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It is no secret that while fun and exciting, family gatherings can sometimes become frustrating, and Thanksgiving is not an exception. For some people, additional stressors during this time only pile up on the existing mental health issues they already have year-round.

In a study, at least 38 percent were found to have increased stress levels during the holidays. In a separate study, an alarming 64 percent of people with existing mental health issues felt that their conditions worsened during this period. 

If you are a person with any mental health issues or illnesses, you will likely feel that it is better to hide than to show up. However, hiding is not always the healthiest thing to do. Here are two of the most common mental health issues and how to avoid hiding from your family during this season.

Eating disorders

Individuals with an eating disorder are likely to struggle with anxiety on Thanksgiving Day for the obvious reason that there will be a lot of food on the table. Eating disorder therapist Dr. Stephanie Waitt explains that the fear of being judged is what causes the anxiety.

If you have an eating disorder, know that there are no rules for eating. If you can, find a friend who can support you by attending parties with you and letting them help you manage interactions and meals at the gathering.

Substance use

Family gatherings can cause a lot of tension, so it is important to manage your expectations when hosting or going to a Thanksgiving party. In any case, talk to your family and friends before the event and let them know that you are going through recovery, even if it's in the early stages. That way, you have set some boundaries.