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

  • 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.
  • Improve access to mental health care and early intervention

    • Increase NHS funding for mental health services; reduce waiting times; integrate screening in primary care.
  • Anti-stigma and inclusive policies

    • National campaigns to normalize mental health; strengthen anti-bullying and discrimination protections; support minority groups.
  • Digital wellbeing and media literacy

    • Teach critical use of social media; promote healthy online behaviours; support platforms in reducing harassment.
  • Economic and workplace support

    • Strengthen financial and housing safety nets; encourage employers to provide mental health resources, flexible work, and paid sick leave.
  • 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?

  • Psychological safety and inclusive culture

    • Leaders model vulnerability, invite questions, and respond supportively; mistakes are treated as learning opportunities, not punishments.
  • Clear expectations, fair feedback, and recognition of effort

    • Provide specific, timely feedback; celebrate progress and effort as well as outcomes to boost confidence.
  • Manage workload and boundaries

    • Set realistic workloads, clear deadlines, and protect time for breaks and focused work.
  • Development, coaching, and mentoring

    • Offer coaching, skills training, and mentoring; create clear progression paths to build competence and confidence.
  • Normalize mental health talk and reduce stigma

    • Provide mental health literacy for all staff; train managers to have supportive conversations and encourage help-seeking.
  • 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.