As we head towards December, Marianne Trent brings us some important seasonal reflections – because there can be a lot more to Christmas than tinsel and good cheer. It can be a time where injury and loss are accentuated, when people can find it hard to enjoy life and have fun without feeling guilty. Health professionals and carers also need some time off, and we all need to value and protect our own time and space. If we can be aware of the potential pitfalls in advance, thinking and planning ahead, it might help us - and clients and families - to enjoy the spirit of Christmas more.