October Health – 2025 Report

Self-esteem in India

The leading cause is intense academic and career performance pressure—driven by a highly exam-focused education system and strong parental expectations, often amplified by social media comparisons and economic uncertainty. At a population level, this widespread pressure undermines self-worth and self-esteem, particularly among youth and early-career groups. For workplaces, fostering a supportive culture, normalizing discussions about failure, and offering confidential counselling or resilience programs can help; digital group sessions and assessments from October can be useful resources if appropriate.

Self-esteem Prevalence
20%
Affected people
11,000,000

Impact on the people of India

  • Physical health effects: Sleep disturbances (insomnia or restless sleep), headaches or muscle tension, fatigue, digestive issues; prolonged stress can subtly dampen immune function. In India, cultural and family pressures can amplify these physical symptoms.

  • Mental health effects: Increased anxiety and rumination, perfectionism, fear of failure, mood swings or irritability; reduced tolerance to feedback or criticism.

  • Impact on work and social behavior: Tendency to overwork to protect self-image, burnout risk, defensiveness during feedback, strained teamwork or conflict with colleagues; can lead to reduced collaboration and job satisfaction.

  • Impact on personal relationships: Withdrawal or overreactivity with loved ones, reliance on external validation, difficulty with vulnerability and trust in close relationships.

  • Long-term trajectory and resilience: Chronic high self-esteem stress may contribute to depression or burnout if unaddressed; with healthy coping (self-compassion, realistic goals, boundaries) it can be redirected toward resilience.

  • What helps (workplace-focused):

    • Practise self-compassion and set realistic, process-focused goals; reframe mistakes as learning.
    • Seek constructive feedback in safe, supportive settings; request specific praise and clear expectations.
    • Consider structured support like October’s digital group sessions and assessments to identify triggers and build coping plans.

Impact on the India Economy

Economic effects of high self-esteem stress

  • Productivity: stress reduces attention, working memory, and decision-making, lowering output.
  • Absenteeism and presenteeism: more sick days and reduced performance while at work.
  • Turnover and hiring costs: higher quit intent, increased recruitment and onboarding expenses.
  • Innovation and teamwork: fear of failure and defensiveness hinder collaboration and risk-taking.
  • Health costs: greater use of healthcare services and longer-term illness-related costs.
  • Morale and customer impact: lower team morale can affect client satisfaction and overall firm performance.

Workplace strategies to mitigate

  • Normalize mental health and reduce stigma; supportive leadership and clear anti-stigma messaging.
  • Set realistic goals and provide constructive feedback to ease self-imposed pressures.
  • Offer accessible mental health support: EAPs, group sessions, self-help resources.
  • Develop peer support and train managers to spot early warning signs.

How October can help in Indian workplaces

  • Digital group sessions to build resilience and peer coping strategies.
  • Assessments to identify teams at risk and monitor progress over time.
  • Content in multiple Indian languages and culturally relevant formats.

What can government do to assist?

Country-level actions to reduce self-esteem-related stress

  • Integrate social-emotional learning and self-esteem skills into school curricula, with emphasis on coping, emotional regulation, media literacy, and body positivity. Tailor content for urban and rural settings in India.

  • Run nationwide campaigns to reduce stigma and promote inclusive norms, with media literacy components to curb harmful social comparisons and unrealistic standards.

  • Expand affordable mental health care by strengthening primary care integration, subsidizing treatments, and scaling tele-mental health to reach rural areas; include public-private partnerships (e.g., with platforms like October for scalable group sessions and assessments).

  • Strengthen economic and social safety nets to reduce financial and job insecurity: robust unemployment support, affordable healthcare, paid leave, and policies that promote job stability.

  • Foster belonging through community and workplace initiatives: fund community centers and peer-support networks; encourage employers to offer mental health days, EAPs, and stigma-free policies, leveraging digital programs for broad reach.

What can businesses do to assist their employees?

  • Psychological safety and inclusivity: leadership models respectful communication, strict anti-bullying policies, and multilingual resources (Hindi, English, local languages) to reduce stigma around mental health.

  • Feedback that builds self-efficacy: provide frequent, compassionate, behavior-focused feedback; set clear, attainable goals to boost confidence.

  • Recognition and development: implement strengths-based recognition, clear career development plans, and accessible upskilling opportunities.

  • Accessible confidential mental health support: offer confidential counseling and EAP options; run stigma-reduction campaigns; consider integrating October’s digital group sessions and assessments to scale support.

  • Manageable workload and clear roles: define roles and expectations, monitor workload, prevent excessive overtime, and encourage regular breaks.

  • Manager training in mental health literacy: train managers to recognize signs of low self-esteem stress, have empathetic conversations, and know how to refer colleagues to appropriate resources.