Holiday breaks can be joyful, but they can also quietly disrupt mental health. For people living with bipolar disorder, changes in routine during holidays can increase the risk of mood symptoms and relapse.
No school.No work.Later nights.Sleeping in.
These shifts may seem harmless, but they can interfere with the bodyâs natural rhythms, which play a powerful role in mood regulation.
Why Daily Rhythm Matters â°
Research behind Social Rhythm Therapy shows that keeping certain daily activities at consistent times helps stabilize mood and lowers relapse risk in bipolar disorder.
Your body and brain rely on predictable timing to regulate sleep, energy, and emotions. When that timing shifts suddenly, especially for several days in a row, mood symptoms can become more likely.
The goal is not perfection.The goal is protective consistency.
Four Daily Rhythms That Matter Most đą
1ď¸âŁ Time Out of Bed
Waking up at roughly the same time every day is one of the strongest ways to regulate your internal clock. This matters even on weekends and during school or work breaks.
Consistent wake time helps stabilize sleep, energy levels, and mood.
2ď¸âŁ Time You Start School or Work
When school or work is on break, the structure disappears, but your brain still needs a âstart of dayâ cue.
Keeping a similar start time for a replacement activity like a walk, shower, reading, or quiet task can provide the structure your nervous system is used to.
Structure supports focus, motivation, and emotional balance.
3ď¸âŁ Time for Social Connection
Regular social contact helps regulate emotions and reduce isolation.
This does not need to be long or intense. A daily text, call, or check-in with a trusted person at a similar time each day can be stabilizing, especially during holidays when routines shift.
Consistency matters more than duration.
4ď¸âŁ Time for Dinner
Eating at a similar time each day helps cue sleep and energy rhythms.
Holiday meals may run later, and thatâs okay. When possible, keeping dinner within a predictable time window or having a light snack at your usual dinner time can help maintain rhythm.
Here are Some Things You Can Do Around the Holidays
1ď¸âŁ Protect a non-negotiable wake-up window
Pick a 1â2 hour window (for example, 8â10 a.m.) instead of a single exact time.
Even if you go to bed late, still get up within that window.
If you need more rest, take a short afternoon nap (20â30 minutes), not sleeping in.
THIS IS THE MOST IMPORTANT !!
2ď¸âŁ Create a âholiday versionâ of structure
If school or work is off:
Replace it with a stand-in routine at the same time:
Morning walk
Shower + getting dressed
Journaling, reading, or light chores
Keep the start time similar to when school/work normally begins.
Think:Â structure, not productivity.
3ď¸âŁ Schedule social time on purpose (even if itâs small)
Pick regular check-in times (e.g., call a friend every evening at 7).
If holidays are crowded, still protect one calm connection with someone safe.
If social energy is low, texting counts, consistency matters more than length.
This helps stabilize mood without overstimulation.
4ď¸âŁ Anchor dinner, even if the meal changes
Holiday meals are often later, thatâs okay.
Try to keep dinner within a 2-hour window most days.
If a big late meal is planned:
Eat a light, earlier snack at your usual dinner time.
Avoid skipping dinner entirely.
This keeps sleep signals from getting confused.
5ď¸âŁ Use âbookendsâ to signal day and night
Even if the middle of the day is chaotic:
Morning bookend:Â same wake-up routine (light, breakfast, movement)
Night bookend:Â same wind-down routine (dim lights, phone off, calm activity)
Consistency at the edges helps your brain tolerate flexibility in the middle.
6ď¸âŁ Plan for disruptions before they happen
Look ahead at holiday events and ask:
âWhich days will be hardest?â
âWhatâs my backup plan?â
Decide in advance:
latest bedtime
earliest wake-up
when youâll step away if overstimulated
Planning reduces stress and mood swings.
7ď¸âŁ Be gentle: stress about routine can backfire
Missing a routine one day wonât cause an episode.What matters is:
returning to anchors the next day
not letting one off-day turn into a week
Self-compassion is part of stability.
Progress Over Perfection â¨
One late night or one off-schedule day will not cause a relapse. What matters most is returning to your core rhythms as soon as possible.
Think of these routines as anchors, not rules. Even when the rest of the day changes, protecting a few consistent times can help your body and brain stay grounded.
During the holidays, consistency is not restrictive.It is protective.
If you feel yourself struggling over the holidays, please reach out to your provider or one of us via Spruce (if you're a patient)! We have our phones available and our apps turned on! We are here for you!







