Gratitude can be expressed in many ways and may vary across cultures, demographics, socioeconomic and sociopolitical regions, and many other social groups. According to Anderson of Linguistics of America (2023), there are over 6,909 distinct languages, and that does not include urban dialects and  variations of vernacular English and slang. Within the possibilities of expressing gratitude, we may see various combinations of verbal, nonverbal, written, and visual forms of expressing gratitude within socially connected groups and individual self-care practices