talk to you about rehab, rub the stupid shit you did when you were wasted in your face, make you feel ashamed, or thump her Bible at you, GET THEE AWAY FROM HER. You don’t need that level of bullshit.

If you’re already feeling triggered to use or believe that you will abuse during the holiday season, go back to rehab. You’ll be safe there.

Do not forget that many people experience a relapse AFTER the holidays, when life returns to normal. You’re going to have to plan for that, too.

Should I Choose New Years As My Sober Date?

If you’re still actively using and want to stop, chances are that you’re going to have to choose a Sober Date, and often times New Years Day is the day that many choose to stop other self-destructive habits. It’s a fresh year, a fresh take, a fresh new life.

(I personally could never manage the pressure of a New Years resolution, but hey, I’m me and you’re, well, not me.)

Unfortunately, as we’ve all learned, it doesn’t usually work, and for addicts, going cold turkey is a strategy that guarantees few success stories. It’s hard, even dangerous, to quit cold turkey depending on your substance of abuse.

If you do plan to use New Years Day as your Sober Date, remember this: you have got to work up to it. I’d go with starting a few months before, depending upon how long you’ve been using, and the amounts you’ve been using. Chances are, if you’ve been using a lot for a long time, you’re going to have to gradually start reducing.

Talk to your doctor about your Sobriety Date and he or she can help you develop a plan, because not only does detox suck, it’s incredibly dangerous if you’re abusing drugs or alcohol.

Lastly, when you choose a Sobriety Date, you’re making plans for long-term sobriety, not the short term.

The Holidays And Mental Illness:

See also: Mental Illness Resources

It’s entirely unsurprising that mental illnesses flare up during this time of heightened stress, triggers, overwhelming feelings, and financial strain (to name a very few). Once again, I urge you to take care of yourself above all else, no matter how often you’re harassed by well-meaning loved ones. Keep your routine, stay grounded, and be kind to yourself. I’m breaking some of these tips up by particular diagnosis, but they will undoubtably overlap, so you may want to read them all.

Depression And The Holidays:

See also Depression and Coping With Depression

People mistakenly assume that the rates of suicide soar during the holidays, which is a total myth (springtime is oddly when rates of suicide peak). If you are feeling desperate and suicidal, please call the National Suicide Lifeline immediately:1-800-273-8255

The holidays are NOT a happy, jolly time for a large number of people, so my first suggestion is to acknowledge – don’t stuff – your feelings. If you’re sad because you’re divorced, experienced a recent loss (etc), don’t hide it inside, let it out. You’re perfectly welcome to share your feelings with others – even those non-jolly ones – who you love and support.

If you’re feeling especially isolated and lonely during this holiday season, reach out to others. Talk to your friends. Discuss your pain with online friends. Go to a support group. You’re definitely not alone in feeling lonely. Hell, try volunteering your time so you can feel like you, too, are a part of things.

Keep taking your medications, don’t deviate from what you’d normally do, and practice my favorite word: NO. Your self-worth matters a hell of a lot.

Keep things on a schedule – this may sound awful to some of you (I get it), but if you designate certain days to certain tasks (such as Dec 1, get tree, Dec 2 decorate tree, Dec 3 massage) it’ll really help you from feeling overwhelmed.

If you can’t? Don’t. Period.

Don’t be ashamed if you can’t do it all. I have a sneaking suspicion that the only people out there that “have it all” are pretending or have hired enough help that they don’t have to lift a finger.

Don’t use the holidays as a time to even the score between you and someone else. Wait for a more appropriate time to discuss old wounds.

If you’re feeling overwhelmed at a gathering, don’t hesitate to seek out some alone time. The bathroom can be appropriate, I also like the garage, or just sitting outside alone, taking 15 minutes to yourself.

Anxiety And The Holidays:

See also Anxiety Disorders and Coping With Anxiety Disorders

Stress and the holidays go practically hand-in-hand, even the “fun” kind of stress is, in fact stress. People who have anxiety disorders often report a surge of anxiety before, during, and after the holidays. Here are some tips you might be able to use if you (like most of us) deals with chronic anxiety.

You may feel as though you’re on stage at some of the gatherings you attend, but rest assured, most people aren’t paying any untoward attention to you.

I’m always an advocate for deep breathing and escaping the situations that make you uncomfortable.

Confide in someone who is there (or, if you plan ahead of time to save stress, will also be attending) that your anxiety level is high. They can be a buffer between you and the rest of the guests.

If you’re caught talking to people, and you don’t know what to say, remember this: everyone loves to talk about themselves.

Drugs and booze are only going to make things worse – avoid them.

Practice saying NO. You’re not under any legal obligation to be present at all events, so if you can’t do it? Don’t.

Plan your entrance and escape. Come late, leave by X time. Come early and leave by Y time. These aren’t hard and fast rules and WILL depend upon you to know when you’ve reached your limit. When you have had enough? Go.

Dysfunctional (and/or) Toxic Families And The Holidays:

See also: (I am sorry there aren’t more, I’ve just not had the time to create more pages -AB)

Adult Children of Narcissists 

Adult Survivors of Childhood Abuse

Narcissistic Personality Disorder

While no one has a “perfect family,” some families are far more dysfunctional than others and the holidays often amplify your feelings and bring up past hurts, new hurts, and a generally awful time for most. If you’ve got one of these, here are some tips for dealing with your family during the holidays (if you are not estranged):

Keep expectations low. If every family gathering is a nightmare, toxic, and awful experience, don’t expect that this year will be any different. It’s important to keep things in perspective.

Stop lying to yourself and other people about how bad the situation is. If you hate a particular holiday, vent to your friends…and don’t be surprised when they reveal similar feelings. The act of letting it out and tell the truth about the situation is incredibly freeing. You don’t have to hold onto that lie anymore!

Make sure to stay connected with non-dysfunctional relationships. The beauty (and downfall, if you ask me) of the smartphone is this: you can ALWAYS be connected to someone, somewhere. Text your friends, share your story to online friends, whatever reminds you that this situation does have an end point.

Just keep swimming. If you’re not estranged and do plan to see your family, you’re going to have to come to terms with something unpleasant: It really might suck. It may be yet another thing to “get through,” and if that’s the case, the sooner you accept this, the easier it may feel. I always remind myself that I can do anything for X hours or days or weeks or whatever.

Don’t rise to the occasion. Cousin Sammy likes to bait you about (whatever it is. Politics? Religion?) which really chaps your ass. When he invariably begins to bait you, ignore him. Mumble something under your breath and walk the hell away.

Let bygones be bygones – for now. If you’re heading toward an estrangement, you can use this opportunity to remember WHY you can’t be with your toxic family. If you’re planning to keep it cool (good on you!), forget – for a couple of days – about differences and old wounds. The holidays are not the right time or place to begin to reconcile.

Stick to your emotional boundaries: if you’re dreading seeing your Asshole Brother, for example, figure out what you will and won’t tolerate (I will accept joking, I will not accept criticisms) and how to behave in both scenarios. The more preplanning in your brain you do, the better you can cope with it. Avoid people who make you feel like shit, and if you can’t do that because your whole family sucks, well, bring some headphones. Cancel on them. Do what you have to do to make it okay for you WITHOUT compromising your boundaries.

Make sure that you have an exit and entrance plan. First, make sure you can get out of there whenever you need to: drive yourself (do not make yourself anyone else’s ride, either), call an UBER, take the train, or the bus, of a pony. Then, if/when the celebration becomes too much for you, you can just GO.

If you’re really, really, really not ready to celebrate the holidays with your dysfunctional, toxic family, don’t. Yes that toxic guilt and shame you feel inside even as you read this is very common, but that’s probably how your family controlled you. Sometimes, you can handle your family, sometimes you can’t. It’s not within your power. Ask yourself if you really NEED to go, what the ramifications are if you don’t, and most importantly, what is the Emotional Cost of this interchange? Is it worth it to risk your mental health to make someone else who (presumably) treats you badly, content to continue to do so? I’m not about to tell you what to do, this is just a thought.

Dealing With Estrangement During The Holidays:

See also our resource page for Estrangement

So you’re estranged from your family – me too. It wasn’t a decision that you (proverbial you, that is) you took lightly, but the holidays often do bring up old resentments and an underlying sadness for not being able to safely be a part of your family. It’s okay, it’s not okay, I get it. Just remember that there are very good, very valid reasons you must stay away from these people. If you need a list of them, go for it, use it, whatever works best for you.

Most people who are estranged from family and loved ones feel a very special sense of isolation during the holidays. It’s still seen as a major taboo to many people which is why no one discusses it. They simply say things like “I’ve been too busy to see my family” rather than tell the truth. Guess what? You’re NOT alone. There are WAY more people who are estranged than you can even imagine.

Tell someone you love the truth about your family. It doesn’t have to be a production – unless you want it to be, simply tell someone that you’re estranged from your family and the holidays illuminate your sense of isolation. Don’t have to explain who, what, where, when, and why to anyone, unless you’re comfortable.

Even though you know you made the right call to cut of ties with your family, it can be extremely hard for many of us. The sense of guilt and shame triggered by the holidays can feel overwhelming. Don’t hide from it, let other people that you trust learn what you’re feeling. MOST people feel shame and guilt for SOMETHING around the holidays, so you’ll probably be allowing someone to let their own feelings out as well.

Create your own family. I know I have: my friends, my husband’s family, you reading this post right now (YES YOU); none of whom are blood relatives. I think my chosen family is far better, they understand me better, they don’t cast me to a single role in their life (The Fuck-Up), and they accept me for who I am and what I’ve done.

Go away with a loved one instead of sitting around, watching holiday movies (and gut-wrenching commercials), and feeling like shit. Go up to a cabin far away, go to the nearest big town and do something different. Check into a nice hotel, order room service, rock your PJ’s, get a massage whatever you do to make you feel like you.

DO NOT (and I mean DO NOT) LOG ONTO SOCIAL MEDIA. It’s simply not worth to have to watch the “perfect families of Facebook, Twitter, Instagram, Pinterest” show you how much better they are than you. It’s either going to make you dissolve into a pile of tears or make you rage-filled and angry. What you see is what they want you to see, and if you can’t handle it? Don’t do it.

The Holidays and Loss:

While we have a number of resource pages devoted to loss, this will include all types of losses. See also:

Loss and Grief and Coping With Grief

Partner Loss and Coping With Partner Loss

Miscarriage and Coping With A Miscarriage

Baby Loss and Child Loss and Coping With Baby/Child Loss

Adult Child Loss

Estrangement

Parent Loss

Pet Loss Resources

Divorce Resources 

Loss is universal; we all live, love, and lose people throughout our lives. Sometimes, this loss can be felt harder than others, especially if you were particularly close to the decedent. The first holidays following the loss can be a bittersweet time for many who are simply remembering those that are not there, and this is both completely normal and a great part of our grieving process. Here are some tips that may help those of you who’re mourning a loss during the holidays.

The first step for those grieving is to remember that it’s okay not to be okay. You need to acknowledge that it is going to be terribly painful but that you will survive.

Try to create a tradition that honors your loved one during the holidays. Light a candle, get a special ornament, take some time to remember those who you’ve lost. It doesn’t have to be a huge production.

Come up with a plan for the holidays. I don’t know what yours looks like, but make sure to plan times to be together and times to be alone.

Remember: you don’t have to go anywhere. Don’t isolate yourself, arrange check-ins with your loved ones, and do things that you want to do.

Be honest with yourself and everyone else about what you can and cannot do, which can be tricky, but also worth it.

Don’t berate yourself with guilt if you simply cannot manage the holidays like you did before the loss.

The Holidays And Divorce

See also Divorce Resources

Newly-single or freshly divorced? The holidays can be a landmine of exploded feelings, anger and resentment. This is only multiplied when there are kids involved.

Keep expectations low. I know this sounds kinda pathetic, but it’s hard as hell to see your ex on a day which you used to celebrate together.

This is gonna hurt for at least the first few years. I’m not gonna sugar-coat this for you in the slightest because I hope that you know I’m the friend that gives it to you like it is: it’s gonna suck. You can make it suck more or less, but the pain will be there.

If you don’t have to see your ex, congrats, but there’s still going to be a gigantic hole where your ex (and/or their family) once was. I can’t help you fill it, just remember that it won’t always feel like this.

If you’ve got kids that are planning to spend half the holidays with you and the other half with your ex, things can get even more painful – especially during year one.

See, if you’ve got kids and an ex, you’re probably used to having both around during the whole of holidays, and once you’ve got to change houses mid-holidays, it’s like a knife in the back. Yes, you’ll see your kids half of the time (fair), but the other half is disquietingly lonesome. I’m not trying to rain on your parade; I’m being honest with you.

If you do have kids, make the transition easier for them: don’t start a fight with your ex (if you feel that cannot be avoided, have another person (like a mother or father or sister) do the drop-off for you. While you are no doubt hurting, your kids are experiencing far worse and more tender feelings:

  • Don’t put your kids in the middle of this during the holidays. It’s simply not fair to them.
  • If you can’t be objective with your ex, don’t try. Send an email, text, anything that will keep you two civil
  • Do NOT try to pry information about your ex out of your kids – playing telephone sucked in the playground at school; it’s going to be worse now. If you can, you talk to your ex about what is going on in their life.
  • You don’t have to buy your kids affections. Sure, they like gifts (who wouldn’t?) but it won’t make the holidays brighter if you’re going to be heavily in debt because you feel guilty for the split.
  • You can start new traditions with the kids – maybe not Year One – most people are too frazzled to think of anything great, but if you can? #winning

In the event that you have a chunk of the holidays alone, MAKE SURE YOU HAVE SOMETHING ELSE TO DO. While it won’t mend your broken heart, it’s better to keep your mind and body occupied as much as possible. Hang out with your family, hang out with friends, plan a chill and binge on Netflix of your favorite shows. Stock up on your favorite holiday items, and realize that eventually this will not feel like dying.

Don’t be shy about asking for an invitation: most people outright assume that their newly-single friend has other plans, so speak up. If you don’t want to be alone, ask around to see who’s doing what. And if you’d rather spend this part of the holidays alone, well, that may be what heals you. Just make sure not to isolate yourself too much, it’s not great for you.

Remember this to be true: The holidays are not enjoyable for everyone.

Period.

And I’m sorry.

Page last audited 11/2018