Someone tells you to just be grateful. You are exhausted, touched out, three days behind on laundry, and the suggestion lands like a slap disguised as advice. You are grateful. You are also drowning. Both things are true, and the version of gratitude practice that only allows for one of them is exactly why so many mothers quietly abandon it after week two.
There is a version that actually works, and it looks nothing like the Live Laugh Love plaque on your wall.
A non-toxic gratitude practice is one that acknowledges genuine difficulty alongside appreciation, rather than using gratitude to suppress, override or shame away legitimate negative emotion. A landmark 2025 meta-analysis published in the Proceedings of the National Academy of Sciences synthesised 145 studies, 163 samples and over 24,800 participants across 28 countries and found that gratitude interventions produce a real but modest increase in wellbeing, Hedges' g of 0.19. That effect is genuine but small, and critically, the researchers found the benefit strengthens when multiple types of practice are combined rather than forcing a single rigid ritual. This matters for mothers specifically, because the gap between "gratitude helps" and "gratitude fixes everything" is exactly where toxic positivity lives, and exactly where most mothers get burned out on the practice before it has a chance to work.
Why the standard version backfires for mothers
Toxic positivity is not gratitude. It is gratitude weaponised against your own legitimate distress. Research grounded in Self-Determination Theory, published in Psychology & Health (2024), identifies three basic psychological needs, autonomy, competence and relatedness, that influence whether any wellbeing practice actually sustains itself or gets abandoned. A gratitude practice imposed as an obligation, "you should be grateful," violates autonomy. A gratitude practice that demands you ignore real struggle violates the honest processing that relatedness requires.
The difference is not whether you practise gratitude. It is whether the practice makes room for the truth alongside it.
Toxic gratitude vs functional gratitude: side by side
Toxic version | Functional version | |
|---|---|---|
Underlying message | "You shouldn't feel this way when you have so much" | "Both feelings can be true at once" |
Relationship to difficulty | Suppresses or dismisses it | Acknowledges it directly, then adds appreciation |
Emotional honesty | Performed positivity regardless of internal state | Genuine reflection, even when the finding is small |
Typical phrase | "Just be grateful, other people have it worse" | "This is hard, and I noticed one good moment today" |
Sustainability | Abandoned quickly; feels hollow or obligatory | More sustainable; grounded in actual experience |
What research supports | Not studied as beneficial; associated with emotional suppression research | Directly supported by RCT evidence on expressed gratitude interventions |
What the research actually recommends
A 2023 meta-analysis published in the International Journal of Applied Positive Psychology, synthesising 25 randomised controlled trials with 6,745 participants, found that expressed gratitude interventions produced a significant effect on psychological wellbeing, Hedges' g of 0.22, across life satisfaction, positive affect and happiness specifically. The keyword is expressed. The practices with the strongest evidence involve actively writing or saying something specific, not passively feeling thankful in the abstract.
The 2025 PNAS meta-analysis adds an important nuance: effectiveness varied significantly by country and by method, and combining multiple types of gratitude practice produced stronger effects than relying on one rigid format. For a mother whose life does not have room for a single perfect ritual, this is good news. Flexibility is not a lesser version. It is what the evidence actually supports.
Five versions that hold both truths at once
1. The "and" journal entry. Instead of a gratitude list, write one sentence that names the hard part and one that names something good, connected by "and," not "but." "Today was relentless and I noticed the baby's laugh at 4pm." The "and" format resists the urge to cancel out the difficulty, which is exactly what makes it sustainable.
2. The single specific text. Send one text a day naming something concrete: "grateful for the neighbour who took the trash out" rather than a vague "grateful for my life." Specificity is one of the mechanisms the research consistently identifies as strengthening the effect.
3. The compressed version for hard weeks. On days when gratitude feels impossible, lower the bar to noticing rather than feeling. "I noticed the coffee was warm" counts. You do not need to feel thankful. You need to notice one thing that was not terrible.
4. The gratitude-to-person practice. The PNAS review found that interpersonal gratitude interventions, expressing thanks to another person directly, are one of several distinct intervention types with documented effects. A short voice note to a friend, "thank you for showing up yesterday," does double duty, strengthening both your own wellbeing and the relationship.
5. The permission clause. Attach an explicit permission statement to your practice: "I am allowed to feel both grateful and depleted." This single sentence does the psychological work that separates gratitude from suppression.
If naming difficulty alongside gratitude consistently surfaces something heavier than an ordinary hard day, our guide to how to know if you have postpartum depression is worth reading alongside this practice, not instead of it.
When gratitude practice is not the right tool
Gratitude interventions are not a substitute for clinical treatment when depression, anxiety or persistent distress are present. The PNAS researchers themselves describe the overall effect as small, useful as one tool among several, not a cure. If emotional exhaustion or persistent low mood is the dominant experience, gratitude journaling should sit alongside proper support, not replace it. Our postpartum anxiety symptom checklist can help you assess whether something more than a daily practice is needed right now.
"Overall, gratitude practices have a positive effect on well-being, specifically in the increase of positive emotion. There is no one-size-fits-all gratitude intervention." - Psychology Today, summarising Choi et al. (2025)
Key takeaways
- A 2025 meta-analysis of 145 studies and over 24,800 participants found gratitude interventions produce a small but genuine increase in wellbeing, not a cure-all, which is exactly why toxic, all-or-nothing gratitude framing sets mothers up to fail.
- Toxic positivity suppresses difficulty; functional gratitude names it and adds appreciation alongside it, using "and" rather than "but" to hold both truths.
- Specificity strengthens the effect. A 2023 meta-analysis of 25 RCTs found that expressed, specific gratitude interventions significantly improved wellbeing, more so than vague or abstract gratitude.
- Combining multiple types of practice, journaling, interpersonal expression, noticing without forced feeling, produces stronger results than one rigid format, according to the 2025 PNAS research.
- Gratitude practice supports wellbeing; it does not replace clinical treatment when depression or anxiety are present.
Sources and further reading
- Choi, H., Cha, Y., McCullough, M.E., Coles, N.A. & Oishi, S. (2025). A meta-analysis of the effectiveness of gratitude interventions on well-being across cultures. Proceedings of the National Academy of Sciences, 122(28), e2425193122. pnas.org
- Psychology Today. (2025). Beyond Thanksgiving: gratitude impacts well-being worldwide. psychologytoday.com
- International Journal of Applied Positive Psychology / Springer. (2023). The effect of expressed gratitude interventions on psychological wellbeing: a meta-analysis of randomised controlled studies. link.springer.com
- Psychology & Health / Taylor & Francis. (2024). Understanding and optimising gratitude interventions: the right methods for the right people at the right time. tandfonline.com
- Journal of Positive Psychology / Taylor & Francis. (2025). The efficacy of seven gratitude interventions for promoting subjective well-being. tandfonline.com
- Emmons, R.A. (2007). Thanks! How the New Science of Gratitude Can Make You Happier. Houghton Mifflin.





