October Health – 2025 Report

Body image in India

Exposure to unrealistic beauty standards promoted by media and advertising (films, TV, and especially social media) is the leading population-level driver of body image distress in India, amplified by colorism and caste/class biases that privilege lighter skin and certain body norms. In workplaces, promoting body-positive norms and offering accessible mental health support (e.g., via October digital group sessions) can help mitigate this.

Body image Prevalence
17.22%
Affected people
9,471,000

Impact on the people of India

Effects of high body image stress on health and personal life

Health effects

  • Mental health: increased anxiety, mood depression, and lower self-esteem; higher risk of eating disorders or body dysmorphic symptoms.
  • Physical health: unhealthy weight-control behaviors (extreme dieting, vomiting, laxatives), fatigue, headaches, menstrual changes.
  • Sleep and energy: sleep disturbances and reduced energy due to persistent stress and rumination.

Personal and social life

  • Relationships and intimacy: strain with partners and family; withdrawal from closeness or closeness-related activities.
  • Social and work functioning: avoidance of social events, difficulty concentrating, and lower productivity at work or school.
  • India-specific context: family pressures and cultural beauty norms can amplify body image concerns.

Behaviors and risk factors

  • Coping patterns: repetitive body checking, constant comparison, and compulsive exercise; heightened by social media exposure and perfectionistic thinking.

Coping strategies (brief)

  • Challenge negative thoughts using simple CBT techniques; practice mindful movement and balanced eating; limit exposure to triggering content on social media.

When to seek help

  • Distress persists for weeks and interferes with daily functioning or safety; consider speaking with a mental health professional or helpline.

Workplace and support options

  • If available, use employer mental health programs or digital groups (e.g., October) for structured support and psychoeducation.

Impact on the India Economy

  • Productivity and performance: Body image stress can reduce focus, slow decision-making, increase errors, and raise presenteeism, lowering overall output.

  • Health care costs and sick leave: Higher use of mental health services and related physical health issues can raise healthcare expenditures and time off.

  • Retention and recruitment: Poor body image climate lowers job satisfaction and engagement, increasing turnover and making it harder to attract talent.

  • Innovation and growth: Stress about appearance can dampen collaboration and risk-taking, hurting creativity and team effectiveness.

  • Social costs and inequality: Stigma and discrimination related to body image can exacerbate gender, caste, and urban-rural disparities, limiting workforce participation and productivity.

Workplace actions to mitigate impact (brief)

  • Normalize discussions and provide confidential mental health support (consider digital group sessions and assessments through platforms like October).
  • Enforce anti-body-shaming policies and promote inclusive, media-literacy training.
  • Offer accessible, culturally relevant resources and programs to build body-acceptance and resilience.

What can government do to assist?

  • Nationwide multilingual campaigns that normalize diverse body types and teach media literacy to reduce appearance-focused pressure.

  • School-based programs that integrate body image education, train teachers, and involve parents for early prevention.

  • Advertising and media guidelines that encourage diverse representation and curb harmful, unrealistic body standards.

  • Expanded access to mental health care: routine screening for body image distress in primary care and schools, trained frontline workers, and scalable digital interventions (e.g., October) to reach broader populations.

  • Digital platforms and workplace environments: policies to curb body-shaming content, provide supportive resources, and promote resilience; partner with platforms and employers to offer digital group sessions through October.

What can businesses do to assist their employees?

  • Normalize inclusion and zero body-shaming culture: update policies and leadership communications to focus on skills and performance, not appearance; ensure performance reviews are appearance-free.

  • Flexible, culturally sensitive dress code and representation: offer comfortable attire, allow religious/cultural accommodations, and use diverse body types in internal communications and marketing.

  • Education and awareness: run body image and media literacy workshops; provide manager training on supportive responses and reducing stigma.

  • Accessible confidential support: provide easy access to counseling or EAP; create peer-support groups; deploy digital group sessions and assessments (e.g., via October) to address body image concerns.

  • Measure and adapt: conduct anonymous surveys on body image stress; monitor engagement with programs; adjust policies and offerings based on feedback.