Clinical Insights • Stress & Rhythm

4 Simple Gratitude Practices for Holiday Stress

Gratitude isn’t a cure for burnout, and I won’t pretend it is. But practiced at the right time of day, it can help your stress response do what it’s built to do: switch on, then switch back off.


There’s something about this time of year that makes us stop and notice what’s good. The people around the table, the pie, the twinkle lights on the neighbor’s porch that will probably stay up until March.

It’s also one of the busiest seasons of the year. Late nights, travel, a packed calendar, and a to-do list that keeps growing.

Here’s the nice part: a little gratitude can do more than lift your mood. Your stress response is built to switch on when you need it and ease back off when the moment passes. The holidays give it plenty of reasons to switch on. A simple gratitude practice can be one of those small moments that helps it switch off.

Gratitude is a support, not a treatment, and that’s exactly why it’s worth a few minutes.

Below are four easy ways to try it, plus my favorite time of day for each one.

A quiet moment of gratitude during the holiday season
Four gratitude practices for the holidays: journaling, sharing the love, a dinner share circle, and meditation
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At a Glance

Four Practices, Timed to Your Day

PracticeHow it may help your stress responseBest time of dayTime it takes
Gratitude journalingGives a busy mind something calmer to settle on before sleepEvening3 to 5 minutes
Share the loveStrengthens connection, one of your best stress buffersMidday2 minutes
Dinner share circleTurns a big meal into a moment of connection instead of a performanceAt the table5 to 10 minutes
Gratitude meditationPractices downshifting your nervous system on purposeMorning or early evening5 to 10 minutes
The Honest Science

What Gratitude Can (and Can’t) Do for Your Stress Response

Your cortisol follows a daily rhythm. It rises sharply after you wake, tapers through the afternoon, and should be at its lowest around bedtime so you can sleep. When stress keeps the system switched on, that evening drop is often the first thing to go. You feel tired all day and wired at night.

So where does gratitude fit? Here’s my honest read of the research.

What it can do

In one of the early studies, people who wrote down things they were grateful for each week reported feeling better about their lives, more optimistic, and fewer physical complaints than people who wrote about hassles.[1] Other work shows that gratitude practices tend to strengthen relationships, and connection matters a lot for how your body handles stress (more on that below).

What it can’t do

A large review of 27 studies found that gratitude exercises had only a small effect on symptoms of anxiety and depression, and often weren’t much better than a neutral writing exercise.[2] That’s why I don’t hand someone a gratitude journal and call it a plan for burnout, anxiety, or depression. Those deserve real care.

Where it fits for cortisol

There isn’t strong research showing that gratitude on its own changes cortisol levels. There is good evidence that stress management practices as a group, like mindfulness, relaxation, and mind-body work, can shift cortisol in a healthier direction.[3] I think of gratitude as one doorway into that kind of practice. It’s often an easier first step than “just relax.”

The Bottom Line

Gratitude is a support, not a treatment. It works best layered on top of the basics of sleep, light, and steady meals, which I cover in holiday stress and your cortisol rhythm.

The Practices

4 Gratitude Practices, Timed to Your Rhythm

Pick the one that sounds most doable this week, not the one that sounds most impressive.

  1. Gratitude journaling, in the evening

    If your mind starts racing the minute your head hits the pillow, this is the one to try. What you think about right before sleep shapes how quickly you fall asleep and how well you sleep. People who tend toward grateful thoughts at bedtime, rather than worried ones, report better sleep.[4]

    How I’d do it: Keep a notebook by your bed, not your phone. Write down three specific things from today. “My sister called” works better than “my family.” The graphic says ten, and if ten feels good, go for it. But if ten turns into homework, three you actually mean will do more for you. Some research even suggests a few times a week can feel fresher than every single day.[5] (More on how journaling helps you process stress.)

  2. Share the love, at midday

    Send one short message a day thanking someone for being in your life. In one well-known study, writing and delivering a thank-you letter gave people a noticeable lift in happiness that lasted about a month.[6] This one matters for your stress response because connection is one of the strongest buffers your body has. In a lab study, people who had support from a friend before a stressful task had a smaller cortisol spike than people who faced it alone.[7]

    How I’d do it: Pair it with something you already do midday, like after lunch. Two sentences is plenty. Specific beats long.

  3. The dinner share circle, at the table

    Before or during the big meal, everyone at the table shares one thing they’re grateful for. Holiday meals can carry a lot of tension: old dynamics, hosting pressure, and a schedule that ran late. A shared moment of gratitude shifts the table from performance to connection, if only for a few minutes.

    How I’d do it: Keep it light and optional, and go first so others know how simple it can be. Kids are often the best at this. It also slows the pace of the meal, which helps you notice when you’re full. For more on that, read how to enjoy holiday meals without regret.

  4. Gratitude meditation, morning or early evening

    Sit quietly and focus on what you’re grateful for, or on how you got to where you are. This is practicing a downshift on purpose. Meditation research suggests cortisol benefits show up most in people who are under real stress, the exact people the holidays tend to wear down.[8]

    How I’d do it: Five minutes, eyes closed, slow breaths. In the morning, it can take the edge off a wired, anxious start. In the early evening, it can help mark the end of the “on” part of your day. If your nights are where things fall apart, pair it with my evening wind-down routine, or fold it into a 10-minute daily reset.

One Honest Note

If gratitude practice makes you feel worse, like you’re failing at being thankful, stop. That’s useful information, not a personal failing. It may mean your system needs more support than a practice can give right now.

Cover of The Cortisol Rhythm Decoder, a free guide from Farmacy Counter
Free Guide • Which Pattern Is Yours?

Which Cortisol Pattern Is Yours?

Knowing when your stress response runs off-track tells you which practice to reach for, and when. A wired, anxious morning calls for something different than a 10 p.m. second wind or a 3 a.m. wake-up. The Cortisol Rhythm Decoder helps you find your pattern in about five minutes: spiking, flat, running late, or stuck on at night. It also explains why a single morning blood test can’t see it, and which testing actually shows your rhythm.

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Pharmacist Checklist

A Functional Medicine Pharmacist’s Note

Gratitude pairs well with good care. It never replaces it. A few things I want you to know this season:

  • Keep your medication routine steady. Travel, late nights, and a broken daily schedule are when doses get missed. That’s especially important for antidepressants and anti-anxiety medications, where missed or stopped doses can cause withdrawal-like symptoms or a return of symptoms. Never stop one on your own, even if you’re feeling better. Talk to your prescriber first.
  • Watch alcohol with mood and sleep medications. Many antidepressants, anti-anxiety medications, and sleep aids don’t mix well with alcohol. The combination can add to drowsiness and can make low mood worse the next day. (More on why alcohol hits harder after 40.)
  • “Calming” supplements still interact. St. John’s wort, for example, interacts with antidepressants, birth control, blood thinners, and many other medications. Run any new supplement by your pharmacist or provider before you start it, especially if you already take something for mood or sleep.
Targeted Support, With Your Provider

Support for your evenings

If you’d like extra support while you work on your evenings and your stress response, these are the options I trust for supporting relaxation and restful sleep. Check with your pharmacist or provider first, especially if you take something for mood or sleep.

Available through my Fullscript dispensary. Farmacy Counter may earn a commission on purchases.

Know When to Look Closer

When to Get Help

Gratitude is a good habit. It isn’t the right tool when your body or mind is asking for more. Reach out to your provider if:

  • Low mood, worry, or loss of interest has lasted two weeks or longer, or it’s getting in the way of work, sleep, or relationships.
  • The season feels heavier than usual every year, especially as the days get shorter.
  • You’re exhausted, wired at night, or waking at 3 a.m., and it’s lasted well past the holidays.
  • Your energy feels great one day and gone the next for months, not weeks.
  • You’re in perimenopause and holiday anxiety feels different than ordinary stress.
Your Next Step

Let’s Look at Your Rhythm

Gratitude can help you notice what’s good. It can’t show you what your stress response is actually doing across the day. If you’re tired of guessing, a free discovery call is where we start. We’ll talk through your energy, sleep, and stress, look at any labs you’ve had in context, and map out which testing would actually show your rhythm. If you haven’t yet, grab the free Cortisol Rhythm Decoder first.

Book Your Free Discovery Call →

I’m grateful you’re here, and I mean that.
To your health and vitality, Dr. Ryan

Common Questions

Frequently Asked Questions

Does gratitude lower cortisol?

There isn’t strong research showing that gratitude on its own lowers cortisol. Stress management practices as a group, like meditation and relaxation, can shift cortisol in a healthier direction. Gratitude can be an easy way into that kind of practice.

When is the best time to practice gratitude?

It depends on your pattern. Evening journaling can help if your mind races at bedtime. A short morning meditation can help if you wake up wired or anxious. Midday is a natural time for a quick thank-you message.

How many things should I write in a gratitude journal?

Three specific things you actually mean usually work better than a long list that feels like homework. Writing a few times a week can feel fresher than every day.

Can gratitude help with holiday stress?

It can help with how you feel day to day and with your relationships, and it gives your nervous system a short break from “on.” It works best alongside steady sleep, morning light, and regular meals.

Is gratitude a treatment for anxiety or depression?

No. Research shows only a small effect on anxiety and depression symptoms. If you’re struggling, please talk with your provider about care that’s proven to help.

For educational purposes only. Not a diagnosis, and not a substitute for care from your healthcare provider or a licensed mental health professional. Do not start, stop, or change any medication or supplement without talking with your provider or pharmacist.

References
  1. Emmons RA, McCullough ME. Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life. J Pers Soc Psychol. 2003;84(2):377–389.
  2. Cregg DR, Cheavens JS. Gratitude interventions: effective self-help? A meta-analysis of the impact on symptoms of depression and anxiety. J Happiness Stud. 2021;22:413–445.
  3. Rogerson O, Wilding S, Prudenzi A, O’Connor DB. Effectiveness of stress management interventions to change cortisol levels: a systematic review and meta-analysis. Psychoneuroendocrinology. 2024;159:106415.
  4. Wood AM, Joseph S, Lloyd J, Atkins S. Gratitude influences sleep through the mechanism of pre-sleep cognitions. J Psychosom Res. 2009;66(1):43–48.
  5. Lyubomirsky S, Sheldon KM, Schkade D. Pursuing happiness: the architecture of sustainable change. Rev Gen Psychol. 2005;9(2):111–131.
  6. Seligman MEP, Steen TA, Park N, Peterson C. Positive psychology progress: empirical validation of interventions. Am Psychol. 2005;60(5):410–421.
  7. Heinrichs M, Baumgartner T, Kirschbaum C, Ehlert U. Social support and oxytocin interact to suppress cortisol and subjective responses to psychosocial stress. Biol Psychiatry. 2003;54(12):1389–1398.
  8. Koncz A, Demetrovics Z, Takacs ZK. Meditation interventions efficiently reduce cortisol levels of at-risk samples: a meta-analysis. Health Psychol Rev. 2021;15(1):56–84.