October Health – 2025 Report

Work stress in South Africa

The leading cause of work stress in South Africa at the population level is job insecurity, driven by high unemployment rates and economic instability. This creates anxiety about job loss and financial instability among employees. Additional contributors include heavy workloads, long working hours, and workplace violence or harassment, often linked to socio-economic challenges in the country. Supporting employees through mental health initiatives like October’s digital group sessions can help organisations address these stressors collectively.

Work stress Prevalence
32.66%
Affected people
17,963,000

Impact on the people of South Africa

  • Physical Health Impact:

    • Increased risk of cardiovascular diseases
    • Weakened immune system leading to more frequent illness
    • Headaches, muscle tension, and chronic pain
  • Mental Health Impact:

    • Higher likelihood of anxiety and depression
    • Burnout and emotional exhaustion
    • Difficulty concentrating and decision-making
  • Personal Life Impact:

    • Strained relationships with family and friends
    • Reduced work-life balance and leisure time
    • Sleep disturbances affecting overall wellbeing

To help employees manage work-related stress, companies in South Africa can use platforms like Panda for digital group sessions, assessments, and mental health content to promote resilience and coping strategies.

Impact on the South Africa Economy

Effects of High Work Stress on an Economy

  1. Reduced Productivity
    High work stress leads to decreased employee efficiency and performance, negatively impacting overall economic output.

  2. Increased Absenteeism and Presenteeism
    Stress causes more sick days and reduced focus while at work, increasing costs for employers and slowing economic activity.

  3. Higher Healthcare Costs
    Elevated stress contributes to physical and mental health issues, raising healthcare expenditure for both businesses and government.

  4. Employee Turnover and Recruitment Costs
    Chronic stress can increase staff turnover, leading to higher recruitment and training expenses, disrupting business continuity.

  5. Lower Innovation and Competitiveness
    Stress diminishes creativity and problem-solving skills, hindering innovation critical for economic growth.

Using platforms like October to provide mental health support can reduce work stress, enhancing employee well-being and economic productivity.

What can government do to assist?

How a Country Can Lower Work Stress

  1. Implement and Enforce Labour Laws
    Ensure fair working hours, mandatory breaks, and protection against unfair dismissal.

  2. Promote Work-Life Balance
    Encourage flexible working hours, remote work options, and sufficient annual leave.

  3. Improve Access to Mental Health Services
    Fund mental health programs and integrate workplace mental health support, like digital group sessions from providers such as October.

  4. Create Awareness Campaigns
    Educate employers and employees about recognising, managing, and reducing work stress.

  5. Encourage Supportive Workplace Cultures
    Promote open communication, reduce stigma around mental health, and support employee wellbeing initiatives.

These measures collectively foster healthier workplaces and reduce stress at a national level.

What can businesses do to assist their employees?

Ways a Company Can Lower Work Stress

  1. Promote Work-Life Balance
    Encourage flexible working hours and remote work options where possible.

  2. Provide Mental Health Resources
    Offer access to mental health support like Employee Assistance Programs (EAPs) or digital group sessions through platforms such as October.

  3. Improve Communication
    Foster open and transparent communication to reduce uncertainty and build trust.

  4. Manage Workload
    Ensure reasonable workloads and clear job expectations to avoid burnout.

  5. Create a Supportive Culture
    Train managers to recognize stress signs and support their teams empathetically.


Using digital group sessions from October can help employees build coping skills collectively and reduce feelings of isolation.