Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Feeling hopeless this Christmas?


In her final column of 2017, children’s nursing student editor, Desiree Deighton, reminds us that problems don’t stop existing just because it’s the holidays…  

desiree deighton

Christmas. A time for mince pies, mulled wine, roaring fireplaces, laughing children, carols, and the hum of excitement that seems inescapable. 

Yet, the festive period also coincides with a less joyful spike in alcohol and drug use, suicide, self-harm, domestic abuse and loneliness; but I do not feel it is a coincidence as the pressure this time of year can bring is tremendous. 

For parents, there is huge pressure to be the ‘perfect family’ and provide mountains of beautifully wrapped gifts no matter what you earn. Poverty is no longer just for the homeless, and austerity has caused the elderly to choose between heating and eating, but is also pushing two income households to rely on food banks to feed their children.

With ‘parenthood goals’ constantly rising in the media, photographs of (dare I say?) obscene amounts of presents, not just under the tree but covering half the sitting room, how on earth can families cope with the pressure?

Excessive alcohol in the house can cause anxiety and fear for family members of addicts, as they are all too aware how quickly this fuel can burn all hopes for a trouble free Christmas.

“None of these issues have a holiday, break or press pause until New Year. It is their every day life. Likely to become even harder when isolated during Christmas”

Walking on eggshells and hearing that tone of voice through the wall which means it’s begun; causing your skin to goose pimple, arm hair stand on end and gut to clench.

Grief at Christmas can suddenly change from being manageable to completely overwhelming.

Whether it is your first Christmas that Grandma’s chair will remain empty, or the gaping sorrow of a lost baby who should have been here to wear the ‘my first Christmas’ babygrow, laying carefully wrapped under the tree.

What is frightening for school nurses, is that many are limited to term-time only contracts meaning that the children they care for are left without support over Christmas holidays. 


Weekly chats with their school nurse disappear abruptly, yet many of these children are young carers for disabled parents, are self-harming, having suicidal thoughts, experiencing domestic abuse at home, living in poverty or sleeping by the front door at 13 years old to protect the family inside from the dangerous people on the street.

None of these issues have a holiday, break or press pause until New Year. It is their every day life. Likely to become even harder when isolated during Christmas.

During a placement with a school nurse, in walked a twelve year old girl whose eyes were vacant, face set like stone, who looked fragile enough to shatter into a million pieces.

She slowly nodded when asked if she has suicidal thoughts, and when asked “what keeps Holly alive?”, she replied with “I don’t want mum to find my body”.

This school nurse stayed behind for hours to ensure Holly would be seen by a mental health professional before the school broke up for holiday.

“Whether it is yourself or someone you love struggling, please remember: People care. You are not alone, and you will get through this”

Mental health support for children is hugely underfunded and therefore overstretched.

The criteria has become so high for referrals to the Child and Adolescent Mental Health Services in some areas like Bradford, it is often the school nurse who provides that weekly glimmer of hope and voice of reason, that keeps the young person holding on when the world feels too hard.

Fairy lights will fade and tinsel dwindle, but if you need somebody to talk to and cannot open up to family, then do ring The Samaritans on 116-123 for free and it does not show up on a phone bill.

You should also visit your GP and the website is really helpful for advice about anxiety and low mood.

If you are worried that you will hurt yourself or that someone you know is at risk of this, please phone 999 for immediate support. And yes, you are worth the call.

Whether it is yourself or someone you love struggling, please remember: People care. You are not alone, and you will get through this.

Grief, loneliness and difficult situations are amplified by Christmas and it can feel isolating when you are numb to the warmth and joy that seems to come to others so easily.

We can all help those who suffer during Christmas, by just being mindful not to become too caught up in our own festivities, as this risks shutting others out and becoming blinded to those on the outside looking in.


Readers' comments (3)

  • Thank you, just thank you.
    People cannot understand the pain Christmas brings.
    People just switch off during Christmas, its like the country stops working and don't recognise or understand that these problems do not switch off until next year.

    PDave Angel

    Unsuitable or offensive? Report this comment

  • Thought provoking article & very true. As a young student nurse in the late 70's I remember many of the patients I was caring for back then who were 'down' at Christmas and crying on the big was the first time I had ever experienced this as Christmas for me growing up had always been a happy time wherever I was & whoever I was with at the time.
    Now as an older nurse, mother and nanny I can relate to some of that sadness they felt......loved ones missing, worrying about the future and the pressure we are under to perform harder and buy more. The key is to talk and to listen and to share and always spare a thought & a donation to those who are less lucky than I am.
    It is so sad that in the 21st century with all what we know and have available to us there are so many more vulnerable adults and children than ever before.

    Unsuitable or offensive? Report this comment

  • I heard of an adult who attempted to obtain anti depressants for 3 days in a row in the run up to Christmas Eve but Drs in Urgent Care would not prescribe. It was suggested he turn to his GP but sadly he didn't have one. 111 suggested the Crisis Team but unfortunately this was not an option because of prior abuse by the Crisis Team. What greater need is there in Urgent Care but to give someone hope and the desire to believe life is worth living. It seems that not all NHS staff are aware of the hopelessness a human being can feel!

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.

Related Jobs