October Health – 2025 Report

Body image in India

Pervasive internalization of a narrow beauty standard (thin, Westernized body) promoted by mass media and amplified by social media is the leading population-level driver of body image stress in India, compounded by increased screen time, urbanization, and exposure to celebrity/advertising ideals. If addressing in a workplace, consider October’s digital group sessions on body image, promote inclusive representation, and provide confidential mental health support.

Body image Prevalence
17.33%
Affected people
9,531,500

Impact on the people of India

Health effects

  • Mental health: heightened anxiety, depressive symptoms, low self-esteem, and body dysmorphic concerns.
  • Physical symptoms: chronic stress can cause headaches, sleep problems, and gastrointestinal issues.
  • Eating behaviors: disordered eating patterns and unhealthy dieting or bingeing.

Personal life effects

  • Social withdrawal and reduced participation in activities.
  • Strained relationships and intimacy concerns.
  • Neglect of self-care and daily routines.

Workplace effects

  • Decreased concentration and decision-making; lower productivity.
  • Increased fatigue and absenteeism/presenteeism.
  • Interpersonal tension or avoidance within teams.

Coping and support

  • CBT-based strategies, mindful self-compassion, healthy media limits, regular exercise, and sleep hygiene.
  • Seek professional help if distress persists or daily functioning is affected.
  • If you have thoughts of self-harm or feel overwhelmed, contact a mental health professional or the KIRAN helpline at 1800-599-0019 (India), or call emergency services.

How October can help

  • Digital group sessions, assessments, and content focused on body image resilience and workplace mental health.

Impact on the India Economy

Economic implications of high body image stress

  • Productivity and performance declines: increased cognitive load, reduced concentration, and burnout lower output and decision-making quality.

  • Absenteeism and turnover: more mental health-related leave and higher recruitment/training costs due to quitting or difficulty filling roles.

  • Health care and insurance costs: greater use of mental health services, sleep and eating-disorder treatments, and related medical care raise employer and societal costs.

  • Impacts on gender and workforce participation: women and gender-diverse employees often face greater body image pressures, potentially narrowing career progression and earnings.

  • Market and macroeconomic effects: shifts in discretionary spending toward cosmetics/fitness industries; when prevalent, broader productivity losses can dampen long-term GDP growth.

Mitigation for employers

  • Normalize mental health support and implement body-positive, inclusive workplace policies; offer EAPs and confidential counseling.

  • Provide flexible work arrangements and leadership training to reduce stigma and improve morale and retention.

  • Use targeted assessments and programs to address body image distress and build resilience among teams.

How October can help in the workplace (India context)

  • Digital group sessions addressing body image, resilience, and healthy coping strategies.

  • Assessments to gauge prevalence, risk, and impact, enabling tailored interventions.

  • Culturally sensitive content that promotes inclusive beauty standards and reduces stigma, supporting a more inclusive workplace.

What can government do to assist?

  • Media diversity and responsible advertising: promote body-positive representation across Indian media and ads, with guidelines that encourage diverse body types, skin tones, ages, and abilities in multiple regional languages.

  • School-based education and community engagement: include body image and media literacy in curricula; train teachers; run family and community programs to foster resilience and self-compassion from a young age.

  • Accessible screening and care: implement routine screening for body-image distress in adolescents and primary care, with clear referral pathways to counselors or psychologists; expand affordable tele-mental health options.

  • Digital platforms and online wellbeing: work with platforms to reduce harmful content, enforce age-appropriate guidelines, and provide easy access to mental health resources; partner with services like October for scalable online group sessions and assessments.

  • Workplace and public health campaigns: incentivize workplaces to offer confidential mental health support and stigma reduction; promote inclusive policies and dress norms; run nationwide campaigns highlighting healthy body image and physical well-being.

What can businesses do to assist their employees?

  • Leadership commitment and policy
    • Enforce an explicit anti-body-shaming policy and dress-code flexibility.
    • Ensure equal opportunity and non-discrimination based on body type or appearance.
  • Inclusive culture and communications
    • Use diverse, body-positive imagery in all communications.
    • Prohibit appearance-based comments; run campaigns that celebrate body diversity.
    • Provide materials in regional languages to reflect India’s diversity.
  • Mental health supports and resources
    • Offer confidential Counseling via EAP or in-house programs.
    • Include digital group sessions on body image and self-compassion (e.g., October sessions).
    • Provide easy access to self-help tools and curated content.
  • Manager and employee training
    • Train managers to recognize body-image distress and avoid appearance-focused feedback.
    • Teach compassionate check-ins and referral pathways to support.
    • Include microaggression and bias prevention related to body image.
  • Workplace practices and environment
    • Allow flexible dress codes and comfortable attire where possible.
    • Avoid weight-management challenges as wellness initiatives; focus on holistic wellbeing.
    • Create quiet/rest spaces and reasonable break policies to reduce stress.
  • Measure, learn, and adapt
    • Conduct anonymous surveys to track body-image stress and support effectiveness.
    • Regularly review policies and programs; adjust based on feedback.
    • Share progress and success stories to reinforce a supportive culture.