October Health – 2025 Report
Burnout in United States 
Excessive workload and chronic time pressure (high job demands) is the leading driver of burnout among US workers, especially when not matched with adequate control, resources, or support.
- Burnout Prevalence
- 23.59%
- Affected people
- 12,974,500
Impact on the people of United States
Health effects of high burnout stress
- Emotional fatigue, reduced motivation, and concentration difficulties
- Sleep problems and mood changes (irritability, anxiety, depressive symptoms)
- Physical symptoms (headaches, muscle tension, GI issues) and weakened immune function
- Increased risk of mental health concerns with prolonged exposure if unaddressed
Personal life effects
- Strained relationships and more conflict with partners, family, and friends
- Social withdrawal and reduced support networks
- Parenting or caregiving challenges; decreased patience and involvement
- Dewer satisfaction and reduced interest in hobbies and activities
Quick steps you can take now
- Set boundaries and protect sleep: fixed work hours, short breaks, and wind-down routines
- Talk with your supervisor/HR about workload; use Employee Assistance Programs (EAP) or a mental health professional
- Consider digital support resources (e.g., October) for group sessions, assessments, and coping content
- Build small daily routines: light activity, hydration, and moments of social connection
Impact on the United States Economy
Economic effects of burnout stress on the US economy
- Productivity losses from presenteeism and absenteeism reduce overall output.
- Higher turnover and recruitment/training costs drain resources and slow growth.
- Increased healthcare, medical leave, and disability costs raise employer and public health expenses.
- Reduced innovation and long-term growth due to disengaged, less creative workers.
- Greater social and fiscal costs, including higher public health spending and potential strain on safety nets.
- Sector-specific risks in healthcare, public services, and knowledge-based industries.
Mitigation strategies for employers
- Normalize reasonable workloads, enforce predictable hours, and offer flexible scheduling.
- Provide accessible mental health support (e.g., group sessions, assessments); consider digital solutions like October for scalable support.
- Train managers to recognize burnout early and respond with supportive, evidence-based approaches.
- Track burnout indicators (surveys, turnover, sick days) and adjust policies accordingly.
What can government do to assist?
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Enforce humane work hours and guaranteed leave
- Cap average weekly hours, require a minimum vacation/leave, and set clear rules around after-hours work to protect boundaries.
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Guarantee access to mental health care
- Public or affordable mental health coverage, integrated into primary care, plus scalable digital options (e.g., partnerships with platforms like October for group sessions and assessments).
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Train managers and reduce stigma
- Mandatory mental health literacy and burnout management training for leaders; create confidential reporting channels and protect employee privacy.
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Strengthen safety nets and economic security
- Robust employment protections, paid family/sick leave, and affordable supports to reduce financial stress and job insecurity.
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Data-driven prevention and healthy work design
- National burnout surveillance and research funding; evidence-based scheduling guidelines, sleep health considerations, and program evaluation to curb burnout risk.
What can businesses do to assist their employees?
Five ways a company can lower burnout
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Align workload and expectations
- conduct quarterly workload audits; set clear priorities; cap weekly hours; require project charters to prevent scope creep.
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Enforce boundaries and after-hours policies
- formal policy on after-hours communication; protected deep-work blocks; realistic response-time expectations; encourage use of vacation.
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Strengthen manager support and leadership
- train managers to monitor workload, have regular check-ins, model boundary-setting, and foster psychological safety; provide easy access to resources.
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Expand mental health resources
- offer confidential Employee Assistance Program (EAP) access; provide digital group sessions, self-guided content, and stress management tools; consider October for team sessions and assessments.
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Monitor burnout and promote recovery
- run anonymous pulse surveys to identify hotspots; create action plans with leadership; implement meeting-free blocks and guaranteed PTO to support recovery.