Meet the Coach Testimonials Physician Growth Framework Self-Coaching Program Resource Hub
← Back to all posts

Grateful for Rejection? A Post-Thanksgiving Reflection

by Dr. Tonya Caylor
Dec 10, 2025

If you’re feeling maxed out on gratitude messages this month, you’re not alone. The day after Thanksgiving tends to expose the gap between the gratitude we’re “supposed” to feel and how our brains actually work. That gap is where the science gets interesting. So instead of another round of holiday cheer, I’m offering a simple, evidence-based mindset reset and a brief story about a moment I didn’t appreciate until well after it had passed.

The Mindset Flip Our Brains Need

Psychologists have long known that we’re wired to notice and remember the negative more than the positive. It’s the ever present negativity bias that worsens under stress. It was once an adaptive trait that now leaves many clinicians with a skewed view of how the day actually went.

One of the most consistently studied antidotes is the Three Good Things exercise, first introduced by Dr. Martin Seligman and later tested extensively in healthcare settings by Dr. Bryan Sexton at Duke.

The practice is simple:

  1. Each night for 15 days in the hour before you go to sleep, write down three things that went well. (Set a reminder - don’t miss a night!)
  2. Note your role in making them happen.
  3. That’s it.

 

It puts your detective brain on task to start noticing the positive (it may take a couple of days). It also leverages the fact that your brain rehearses the last thoughts before sleep. The research shows meaningful improvements in sleep, mood, burnout, and happiness scores and the 15 nights of minimal free effort - lasts overall over 6 months. It’s a small intervention with a measurable impact.

When Gratitude Gets Twisted by Ego

Cy Wakeman has pointed out that even helpful practices such as gratefulness can go sideways when our ego takes over. It can become a performance metric. We literally can start grading our list each night.

Her reset is direct and practical: When the ego highjacks your gratitude practice by scoring, pause and ask:

“What went pretty well today?” Small and ordinary count.

Another small shift: “Who else played a role in it?” Being generous with your gratitude toward others helps reclaim true gratefulness.

A “No” That Turned Into Something Better

Some time back, I applied for a role that I genuinely became to believe would be the next step in my career. I could envision the impact and the purpose. I went through the process and believed it might be mine.

It wasn’t. Someone else was chosen.

The disappointment was sharp. I questioned what it meant for my value and direction. And for a while, it simply felt like loss. Trust me - there was zero gratitude.

What I couldn’t see then was how much space I created for that role, that was suddenly a void when the “no” came. Space I wouldn’t have made on my own. That unexpected margin eventually filled with some of the most meaningful work I’ve done, work that fit me in ways I couldn’t have predicted.

It didn’t feel like gratitude at the time. It does now. Some gratitude only arrives in hindsight.

A Reflection for the Week Ahead

If you want a practical reset as we move into the rest of the season:

  • Who made something easier or brighter for you this week? Savor the gratitude toward others. Maybe even tell them.
  • What’s a recent disappointment you’ve experienced, and how might you choose to believe it’s not the completed story yet?

 

Responses

Join the conversation
t("newsletters.loading")
Loading...
Planning the Unpredictable
As my move out of Alaska gets closer, I find myself increasingly reflective. There is something to the  saying that life is what happens while we’re making plans. Nineteen years ago, I finally gave in to my husband’s persistent suggestion that we go “look” at Alaska. We stepped off the plane, fell in love with it, and moved here three months later. I could never have predicted where that decisi...
Pick Up the Phone
A couple of weeks ago, I was juggling multiple time-sensitive projects when someone began doing work which I felt was mine to do, that I wanted to do, and in an order that made no sense to me. I initially reacted from momentary frustration. Becoming a coach does not uninstall the old neural pathways. Under the right conditions (low on sleep, skipping workouts, doing too much), they still know e...
The River Gets Wider
Just prior to marrying my husband, his dad handed us an article torn from a magazine. It used the imagery of two rivers coming together to describe marriage. The gist that stuck with my young mind was:1. Don’t be shocked by the rapids. They’re a natural outcome of two forces merging.2. Marriage will have twists and turns, rocks and islands to navigate, but given the right conditions, the river ...

Joy in Family Medicine – Stories & Reflections

Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Footer Logo
Terms Privacy Disclaimer Contact us Login Personal Code of Ethics
Powered by Kajabi

Stay Connected


Join my mailing list to receive free weekly tips and insights!