As the leaves fall and the year begins to wind down, November offers a natural pause, a moment to reflect, slow down, and focus on what matters most. For many, this is a time of gratitude: acknowledging the people, experiences, and moments that bring meaning to life.
In therapy, gratitude is more than simply listing what you’re thankful for. It’s a practice that can strengthen emotional resilience, improve relationships, and even reduce symptoms of anxiety and depression. As we approach the holiday season, taking time for gratitude can help adults navigate stress, life transitions, and the pressures of the year-end.
Practicing gratitude is not just a feel-good exercise; it has measurable effects on mental health. Research shows that regularly reflecting on gratitude can:
Reduce stress and anxiety: Gratitude shifts attention away from worries and negative thought patterns.
Enhance mood and emotional regulation: Recognizing what you value in life supports positive emotions and stability.
Strengthen relationships: Expressing gratitude increases empathy and connection with others.
Build resilience: Gratitude helps people focus on what is within their control and notice the resources they already have.
Even small, intentional acts of gratitude, like noticing a kind gesture or writing a brief journal entry, can have a cumulative impact on mental health. The key is consistency and mindfulness, rather than the length or size of the action.
Many people try keeping a gratitude journal but find themselves repeating the same phrases, like “I’m grateful for my family” or “I’m thankful for my health.” While these are true, deeper reflection can make gratitude practice more effective.
Here are strategies to make your gratitude practice meaningful:
Be Specific
Instead of general statements, focus on particular moments. For example, “I’m grateful my friend called me when I was having a difficult day” is more impactful than a broad “I’m grateful for my friends.”
Engage Your Senses
Notice what you can see, touch, hear, smell, or taste that brings joy or comfort. A quiet cup of tea, sunlight streaming through a window, or the sound of birds outside can become opportunities for gratitude.
Include Challenges and Growth
Gratitude doesn’t have to exclude difficulties. Reflect on what you’ve learned from challenges or how past hardships have shaped your resilience. For example: “I’m grateful for the patience I developed while learning to navigate a difficult work situation.”
Express Gratitude Out Loud
Sharing appreciation strengthens relationships and reinforces positive feelings. A simple “thank you” to a colleague, friend, or family member can enhance your own well-being and deepen connections.
It’s natural for gratitude to feel challenging during periods of stress, grief, or burnout. For some, November can bring heightened anxiety as holidays approach or memories of loss surface. In these moments, gratitude practice doesn’t need to be forced.
Focus on small, neutral moments: Notice a comforting cup of coffee, a quiet moment alone, or a kind gesture from a stranger.
Allow mixed emotions: It’s possible to feel sadness and gratitude simultaneously. Recognizing both feelings can foster emotional balance.
Use mindfulness techniques: Take a few deep breaths while reflecting on moments of support, calm, or connection.
Therapy provides a safe space to explore these experiences and integrate gratitude in ways that feel authentic rather than performative.
Here’s a practical exercise you can try this November:
Each evening, write down one moment that brought you calm, joy, or connection.
It could be as small as a brief laugh with a coworker, a quiet walk outside, or a comforting interaction with a loved one.
Over time, these small reflections create a cumulative sense of emotional support. They encourage your brain to notice positive experiences, even in the midst of stress or uncertainty.
Gratitude and personal growth often go hand-in-hand. In therapy, we can explore how gratitude supports:
Self-awareness: Understanding what truly matters to you.
Emotional regulation: Using reflection to manage stress and anxiety.
Resilience: Recognizing internal and external resources that help you navigate challenges.
Relationship building: Deepening connections with others through acknowledgment and appreciation.
By combining gratitude practice with therapeutic techniques like mindfulness, journaling, or cognitive reframing, you can create a structured approach to improving emotional wellness.
While November naturally encourages reflection, gratitude can be a daily practice. Here are some tips to keep it alive all year:
Keep a small journal or planner to jot down moments of gratitude daily.
Set reminders to pause and reflect on what you appreciate.
Share gratitude with others regularly, in person or through notes/messages.
Reflect weekly on challenges and what they taught you.
Even five minutes a day can make a significant difference in mental health over time.
Gratitude is a powerful tool, but it’s most effective when paired with self-reflection and emotional support. Therapy can help you explore gratitude in meaningful ways, develop coping strategies, and strengthen overall mental wellness.
If you’re ready to integrate gratitude into your mental health journey or navigate stress and life transitions, consider scheduling a session.
Written by Samantha Mills, LCSW
Licensed Clinical Social Worker | Psychotherapist