The Nurse Is In: The healing power of connection (and the art of saying no)

We often compartmentalize our lives, viewing our social calendar as separate from our health and well-being. However, science suggests that human connection is not merely a “nice to have” emotional luxury; it is a physiological necessity.

As we enter the peak of the holiday season — a time paradoxically known for both intense gathering and profound isolation — understanding the link between your relationships and your physical health is arguably as important as getting your flu shot.

The biology of belonging

When we experience genuine connection, our bodies respond in measurable, healing ways. Positive social interactions trigger the release of oxytocin, often called the “love hormone,” which lowers cortisol (the stress hormone) and acts as a natural anti-inflammatory.

Conversely, chronic loneliness or social isolation acts as a toxin. The U.S. Surgeon General recently highlighted that lacking social connection can be as damaging to our health as smoking up to 15 cigarettes a day. It increases the risk of heart disease, stroke and dementia. However, here is the holiday twist: More socializing does not always equal better connections.

During December, we are often bombarded with the idea that we must be everywhere, seeing everyone. But “socializing” (being around others) is different from “connecting” (feeling seen and understood). In fact, over-committing to social obligations can lead to “social burnout,” spiking your stress levels and weakening your immune system just when you need it most. The remedy is self-care.

Beth Tremblay

Social self-care: Your holiday prescription

To navigate this season in good health, apply self-care principles to your social life. Just as you wouldn’t run a marathon without training or rest, you cannot expect your “social battery” to run indefinitely without recharging.

In nursing, we love a good care plan, so here is your nursing care plan for social commitment this season:

Quality over quantity

Your nervous system craves resonance, not just presence. A three-hour cocktail party where you have superficial small talk with 20 people might leave you feeling drained and empty. In contrast, a 30-minute coffee with a close friend, where you discuss how you are actually doing, can be restorative.

The fix: Look at your calendar. Identify the events that drain you versus the ones that fill you up. Prioritize the latter. It is better to attend two events fully present than five events while mentally checking the exit.

The power of the “graceful decline”

Many of us suffer from the disease to please. We say “yes” to invitations out of guilt, which can lead to resentment.

The fix: Practice saying, “Thank you so much for thinking of me. I won’t be able to make it, but I hope you have a wonderful time.” You do not need to provide a fake excuse. Protecting your energy is a valid reason.

Schedule “solitude” as an appointment

Extroverts and introverts alike need downtime to process stimuli.

The fix: Block out dates on your calendar labeled “personal time.” Treat these with the same respect you would a doctor’s appointment. This is not the time to clean the house or wrap gifts; it is time to decompress and regulate your nervous system so you can be a healthier human when you do socialize.

The “micro-connection”

An even larger issue is feeling isolated. Feeling alone can make the holidays incredibly difficult.

The fix: Seek “micro-connections.” Research shows that even brief, kind interactions with strangers can boost dopamine levels.

Micro-connections

The “parallel play” approach

Definition: Being alone, together. You get the energy of a crowd without the pressure of conversation.

The coffee shop read: Go to a local cafe with a book. You don’t need to talk to anyone, but the hum of conversation and the shared smell of coffee creates a sense of communal coziness. I use this one often, especially when I am working on an independent writing project.
The cinema solo: See a movie by yourself. You are sharing an emotional experience with a room full of people, but you don’t have to say a word.
The library: Bring your laptop or journal to the public library. It is a space dedicated to quiet companionship.

The “low-stakes” interactions

Definition: Brief, structured interactions where the exit strategy is built in.

The barista compliment: When getting coffee, give one genuine compliment to the staff, such as “I love your earrings” or “You handle the rush so calmly.” It takes 10 seconds, but their smile will mirror yours.
The dog park loop: Even if you don’t have a dog, walking past a dog park or asking to pet a friendly dog is a great shortcut to connection. Dog owners love talking about their pets, and friendly dogs offer unconditional affection.
The checkout chat: Instead of scrolling your phone while waiting in line, make eye contact with the cashier and ask, “How is your shift going?” It acknowledges their humanity and yours.

The digital “pings” (no reply needed)

Definition: Letting someone know they are seen without demanding a conversation.

The “no-pressure” text: Send a text to a friend that says: “Saw this and thought of you. No need to reply, just wanted to send some love.” This removes the burden of a long catch-up while still maintaining the bond.
Voice notes: Sending a 30-second voice memo is more personal than a text but less draining than a phone call. It lets them hear your warmth.
The specific comment: Instead of just “liking” a photo on social media, leave a specific five-word comment. “You look so happy here!” It turns a passive scroll into an active connection.

The “service” boost

Definition: Getting out of your own head by helping someone else.

Hold the door: It sounds cliché, but physically holding a door for someone and exchanging a nod is a primal signal of cooperation.
Drop off a card: Write a thank-you note to your mail carrier or trash collector and leave it for them. You don’t even have to see them to feel the gratitude connection.

The bottom line

This season, I want you to treat your social energy like a bank account. Spend it on the people and environments that yield the highest return on investment for your heart and mind. Listen to your body. If it craves people, find your flock. If it craves silence, close the door. Your health depends on honoring both. Wishing you a healthy and happy holiday season.

Send me your thoughts and questions at thenurseisinwg@gmail.com.

Beth Tremblay is a practicing registered nurse and nurse educator in Hampton Roads. Her practice spans from community and public health nursing to acute care.

https://www.dailypress.com/2025/12/14/the-nurse-is-in-the-healing-power-of-connection-and-the-art-of-saying-no/