October Health – 2026 Report
Anxiety in United States 
In the United States, the leading population-level driver of anxiety and stress is chronic exposure to socioeconomic and work-related pressures, including job insecurity and high job demands, financial strain, and cost of living pressures. These systemic stressors disproportionately affect broad groups and contribute to widespread anxiety symptoms across the population. If helpful, workplace interventions (clear communication, reasonable workloads, employee assistance programs) and financial wellness resources can mitigate these stressors.
- Anxiety Prevalence
- 35.78%
- Affected people
- 19,679,000
Impact on the people of United States
- Physical health effects
- Sleep problems (insomnia or disturbed sleep), leading to fatigue and impaired concentration
- Tension headaches, muscle tension, and chest tightness or palpitations
- Digestive issues (stomachaches, acid reflux, irritable bowel symptoms)
- weakened immune response, making illnesses more frequent or severe
- chronic stress can contribute to higher blood pressure and increased risk of cardiovascular issues over time
- Mental health effects
- Persistent worry and rumination, difficulty relaxing, and constant scanning for threats
- Increased risk of anxiety disorders, burnout, and, in some cases, depression
- concentration difficulties, memory problems, and decision-making challenges
- Impact on personal life and relationships
- Irritability, impatience, and withdrawal from social activities
- Strained communication with partners, family, or friends
- reduced intimacy and increased conflict or miscommunication
- avoidance of important life activities (e.g., appointments, social events) due to fear or fatigue
- Workplace implications (brief)
- Lower productivity, more mistakes, and higher absenteeism
- strained coworker relationships and miscommunication
- greater difficulty meeting deadlines and managing workload
- Early signs to watch for
- Persistent worry more days than not for several weeks
- physical symptoms without clear medical cause
- sleep disruption and fatigue affecting daily functioning
- Quick coping strategies
- Grounding and breathing techniques (e.g., 4-7-8 breathing; 4-4-4 box breathing)
- Short breaks and micro-mests (1–2 minutes) to reduce physiological arousal
- Prioritize sleep, regular meals, and physical activity
- Boundaries for work hours to protect personal time
- When to seek help
- Anxiety interferes with daily functioning for several weeks
- Thoughts of self-harm or harm to others
- Interest and energy remain low despite self-help efforts
- How October could help
- Digital group sessions for anxiety management and stress resilience
- Short, practical assessments to gauge anxiety levels and track progress
- Curated content on workplace stress reduction and mental health maintenance
- Quick workplace suggestions
- Normalize mental health check-ins and offer confidential, short coaching sessions
- Provide quiet spaces and flexible scheduling to reduce stress buildup
- Encourage managers to model healthy boundaries and provide workload pacing
Impact on the United States Economy
- Impaired consumer spending: Anxiety-driven caution reduces big-ticket purchases and non-essential spending, slowing economic growth.
- Reduced labor productivity: Stress and worry lower focus, decision-making, and efficiency; higher absenteeism and presenteeism hurt output.
- Hiring and turnover effects: High anxiety can deter job acceptance, increase turnover, and raise recruitment costs, affecting labor market dynamics.
- Increased healthcare costs: Greater demand for mental health services and potential physical health issues raise employer and societal costs, diverting resources from growth initiatives.
- Investment uncertainty: Widespread anxiety can dampen risk appetite and delay capital investment, hindering innovation and expansion.
- Productivity gaps in sectors: Sectors requiring stable, long-term planning (like manufacturing, construction, and tech) may experience greater slowdowns due to collective stress.
Workplace tips (brief):
- Normalize talking about mental health; offer flexible work options and supportive resources.
- Provide access to mental health services (e.g., employee assistance programs, digital group sessions).
- Promote workload management, clear communication, and realistic deadlines to reduce anxiety triggers.
If relevant, using October’s offerings (digital group sessions, assessments, and content) can help teams build resilience and reduce workplace anxiety.
What can government do to assist?
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Prioritize accessible mental health services
- Expand confidential, low-cost or employer-supported counseling and hotlines
- Normalize seeking help through public campaigns and leadership modeling
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Strengthen workplace mental health support
- Implement flexible work policies, reasonable workloads, and predictable schedules
- Offer Employee Assistance Programs (EAPs), stress management workshops, and digital resources (e.g., guided exercises)
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Improve social safety nets
- Enhance unemployment support, housing assistance, and healthcare access to reduce financial stress
- Ensure paid sick leave and family leave to prevent burnout and anxiety
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Promote physical health as a coping lever
- Invest in community exercise and wellness programs
- Improve access to nutritious food and safe recreational spaces
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Foster community and connection
- Support neighborhood programs, peer mentoring, and social groups to reduce isolation
- Encourage volunteering and civic engagement to boost a sense of control and purpose
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Use evidence-based public health messaging
- Communicate clear information about anxiety, coping strategies, and when to seek help
- Provide training for frontline workers and teachers on recognizing anxiety and de-escalation
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Encourage policy changes with workplace implications
- Incentivize organizations to implement mental health days and resilience training
- Fund research on population-level stressors and effective interventions
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Leverage digital tools and platforms
- Promote access to digital CBT programs, mindfulness apps, and virtual group sessions
- Ensure data privacy and equitable access across communities
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Stabilize media environments
- Encourage responsible reporting on crises to minimize panic and misinformation
- Provide trusted, centralized mental health resources during emergencies
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Build resilience through education
- Integrate mental health literacy into schools and workplaces
- Teach practical skills: breathing techniques, grounding, sleep hygiene, and time management
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Role of October-style options (where appropriate)
- Deploy digital group sessions for stress management and peer support
- Use assessments to identify at-risk populations and tailor interventions
- Create accessible, bite-sized content on anxiety reduction techniques for broad reach
What can businesses do to assist their employees?
- Normalize open conversations about anxiety: encourage managers to check in with teams, share stress in a nonjudgmental way, and model self-care.
- Offer flexible work options: remote or hybrid schedules, predictable hours, and reasonable expectations to reduce unknowns that fuel anxiety.
- Provide access to mental health resources: EAPs, employee assistance programs, and confidential counseling through platforms like October for group sessions and assessments.
- Create a calm workplace environment: reduce noise with quiet zones, comfortable lighting, and clear, achievable task lists to prevent overwhelm.
- Teach quick coping skills: 3-4 minute stress-relief practices (breathing exercises, micro-meditations, short grounding techniques) that employees can use at their desks.
- Encourage breaks and movement: scheduled short breaks, walking meetings, and stretch prompts to release built-up tension.
- Clarify roles and expectations: clear job descriptions, priorities, and decision rights to reduce uncertainty and anxious thinking.
- Provide access to psychoeducation: short, evidence-based content on anxiety management, resilience, and work-life boundaries (via October’s content library).
- Train managers in supportive leadership: recognition of workload pressure, empathetic communication, and how to have difficult conversations without increasing anxiety.
- Measure and iterate: anonymous employee surveys to track anxiety levels and workload, then adjust policies accordingly.