October Health – 2026 Report
Work stress in United States 
The leading cause of work-related stress in the United States for the population is job insecurity and workload pressures, including high demands, long hours, and insufficient control over work tasks. These factors consistently elevate stress levels across many workers and organizations.
- Work stress Prevalence
- 29.07%
- Affected people
- 15,988,500
Impact on the people of United States
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Physical health: Chronic work stress can raise cortisol and adrenaline, contributing to headaches, sleep problems, high blood pressure, cardiovascular risk, weakened immune function, and gastrointestinal issues.
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Mental health: Increases risk of anxiety, depression, irritability, burnout, and difficulty concentrating or making decisions.
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Sleep: Stress often disrupts sleep patterns, leading to insomnia or non-restorative sleep, which can worsen mood and performance.
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Relationships: May reduce quality time with partners and family, increase conflicts, decrease empathy, and cause withdrawal or overwork to cope.
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Productivity and performance: Impaired concentration, memory, and judgment; higher error rates; difficulty meeting deadlines; lower job satisfaction.
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Coping patterns: People may turn to unhealthy coping (excessive caffeine or alcohol, overeating, social withdrawal) which can compound health issues.
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Long-term risks: Prolonged exposure is linked to chronic diseases (heart disease, obesity, diabetes), persistent sleep issues, and sustained mental health disorders.
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Workplace impact: Increased absenteeism, presenteeism, higher turnover, and strained team dynamics.
If you’re managing work stress, consider these concise steps:
- Prioritize workload and set boundaries (e.g., realistic deadlines, say no when needed).
- Schedule regular breaks and protect non-work time.
- Build a quick stress-reduction habit (5-minute mindfulness, deep breathing, or a brief walk).
- Seek support: talk to a supervisor, HR, or mental health professional.
Tools and resources:
- If you’re in the U.S., Employee Assistance Programs (EAPs) and workplace wellness initiatives can help.
- Digital group sessions and assessments (e.g., October) can provide coping strategies and peer support in a workplace context.
Impact on the United States Economy
- Productivity and output: High work stress reduces employee performance, concentration, and efficiency, leading to lower overall productivity and slower GDP growth.
- Absenteeism and presenteeism: More sick days and employees clocking in while unwell (presenteeism) raise costs for employers and reduce effective labor output.
- Healthcare costs: Increased stress elevates healthcare utilization and insurance costs, which can raise wages and employer expenses, impacting economic competitiveness.
- Turnover and recruitment: Elevated stress accelerates burnout and turnover, raising training and recruitment costs and reducing organizational knowledge, hindering economic efficiency.
- Innovation and investment: Chronic stress can dampen creativity and risk-taking, potentially slowing innovation and long-term economic dynamism.
- Labor market effects: If stress disproportionately affects certain sectors (e.g., healthcare, public service), it can distort labor supply and wage pressures in those industries.
- Social costs: Stress-related issues spill over into families and communities, affecting social services demand and long-run human capital development.
If you’re facing workplace stress, consider:
- Short, structured support sessions (e.g., brief cognitive coping strategies).
- Practical workload management: clear priorities, realistic deadlines, and delegations.
- Access to employee mental health resources (e.g., October’s digital group sessions or assessments) to normalize seeking help and reduce stigma.
Would you like a concise workplace stress management plan you can share with your team?
What can government do to assist?
- Establish strong labor standards: enforce reasonable work hours, mandatory breaks, and predictable schedules to reduce chronic overwork and burnout.
- Promote managerial training: teach leaders how to recognize stress signals, have empathetic conversations, and set realistic expectations without micromanaging.
- Expand access to mental health resources: provide confidentialEmployee Assistance Programs (EAPs), on-site counselors, and digital platforms for stress management.
- Encourage flexible work arrangements: options for remote or hybrid work, flexible start times, and workload accommodations to support work-life balance.
- Invest in preventative programs: resilience and mindfulness training, stress management workshops, and peer-support networks.
- Improve work environment: minimize noise, provide quiet spaces, create clear roles and responsibilities, and ensure proper ergonomic setups.
- Monitor and address workload data: track overtime, project intensity, and burnout indicators to adjust staffing and timelines proactively.
- Foster open culture and reduce stigma: normalize seeking help, implement anonymous feedback channels, and leadership modeling of self-care.
- Policy and legislative support: enforce paid sick leave, vacation days, and strong anti-bullying/harassment protections; provide incentives for healthy workplace practices.
- Leverage digital tools: offer scalable platforms for mental health support, including digital group sessions and self-guided content, to reach employees at scale.
What can businesses do to assist their employees?
- Normalize workload visibility: implement clear expectations, realistic deadlines, and a transparent backlog to prevent overcommitment and last-minute rushes.
- Promote flexible work practices: offer flexible hours, remote or hybrid options, and predictable scheduling to reduce burnout from commuting and rigidity.
- Offer practical stress management resources: provide on-demand mental health content, short guided practices, and access to digital group sessions through October or similar platforms.
- Encourage short, restorative breaks: mandate or model regular micro-breaks (5–10 minutes every hour, longer lunch breaks) to reduce cognitive fatigue.
- Improve managerial support: train managers to recognize signs of stress, hold regular check-ins, and distribute workload equitably; empower employees to voice concerns without fear of judgment.
- Enhance job design and autonomy: align tasks with skills, give meaningful work, and increase decision-making latitude to boost engagement.
- Create supportive culture: reduce stigma around mental health, promote open conversations, and provide confidential channels for seeking help.
- Provide skill-building programs: teach time management, prioritization, and resilience techniques; integrate short trainings into the workweek.
- Optimize physical work environment: ensure ergonomic setups, quiet spaces for 집중, good lighting, and access to breaks or wellness rooms.
- Measure and adjust: collect anonymous employee feedback on stress factors quarterly and act on it; track indicators like burnout rates, absenteeism, and turnover to evaluate impact.
- For teams using October: schedule regular, short digital group sessions focused on stress reduction, emotional regulation, and peer support; accompany with self-assessment tools to tailor resources.