October Health – 2026 Report
Life changes in United States 
The leading cause of life-change stress for the population in the United States is major life events such as job loss or unemployment, financial strain, health problems, and significant relationship changes (e.g., divorce or separation). Among these, unemployment and financial hardship consistently emerge as primary drivers of stress related to life changes at a population level. In workplace contexts, job insecurity or layoffs are particularly impactful. If helpful, tools like October’s digital group sessions and assessments can support employees navigating financial or job-related stress.
- Life changes Prevalence
- 16.71%
- Affected people
- 9,190,500
Impact on the people of United States
- Health effects:
- Increased risk of physical symptoms: headaches, sleep disturbances, fatigue, upset stomach, immune changes.
- Higher likelihood of mental health symptoms: anxiety, irritability, mood swings, depressive symptoms.
- Greater strain on chronic conditions: flare-ups for conditions like hypertension, diabetes, GI issues.
- Hormonal and autonomic changes: elevated cortisol and adrenaline can affect weight, blood pressure, and heart rate.
- Personal and social effects:
- Disrupted routines: changes in sleep, meals, and self-care habits.
- Relationship strain: more conflict, withdrawal, reduced empathy, and communication challenges.
- Decreased work-life balance: lower productivity, more burnout risk, and reduced job satisfaction.
- Coping and lifestyle changes: reliance on unhealthy coping (excess alcohol, poor exercise, poor diet) or, conversely, creating healthier routines as a buffer.
- What helps at work:
- Normalize check-ins and reduce ambiguity around transitions.
- Flexible scheduling, clear priorities, and access to mental health resources.
- Encourage peer support and brief, structured stress management activities (e.g., 5-minute breathing exercises).
- Quick suggestions to support personal health:
- Maintain a small, predictable routine (consistent sleep, meals, movement).
- Use grounding or mindfulness for acute stress (box breathing, 4-7-8 technique).
- Seek brief, evidence-based resources (e.g., digital sessions or assessments) to monitor stress and coping.
- When to seek professional help:
- Persistent sleep problems, depression or anxiety lasting weeks, or physical symptoms without clear cause.
- Strained relationships or work functioning that doesn’t improve with coping strategies.
Impact on the United States Economy
- A high level of Life Changes stress can impact an economy indirectly through the workplace and consumer behavior.
- Workplace productivity: Increased stress from frequent life changes can reduce attention, accuracy, and output, raising absenteeism and presenteeism.
- Labor supply and turnover: Chronic stress may increase turnover, recruitment costs, and training needs as employees leave or require accommodations.
- Health costs: Stress elevates mental and physical health issues, raising healthcare expenditures for employers and potentially reducing overall economic productivity.
- Consumption patterns: People under significant life-change stress may cut discretionary spending or delay large purchases, influencing demand in certain sectors.
- Innovation and risk-taking: Elevated stress can dampen risk tolerance and long-term investment in projects or skills development.
- Resilience and social costs: If a large share of the workforce experiences stress, social safety nets and productivity could be strained, affecting overall economic stability.
Mental health workplace tips:
- Implement supportive policies: flexible scheduling, remote options, and mental health days to reduce stress spillover.
- Provide access to resources: employee assistance programs, short-duration counseling, and stress management training.
- Normalize conversations: reduce stigma to encourage early help-seeking and disclosure.
October suggestion:
- Consider offering digital group sessions or micro-interventions focused on stress management and coping with life changes, plus assessments to identify teams or individuals at higher risk. This can help maintain productivity and morale.
What can government do to assist?
- Strengthen social safety nets: expand unemployment benefits, healthcare access, housing assistance, and paid family leave to reduce financial stress during life transitions.
- Invest in mental health literacy: public education campaigns about coping with major life changes (marriage, divorce, parenthood, job loss) to reduce stigma and encourage seeking help.
- Improve access to affordable mental health care: subsidize therapy, expand telehealth, and increase the number of trained professionals in underserved areas.
- Support workplace mental health: promote policies like flexible work arrangements, transition planning for employees during life changes, and employee assistance programs (EAPs). -Provide community-based support: fund peer support groups, mentoring programs, and community centers that offer transition resources and social connection. -Create early intervention systems: routine screening during major life transitions (e.g., childbirth, retirement) and timely referrals to services.
- Promote resilience-building programs: public-funded programs teaching coping skills, stress management, and problem-solving.
- Ensure clear, accessible information: centralized portals with guides on navigating life changes (housing, finances, healthcare) and how to access services. -Encourage financial planning resources: free or low-cost financial counseling, debt management, and budgeting workshops to reduce economic stress during transitions.
- Leverage digital tools for support: partner with platforms like October for scalable group sessions and digital content focused on coping with life changes, tailored to workplace and community contexts.
What can businesses do to assist their employees?
- Normalize communication about change: share timelines, updates, and rationale openly to reduce uncertainty.
- Involve employees early: invite input on change plans and how it will affect roles to boost a sense of control.
- Provide practical resources: offer training, job aids, and transition supports to ease new processes.
- Offer flexible options: allow phased rollouts, adjustable deadlines, and temporary role accommodations where possible.
- Strengthen manager support: train leaders to acknowledge stress, listen actively, and check in regularly.
- Enhance access to mental health resources: provide confidential counseling, stress management workshops, and resilience training (consider digital programs like October for structured sessions and assessments).
- Promote work-life boundaries: limit after-hours communications during transitions and encourage time off if needed.
- Monitor and respond to feedback: use pulse surveys to gauge stress levels and adjust plans accordingly.