Key Takeaways
- The holiday season is one of the highest-risk periods for substance use and relapse.
- Entering treatment during the holidays removes you from triggering environments and social pressures to drink or use.
- Treatment centers offer special holiday programming that creates meaningful celebrations in a sober, supportive environment.
- Starting treatment before the new year positions you for a fresh start with recovery momentum already underway.
- Missing one holiday season to invest in recovery can give you decades of healthier holidays to come.
Why the Holidays Are a High-Risk Season
The period from Thanksgiving through New Year's represents one of the most dangerous times of the year for individuals struggling with substance use disorders. Alcohol is deeply woven into holiday traditions, from cocktail parties to champagne toasts on New Year's Eve. Social pressure to drink is intense and often comes from people who mean well but do not understand the stakes. For someone in early recovery or struggling to control their use, navigating these situations can be overwhelming.
Beyond the social pressure, the holidays bring significant emotional stress. Family gatherings can trigger painful memories, unresolved conflicts, and feelings of inadequacy. Financial strain from gift-giving and entertaining adds additional pressure. Grief over lost loved ones is often amplified during the holidays. And the cultural expectation of happiness and togetherness can make the isolation and emptiness that often accompany addiction feel even more acute.
SAMHSA data shows that emergency room visits related to substance use spike during the holiday season, and calls to addiction helplines increase by 30 to 50 percent during November and December. These statistics reflect the reality that the holidays are not a time of peace and joy for everyone. For individuals whose substance use is escalating, the holiday season can be a tipping point that makes the need for treatment impossible to ignore.
According to national data, more people initiate substance use during November and December than during any other two-month period of the year. The normalization of heavy drinking during the holidays lowers inhibitions and increases risk.
The Case for Entering Treatment During the Holidays
The most common objection to entering rehab during the holidays is the fear of missing out on family time and seasonal celebrations. While this concern is understandable, it is worth examining honestly. How many recent holidays have actually been enjoyable, healthy experiences versus occasions marked by excessive drinking, family conflict, emotional numbness, or substance-fueled incidents you would rather forget? For many people struggling with addiction, the holidays they are afraid of missing are already far from the idealized version they are imagining.
Entering treatment during the holidays offers several practical advantages. First, it removes you from the triggering environment entirely. You do not have to navigate office holiday parties, family gatherings with alcohol, or the social pressure of New Year's Eve. Instead, you are in a safe, supportive environment focused entirely on your healing. Second, many employers have reduced schedules during the holiday season, which can make it easier to take time away without significant career disruption.
Third, and perhaps most importantly, starting treatment before the holidays positions you to begin the new year with several weeks of sobriety and therapeutic progress already under your belt. Rather than making a New Year's resolution that fades by February, you will have already taken the most difficult step and will be building on a foundation of genuine recovery work. Trust SoCal in Fountain Valley welcomes new admissions throughout the holiday season and can help you begin treatment whenever you are ready.
How Treatment Centers Celebrate the Holidays
Quality treatment centers recognize the emotional significance of the holiday season and create meaningful celebrations within the treatment environment. At Trust SoCal in Orange County, holiday programming includes special meals, group activities, creative projects, and community gatherings that honor the spirit of the season without substances. Clients often report that their holiday experience in treatment was more genuine and connected than any holiday they had experienced during active addiction.
Holiday groups in treatment may focus on themes of gratitude, family, forgiveness, new beginnings, and hope. These themes resonate deeply with individuals in early recovery who are just beginning to envision a life beyond addiction. Sharing a holiday meal with peers who understand your struggle can create bonds of fellowship that are both comforting and inspiring.
Treatment centers also facilitate communication with family members during the holidays through scheduled phone calls, video visits, or in-person visitation when clinically appropriate. While the contact may be limited compared to what you would experience at home, the interactions are often more meaningful because they occur within a therapeutic context where both you and your family are being supported.
I was devastated about spending Thanksgiving in rehab. But that Thanksgiving dinner, surrounded by people who truly understood me, was the first holiday in years where I felt genuinely grateful. It changed my whole perspective on what the holidays could be.
— Trust SoCal Alumni
Talking to Your Family About Entering Treatment Over the Holidays
Telling your family that you plan to enter rehab during the holidays can be a difficult conversation. Some family members may be supportive, while others may express disappointment, guilt, or even anger. It is important to remember that your decision to seek treatment is an act of love toward both yourself and your family, even if it does not feel that way in the moment.
When having this conversation, be honest and direct. You might say something like: "I have made the decision to enter treatment for my addiction, and I want to do it now rather than waiting, because waiting could be dangerous. I know this means I will miss the holidays at home, but getting help now is the best gift I can give myself and our family. I need your support."
For families with children, explain the situation in age-appropriate terms. Children are more resilient than adults often give them credit for, and they benefit from honesty. You might say: "Mommy or Daddy has a sickness that needs special help, and I am going to a place where doctors will help me get better. I will miss you during the holidays, but I am doing this so we can have many more happy holidays together." Trust SoCal's family programming team can help you prepare for these conversations.
Planning for the Holidays If You Are Already in Recovery
If you are already in recovery and facing the holidays with anxiety, there are several strategies that can help you navigate the season safely. First, plan ahead by identifying which events you will attend and which you will skip. You do not have to attend every party or gathering, and declining invitations that feel too risky is an act of self-preservation, not rudeness.
Bring a sober support person to events where alcohol will be present. Having someone who understands your situation and can provide accountability makes it much easier to navigate triggering environments. Always have an exit plan so you can leave if the situation becomes uncomfortable. And keep a non-alcoholic drink in your hand at all times to avoid the repeated question of "can I get you a drink?"
Increase your support group attendance during the holiday season. Many AA and NA meetings hold special holiday marathons with meetings scheduled around the clock so that support is available whenever you need it. Touch base with your sponsor or therapist more frequently during this period, and do not hesitate to call a recovery support contact if cravings become intense.
- Plan which events to attend and which to decline
- Bring a sober support person to parties where alcohol will be served
- Always have a non-alcoholic drink in hand
- Have an exit strategy for every event
- Increase support group meeting attendance
- Check in with your sponsor or therapist more frequently
- Practice saying no to offers of alcohol or drugs
- Create new sober holiday traditions that bring genuine joy
Making the Decision to Start Now
If you are reading this article, part of you already knows that treatment is the right step. The question is not whether to seek help but when. The holidays offer a convenient excuse to delay, but every day of continued substance use carries risks: health consequences, legal problems, damaged relationships, and the ever-present danger of overdose. The "right time" to enter treatment is always now.
Trust SoCal in Orange County admits clients throughout the holiday season, including Thanksgiving, Christmas, and New Year's. The admissions team is available seven days a week to answer your questions, verify your insurance, and help you take the first step. Call (949) 280-8360 to begin the conversation. This could be the year you give yourself the gift of recovery.
Imagine next year's holidays: clear-headed, present with your family, free from the weight of addiction. That future is possible, and it starts with a single decision to seek help. The holidays you miss this year are an investment in every holiday for the rest of your life.
Many treatment centers, including Trust SoCal, have availability during the holidays because other people are postponing treatment. This means you may have more program options and shorter wait times than during other times of the year.

Courtney Rolle, CMHC
Clinical Mental Health Counselor




