October Health – 2025 Report
Self-esteem in United Kingdom 
Leading cause (population level) of self-esteem stress in the UK: financial insecurity—poverty, debt, and insecure/unsteady employment. Other significant factors: social media–driven body image pressures and chronic workplace stress or discrimination. Workplace actions: implement financial well-being support and transparent pay practices; foster a supportive culture and offer access to group sessions or content (e.g., October) addressing self-esteem and resilience.
- Self-esteem Prevalence
- 23.82%
- Affected people
- 13,101,000
Impact on the people of United Kingdom
Effects of high self-esteem stress on health and personal life
Health effects
- Sleep disruption and fatigue
- Muscle tension, headaches, and general physical strain
- Heightened anxiety and persistent rumination; perfectionistic thinking
- Burnout and potential mood or immune system impacts with chronic stress
Personal life effects
- Strained relationships due to defensiveness or difficulty accepting feedback
- Work‑life imbalance from overworking and neglecting rest
- Increased self-criticism and social withdrawal or conflict from constant comparison
- Difficulty relaxing or being present in everyday activities
When to seek help
- Distressing symptoms persist for weeks and impair daily functioning
- You feel overwhelmed, have thoughts of harming yourself, or use substances to cope
Coping strategies
- Practice self-compassion; set realistic, achievable goals
- Establish boundaries to protect rest and personal time
- Use brief mindfulness or cognitive-behavioral techniques to reduce rumination
- Consider workplace mental health resources (e.g., October) for digital group sessions and assessments if available in your organisation
Impact on the United Kingdom Economy
What "high self-esteem stress" could mean in this context
- Not a formal diagnosis. It may reflect perfectionism, fear of failure, or imposter feelings driven by high self-regard. In work, stress arises when standards aren’t met or feedback is perceived as personal.
Potential impact on individuals
- Anxiety, sleep disruption, and burnout risk
- Overthinking and decision paralysis
- Lower wellbeing, engagement, and job satisfaction
Potential organizational/economic impact
- Increased sickness absence and presenteeism, reducing productivity
- Higher turnover and recruitment costs due to burnout or disengagement
- Safety or quality issues if cognitive load is high or risk-taking rises under stress
- Potentially slower innovation due to risk aversion
What employers in the UK can do
- Promote psychological safety and constructive feedback culture
- Manage workload and set realistic, shared performance goals; avoid punitive responses to imperfect performance
- Provide accessible mental health support (EAPs, occupational health) and signpost NHS resources
- Offer resilience and self-compassion training; consider digital programs (e.g., October group sessions) for groups of staff
What employees can do
- Practice self-compassion and set healthy boundaries; challenge all-or-nothing thinking
- Seek support early (EAP, occupational health, manager) and use workplace resources
- Prioritize breaks, sleep, and manageable routines to reduce cognitive overload
When to seek professional help
- Stress persists beyond a couple of weeks, interferes with sleep, mood, or functioning; consider GP or mental health professional; in urgent cases, contact NHS 111/your local urgent care.
What can government do to assist?
National strategies to reduce self-esteem-related stress
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Promote mental health literacy and self-esteem education in schools and workplaces
- Include self-compassion, resilience, healthy self-talk; train teachers and managers to spot distress.
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Improve access to mental health care and early intervention
- Increase NHS funding for mental health services; reduce waiting times; integrate screening in primary care.
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Anti-stigma and inclusive policies
- National campaigns to normalize mental health; strengthen anti-bullying and discrimination protections; support minority groups.
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Digital wellbeing and media literacy
- Teach critical use of social media; promote healthy online behaviours; support platforms in reducing harassment.
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Economic and workplace support
- Strengthen financial and housing safety nets; encourage employers to provide mental health resources, flexible work, and paid sick leave.
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Partnerships and digital delivery
- Leverage digital platforms (e.g., October) for scalable group sessions, assessments, and mental health content.
What can businesses do to assist their employees?
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Psychological safety and inclusive culture
- Leaders model vulnerability, invite questions, and respond supportively; mistakes are treated as learning opportunities, not punishments.
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Clear expectations, fair feedback, and recognition of effort
- Provide specific, timely feedback; celebrate progress and effort as well as outcomes to boost confidence.
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Manage workload and boundaries
- Set realistic workloads, clear deadlines, and protect time for breaks and focused work.
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Development, coaching, and mentoring
- Offer coaching, skills training, and mentoring; create clear progression paths to build competence and confidence.
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Normalize mental health talk and reduce stigma
- Provide mental health literacy for all staff; train managers to have supportive conversations and encourage help-seeking.
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Accessible mental health resources
- Ensure easy access to resources such as an Employee Assistance Program, digital content, and group sessions (e.g., October) with confidentiality assurances.