October Health – 2025 Report
Life changes in United States 
Death of a spouse is the leading life-change stressor for the U.S. population (highest Life Change Unit score on the Holmes-Rahe scale). In the workplace, such bereavement stress can affect focus and productivity; employers can help with flexible scheduling, compassionate bereavement policies, and access to mental health support (e.g., October’s group sessions or assessments) if appropriate.
- Life changes Prevalence
- 18.31%
- Affected people
- 10,070,500
Impact on the people of United States
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Physical health risks: higher cardiovascular strain (elevated blood pressure), immune system changes, and more somatic symptoms (headaches, muscle tension) plus sleep disturbances.
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Mental health effects: increased anxiety, depressive symptoms, irritability, and mood swings.
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Sleep and appetite disruption: insomnia or hypersomnia, and changes in appetite (overeating or undereating).
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Coping behaviors: reliance on unhealthy coping (alcohol/drug use, poor eating, withdrawal from activities).
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Relationships and social life: more conflicts, reduced closeness with loved ones, and weaker support networks.
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Work and daily functioning: difficulties with concentration and decision-making, lower productivity, and more sick days.
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Mitigation and support options: steady routines, strong social support, self-care, and seeking professional help; workplace resources can help (e.g., flexible scheduling) and digital group sessions or assessments from October can support coping skills.
Impact on the United States Economy
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Productivity losses in the US workforce: increased absenteeism, presenteeism, and lower output due to high-life-change stress.
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Higher health care and social costs: more mental health treatment, stress-related illnesses, and potential chronic conditions.
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Increased turnover and hiring/training expenses: guiding replacements and lost institutional knowledge when employees leave.
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Slower GDP growth and greater inequality: long-term effects on productivity potential and wage dispersion, especially if vulnerable groups are disproportionately affected.
Workplace note: supporting employees through major life changes can mitigate these costs. Consider flexible work arrangements and mental health resources such as October's digital group sessions.
What can government do to assist?
- Strengthen social safety nets (healthcare access, paid family leave, unemployment benefits) to reduce financial stress during major life changes.
- Stabilize housing and cost of living (affordable housing initiatives, eviction protections, housing subsidies) to prevent housing insecurity during transitions.
- Improve access to mental health care (expanded insurance coverage, more community mental health services, and expanded telehealth options) to make support available during life changes.
- Support families and caregiving (paid parental leave, flexible work policies, affordable childcare) to ease the burden of major changes like parenthood or caring for others.
- Build community resilience and early intervention (community programs, crisis hotlines, workplace mental health resources) and consider partnerships with platforms like October for digital group sessions and assessments during life transitions.
What can businesses do to assist their employees?
- Flexible leave and scheduling: Provide paid family/medical leave, flexible hours, and remote options during major life changes.
- Manager training and supportive culture: Train managers to notice stress signs, approach with empathy, and offer accommodations without stigma.
- Accessible mental health resources: EAP access, counseling, and digital options like October's group sessions, assessments, and content.
- Workload management and return-to-work planning: Temporarily adjust workloads, reassign tasks, and create a structured return-to-work plan.
- Resource hub and partner support: Build a life-change resources hub including financial/legal help, caregiving guides, and partnerships with benefits vendors for targeted support.