Practicing Gratitude in All Seasons

By Bree Nussbaum, amft

Amongst the many challenges that each of us face daily, gratitude is one of the best ways to combat anxiety, depression, stress and other difficulties. However, when in the middle of difficult situations, it can be challenging to find something to be thankful for. Keep in mind that practicing gratitude is exactly that– a practice. It takes time and different approaches to develop and strengthen the “gratitude muscle.” It might be worth your while to practice gratitude because gratitude is proven to improve sleep, physical health and psychological health, while simultaneously increasing empathy, social connection, self esteem and resilience. 

With practice and intention, gratitude can gradually become more of a natural response over time. The following are different ways it can become part of your day, week or month. Start with what frequency feels right to you and build upon the habit. 

  • One Thing From the Day: Over the course of a month practice slowing down and noticing one thing that you are thankful for. Even at the end of a hard day you can likely find one thing that brings up gratitude. Eventually challenge yourself and start naming 2 or 3 daily events you are grateful for.

  • Fill up a Gratitude Jar: Grab an empty container and fill it with notes of thankfulness. Whenever something makes you feel gratitude write it down and watch the jar fill up over time. When feeling down, go through the jar and reflect on the goodness in your life.

  • Journaling Prompts: When reflecting on gratitude, consider writing in a journal answering specific questions. What is a memory you are grateful for? How have you overcome a challenge recently? Perhaps you are most grateful for your home or putting a meal on the table. Why are you grateful for those things? 

  • Connecting with others: Are you grateful for your family or a friend? Express this to each family member and why you are specifically grateful for them by sending a quick text, giving them a call or writing a handwritten note. 

  • Reflecting on the emotion of gratitude: While practicing gratitude, notice how this feels in your body. What other emotions does it bring up? Notice the positive emotions and changes in your mood.

  • Reflecting on what could be missing: Sometimes, imagining if you did not have what you are grateful for can be a helpful way to elicit thankfulness or appreciation. Perhaps you imagine not having your home, food to eat, family or a close friend. Taking time to sit with this perspective can increase gratitude.

Although Thanksgiving is around the corner, gratitude does not have to end once the holidays come and go. Gratitude is a year round practice with a multitude of benefits. Challenge yourself and a friend to practice gratitude during this season and into the new year. Happy Holidays! 

Maintaining Boundaries During the Holidays: A Therapist’s Guide to Protecting Your Peace

By Nicole Marino, lmft

As the holiday season looms, it can often bring feelings of joy, connection, and meaning, but it can also stir up stress, negativity, and overwhelm. Between family expectations, social gatherings, and the pressure to “make everything perfect,” it’s easy to lose sight of your own needs. As a therapist, I often remind clients that one of the most loving things you can do for yourself is to maintain healthy boundaries, especially during the holidays.

1. Clarify Your Values and Priorities

Before the season gets hectic, take a moment to reflect on what truly matters to you.
Ask yourself: What experiences make the holidays meaningful to me? What drains my energy or causes resentment? When you know your “why,” it becomes easier to say no to things that don’t align with your values.

2. Give Yourself Permission to Say No

Saying no can feel uncomfortable, especially when traditions, family, or guilt are involved, but remember that every yes is also a no to something else. You might say no to attending multiple events so you can rest or spend intentional time with loved ones. You’re not being selfish; you’re protecting your emotional capacity.

“I’d love to celebrate with you, but I’m keeping things lowkey this year.”
“Thanks for thinking of me, but I can’t make it this time.”

Simple, respectful statements go a long way, and you’ll feel better that you honored your true feelings instead of saying yes to appease others. 

3. Anticipate Triggers and Make a Plan

The holidays can resurface old family dynamics, triggers, or stressors. If certain situations tend to leave you feeling overwhelmed or hurt, plan ahead:

  • Set time limits for visits.

  • Have a supportive friend on standby to text or call.

  • Practice grounding strategies (deep breathing, walks outside, mindfulness).

Preparing for challenges doesn’t mean you’re being negative, it means you’re caring for yourself proactively.

4. Maintain Daily Routines Where Possible

Boundaries aren’t just about saying no—they’re also about saying yes to what keeps you well. Try to maintain your sleep, exercise, and overall routines as best you can. Even small acts of consistency can help you stay grounded amid the holiday chaos.

5. Remember Emotional Boundaries

You don’t have to engage in every conversation or absorb other people’s emotions. You can listen empathetically without taking responsibility for others’ feelings. Practice reminding yourself: “Their reaction belongs to them.” 

6. Check in With Yourself Regularly

Notice when you feel tense, resentful, or depleted. These are signals that a boundary may need reinforcing. Self-awareness is your best guide. Give yourself permission to adjust plans if something no longer feels right.

By respecting your own limits, you make space for genuine presence, peace, and joy this holiday season. If this time of year feels particularly difficult, consider talking with a therapist who can help you explore these boundaries more deeply. You deserve to experience the holidays in a way that supports you and feels authentic to you. For more mental health tips around the holidays, check out my previous blog post here: http://www.fochtfamilypractice.com/blog/2024/11/1/prioritizing-your-mental-health-during-the-holidays  

Nicole Marino LMFT

Nicole is an Licensed Marriage and Family Therapist, specializing in therapy services for Couples, Families, and Individuals.

Nicole received her Bachelor of Science in Human Development and Family Studies (concentration in Family Studies) at the University of Illinois Urbana-Champaign. She then received her Master of Science in Marriage and Family Therapy from the Family Institute at Northwestern University.

Nicole’s clinical interests include anxiety, depression, relationship issues, adult life transitions, couple conflict, emerging adulthood, attachment-based issues, self-esteem issues, sexual concerns, divorcing couples, work and career issues, grief and loss, and child/adolescent work. Nicole has worked with individuals, couples, families, and children/adolescents.

Nicole is trained in various therapy models, works from an integrative framework, and believes in the importance that every client is unique and different. Because of this, she tailors her therapy around each client’s specific needs and goals in a collaborate effort. Nicole also believes in the importance of creating a safe environment for everyone in the room to feel completely comfortable voicing their perspective and feelings. She approaches therapy in a compassionate, understanding, and curious way. Nicole believes therapy is a place to learn more about yourself and grow as a person. Change can only happen if you are willing to put in the work, and Nicole is always eager to help facilitate that journey.

Nicole offers both In-Person and TeleHealth sessions.

Prioritizing Your Mental Health During the Holidays

By Nicole marino, amft

As we enter the winter months and into the holiday season, it is so important to make sure you are checking in with yourself around your mental well-being. The holiday season can evoke a wide range of emotions for people. While some look forward to celebrations, gatherings, and festive traditions, others may feel overwhelmed, anxious, or even lonely. It’s important to recognize that mental health is just as crucial during this time as it is any other, potentially even more so. Here are some strategies to help manage your mental health during the holidays.

Acknowledge Your Feelings

It’s so important to acknowledge and sit in the emotions that come up for you during the holidays, even the more “negative” emotions. It's normal to experience a mix of joy and stress. Journaling, talking to someone you trust, or meditating can be helpful ways to process emotions and identify what’s weighing on your mind.

Set Realistic Expectations

Holidays often come with high expectations, whether it’s creating the perfect get-together, finding the ideal gifts, or maintaining traditions. Try to set realistic goals and be flexible with yourself and your situations. Remember that it’s okay for things to not be perfect (they’re not meant to be!). Simplifying your plans can lead to a more enjoyable and less stressful experience.

Prioritize Self-Care

Self-care is essential, especially during busy times. Carve out moments for yourself, whether that means enjoying a good book, going for a walk, or participating in your favorite hobby. Make a conscious effort to engage in activities that recharge your energy and bring you joy.

Reach Out for Support

If you’re feeling overwhelmed, don’t hesitate to reach out for support. Talk to friends or family (anyone you trust) about how you’re feeling or consider seeking professional help if needed. Sometimes, simply sharing your thoughts can lighten the pressure and emotional burden. Remember, you’re not alone in this experience and others can relate!

Create New Traditions

If certain traditions are a source of stress or sadness, consider creating new ones. This can be an opportunity to adapt your celebrations to better fit your current feelings and circumstances. Finding what works for you can foster a sense of new beginnings.

Limit Social Media Exposure

Social media can amplify comparison. It’s easy to get caught up in the seemingly perfect lives of others. If you find yourself feeling down after scrolling, consider taking a break from social media during the holidays. Focus instead on real-life interactions and experiences. Focus on the things going on in your life that you are grateful for.

Practice Mindfulness

Mindfulness can be a strong tool during the holidays. Taking a few moments each day to practice deep breathing, meditation, or grounding techniques can help reduce stress and increase your overall well-being. Being present in the moment allows you to appreciate the little joys that the season brings.

Give Back

Engaging in acts of kindness or giving back to the community can provide a sense of purpose and connection. Volunteering your time or resources can remind you of the positive impact you can have on others!

While this season of time can bring a lot of joy and happiness, it can also take a toll on your mental health. By using these tips and reminders, you can better navigate the season ahead and know what is going to be best for you and your emotions. Ultimately, your mental health is the priority so the holidays can look however you want them to!

The Importance of Play

By Anne decore, lmft

In today’s world one need not look far to find stressors. On a global level we are facing environmental threats, a war in the Ukraine that approaches the one-year mark, financial market uncertainty, and a globe still trying to understand how the meaning of health and illness have been reshaped by the recent pandemic.

The pause from work and school for the winter holidays can be a time of great connection and gratitude and joy. It can also heighten emotions of anxiety, grief, and intensify family conflict. When our own personal individual contexts and stressors intersect with the shared global stressors it can feel overwhelming. It’s normal to feel depleted and burnt out at the beginning of a new year.

As a response to this overwhelm many people begin January with pledges and resolutions - issuing themselves rigid new behavioral goals. I feel such compassion for this reasonable desire to gain a sense of control and order in a world that feels out of control. The problem with the over-emphasis on resolutions is that we become outcome-focused and then when we fail to meet our goals we feel a sense of failure, followed by a lack of motivation and that familiar feeling of burn-out. When we are outcome-focused, we are assessment-focused (did I do good enough?), and we are future or past-focused, not present-focused. The outcome-focused brain state has us teetering on the edge of activating our fight or flight system.

I want to offer a different intervention this January – play.

Mammals are hard-wired for play. Humans are no exception. Play is good for our mental health because it’s about the experience: process for process’s sake. Anything that gets us INTO an experience and OUT OF outcome-focus thinking is therapeutic for the nervous system and for relationships. So why do we abandon play as we age into adults? One answer is that our society values productivity and play is not productive. It is not measurable.

But our kids can remind us of its value. Play activates imagination, creativity, team-work, belonging, wonder, and humor. Often play involves learning new skills or problem solving. Sometimes it’s just outright tomfoolery and mischief. Play connects us to our physical body and to the flow state – getting lost in the present moment. Play helps us let go of the things we can’t control. Like grey winter weather. Play allows us to transcend boundaries that exist in the practical world. Play is always available to us and it’s usually low-cost.

So what do I mean in practical terms? Jenga. A trampoline park. Puzzles. Lego. Game nights with friends (charades, trivia, board games). Wild dancing to music. Card games. Twister. Bowling. Turn your kitchen into a restaurant and give everyone a part. Set up a bean bag toss. Make costumes. Play is a word with millions of interpretations. Invite silliness. Invite invention. Invite peace. And leave your phone in another room. Don’t let a notification or the pressure to post take you away from the gift of the here and now.

Play doesn’t replace worrying about the world or about the personal challenges we are weathering. It does gives us a respite from the worrying and restores our bodies and minds so that we feel more grounded and able to face the messy parts of our lives.

Family Boundaries During the Holidays

BY JESSY WESTON, AMFT

While the holidays can be a season filled with joy and celebration, it can also bring challenging feelings, situations, and conversations. The holidays are an important time to make sure we are setting healthy boundaries for ourselves and our families.

First, what are healthy boundaries? Brene Brown, a research professor at the University of Houston, defines boundaries as simply “what’s ok and what’s not ok.” A boundary allows you to define what is acceptable to you within any relationship or situation. Its purpose is to protect both you and others involved. It’s also important to know that setting boundaries is not always easy. In fact, it takes significant intention and effort. It means changing or challenging something that has historically existed.

How to set boundaries:

1) Identify your limits

To start, you can ask yourself the question, “what’s ok with me and what’s not ok with me?” This question can be asked within several different realms including, emotional, physical, financial, mental, spiritual, etc. An example of an emotional boundary may be reminding yourself that your feelings are your own and that you are not responsible for others feelings. A physical boundary could be deciding where you want to spend the holidays, even if that is different from what has been done in the past. A mental boundary could be altering the story you tell yourself about what the holidays “should” look like. These are just a few examples as it can truly take any form that you may need.

2) Share expectations with friends and family members

“We have our own thoughts, and if we want others to know them, we must tell them.” (Dr. Henry Cloud, Boundaries: When to Say Yes, How to Say No)

This statement seems so simple, yet it’s normal for it to be difficult to put into practice. It is normal to assume that those who know us should automatically understand our boundaries. However, that is often not the case and it can be challenging to express our honest thoughts and feelings with those around us. We can practice sharing our expectations (both what we want and what we do not want) in a respectful way by being calm and direct. The key is to use “I” statements. For example:

  • “I appreciate the invite to spend the holidays at your place this year. I need some time though to not travel this year and to spend a quieter holiday at home. I’d love to find a different way to spend time together.”

  • “I always feel overwhelmed when planning the dinner for our large family gathering. Can you please help me plan it this year?”

  • “I’m not comfortable talking about my dating life right now. I would really appreciate it if you did not ask about it again.”

  • “I feel a bit annoyed and embarrassed when you make jokes like that. I would appreciate it if you would refrain from making those kinds of jokes.”

3) Be compassionate towards yourself

It can be mentally and emotionally exhausting to maintain necessary boundaries. While people or situations may not always respect the boundaries you set, you did the best you could by advocating for yourself. It is important through it all to offer yourself kindness and compassion.

Gift Ideas to Promote Mental and Emotional Wellness All Year Round

By Rachel D. Miller, AMFT

By Rachel D. Miller, AMFT

Gift giving is part of many family holiday traditions. Trying to find the perfect gift can add pressure to an already stressful season. If you’re searching for some last-minute gift ideas, consider contributing to the mental and emotional well-being of your loved ones with one of these suggestions.

Tiny Humans

Slumberkins

These adorable stuffed creature and book sets were designed by two mothers with backgrounds in family therapy and early education to support a full range of early emotional wellbeing. Their goal according to their website is to “help families raise resilient, caring, and confident children.” The one pictured here is the Authenticity Unicorn. They also have a Mindfulness Yeti, Gratitude Honeybear, and Conflict Resolution Hammerhead. These are great for the littles on your list and might even be loved by some of the bigger kids.

Elementary Schoolers

Mad Dragon

A card game geared for ages 6-12. Fans of Uno will already understand the basic concept. Kids learn through this interactive game about the many choices they have around how to express and process anger. This is a favorite with my younger clients. It has even made its way to family functions where the kids have a great time getting the grown-ups to talk about what my nephew has dubbed “hard feelings.” Mad Dragon is perfect for those needing a gift under $25.

What you Do Matters Books

This box set includes the titles, What Do You Do With an Idea?, What Do You Do With a Problem?, and What Do You Do With a Chance?.

What Do You Do With an Idea? is a story for anyone, at any age, who’s ever had an idea that seemed too big, too odd, too difficult. It’s a story to inspire you to welcome that idea, to give it space to grow, and to see what happens next.

What Do You Do With a Problem? is the story of a persistent problem and the child who isn’t so sure what to make of it. The longer he avoids the problem, the bigger it seems to get.

What Do You Do With a Chance? inspires kids of all ages and parents alike to find the courage to go for the opportunities that come their way.

Tweens and Teens

Big Life Journal

For the tween/teen in your life who is looking to discover the power of their brain and mindset and needing understand they oversee their own happiness, this might be the right gift. This journal will help turn their self-talk from negative into positive and empowering. It will guide them through setting goals and learning to overcome challenges and setbacks. The Big Life Journal uses science to help teens “develop a resilient, growth mindset so they can grow into confident, happy adults.” The company also has a version for the elementary school set.

Mental Health App Subscriptions

Rates of anxiety and depression are rapidly increasing among tweens and teens. And while there are mixed reports amongst the scientific community about the cause of this rise, there is a way to utilize the phones that are practically an extra appendage for most teens to empower them to manage their mental health. Apps are available to assist in tracking moods, improve emotion recognition, and teach skills such as meditation and mindfulness. Many of these apps are free but have certain paid subscription or in app purchase options. A few worth checking out are: Sanvello, 10% Happier, and Moodpath.

For All Ages

Weighted Blanket

For your loved ones who have trouble sleeping, or struggle with anxiety or PTSD, this gift can feel like a life saver. It helps relax your body by simulating the feeling of being held or hugged. Let’s be honest, we could probably all use one of these in our lives.

Light Therapy Lamp

Winter can be challenging. Light therapy has been shown to elevate mood, improve sleep quality and concentration levels, increase the effectiveness of antidepressants, and decrease the intensity of seasonal affective disorder (SAD) symptoms.

Puzzles

Puzzles have been shown to improve short term memory and visual-spatial reasoning. They are a wonderful tool for practicing meditation and mindfulness. Some studies even suggest that regularly doing puzzles can reduce your risk of Alzheimer’s. Football fans might be interested to hear Rob Gronkowski talk on CBS Sunday Morning recently about how he uses puzzles to help him slow down, reduce his anxiety, and improve his focus. Utilize puzzles to facilitate some needed alone time or make them a connecting activity done with the whole family.

White Noise Machine

There is lots of buzz about the importance of sleep, specifically good quality sleep. It has been shown to elevate moo, increase mental focus, and improve heart health. A white noise machine can assist in helping to fall asleep faster and stay asleep longer.

Sunrise Simulation Alarm Clock

For the non-morning person in your life, or those who struggle with Seasonal Affective Disorder (SAD), this gentle, sunrise simulation wake-up might be the thing they need to start their morning on a better note. This brand’s clinical research claims it will “wake you up with improved mood and energy level.”

While far from exhaustive, hopefully this gives a place to start, or maybe finish, your holiday shopping list. Happy Holidays to you and yours!

December Survival Guide

By Sasha Taskier, LMFT

By Sasha Taskier, LMFT

As we begin to embark on the holiday season, many of us are both excited for the holidays and the New Year, and equally stressed out by the demands that seem to follow in tow. Between social engagements, complicated family dynamics and the financial stressors associated with gift giving and holiday spending - what is meant to be joyful and celebratory, often becomes stressful. I’ve put together a list of topics that tend to come up around this time for many of my clients, friends (& myself!), with some reflections and resources meant to help us better navigate this season with intention and peace.

Schedules

Somehow, it feels like between Thanksgiving and New Years, there are very few, free days and nights on the calendar. Either there are work deadlines that needs to be met, or every spare moment is dedicated to holiday parties, to meals with family and friends and travel. While in theory, many of these things are supposed to bring us joy (and they are all meant to be fun!), it can feel overwhelming.

● What can you say no to?

  • In an ideal world we would all have the energy for the dinners, the work events, the cooking, the gift exchanges etc. etc. and that may be too much for some of us. What on your calendar can you say no to? Sending a simple message to the host, explaining that you are overwhelmed and need to cancel (but wish them well, and are thinking of them!), is important for your mental health and stress levels AND sets an example for healthy boundaries that everyone can benefit from during this season.

  • This is phenomenal book on helping us to learn to say no to avoid burnout (and lots of other things!)

● Can I take time for myself?

  • What does your work week look like? Can you reserve a night (or two?) for some necessary R&R? Perhaps blocking off a few hours over the weekend to relax, recharge and unplug. Maybe this means taking yourself to a movie, or ordering in dinner and eating in your pajamas. Whatever you need.

  • If you are partnered, ask him or her to support you in this quest. Can they clean the house for you, or make you dinner? if you are co-parenting, can they occupy the child/ren for a few hours and allow you some quality time alone, or time with friends? Can you gift this to each other?

● Gratitude reframe: While this is all overwhelming, and it is important to honor your limits, a powerful reframe to this conundrum is to focus on how grateful you feel to have friends who invite you places and a community that wants you to be present and involved.

Family

As we’re all riding the coattails of Thanksgiving, it feels important to acknowledge the significant focus on family during this holiday season; it can feel incredibly complicated and charged for many of us. Perhaps there has been a recent loss in your family and that person’s absence is felt acutely; or, perhaps there has been tension and conflict in your family for a long time (for a myriad of reasons) and you are feeling especially anxious to leave your environment to enter theirs for the holidays.

Whatever the reason, this season can exacerbate some of these pain points. The juxtaposition of the ‘cheery, happy family’ expectation (and hope) over the holidays, can feel even more disappointing when it comes up against the reality of the ‘complicated, sometimes happy, sometimes sad, sometimes fighting, family.’ Each year many of us enter into the season wishing for an idealized version of our family, and each year, we are faced with the reality.

● Use Thanksgiving (and Holidays in years past) as helpful data

  • Think back to last year, or even this most recent Thanksgiving. How did your family dynamics feel? What were your hopes and expectations going into the day, and what was it really like? Were there specific moments that felt / feel painful; why?

  • Use your experience and reflections to help formulate a plan for what you might need. For example: Did you do better when you were helping in the kitchen - volunteer to cook something. Do you know you need a break in the middle of the day - offer to run an errand, or go for a walk!

This was a fantastic conversation on the topic and a helpful resource. (You can listen to it too, via Kate Arends and Dr. Anna Roth)

● Gratitude reframe: No family is perfect, but it is true that some dynamics are much harder than others and there are some familial wounds that have yet to heal, and may never heal. I invite you to hold that truth, and practice gratitude for our family in whatever way you can. Perhaps it is gratitude for health, for presence, for a nostalgic meal; for the way our siblings can still make us laugh until we cry even as adults.

Financial Stressors & Gift giving

What is meant to be a season of gratitude, giving, peace and joy - has also turned (for many of us) into a consumerism bender. Many of us live in communities in which gift giving is a requisite and the financial expectations around the holidays can be especially stressful. Here are a few thoughts:

● Be intentional with the gifts you are buying

  • Many of us already have so much more than we really need. It’s easy to feel stuck on the consumer treadmill that tells us we need new things and we need more of them, but I invite you to challenge that assumption.

  • Between Thanksgiving and New Years, we will throw out an extra 25 million tons of garbage this year. (via Simply Zero)

  • Can you gift experiences? Rather than gifting toys or things, could you gift someone an a shared memory? (for example, a trip to the Aquarium, or a concert to look forward to together.)

  • Presence > Presents! Gift your family and friends opportunities to support each other (for example, babysitting coupons for your friends/family with kids; cooking a delicious meal for someone and sharing it together.)

  • Give back.

■ We know that giving back is good for our communities, cities and the world, but it also is good for us. Consistent acts of giving back have been linked to less stress, higher self esteem, lower blood pressure, better mood and longer life expectancy. Win win!

■ In lieu of gifts, you could make a donation for each person in your circle to a cause that they are passionate about!

■ If you’re in Chicago, here is a great resource to find volunteer opportunities this season: Chicago Cares

Wintertime is hard!

On top of all of this, the days are short, the sun can be a bit elusive, and it’s cold outside! These conditions do not necessarily make it easier to keep a positive mindset. Be gentle with yourself and each other.

  • Think Hygge / and this

  • Seasonal Affective Disorder (SAD) is a type of depression related to the seasons; read about it here; many find comfort in regular psychotherapy, and SAD lights.

  • A helpful resource in choosing a ‘happy lamp’

  • Get outside! Go for a walk - try to soak up the vitamin D available and get some fresh air when you can!

Wishing you all a restful and joyful holiday season.

Take care of yourselves and each other.