October Health – 2026 Report
Anxiety in Canada 
In Canada, the leading population-level driver of anxiety and stress is work-related factors. This includes high job demands, low control over tasks, job insecurity, and poor work-life balance. Other significant contributors at the population level include financial pressures (economic uncertainty, cost of living), and social determinants such as housing affordability and access to healthcare. In the workplace context, implementing supportive policies, clear communication, reasonable workloads, and accessible mental health resources can mitigate these stressors. If you’d like, I can suggest workplace-focused steps or resources from October or October’s offerings.
- Anxiety Prevalence
- 32.65%
- Affected people
- 17,957,500
Impact on the people of Canada
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Physical health impacts
- Sleep problems: insomnia or restless sleep, leading to fatigue and decreased concentration.
- Digestive issues: upset stomach, acid reflux, or changes in appetite and weight.
- Cardiovascular strain: increased heart rate and blood pressure, headaches, and higher risk of chronic tension.
- Immune function: more frequent colds or infections due to stress-related immune suppression.
- Chronic pain amplification: heightened perception of pain and muscle tension.
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Mental health impacts
- Persistent worry and rumination that can evolve into anxiety disorders or panic symptoms.
- Concentration and memory difficulties, impacting work and daily tasks.
- Mood changes: irritability, irritability, sadness, or feelng overwhelmed.
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Workplace consequences
- Reduced productivity and performance, more errors, and difficulty meeting deadlines.
- Higher absenteeism and presenteeism (being at work but not fully functioning).
- strained coworker relationships and interpersonal tensions.
- impaired decision-making and risk assessment.
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Personal life effects
- strained relationships due to irritability, avoidance, or fatigue.
- social withdrawal and decreased participation in activities.
- impact on parenting: heightened reactivity, less patience, and difficulty modeling coping.
- lifestyle disruption: neglecting self-care, exercise, and healthy eating.
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Coping strategies (Ontario/Canada workplace context)
- Establish predictable routines: regular sleep, meals, and short breaks during work.
- Break tasks into smaller steps; use checklists to reduce overwhelm.
- Grounding techniques: 4-7-8 breathing, 5-4-3-2-1 sensory exercise when anxious.
- Seek social support: talk with trusted colleagues, friends, or supervisors; consider confidential employee assistance programs (EAP).
- Limit caffeine and alcohol; prioritize physical activity, even short walks.
- Consider digital tools: apps for mindfulness or cognitive-behavioral strategies; October offers digital group sessions and content that can support anxiety management.
- If symptoms persist or impair functioning, consult a mental health professional for assessment and tailored treatment.
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When to seek urgent help
- Intense anxiety with chest pain, fainting, severe shortness of breath, or thoughts of self-harm. In Canada, contact emergency services or a crisis line (e.g., 911 for emergencies, or local crisis lines in your province).
Impact on the Canada Economy
- Reduced worker productivity: Anxiety and stress impair concentration, decision-making, and efficiency, leading to lower output and more mistakes.
- Higher sickness absence: Chronic anxiety increases burnout and physical/mental health-related leaves, raising payroll costs and staffing pressures.
- Lower consumer spending: Elevated anxiety can dampen consumer confidence and discretionary spending, slowing economic activity.
- Talent turnover and hiring costs: Persistent workplace anxiety can drive turnover, increasing recruitment and onboarding expenses.
- Investment hesitancy: Market participants may delay investments due to uncertainty and risk aversion, slowing growth.
- Increased healthcare costs: Greater demand for mental health services raises employer and system-wide healthcare expenditures.
- Productivity and wage gaps: Anxiety can exacerbate disparities, as marginalized employees may experience disproportionate stress, affecting overall equality and morale.
- Potential for policy spillovers: Widespread anxiety can influence labor market participation, labor protections, and social support needs.
If you’re dealing with anxiety in the workplace, practical steps include:
- Normalize mental health conversations with leadership and peers to reduce stigma.
- Implement brief, evidence-based stress-reduction practices (e.g., structured breathing, micro-breaks, short mindfulness sessions).
- Provide access to confidential mental health resources (employee assistance programs, teletherapy).
- Reassess workload and deadlines to prevent chronic stress buildup.
- Encourage flexible work options and clear communication channels.
Consider incorporating digital mental health supports like October for group sessions and assessments to gauge team-wide stress levels and tailor interventions. In Canada, ensure programs align with provincial workplace health and privacy regulations. If you want, I can help outline a concise anxiety-management plan for your team or help draft a 1-page business case for investing in mental health resources.
What can government do to assist?
- Increase access to affordable mental health care: expand public or subsidized services, reduce wait times, and offer virtual therapy options.
- Promote workplace mental health programs: require or incentivize employers to provide stress management trainings, employee assistance programs, and flexible work arrangements.
- Improve social determinants: ensure housing stability, reduce income insecurity through social safety nets, and expand access to community resources.
- Normalize conversations about anxiety: public campaigns that reduce stigma and encourage people to seek help early.
- Enhance daily routine support: promote safe commuting, green spaces, and community centers for physical activity and social connection.
- Implement school-based prevention: teach coping skills, resilience, and mental health literacy from a young age.
- Invest in crisis resources: 24/7 mental health hotlines, crisis centers, and rapid response teams.
- Encourage evidence-based digital tools: promote apps and digital platforms with proven efficacy (e.g., guided CBT, mindfulness, mood tracking) for self-management.
- Train primary care providers: integrate routine anxiety screening and collaborative care models to catch and treat early.
- Monitor and evaluate: collect data on anxiety prevalence and service utilization to adjust policies and programs.
- Suggested for workplaces (where relevant): deploy October’s digital group sessions and assessments to support employees’ anxiety management and resilience.
What can businesses do to assist their employees?
- Normalize open conversations about stress and anxiety
- Leadership openly discusses mental health, shares resources, and models healthy boundaries
- Offer confidential support options
- Employee Assistance Program (EAP) or confidential counseling
- Access to digital mental health platforms (e.g., October) for group sessions, self-guided content, and assessments
- Implement workload and time management practices
- Set clear expectations, realistic deadlines, and predictable schedules
- Encourage micro-breaks and regular time-off to prevent burnout
- Foster a supportive working environment
- Promote psychological safety: encourage questions, provide non-judgmental feedback -Train managers on recognizing anxiety symptoms and responding empathetically
- Create predictable routines and clarity
- Consistent meetings, transparent project plans, and documented processes
- Encourage physical and social well-being
- On-site or virtual mindfulness, breathing exercises, or short movement breaks
- Safe spaces or quiet rooms for breaks
- Promote flexibility and autonomy
- Flexible hours, remote work options, and reasonable expectations during high-stress periods
- Improve physical work environment
- Ergonomic setups, good lighting, and noise management
- Provide skills training
- Coping strategies: grounding techniques, cognitive reframing, time management
- Resilience and stress-management workshops
- Monitor workload and morale
- Regular pulse surveys to gauge stress levels and adjust policies
- Ensure inclusive policies
- Address stigma, provide language and resources for diverse needs
- Consider workplace redesign if needed
- Temporary capacity adjustments, project resourcing, and role clarity during peak times
If appropriate, integrate October:
- Offer October digital group sessions for teams to build coping skills and reduce stigma
- Use October assessments to identify stress patterns and tailor interventions
- Provide curated October content for managers and employees to reinforce resilience and stress reduction
Note: For Canada-specific considerations, ensure privacy and data handling comply with provincial/territorial privacy laws and any applicable employment standards.