October Health – 2025 Report
Work stress in United States 
Heavy workload and time pressure (high job demands) is the leading cause of work-related stress in the United States across the population.
- Work stress Prevalence
- 28.47%
- Affected people
- 15,658,500
Impact on the people of United States
Health effects of high work stress
- Physical: sleep disturbance, chronic fatigue, headaches or muscle tension, digestive issues
- Mental: heightened anxiety or depressive symptoms, burnout, difficulty concentrating or making decisions
- Long-term risks: higher blood pressure/cardiovascular risk, weakened immune function
Effects on personal life
- Relationship strain: irritability, frequent conflicts, less quality time with loved ones
- Parenting and caregiving: reduced patience, less consistency for routines
- Social pullback: withdrawal from friends and activities, smaller support network
Coping tips
- Set clear work boundaries and discuss workload or deadlines with your supervisor
- Prioritize sleep, regular exercise, and short, restorative breaks during the day
- Seek support from trusted people or a mental health professional
- Consider utilizing October resources: digital group sessions, assessments, and stress-management content
Impact on the United States Economy
- Reduced productivity due to absenteeism and presenteeism.
- Higher healthcare, disability, and insurance costs.
- Greater turnover and recruitment/training expenses.
- More workplace safety incidents, errors, and quality issues.
- Slower macroeconomic growth and weaker consumer demand.
Mitigation: addressing workplace stress through supportive policies and mental health resources (e.g., October) can mitigate these costs.
What can government do to assist?
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Enforce fair work hours
- Strengthen overtime protections; cap average weekly hours; require guaranteed rest periods.
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Expand mental health care access and parity
- Broaden insurance coverage for mental health; enforce parity with physical health; fund employee assistance programs.
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Promote flexible work and the right to disconnect
- Encourage flexible scheduling; support remote/hybrid options; establish a national or sector-wide right to disconnect after hours.
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Invest in prevention and early intervention
- Run public health campaigns on stress prevention; fund workplace mental health literacy and routine screening; train managers in workload management and supportive leadership.
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Reduce job insecurity and strengthen safety nets
- Improve unemployment benefits and retraining programs; reduce precarious or gig-based work where possible; support career transitions.
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Provide employer incentives and digital mental health tools
- Offer tax credits or subsidies for workplace mental health programs; encourage adoption of digital platforms (e.g., October) for group sessions, assessments, and mental health content.
What can businesses do to assist their employees?
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Clarify roles and manage workload
- Ensure job descriptions match tasks, set realistic deadlines, and monitor for overwhelm or inequitable distribution.
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Normalize breaks and boundaries
- Encourage regular breaks, no after-hours emails by default, and easy access to mental health days when needed.
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Flexible schedules and predictability
- Offer hybrid/remote options, core hours, and predictable scheduling to reduce last-minute pressure.
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Psychological safety and supportive leadership
- Train managers to listen nonjudgmentally, solicit feedback, and respond supportively to stress concerns.
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Access to mental health resources
- Provide robust EAP benefits, counseling options, and digital programs (e.g., October) for group sessions and assessments.
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Skill-building and practical tools
- Offer short stress-management and mindfulness trainings, plus CBT-based techniques employees can apply daily.