Dealing with Depression During the Holiday Season

Posted on December 4, 2025 by Patrick Hercules

The holidays are a time when we spend joyous and happy moments with friends and family. However, for some, the holidays can bring a lot of sadness, loneliness, and even depression. This is called holiday depression.

Holiday depression can feel a lot like regular depression; however, it is triggered by the onset of the holidays, large family gatherings, and attending or hosting social events. Holiday depression is like the “winter blues”, but it may come and go in quick bursts as one event ends and another begins, or it can linger for days or weeks leading up to and beyond the holiday season.

Holiday depression can disrupt relationships, mental health, and the ability to manage everything that comes with the holiday season.

Holiday depression can affect anyone at any time, and it can be hard on a person’s mental health, as it can be triggered by various things, including:

Stressful schedules

Putting pressure on yourself

Separation from loved ones

Loneliness

Family dynamics

Seasonal depression

Social anxiety

Holiday trauma

There are several signs of holiday depression. They can include:

Feeling depressed and hopeless for more days than not

Loss of interest in things you used to enjoy

Constantly feeling anxious, nervous, or on edge

Trouble sleeping over an extended time

Intrusive thoughts that are difficult to manage on your own

Thoughts of self-harm or suicide

Holiday depression can feel daunting as you navigate the season. However, there are many ways to cope with and find support and emotional stability that can help you get through this difficult time of year. They include:

Remembering a loved one

Setting boundaries

Staying connected with friends and family

Limiting social media use

Sharing happy memories

Setting realistic expectations for the holidays

Taking care of yourself

Seeking support and help

If you are having harmful thoughts, such as thoughts about suicide, or believe you are experiencing a mental health or emotional crisis, you can contact the 988 Suicide & Crisis Lifeline 24/7 through phone, chat, or text, go to the hospital, or call your local 911 hotline and your doctor right away to get the help you need.

No one should face their mental health challenges alone. To learn more about our outpatient mental health services at Flushing Hospital Medical Center or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Postpartum Depression and Psychosis

Posted on November 6, 2025 by Patrick Hercules

Postpartum refers to the time after childbirth. Postpartum mothers may experience mental health changes or challenges after giving birth, including mood disorders such as postpartum depression and postpartum psychosis.

Postpartum depression is a type of depression that happens after having a baby. It affects up to 15% of women, involving emotional highs and lows, frequent crying, fatigue, guilt, and anxiety. A postpartum mother may have trouble caring for their baby or themselves.

Postpartum psychosis (PPP) is a mental health emergency that affects a postpartum mother’s sense of reality, causing hallucinations, delusions, paranoia, or other behavior changes. In severe cases, postpartum mothers with PPP may attempt to harm themselves or their newborn.

Postpartum depression is common. A mother who has just given birth may experience baby blues, which affects between 50% and 75% of women after delivery. Up to 15% of them will develop postpartum depression. Postpartum psychosis is rare, as experts estimate that it affects between 0.089 and 2.6 out of every 1,000 births. In the United States, that means it happens in between 320 and 9,400 births each year. Globally, that means it happens between 12 million and 352.3 million births.

A mother can experience postpartum depression for up to one year after their baby is born. However, this doesn’t mean that they will feel cured in one year.

Symptoms of postpartum depression can include:

· Feeling sad, worthless, hopeless, or guilty

· Worrying excessively or feeling on edge

· Loss of interest in hobbies or things you once enjoyed

· Changes in appetite or not eating

· Loss of energy and motivation

· Trouble sleeping or wanting to sleep all the time

· Crying for no reason or excessively

· Difficulty thinking or focusing

· Thoughts of suicide or wishing you were dead

· Lack of interest in your baby or feeling anxious around your baby

· Thoughts of hurting your baby or feeling like you don’t want your baby

It is believed that hormonal changes are linked to postpartum depression; however, more research is needed to determine the link between the rapid drop in hormones after delivery and depression. The levels of estrogen and progesterone increase tenfold during pregnancy but drop sharply after delivery. When a mother is three days postpartum, levels of these hormones drop back to pre-pregnancy levels.

In addition to these chemical changes, the social and psychological changes associated with having a baby increase the risk of postpartum depression. Examples of these changes include physical bodily changes, lack of sleep, worries about parenting, or changes to relationships.

Experts don’t know why postpartum psychosis happens, but suspect it involves a combination of factors, including:

· History of mental health conditions

· Number of pregnancies

· Family history of mental health conditions, especially PPP

· Sleep deprivation

· Hormone changes

· Other medical conditions

Hallucinations and delusions are the two main symptoms of postpartum psychosis. However, there are several other common symptoms, including:

· Mood changes, such as mania and hypomania or depression

· Depersonalization

· Disorganized thinking or behavior

· Insomnia

· Irritability of agitation

· Thoughts of self-harm or harming others, especially their newborn

Researchers have organized the symptoms of PPP into three types: depressive, manic, and atypical/mixed.

The depressive subtype of PPP is the most common, making up about 41% of cases. It is also the most dangerous. Research shows that depressive symptoms and psychosis are almost always a factor in cases that involve self-harm or harm to a child, especially hallucinations or delusions that command a person to harm their child or themselves. The rate of harm to a child is about 4.5% with this subtype, about four or five times greater than with the other subtypes. The rate of dying by suicide is about 5%. Symptoms that are most likely experienced with this type include:

· Anxiety or panic

· Delusions and hallucinations

· Depression

· Feelings of guilt

· Loss of appetite

· Loss of enjoyment related to things they usually enjoy

· Thoughts of self-harm, suicide, or harming their child

The manic subtype is the next most common of the types, affecting about 34% of cases. The risk of self-harm or harm to children is lower but still possible, happening in about 1% of cases. Symptoms can include:

· Agitation or irritability

· Disruptive or aggressive behavior

· Talking more or faster than usual, or both

· Needing less sleep

· Delusions of greatness or importance, such as believing your child to be a holy or religious figure

The atypical/mixed subtype makes up to 25% of cases. This can mix the symptoms of manic and depressive subtypes. It can also involve symptoms where a person seems much less aware or completely unaware of the world around them. Symptoms can include:

· Disorganized speaking or behavior

· Disorientation or confusion

· Disturbance of consciousness, where a person doesn’t appear to be awake or isn’t aware of activities or things taking place nearby

· Hallucinations or delusions

· Inappropriate comments, behaviors, or emotional displays

· Catatonia or mutism

There isn’t a specific test that diagnoses postpartum depression. A healthcare provider will evaluate you at your postpartum visit, which may include discussing your health history, how you have felt since delivery, a physical exam, a pelvic exam, and lab tests. They may also perform a postpartum depression screening or ask a series of questions to assess if you have postpartum depression.

Postpartum psychosis can be diagnosed by a mental health provider who can determine either by observation or what you describe whether you have the condition or not. They may also perform physical and neurological exams and order blood, urine, or imaging tests.

Postpartum depression is treated differently depending on the type and severity of symptoms. Treatment options include anti-anxiety or antidepressant medications, psychotherapy or cognitive behavioral therapy, and support group participation.

Treatment for postpartum psychosis may include medications to treat depression, anxiety, and psychosis. You may also be admitted to a treatment center for several days until you’re stable. To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic

How Having a Sedentary Job Contributes to a Higher Risk of Insomnia

Posted on October 9, 2025 by Patrick Hercules

According to a study published on January 7^th, 2025, by the Journal of Occupational Health Psychology, people with sedentary jobs, an estimated 80% of the workforce, have a much higher risk of experiencing insomnia compared with people who are active at work. Insomnia is a common sleep disorder that can make it difficult to fall asleep or stay asleep. A sedentary job is any job that requires an employee to sit for about six hours of an eight-hour workday.

Researchers surveyed nearly 1,300 people twice over a span of ten years, inquiring about their job schedules and physical activity levels while at work. They also asked about the participants’ sleep habits, identifying three sleep health categories: good sleepers, insomnia-like sleepers, and catch-up sleepers.

Good sleepers are people who exhibit optimal sleep patterns, such as regular sleep cycles with low levels of daytime tiredness.

Insomnia-like sleepers are people who experience short sleep cycles and higher levels of daytime fatigue.

Catch-up sleepers fall between both groups and often rely on naps or extra weekend sleep to compensate for irregular sleeping patterns.

Compared to active work, sedentary work was 37% likely to lead to a variety of insomnia symptoms, such as difficulty falling asleep, interrupted sleep, and frequent daytime tiredness. The findings of the study also indicated that workers who fall into a pattern of poor sleep due to their job design (defined as elements such as the amount of technology used at work, levels of physical activity, and work schedules, and specifically the time of day when the employee works) can end up stuck in such unhealthy patterns for many years. Insomnia-like sleepers, for example, reported their symptoms persisted ten years later, at the end of the study.

Those experiencing insomnia may have the following symptoms:

Having a hard time falling asleep at night
Waking up during the night
Waking up too early
Feeling tired or sleepy during the day
Feeling cranky, depressed, or anxious
Having a hard time paying attention, focusing on tasks, or remembering
Making more errors or having more accidents
Having ongoing worries about sleep

If you are experiencing insomnia, there are several ways you can improve your sleep, including:

Taking short breaks throughout the day to move
Unplugging smartphones and computers two hours before bedtime
Using light exposure to readjust your circadian rhythms if you work a night shift

If you are experiencing symptoms of insomnia, you can learn more about our outpatient mental health services at Flushing Hospital Medical Center. To schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

Caring for a Loved One with Bipolar Disorder

Posted on September 24, 2025 by Patrick Hercules

Bipolar disorder, formerly called manic depression, is a mental condition that causes intense shifts in mood, energy levels, and behavior. These shifts can last for hours, days, weeks, or months and can interrupt a person’s ability to carry out day-to-day tasks.

Many people with bipolar disorder experience both manic/hypomanic and depressive episodes. These changing mood states don’t always follow a set pattern, and depression doesn’t always follow manic phases. A person may also experience the same mood state several times, with periods of a state of mental tranquility and stability that’s free of mood disturbances, called euthymia, in between, before experiencing the opposite mood.

Mood changes in bipolar disorder can happen over weeks, months, and sometimes years. An important aspect of mood changes is that they are a departure from a person’s regular self and that the mood change is sustained for a long time. It can be several days or weeks in the case of mania and several weeks or months in the case of depression.

The severity of the depression and manic phases can differ from person to person and in the same person at different times. Some people with bipolar disorder will have episodes of mania or hypomania many times throughout their lives, while others may rarely experience them. Signs and symptoms of a manic episode include:

Excessive happiness, hopefulness, and excitement
Sudden and severe changes in mood, such as going from joyful to angry and hostile
Restlessness
Rapid speech and racing thoughts
Increased energy and less need for sleep
Increased impulsivity and poor judgment
Making grand and unattainable plans
Reckless and risk-taking behavior, such as drug and alcohol misuse
Psychosis, such as experiencing hallucinations and delusions (in the most severe manic episodes)

Most of the time, people experiencing a manic episode are unaware of the negative consequences of their actions. If a person is having an intense manic episode, especially if they’re experiencing hallucinations and delusions, they may need to be hospitalized to protect themselves and others from harm. With bipolar disorder, suicide is an ever-present dancer, with some people becoming suicidal in manic episodes, not just in depressive ones.

Some people with bipolar disorder can have milder manic-like symptoms called hypomania. When experiencing hypomania, they may feel great and feel like they can get a lot done. They may feel like nothing is wrong during an episode; however, family and friends may notice their mood swings and activity level changes and think they’re unusual for them.

After a hypomanic episode, a person might experience severe depression. The symptoms of depressive episodes in bipolar disorder are the same as those of major depression, including:

Overwhelming sadness
Low energy and fatigue
Lack of motivation
Feelings of hopelessness or worthlessness
Loss of enjoyment of things that were once pleasurable for you
Difficulty concentrating and making decisions
Uncontrollable crying
Irritability
Increased need for sleep
Insomnia or hypersomnia
A change in appetite that causes weight loss or gain
Thoughts of death or suicide

When caring for a loved one with bipolar disorder, it is important to be patient and understanding, and offer them stability, consistency, and practical help through mood shifts.

There are several ways you can help a loved one through a manic episode. They include:

Creating a calm environment
Spending quality time together
Having honest conversations
Preparing easy-to-eat meals
Encouraging them to rest
Setting limits on their risky behavior
Involving a mental health professional if necessary
Encouraging medication adherence

There are several ways you can help a loved one through a depressive episode. They include:

Listening to and communicating with them
Encouraging small steps in self-care
Reducing external stressors
Suggesting low-energy activities for them to participate in
Monitoring them for any signs of crisis
Encouraging them to seek professional care

Caring for a loved one with bipolar disorder can be stressful and challenging. However, it is important that before you take care of anyone else, you should take care of yourself. You can do this by setting boundaries, not taking things personally, finding support for yourself, such as through friends, family, mental health professionals, or a support group, seeking family therapy, and practicing self-care.

Call, text, or chat 988 to speak to a trained crisis counselor offering support 24/7/365. And to learn more about our outpatient mental health services at Flushing Hospital Medical Center or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

The Loneliness Epidemic

Posted on March 12, 2025 by Patrick Hercules

In May 2023, former U.S. Surgeon General Dr. Vivek Murthy issued a report that drew attention to an epidemic that affects half of American adults: loneliness and social isolation.

Dr. Murthy said that loneliness and social isolation are “urgent public health concerns, more widespread than smoking, diabetes, or anxiety”.

Loneliness is feeling lonely or disconnected from others and not having meaningful or close relationships or a sense of belonging. It also describes the negative feelings that can occur when your needs for social connection aren’t met.

Social isolation is when a person doesn’t have relationships or contact with others and has little to no social support. It can pose a health risk to people, even if they don’t feel lonely.

Certain conditions or experiences may increase a person’s risk of social isolation and loneliness, including:

Having a mental or physical challenge, such as:
- Chronic disease or condition
- Psychiatric or depressive condition
- Long-term disability
Being marginalized or discriminated against
Having limited or no access to resources, which may result in:
- Living in rural areas
- Limited transportation
- Language barriers
- Being a victim of violence or abuse
Facing a divorce, unemployment, or the loss of a loved one

Loneliness may impact some groups more than others, including:

Low-income adults
Young adults
Older adults
Adults living alone
Immigrants
People who identify as LGBTQ+

Social isolation and loneliness can increase a person’s risk for:

Heart disease and stroke
Type 2 diabetes
Depression, anxiety, suicide, and self-harm
Dementia
Earlier death

It is important to make meaningful social connections, as those who do experience benefits, including:

Less stress
Better sleep
A longer, healthier life

Making social connections can be hard, especially if you are in poor health, have money problems, or live alone. However, a few small acts of connection can build supportive and meaningful relationships.

You can take various steps to fight against loneliness, including the following:

Talking to family, friends, neighbors, and co-workers
Connecting with others on social media
Volunteering in your community
Being kind to yourself
Learning more about ways to improve social connectedness
Getting help from a professional

To find out more about Flushing Hospital Medical Center’s outpatient mental health services or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

Coping with Depression during the Holiday Season

Posted on December 6, 2024 by Patrick Hercules

The holiday season is filled with bright lights and festive cheer. However, this time of year can, unfortunately, bring feelings of loneliness, isolation, grief, and sadness for both those with clinical depression as well as those who aren’t depressed.

Holiday depression feels a lot like regular depression, but it is triggered by the onset of the holidays, holiday get-togethers, large family gatherings, and attending or hosting social events. Holiday depression is similar to the “winter blues”, but it may come and go in quick bursts as one event ends and another begins, or it can linger for the days or weeks leading up to and beyond the holiday season.

There are several causes of holiday depression including:

Stressful schedules
Putting pressure on yourself
Separation from loved ones
Loneliness
Family dynamics
Social anxiety
Holiday trauma

Signs of holiday depression may include:

Feeling depressed and hopeless for more days than not
Loss of interest in things you used to enjoy
Constantly feeling anxious, nervous, or on edge more often
Trouble sleeping over an extended period
Intrusive thoughts that are difficult to manage on your own
Thoughts of self-harm or suicide

No matter the cause of your low mood or negative feelings, several healthy coping strategies can help you prepare for and get through the festive months when you’re managing depression. Here are some coping strategies to consider this holiday season:

Seek support and help from a mental health professional
Stay active and get outdoors
Share how you’re feeling with trusted loved ones
Assess your relationships and set boundaries
Limit social media use
Set aside time for yourself and prioritize self-care
Practice relaxation
Consider volunteering throughout the holiday season
Remember a cherished loved one who passed on
Create a coping sheet or depression toolkit

To learn more about our outpatient mental health services at Flushing Hospital Medical Center or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

Loneliness

Posted on November 19, 2024 by Patrick Hercules

Loneliness is feeling lonely or disconnected from others and feeling like you don’t have meaningful or close relationships or a sense of belonging. It also describes the negative feelings that can occur when your needs for social connection aren’t met.

Social isolation is when a person doesn’t have relationships or contact with others and has little to no social support. It can pose a health risk to people, even if they don’t feel lonely.

Certain conditions or experiences may increase a person’s risk of social isolation and loneliness, including:

Having a mental or physical challenge, such as:
- Chronic disease or condition
- Psychiatric or depressive condition
- Long-term disability
Being marginalized or discriminated against
Having limited or no access to resources may result in:
- Living in rural areas
- Limited transportation
- Language barriers
- Being a victim of violence or abuse
Facing a divorce, unemployment, or the loss of a loved one

Loneliness may impact some groups more than others, including:

Low-income adults
Young adults
Older adults
Adults living alone
Immigrants
People who identify as LGBTQ+

Social isolation and loneliness can increase a person’s risk for:

Heart disease and stroke
Type 2 diabetes
Depression, anxiety, suicide, and self-harm
Dementia
Earlier death

It is important to make meaningful social connections, as those who do experience benefits, including:

Less stress
Better sleep
A longer, healthier life

Making social connections can be hard, especially if you are in poor health, have money problems, or live alone. But a few small acts of connection can build supportive and meaningful relationships.

You can take various steps to fight against loneliness, including:

Talking to family, friends, neighbors, and co-workers
Connecting with others on social media
Volunteering in your community
Being kind to yourself
Learning more about ways to improve social connectedness
Getting help from a professional

Wellness Wednesday: The Benefits of Writing In A Gratitude Journal

Posted on October 9, 2024 by Patrick Hercules

The hustle of daily life sometimes overshadows the simple joys, but taking time to pause and reflect can highlight the small pleasures and improve your well-being.

A tool that can help you with reflection is writing in a gratitude journal. Writing in a gratitude journal could be beneficial as it can also help to:

Boost happiness
Reduce stress
Improve sleep
Enhance self-awareness
Cultivate optimism
Strengthen relationships
Improves physical health
Encourage resilience

A gratitude journal is a personal space to record and cherish the good things in your life, big or small. It is also a place to write down everything you feel thankful for. This can be as simple as a sunny day, a good meal, or a smile from a stranger. The key is to focus on the positives and things that bring you joy and comfort.

Taking the time to acknowledge the positives can help change your mindset, shifting your focus from what you don’t have to what you do have.

There is no wrong way to keep a gratitude journal. You can get started by writing down up to five things you feel grateful for. You can use a notebook, your phone’s notes app, your computer, or whatever works best for you.

Here are some important tips for you to consider as you start journaling:

Be as specific as possible- being clear is the key to fostering gratitude.
Go for depth over breadth- going into detail about a particular person or thing for which you’re grateful, carries more benefits than a surface-level list of many things.
Get personal- focusing on people you are grateful for has more of an impact than focusing on things you are grateful for.
Try subtraction, not just addition- Be grateful for the negative outcomes you avoided, escaped, prevented, or turned into something positive. Try not to take the good fortune for granted.
See the good things as gifts- thinking of the good things as gifts helps you avoid taking them for granted. Try to enjoy and savor the gifts you have received.
Savor surprises- try to record unexpected or surprising events, as they can bring up stronger feelings of gratitude.
Aim for variety- writing about some of the same people and things is fine, but try to expand on different details each time you write about them.
Write regularly- whether you write daily or every other day, commit to a regular time to journal.

Gratitude journaling can be an enjoyable path to a more appreciative and positive life. Take the steps to make it a regular part of your daily routine to soak up the benefits.

Mental Health Issues Affecting Young Adults

Posted on January 10, 2020 by Xavia Malcolm

Mental health issues are on the rise in adolescents and young adults (12-25 years of age) living in the United States. In research published by the American Psychological Association, it was reported that, “More U.S. adolescents and young adults in the late 2010s, versus the mid-2000s, experienced serious psychological distress, major depression or suicidal thoughts, and more attempted suicide.”

Experts believe the reason for the increase in mental health problems in young adults is due in part to an increase of digital media and electronic communication. Studies show that young adults are having less face-to face interactions and are spending less time with friends, neither of which are advantageous for mental health. Additionally, many young adults are feeling pressured to present a flawless physical appearance or a perfect life online. They often measure themselves against unrealistic and often fabricated ideals which can affect self-esteem.

It was also found that young adults are getting less sleep because too much time of their time is spent on electronic devices such as smartphones. Young adults tend to be late night screen addicts, as there is always a need to feel connected to electronic devices due to a fear of missing out. A study published in the Journal of Youth Studies showed that “1 in 5 young people regularly wake up in the night to send or check messages on social media.”

Sleep deprivation in young adults can take a toll on their mental health. A lack of sleep over time can affect mood and lead to mental health disorders such as depression.

There are steps that can be taken to minimize the negative effects digital media and electronic communication can have on mental health. They include:

Minimizing or setting time limits on screen time
Encouraging face-to-face social interactions
Taking breaks from social media
Putting devices on a “ Do Not Disturb” mode before going to bed
Monitoring and customizing social media feeds to minimize exposure to negative or harmful content
Building self-esteem

If someone you know is experiencing mental health problems, please encourage them to seek the assistance of mental health professional.

To schedule an appointment with a Mental Health Professional at Flushing Hospital Medical Center, call 718-670-5562.

Caring For A Loved One With Mental Illness

Posted on June 19, 2019 by Joann Ariola

mental illness, caregiver, depression, bi-polar, panic disorder, anxiety, obessive compulsive disorder, depression

Clinical diagnosis for mental illness such as schizophrenia, bi-polar disorder, panic disorder, obsessive-compulsive disorder and depression can be difficult. It is especially difficult when it is a loved one that is experiencing these conditions.

When a loved one has mental illness, family members can often feel emotions of embarrassment, anger, worry, self-blame or grief. Parents, specifically, can feel powerless over the disease and at a loss for what the best course of treatment for their child.

The focus becomes the person with mental illness, but studies have shown that it is just as important to maintain your own health while caring for a person with mental illness.

Some ways to maintain your health while being a caretaker are:

Maintain relationships with other family members
Seek professional support for yourself and your family
Participate in groups and family sessions with your loved one
Make time for yourself
Ask for help to lighten your responsibilities
Address one issue as a time to avoid burnout

As the caregiver, you are the tie that keeps everything together. The more educated you are about the disease your loved one is facing and the time you set aside for yourself will be what helps you navigate the obstacles.

If your loved one has mental illness and you are seeking professional help as a caregiver, call the Mental Health Center at Flushing Hospital Medical Center at 718-670-5562 to schedule an appointment.

For more information for caring for a loved one with mental illness, visit American Phychological Association .