October Health – 2025 Report

Self-esteem in India

Leading cause: intense achievement and performance pressure from family and society around academics and career success, amplified by social comparison on social media. In India, this top driver is reinforced by competition and high expectations; economic insecurity and caste/gender norms are important secondary factors. Workplace note: reduce self-esteem stress by setting realistic goals, providing supportive feedback and recognition, and offering mental health resources. October’s digital group sessions and assessments can help teams build resilience and cope with this stress.

Self-esteem Prevalence
20.76%
Affected people
11,418,000

Impact on the people of India

  • Health effects: Chronic stress from intense self-esteem concerns keeps the body in a constant arousal state. Common symptoms include sleep problems, headaches or muscle tension, fatigue, digestive issues, and over time higher risk of hypertension, metabolic issues, and mood disorders such as anxiety or depression.

  • Personal life effects: Increased sensitivity to criticism, perfectionism, and fear of failure can strain relationships, cause irritability or withdrawal, and lead to people-pleasing or conflicts with loved ones.

  • Work and daily functioning: May drive overworking to prove worth or, conversely, avoidance of risk; can lead to burnout, impaired judgment, procrastination, micromanagement, and reduced creativity.

  • Why it happens (context): When self-worth feels contingent on others’ approval, feedback can feel threatening, elevating stress. In Indian workplaces and family expectations, this dynamic can be amplified.

  • Coping and support: Practice self-compassion, set realistic goals and boundaries, seek constructive feedback, maintain sleep and exercise, and lean on trusted colleagues or supervisors. Consider professional help or digital programs (e.g., October) for structured group sessions and assessments.

Impact on the India Economy

Economic effects of high self-esteem stress

  • Productivity and absenteeism: burnout and presenteeism reduce output and quality, impacting service delivery and efficiency.
  • Talent turnover and costs: higher attrition, longer hires, and retraining drain resources, especially in competitive Indian markets.
  • Innovation and risk behavior: pressure to protect self-image can lead to risk-averse or erratic decision-making, hindering long-term projects.
  • Health expenditures and inequality: greater mental health care use and stigma can increase costs and disproportionately affect lower-income workers, potentially dampening overall growth.

Workplace strategies for Indian companies

  • Culture and metrics: foster psychological safety, set realistic goals, and avoid punitive performance pressure that undermines well-being.
  • Mental health resources: provide easy access to support and programs; emphasize stigma-free help and flexible options.
  • Leadership and peer support: train managers to spot signs early and encourage collaborative, supportive teams; consider structured programs like digital group sessions and assessments to monitor stress and resilience (e.g., October).

What can government do to assist?

  • Destigmatize mental health and boost mental health literacy

    • nationwide campaigns, school curricula, workplace education; responsible media portrayal of mental health.
  • Improve access by integrating mental health into primary care

    • expand District/State Mental Health Programs, subsidize care, and offer multilingual tele-mental health services.
  • School and youth programs to strengthen self-esteem

    • implement social-emotional learning, anti-bullying initiatives, mentorship, and career guidance.
  • Workplace policies and resources

    • mandatory employee assistance programs, manager training, flexible work options; use digital group sessions and assessments via October to reach employees.
  • Economic and social safety nets to reduce stressors

    • unemployment support, financial protections, and inclusive policies addressing gender, caste, and regional disparities.
  • Community, family support and inclusive media

    • community-based support groups, parent training, culturally sensitive counseling; media guidelines that promote realistic standards and diverse role models.

What can businesses do to assist their employees?

  • Psychological safety and supportive leadership

    • Train managers in compassionate, non-judgmental feedback and active listening.
    • Create safe channels to raise concerns and ensure inclusive, language-accessible communication (English, Hindi, regional languages).
  • Align expectations and workload to prevent burnout

    • Set clear, achievable goals with realistic deadlines.
    • Prioritize tasks and offer flexible work options; monitor workloads for signs of overwork.
  • Fair recognition and growth opportunities

    • Provide regular, specific feedback; transparent criteria for appraisal.
    • Ensure equal access to development, mentorship, and advancement opportunities.
  • Accessible mental health resources and stigma reduction

    • Normalize help-seeking with confidential EAP or counselling; offer resources in multiple languages.
    • Consider digital group sessions and assessments (e.g., October) to support self-esteem and stress management.
  • Self-esteem and resilience skill-building

    • Offer short programs on self-compassion, growth mindset, and cognitive reframing.
    • Facilitate peer-support groups and micro-learning sessions to bolster self-efficacy.