The holiday season can be a joyous time. Families, friends and coworkers attend endless gatherings, enjoying food, cocktails and festive decorations and music. But for those who have lost loved ones or suffer regularly from depression and mental illness, this time of year can be a struggle to endure.

According to a study by the American Psychological Association, 38% of people surveyed said their stress increased during the holiday season, which can lead to physical illness, depression, anxiety, and substance abuse.

In addition, the National Alliance on Mental Illness found that 64% of those living with a mental illness say that their conditions worsened around the holidays.

The holiday season is definitely a strain on mental health, but there is hope. Implement these few changes during the holidays to curb depression and make the season a little brighter for all.