October Health – 2025 Report

Work stress in India

Leading cause: Excessive workload and long working hours (high time pressure) driving work stress at the population level in India. Mitigation (brief): - Manage workload and avoid sustained overtime; ensure adequate staffing and realistic targets. - Promote work-life balance with reasonable hours, flexible scheduling, and clear role expectations. - Improve supervisory support and provide accessible mental health resources. October can help with digital group sessions, assessments, and content to support teams’ coping and resilience.

Work stress Prevalence
23.89%
Affected people
13,139,500

Impact on the people of India

Effects of high work stress on health and personal life

Health impacts

  • Physical: headaches, sleep disturbances, fatigue; digestive issues; weight changes; higher blood pressure risk.
  • Mental: anxiety, burnout, depression; irritability; concentration difficulties.
  • Immune/metabolic: weakened immune function; higher infection risk; potential metabolic changes with chronic stress.

Personal life impacts

  • Relationships: more conflict with partners/family; less quality time; emotional distance.
  • Social and daily life: withdrawal from friends/hobbies; reduced energy for caregiving or chores.
  • Parenting and home stress: increased strain in caregiving and household responsibilities.

Coping and support

  • Boundaries and breaks: set realistic workload, take micro-breaks, practice quick relaxation (e.g., slow breathing).
  • Seek support: talk to supervisor/HR; use Employee Assistance Programs; consider October's digital group sessions if available.
  • Healthy lifestyle: regular exercise, good sleep hygiene, balanced meals; limit caffeine/alcohol; brief mindfulness practices.
  • When to seek help: if symptoms persist or impair daily functioning for several weeks, contact a mental health professional.

Impact on the India Economy

Effects of high work stress on an economy

  • Productivity and output decline due to presenteeism and absenteeism; stress impairs judgment and cognitive function.
  • Higher costs for employers and health systems: medical claims, disability, sick leave, turnover, and training.
  • Talent drain and reduced innovation: difficulty attracting/retaining skilled workers; burnout lowers creativity.
  • Macro growth effects: slower GDP growth, higher health expenditure, and greater income inequality; stigma and underreporting in India can mask true costs.

Mitigation (what workplaces can do)

  • Implement workplace mental health programs (EAPs, group sessions). October offers digital group sessions and assessments that can help.
  • Normalize mental health: manager training, reduce stigma, flexible work arrangements, and reasonable workloads.
  • Early screening and access to support: confidential assessments and easy, stigma-free access to care.

What can government do to assist?

  • Enforce reasonable working hours and mandatory breaks (align with labour codes; ensure overtime compensation and a guaranteed rest period to reduce fatigue and burnout).

  • Make psychosocial risk assessment and manager training mandatory (identify stressors, prevent harassment, and train leaders to support mental health and healthy team dynamics).

  • Expand affordable mental health care accessibility (integrate mental health into primary care; subsidize treatment; promote telemedicine and reduce stigma).

  • Promote flexible, inclusive work arrangements (hybrid/remote options, flexible hours, caregiver support, and a clear right to disconnect after work).

  • Strengthen social safety nets to reduce financial stress (paid sick leave, unemployment support, coverage for informal workers; ensure basic financial security).

  • Incentivize workplace mental health programs and digital support (fund EAPs, subsidize small employers, and promote digital platforms like October for scalable group sessions and assessments).

What can businesses do to assist their employees?

  • Clarify roles and manage workload: ensure clear job descriptions, realistic deadlines, monitor overtime, and align capacity with tasks.

  • Flexible work and boundaries: offer hybrid/remote options, flexible hours, and predictable schedules; discourage after-hours expectations.

  • Manager training and supportive leadership: train managers in mental health awareness, conduct regular 1:1 check-ins, and foster psychological safety.

  • Access to mental health resources: provide EAPs and confidential counselling; pair with October for digital group sessions and assessments when appropriate.

  • Culture and environment: reduce stigma, promote regular breaks and recovery, provide quiet/rest spaces, and encourage social connection and recognition.

  • Measure and iterate: run anonymous pulse surveys, track burnout indicators, and act on findings with clear, timely plans.