Substance Use Around the Holidays

Natasha Jackson, LMFT
Natasha has worked in the mental health field for the past ten years, with experience in both residential and outpatient settings, treating adolescents, adults, families, and couples. As a Black Therapist, she sees the value of representation in the mental health field, and finds unique opportunities to support her clients who can often feel misunderstood by therapists who may not share this aspect of their identity. Natasha is also passionate about working with members of the following communities: body positivity, LGBTQ+, racial justice, military spouses, and single mothers

The holiday season is one that can evoke cheer, the spirit of giving, the anticipation of making memories and hopes that everyone enjoys what you brought to the holiday potluck. For others, the holidays can mean increased substance use due to heightened stressors, potentially linked to financial, family, loneliness and unrealistic expectations. Societal norms surrounding gathering and community around this time of year can increase one's access and lead to justification surrounding alcohol/drug consumption. Substances can become a coping mechanism for those who have yet to identify tools to manage difficult emotions, and retraumatizing experiences. "According to a study conducted by the American Psychologist Association (APA), 38% of people surveyed said their stress increased during the holiday season. Increased stress levels can lead to physical illness, depression, anxiety and substance misuse" ("Drug & Alcohol Use Spikes").

It is normal to experience fluctuating emotions and big thoughts this time of year. The ways we respond can sometimes reflect old patterns that do not serve us anymore. Alternative coping mechanisms can be supportive of our healing or goals for change. Here are some examples:

  • Establish realistic expectations- don't be too hard on yourself and meet yourself at the stage of change you are in.
  • Develop a plan- know your limits and what boundaries may be needed to set yourself up for success.
  • Build a support team- invite those along with you for accountability, or a safe space.
  • Form new traditions- redefine the holidays.
  • Seek professional help- year round supports are available
As the holidays approach, it is important to honor the full range of feelings that may arise. The emotional waves are natural, especially during a season filled with expectations and memories. This is an opportunity to slow down, reconnect and identify supports. Give yourself permission to experience the holidays that feel manageable and meaningful. This is not something meant to navigate alone, healing is possible and you are worthy of compassion along the way.

Additional resources:

Reference:

Hampton, D., Hampton, D., & Hampton, D. (2025, August 4). Why does drug and alcohol use spike during the holidays? Addiction Center. https://www.addictioncenter.com/community/drug-alcohol-use-spike-holidays/

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