How to Prepare Your Mental Health for Winter: A Therapist's Guide

The clocks have gone back, and suddenly it's dark by 4pm. If you're feeling the shift in your mood, energy, or motivation, you're not imagining it. Winter doesn't just change the weather, it genuinely affects our mental health.

As a therapist, I see a noticeable increase in clients struggling with low mood, anxiety, and fatigue as we head into the darker months. In this guide, I'll explain the science behind winter's impact and share practical strategies to help you navigate the season ahead.

Why Winter Affects Mental Health

When sunlight decreases, so does our production of serotonin, the neurotransmitter responsible for mood regulation and emotional stability. Reduced light also disrupts our circadian rhythm, affecting sleep quality, and many people develop Vitamin D deficiency, linked to depression and fatigue.

Add to this the tendency to stay indoors more, move less, and socialise less frequently, and it's no wonder winter can feel heavy. For some, these changes result in Seasonal Affective Disorder (SAD), a type of depression following a seasonal pattern.

Important: If winter affects your mental health, it doesn't mean you're weak. Your brain is responding to real environmental changes. This is biology, not a character flaw.

Common Winter Mental Health Challenges

Depression symptoms: Persistent low mood, fatigue, oversleeping, loss of interest, social withdrawal, appetite changes, hopelessness

Anxiety symptoms: Increased worry, restlessness, physical tension, difficulty concentrating, feeling on edge

General struggles: Motivation drops, disrupted routines, holiday stress, increased loneliness

If several symptoms are interfering with your daily life, help is available. You don't have to wait until it's unbearable.

7 Ways to Protect Your Mental Health This Winter

1. Maximise Light Exposure

  • Get outside for 10-15 minutes daily, especially morning light

  • Sit near windows and keep curtains open

  • Consider a light therapy lamp (10,000 lux for 20-30 minutes each morning, speak with your GP first)

2. Maintain Consistent Routines

  • Keep regular sleep and wake times

  • Schedule activities to structure your week

  • Create a simple morning routine

  • Plan things to look forward to

3. Move Your Body

  • Aim for 10-30 minutes of movement daily (a brisk walk counts)

  • Find indoor alternatives for bad weather

  • Choose activities you enjoy, not what you "should" do

4. Stay Connected

  • Schedule regular check-ins with friends or family

  • Say yes to invitations (you rarely regret going)

  • Join a group or community activity

  • Virtual connection counts too

5. Nourish Your Body and Mind

  • Consider Vitamin D supplementation (speak with your GP, typically 1000-2000 IU daily for UK adults)

  • Eat balanced meals, batch cook on good days

  • Limit alcohol (it's a depressant)

  • Stay hydrated and mindful of caffeine

6. Create Comfort and Joy

  • Make your space warm and inviting

  • Develop winter rituals: hot drinks, candles, cosy reading time

  • Find activities that work with the season: baking, crafting, films

  • Practice gratitude for small moments

7. Practice Self-Compassion

  • Lower expectations during low-energy periods

  • Rest without guilt, downtime is necessary

  • Talk to yourself like you'd talk to a friend

  • Celebrate small wins

When to Seek Professional Help

Reach out if you're experiencing:

  • Symptoms lasting more than two weeks

  • Difficulty functioning at work, home, or in relationships

  • Thoughts of self-harm or suicide (contact emergency services immediately)

  • Complete loss of interest in everything

  • Significant changes in sleep, appetite, or energy

  • Worsening symptoms despite self-care

Remember: You don't have to wait until it's unbearable. If winter has been difficult before, reaching out now is one of the smartest things you can do.

Treatment Options

Therapy: CBT is particularly effective for SAD, helping you identify patterns and build coping strategies.

Light Therapy: Daily use of a specialised light box can significantly improve symptoms.

Medication: May be appropriate for severe symptoms, discuss with your GP.

Combination Approaches: Often the most effective treatment uses multiple strategies together.

Final Thoughts

Winter affects mental health; that's a fact, not a failing. The shorter days and reduced sunlight create real biological changes. But small, consistent actions add up: getting outside for 15 minutes, keeping your routine, staying connected, and being gentle with yourself.

You've survived every previous winter. You'll get through this one too, and with the right support, you might even find moments of peace and joy along the way.

Ready to Talk?

If winter mental health is something you've struggled with, I'm here to help. I offer a free consultation where we can discuss your specific challenges and how therapy might support you through the darker months. Contact me by filling out the form below.

If you're in crisis or having thoughts of suicide, please contact emergency services (999 in the UK) or call the Samaritans at 116 123.

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