Office of Primary Care and Area Health Education Centers (AHEC) Program

Andrew Rosenfeld, M.D., associate professor of psychiatry and pediatrics

(NOVEMBER 27, 2024) Andrew Rosenfeld, M.D., associate professor of psychiatry and pediatrics, spoke with the Saint Albans Messenger about mental health and self-care while weathering a New England winter.

Seasonal affective disorder—essentially a more intense version of the “winter blues”—is a common issue impacting Vermonters this time of year. Lower mood, lower energy, and sometimes depressive symptoms like trouble sleeping, loss of appetite, thoughts of not wanting to be alive, and more can become elevated this time of year, especially among folks who struggle to participate in fun winter activities, he said. “When that happens, we tend to do less of the socializing, physical activity—things that are fundamental to our mental health and well-being.”

“The other category for many Americans is the big holiday season, which can mean mixed feelings,” Rosenfeld said. “For some people, it’s joyful and more togetherness. For others, it’s family divisiveness or loneliness if there aren’t connections to be had. Because [the holidays] are such a public phenomenon, it’s easier for people to feel left out.” 

He recommends checking in with oneself about what feelings and needs are coming up personally, and what barriers are getting in the way of that. Remembering to set realistic expectations and boundaries, and making time for those you feel best around, is important. 

One of the most helpful ways to orient oneself through the ups and downs of this time of year is to do so, always, through the lens of grace and self-compassion—and to prioritize not only self-care, but also connecting with others and extending grace to one’s community, too.