Responding to Holiday Stress When Living with OCD and Anxiety
The holidays can stir up more than joy—especially if you live with OCD or anxiety. In this follow-up to my last post, I share practical ways to prepare for triggers and stay connected to your values, even when anxiety shows up.
If you read my last post about the hidden side of holiday stress when living with OCD and anxiety, you already know how easily the season can trigger intrusive thoughts, worry, and perfectionism.
Now, let’s talk about how to respond.
One of the most effective, research-backed approaches for managing OCD and anxiety is Exposure and Response Prevention (ERP). It works—but it takes patience, determination, and a willingness to lean into emotional vulnerability. It’s also about repetition, repetition, repetition.
But let’s be honest—the holidays are approaching quickly, and many of the scenarios I mentioned in my earlier post are right around the corner. When you’re juggling travel, family gatherings, and expectations, it can be hard to “turn on” your vulnerability switch or find time for consistent exposure practice.
Here are a few practical ways to prepare yourself this holiday season.
Realign With Your Values
Anxiety often targets what we care about most—our values.
Imagine this: you actually enjoy Thanksgiving because it means reconnecting with your favorite cousins. This year, you’re asked to lead the annual family activity. Within seconds, anxiety hits you with 101 possible disasters. To calm yourself, you start problem-solving each one—because that’s what anxiety tells you to do.
But here’s the trap: the more you problem-solve, the further you drift from your value (connection), and the stronger anxiety becomes. You start dreading Thanksgiving.
Instead, take a step back and realign with what truly matters to you.
Ask yourself:
What upcoming situation or event are you most anxious about?
What is most important to you about this situation or event?
If anxiety or OCD weren’t around, how would you approach it differently?
Are your current action steps truly aligned with your values—or with anxiety’s demands?
Sometimes, value-based action means showing up imperfectly but meaningfully.
Don’t Fall Into the Value Traps
A Value Trap happens when anxiety exaggerates what a valued action should look like.
Example: Anxiety might convince you that your home must be spotless and perfectly decorated before guests arrive. But the deeper value isn’t perfection—it might be creativity, connection, or comfort. When anxiety hijacks those values, you end up stressed, exhausted, and disconnected from what matters most.
Check in with yourself:
Do you feel distressed or dissatisfied despite working hard toward a goal?
Are your actions fueled by anxiety or by values?
If you notice you’re in a trap, experiment with doing things differently—what I like to call “breaking the anxiety playbook.”
Start small: maybe that means keeping the slightly overcooked dish instead of remaking it. Embrace imperfection as a quiet act of defiance against anxiety.
Beat Your Anxiety to the Punch
Here’s the truth: you can’t get rid of anxiety—and that’s okay. The more you fight it, the more power it gains.
So instead of waiting for anxiety to find you, go find it.
That’s right—beat it to the punch.
It may sound strange, but try leaning in. Notice where anxiety tends to show up—at the grocery store, while cooking, during conversations—and practice approaching those moments intentionally rather than avoiding them.
When you take the lead, you remind your brain that you can handle discomfort without needing to run from it. That’s ERP in action.
Final Thoughts
Anxiety and OCD don’t take holidays off—but you can still create meaningful, value-driven moments in their presence. With small, consistent shifts in how you respond, you can step into the season with more flexibility and self-compassion.
If you’d like to learn more about ERP, ACT, or ways to manage anxiety through the holidays, you can read my first post here or schedule a consultation to see how therapy can help you find calm and confidence this season.
“Holiday Stress with OCD and Anxiety: Why It Feels So Overwhelming”
Holiday stress often magnifies anxiety and OCD symptoms, from intrusive thoughts to panic and perfectionism. In this post, I share insights from over 10 years of treating anxiety disorders using ERP and ACT to help you understand why the holidays can feel so hard—and what steps can help you cope more effectively.
This is not just another post about holiday stress.
Let’s talk about the unspoken stress of the holidays when you’re living with an anxiety disorder.
The season often brings family, gatherings, and expectations — but for people with anxiety or OCD, it can also bring a surge of symptoms, worry, and self-criticism.
Social Anxiety
The holidays often mean reconnecting with family you haven’t seen since last year. Suddenly, there’s pressure to say the right thing and appear like you have it all together.
You might find yourself rehearsing conversations in your head or worrying how others will perceive your work, relationships, or life choices — all while trying to hide how anxious you feel inside.
Panic
There’s the sense of inescapability.
You arrive with your loved ones, and the energy, chaos, or drama starts to rise. The “what ifs” appear:
What if I feel trapped? What if I get hot, dizzy, or short of breath?
The fear of having a panic attack in front of others can make even the most joyful gatherings feel unbearable.
Health Anxiety / Emetophobia
Maybe Grandma offers you her famous pecan pie — and your brain immediately flashes to an article you read about foodborne bacteria.
You start worrying about nausea, contamination, or what might happen if you get sick. For people who struggle with health anxiety or emetophobia, these worries can take over moments that are supposed to feel comforting.
Obsessive-Compulsive Disorder
You’re hosting this year, and it’s consuming every ounce of energy. You’ve spent the week rearranging decor, compulsively checking the appliances, and trying to make everything “just right.”
Underneath all of it is the thought: If I can control this, maybe I can prevent something bad from happening — or maybe people will be happy.
By the time guests arrive, you’re already exhausted.
And then there’s the gift giving — a value you care about deeply — but perfectionism and decision paralysis can turn what used to be joy into stress.
When the Holidays and Anxiety Collide
Holidays naturally come with stress, but when you add OCD and anxiety spectrum disorders, it can feel like the perfect storm.
If this resonates, please know: you’re not alone — and there are tools that can help you reclaim these moments rather than avoid them.
In upcoming posts, I’ll share ways to manage these triggers through evidence-based strategies from ERP and ACT that can help you reconnect with what matters most, even when anxiety shows up.
Anxiety may be part of your story, but it doesn’t have to define the season ahead.
Together, we can work toward freedom from avoidance and fear — one step at a time.
If you are ready to take the next step, you can read more About my services above, or schedule a free 15 min consultation call below.