Start where you are, use what you have, do what you can. This is a subject I often struggle with as a healthcare provider. The holiday season can increase feelings of pressure or stress. Getting the right gifts, making sure everyone is happy, comfortable, taken care of. Often times during this season natural givers are full of joy, and full of fear. The joy of being able to give gifts freely, have friends over for dinner, seeing the reaction to a meaningful heartfelt letter.