We shortchange our well-being by reserving this resource just for Thanksgiving.

“When I look back on the suffering in my life, this may sound really strange, but I see it now as a gift. I would have never asked for it for a second. I hated it while it was happening and I protested as loudly as I could, but suffering happened anyway. Now, in retrospect I see the way in which it deepened my being immeasurably.” ~Ram Dass

It’s that time of year. In addition to providing an opportunity to gather with family and friends to gorge ourselves on food and football, Thanksgiving is an annual culturally compelled celebration of our various blessings—a specific occasion to “give thanks.” As meaningful as this holiday can be and as helpful as it is to have structured encouragement to express gratitude, once a year is quite simply not enough. The bio-psycho-social-spiritual benefits of gratitude are myriad. Cultivating conscious contact with gratitude is a skill, and we can profit immensely by learning and practicing it.

Gratitude is about feeling and expressing appreciation: for all we’ve received, all that we have (however little it may be), and for all that has not befallen us. It functions as an antidote for attachment to what we want but don’t have and aversion to what we have but don’t want. Gratitude is the opposite of being discontented.

It’s valuable to be aware that nearly all experiences have both “positive” and “negative” aspects. Consistent with the above quote from Ram Dass, even circumstances that are brutally physically and/or emotionally painful, often contain considerable psycho-spiritual blessings in the forms of learning, growth, and healing. Sometimes we have to work harder to locate the positive and unearth its gifts (and sometimes these become manifest only in retrospect)—but if we make the time and invest the energy to look closely and search consciously, we will find them. There is always something to be grateful for, no matter how negative or desperate things may seem.

Gratitude changes perspective—it can sweep away most of the petty, day-to-day annoyances on which we focus so much of our attention—the “small stuff” situations that bring up feelings of impatience, intolerance, negative judgment, indignation, anger, or resentment. Gratitude is a vehicle to diffuse self-pity and self-centeredness, increase feelings of well-being, and prompt mindful awareness of that which is beyond oneself—of belonging to a greater whole, and of connection to others, as well as to the world.

Over the past decade, numerous scientific studies have documented a wide range of benefits that come with gratitude. These are available to anyone who practices being grateful, even in the midst of adversity, such as elderly people confronting death, those with cancer, people with chronic illness or chronic pain, and those in recovery from addiction. Research-based reasons for practicing gratitude include:

•    Gratitude facilitates contentment. Practicing gratitude is one of the most reliable methods for increasing contentment and life satisfaction. It also improves mood by enhancing feelings of optimism, joy, pleasure, enthusiasm, and other positive emotions. Conversely, gratitude also reduces anxiety and depression.

•    Gratitude promotes physical health. Studies suggest gratitude helps to lower blood pressure, strengthen the immune system, reduce symptoms of illness, and make us less bothered by aches and pains.

•    Gratitude enhances sleep. Grateful people tend to get more sleep each night, spend less time awake before falling asleep, and feel more rested upon awakening. If you want to sleep more soundly, instead of counting sheep count your blessings.

•    Gratitude strengthens relationships. It makes us feel closer and more connected to friends and intimate partners. When partners feel and express gratitude for each other, they each become more satisfied with their relationship.

•    Gratitude encourages “paying it forward.” Grateful people are generally more helpful, generous of spirit, and compassionate. These qualities often spill over onto others.

Two specific ways you can practice the skill of being grateful are by writing gratitude letters and making gratitude lists. A gratitude letter is one you write to someone in your life to express appreciation for ways they have helped you and/or been there for you. Gratitude letters can be about events that have happened in the past or are happening in the present, and often help to strengthen or repair relationships. A gratitude list consists of writing down 3 – 5 things for which you’re grateful every day, each week, at other intervals, or under situation-specific circumstances.

You can test the effectiveness of these methods by tuning in to your current emotion(s), mood, and attitude. Once you’ve done that, take a few minutes and identify 3 things or people that you are grateful for and briefly describe to yourself or in writing the reason(s) for your gratitude. Then notice how the way you feel has shifted after doing this simple brief exercise.

For five years during the 1990s, I was the clinical director of a hospital-based addiction treatment program outside of New York City. I worked closely with the program’s medical director, a psychiatrist who was in recovery for many years through a twelve-step program.

At a conference on addiction he gave a talk that focused on his personal recovery experience. During a powerful and moving presentation, he described being grateful that he was an addict. He went on to say that, in contrast to most people who operate more or less on automatic pilot and effectively sleepwalk through life, embarking on a process of recovery had given him the awareness to live life much more intentionally. As a result, he took little for granted and appreciated much. Although his reasoning made sense, it was difficult for me to comprehend the idea of having such profound gratitude for an experience that involved so much suffering . . . until I found my way to my own recovery.

There are no guarantees of anything and we can take nothing for granted in this life. Every day is a gift; every breath is a gift. What we do with them is a choice.