The ability to express gratitude, thankfulness or appreciation, when experiencing illness, undergoing personal challenges or grief is very challenging. This is one of the most important times when one needs to refocus. Redirecting our attention from our trials and tribulations to the acts of friendship and kindness that have been extended to us, and the beauty of nature that surrounds us can be uplifting. Failures to notice and appreciate the “rays of support” are missed opportunities for gratitude. May this Thanksgiving be a time of blessings for you and your loved ones.