Christmas is often wrapped up as a season of joy, togetherness and goodwill. For many people, it genuinely is.
But for others, the festive period can be one of the hardest times of the year, especially for those living with physical illness, mental health challenges, or a combination of both.
That’s why one of the most meaningful things we can do at Christmas isn’t buying another gift or planning another social event, but simply reaching out.
The Hidden Struggles of the Festive Season
Illness doesn’t pause for Christmas. Chronic pain, mobility issues, fatigue, anxiety, depression, grief and loneliness all continue regardless of what the calendar says. In fact, the pressure to “be festive” can make these struggles feel even heavier.
For some people:
Cold weather worsens pain or breathing conditions
Shorter days increase feelings of depression or isolation
Financial stress compounds existing anxiety
Grief feels sharper when traditions highlight who is missing
And many people suffer quietly, not wanting to “spoil Christmas” for others.
Why People Often Don’t Ask for Help
One of the cruellest parts of both physical and mental illness is how isolating it can be. People may worry about being a burden, feel embarrassed, or assume everyone else is too busy enjoying themselves to notice.
At Christmas, this reluctance can deepen. No one wants to be the person who admits they’re struggling while everyone else seems cheerful and busy.
That’s why waiting for someone to ask for help often isn’t enough.
The Power of a Simple Message
Reaching out doesn’t require the perfect words. A short text, message or call can be incredibly powerful:
“I was just thinking of you and wanted to check how you’re doing.”
“No pressure to reply, but I’m here if you need anything.”
“Would you like some company, or a quiet cuppa, this week?”
You’re not trying to fix anything. You’re simply reminding someone that they’re seen, remembered and not alone.
Practical Support Can Mean the World
For those with physical health issues, small practical gestures can be just as valuable as emotional support:
Offering to pick up shopping or prescriptions
Dropping off a home-cooked meal
Helping with transport to appointments
Sitting and chatting while they rest
These acts of kindness don’t need to be grand. Often, they’re remembered long after Christmas has passed.
Respect Boundaries, But Keep the Door Open
Not everyone will feel able to engage, and that’s okay. If someone declines an invitation or doesn’t respond straight away, don’t take it personally.
A gentle follow-up later, or a message that makes it clear there’s no obligation, can help keep the connection alive without pressure.
Christmas Kindness Lasts Beyond the Day
One important thing to remember is that struggles don’t magically end on Boxing Day. For many people, January can be even harder once the lights come down and routines return.
If you can, keep checking in after Christmas too. A message in early January can feel like a lifeline.
A Different Kind of Christmas Spirit
Reaching out to someone who may be struggling is one of the quiet, uncelebrated acts that truly embody the spirit of Christmas. It doesn’t come with wrapping paper or social media photos, but it can make an immeasurable difference.
This Christmas, alongside the food, the decorations and the traditions, let kindness take centre stage. A message, a call, or a knock at the door might be the most important gift you give.
Some useful resources:-
Samaritans – Free, confidential support 24/7
Call 116 123 or visit samaritans.org
NHS 111 – For urgent mental health help and advice
Call 111 or visit nhs.uk
Mind – Mental health information and local support services
Visit mind.org.uk
Age UK – Support for older people, including loneliness and health concerns
Call 0800 055 6112 or visit ageuk.org.uk
Shout – Text support for anyone in crisis
Text SHOUT to 85258 (24/7)
If someone is in immediate danger, always call 999.
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