Work & mental health
Work is part of your life, not all of it. You deserve a job that doesn’t cost you your well-being.
By the numbers
How work stress affects people in the U.S. and around the world.
United States
World
By group
How does work affect mental health?
Good work can lift you up. Poor working conditions can wear you down.
Most adults spend a big part of their waking hours at work. So it makes sense that work shapes how we feel. The World Health Organization (WHO) says decent work is good for mental health. It gives us income, a sense of purpose and achievement, a daily routine, and people to connect with.
But poor working conditions can harm mental health. Too much work, too little control, bullying, or the constant fear of losing your job can keep your body’s stress system switched on day after day. Over time, that stress can affect your sleep, mood, relationships and physical health.
Health experts describe job stress as what happens when a job’s demands don’t match a worker’s abilities, resources or needs. In other words, it is often about how the work is designed, not about you being “too weak” to cope.
When work is going well, it can give you
- Confidence and a feeling of being good at something
- For people living with mental health challenges, a helpful part of recovery
- Friendships and a sense of belonging
- Money to live on, and some security
- Structure: a reason to get up and a shape to your day
Common work stressors
The things at work most likely to wear you down. Tap any card.
Experts call these “psychosocial risks”: parts of how work is designed, organized and managed that can harm mental health. Spotting yours is the first step to doing something about them.
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When there is always more to do than time to do it, your body stays on alert. You may skip breaks, work through lunch, and still feel behind. Over time this can lead to exhaustion and burnout.
What can help
- Ask your manager: “Which of these should come first?”
- Do one task at a time instead of juggling
- Say what you can realistically finish, and by when
- Write down everything on your plate, then rank what matters most
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Having little control over your work or workload is a known risk for mental health. Feeling like a cog in a machine can drain your motivation and make stress feel bigger.
What can help
- Ask about flexible hours or work-from-home options
- Focus your energy on what you can control
- Look for small choices you do have, like the order of your tasks
- Suggest ideas to improve how work is done
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When your role is unclear, it’s hard to know if you are doing a good job. You may get mixed messages from different people, or feel blamed for things that weren’t yours.
What can help
- After meetings, send a short note: “Just to confirm, I’ll do X by Friday.”
- Ask for a written list of your main duties and goals
- Ask how your work will be judged
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A manager has a huge effect on how work feels. Controlling supervision, little support from colleagues, or favoritism can make even a good job stressful. The WHO says managers should be trained to spot distress and to listen.
What can help
- Ask for regular one-on-one check-ins
- Find support from other coworkers or a mentor
- Keep notes of key conversations and decisions
- Talk with HR if you feel safe doing so
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Violence, harassment, bullying and discrimination at work harm both mental and physical health. They can leave you anxious before work, unable to sleep, and doubting yourself.
The “Workplace bullying & harassment” guide covers the signs and the steps you can take. “Your rights at work” explains the laws against discrimination and retaliation.
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Not knowing if your job will last, or not earning enough to cover the bills, keeps worry running in the background. In a 2025 U.S. survey, just over half of workers (54%) said job insecurity was having a significant impact on their stress at work.
What can help
- Focus on today’s tasks instead of every “what if”
- Keep your résumé up to date, so you feel more ready
- Make a simple budget so you know where you stand
- Talk about money worries with someone you trust
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Long, unsocial or inflexible hours leave less time for sleep, family, friends and rest. Overworking can lead to skipped meals, poor sleep, less exercise and strained relationships.
NIOSH says any shift outside roughly 7 a.m. to 6 p.m. is linked to poorer sleep, a disturbed body clock, and strain on family and social life. When work hours grow, sleep is usually what gets cut.
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Conflict between work and home is another known work stressor. Caring for children or an aging parent while working full-time can leave you feeling you are failing at both.
The “Work-life balance” guide has a section for working parents and caregivers, and “Your rights at work” explains job-protected leave.
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Work that doesn’t use your skills, or that asks far more than you were trained for, can both cause stress. Being passed over, or promoted too fast, can do it too.
What can help
- Ask for training or a mentor
- Look for projects that use your strengths
- Talk with your manager about where you want to grow
Signs work is affecting you
How work stress shows up in your body, mind and life.
Work stress doesn’t always announce itself. It can creep in slowly, until you notice you dread Sunday nights or can’t switch off at home. Your body often notices before your mind does.
In your body
- A sick, knotted feeling in your stomach when you think about work
- Feeling tired all the time
- Tight muscles, neck or shoulder pain, headaches
- Trouble sleeping, especially on work nights
In your thoughts and feelings
- Dread about the coming week (the “Sunday scaries”)
- Feeling irritable, flat or hopeless about your job
- Trouble focusing, or feeling like you’re not good enough
- Worry that spikes in the hours or minutes before work
In your life
- Calling in sick more, or pushing through when you’re unwell
- Losing interest in things you used to enjoy
- Skipping meals, exercise or time with people you love
- Work stress spilling into your relationships
Difficult coworkers & bosses
Everyday friction, clashing styles and tricky managers.
Not every hard relationship at work is bullying. Sometimes it is a coworker who complains all day, a manager who micromanages, or someone whose style just rubs you the wrong way. These everyday clashes can still drain you, and there are skills that help.
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A Cleveland Clinic psychologist suggests leading with empathy. The person might be dealing with stress at home or at work that you can’t see. Trying not to take it personally helps you stay calm.
NHS advice also suggests asking yourself whether a coworker might be going through something difficult outside work.
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Assertive communication sits between going quiet and blowing up. One Cleveland Clinic psychologist describes it as “kind, clear, calm and fair.” You say what you need without blaming or yelling.
Phrases to try
- “Can you tell me more about what you need from me?”
- “I’d like to talk about how we share tasks. Do you have 10 minutes?”
- “That topic makes me uncomfortable. Let’s stick to the project.”
- “When meetings run over, I miss my next call. Could we finish on time?”
Before you talk, take a breath and let the first wave of feeling pass. A neutral, non-defensive tone helps calm the other person too.
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If someone pulls you into gossip or negativity, it’s okay to change the subject or walk away. If you share a space, moving your desk or facing a different way can help create a physical boundary.
As one psychologist puts it, you can’t control how others think, feel or behave, but you can control how you respond. NHS advice says the same: you may not change someone’s behavior, but you can change how you respond and set boundaries.
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Because your manager affects your workload, reviews and future, friction with them can feel bigger. Try to separate what you can change (how you communicate, what you clarify) from what you can’t (their personality).
What can help
- Ask for a regular one-on-one so concerns don’t pile up
- Ask for help agreeing priorities when everything feels urgent
- Ask what “good” looks like for a task, and when they want updates
- Send short written summaries after key talks: “Just to confirm…”
- Talk to a mentor or HR for advice if things don’t improve
Read more
Steps a Cleveland Clinic psychologist suggests
- Keep short, dated notes of what happened
- Get a gut check from a coworker you trust
- Follow your company’s path for raising concerns, whether that is your manager or HR
- Stick to facts. “No blaming — just stating the facts.”
- If nothing changes, it’s okay to look at other roles inside or outside the company
And look after yourself along the way. Self-care, friends outside work and clear values help you stay steady, because work stress rarely stays at work.
Feedback & reviews
Hearing criticism, getting through reviews, and asking for feedback.
Even mild criticism can hit hard. Your body may react like it’s under threat: a hot face, a racing heart, a rush of “I’m terrible at this.” That reaction is human. With a little practice, you can calm the first wave and then decide what is useful.
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Getting defensive usually makes a hard talk harder. Taking a moment to collect yourself, and listening fully, helps keep things calm.
Things you can say to buy time
- “Let me think about this and come back to you tomorrow.”
- “Thanks for telling me. Can you give me an example?”
- “What would you like to see instead?”
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NHS advice suggests asking whether there is another way to look at a hard situation, and whether you can learn from it. That doesn’t mean ignoring real problems. It means looking at them with a clearer head.
Once you’ve calmed down, ask
- Which parts are about a specific action I can change?
- Which parts are fair, partly fair, or not fair?
- What do I need to ask to understand it better?
- What is one thing I will do differently?
If you were partly at fault, owning it can help. One psychologist notes that “humility goes a long way,” but you don’t need to apologize for things you didn’t do.
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Performance reviews can bring up a lot of worry. Preparing ahead helps you feel more in control and makes the talk more balanced.
Before your review
- List what you achieved, with real examples and numbers if you have them.
- Note what got in the way, like unclear goals or too much work.
- Think about what you want: training, a new project, a raise, more support.
- Write two or three questions to ask.
- Plan something kind for yourself afterward.
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It’s normal to feel hurt, angry or embarrassed after tough feedback. Give yourself a little time before you reply or make big decisions. Talk it through with someone you trust.
Next steps
- Ask for clear, written goals for the coming months
- Ask what support or training is available
- If you think the review was unfair, ask how to respond in writing or talk to HR
- Set a check-in date to review progress
Toxic workplaces
What a toxic workplace looks like, and what you can do.
A toxic workplace is one where harmful behavior, like bullying, harassment, abusive leadership or discrimination, is part of the culture. One psychologist puts it well: a toxic workplace is more of a feeling than a checklist. Your gut and body often know first.
It is more common than many people think. In a 2023 U.S. survey, about 1 in 5 workers (19%) said their workplace was very or somewhat toxic. Those workers were more than three times as likely to say work had harmed their mental health.
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Harsh treatment at work can lead to anxiety, low mood and job dissatisfaction. It is not a normal part of work, and it is not something you should just “toughen up” about.
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Harassment can be sexual, racial, religious or about a disability. Discrimination means being treated unfairly because of who you are. Both are harmful, and many kinds are against the law.
In the U.S., it is illegal for an employer to discriminate against you simply because you have a mental health condition. The “Your rights at work” guide explains how to file a complaint and the deadlines.
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Abusive supervision includes humiliating staff and making unrealistic or unethical demands, like expecting unpaid overtime. Favoritism, where some people get chances and others don’t, can also poison a team.
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A busy month, a tough project or one sharp comment does not make a workplace toxic. What matters is the pattern: harm that keeps happening, is allowed by leaders, and isn’t fixed when people speak up.
Questions to ask yourself
- Do I feel dread or sick before most shifts, not just some?
- Has it lasted for months, not weeks?
- Is harmful behavior ignored, or even rewarded, by leaders?
- When people raise problems, does anything change?
- Are other people leaving or struggling too?
Read more
Steps that can help
- Build relationships with supportive coworkers
- If you feel safe, report it to HR
- Lean on your support system outside work
- Set clear boundaries where you safely can
- Take short mental health breaks during the day
- Talk with a therapist or coach about handling conflict
- Write down what happens: dates, times, what was said, who saw it
- If nothing improves, it’s okay to plan to leave
Supporting a coworker
What to do if a coworker seems to be struggling.
You don’t need to be an expert to help a coworker. Noticing, asking and listening can make a real difference. The WHO encourages workplaces to train people to spot distress and respond with care.
Notice, ask, listen, connect
- Notice changes, like seeming withdrawn, tired, or not themselves.
- Ask privately: “I’ve noticed you seem stressed lately. How are you doing?”
- Listen without judging or rushing to fix it.
- Offer practical help, like covering a task if you can.
- Point to support, like the EAP, a counselor or 988 if they are in crisis.
- Respect their privacy. Don’t share what they told you with others.
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Try
- “I’ve noticed you seem a bit off lately. Want to grab a coffee?”
- “Is there anything at work I can take off your plate this week?”
- “No pressure to talk, but I’m here if you want to.”
- “That sounds really hard. Thanks for telling me.”
Listening without judging, and letting them lead, often helps more than advice.
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Try to avoid
- “Everyone’s stressed, just push through.”
- “Have you tried just being more positive?”
- “You don’t look depressed.”
- Sharing what they told you with others, even to “help”
Their health information is private. Let them decide who knows.
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Ideas
- Check in again a week later
- Cover a task or a shift if you can
- If you are their manager, talk about flexible options or accommodations
- Invite them to lunch or a walk
- Share the EAP number or help them find it
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Supporting a coworker can be heavy. You are not their therapist, and you don’t have to fix things. It’s okay to point them to professional help and to take care of your own stress.
Remember
- Set limits on how much time and energy you can give
- Talk to your own support people (without sharing private details)
- Your EAP is there for you, too
How community can help
Coworkers, unions, employee groups and peer support.
Work feels lighter when you are not alone in it. Good relationships with coworkers, and support from people outside work, are among the best protections against work stress.
A CDC NIOSH bulletin notes that about half of U.S. adults report feeling lonely, and that the loneliest workers include people who are newer in their jobs and gig workers. Building connection at work, and keeping it outside work, is one of its main tips.
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Building relationships with like-minded coworkers can help you cope with a stressful workplace. Even one person you can talk to honestly can make work feel safer.
Ideas
- Check in on new or quiet team members
- Invite a coworker for lunch or a walk
- Say thanks when someone helps you
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Unions and worker associations can speak up together about things one person can’t change alone, like workload, scheduling, pay and safety. If your workplace has one, a union representative can also support you in difficult meetings.
In the U.S., most private-sector workers are covered by the National Labor Relations Act, which gives them the right to act together with coworkers to improve pay and working conditions, with or without a union.
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Many workplaces have employee resource groups for people with shared backgrounds or experiences, such as working parents, caregivers, veterans, people with disabilities, or mental health allies. They can offer connection, advice and a voice to leadership.
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Some workplaces train staff as peer supporters or mental health champions. Outside work, peer support groups and online communities can help you feel less alone, whether you are job hunting, burned out or returning to work.
Myths vs facts
Common beliefs about mental health and work.
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Job stress happens when the job’s demands don’t match a worker’s abilities, resources or needs. Heavy workloads, low control and poor support are workplace risks, not personal failures.
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It is illegal for an employer to discriminate against you simply because you have a mental health condition. You also have a right to ask for reasonable accommodations, and your medical information must be kept confidential.
Read more
For people living with mental health conditions, decent work can support recovery, inclusion and confidence. With the right support, people thrive at work.
Read more
Remote work can mean more freedom and no commute, but also more isolation, blurred boundaries and longer hours. What helps is finding the mix that works for you.
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Rest is part of doing a job well. Breaks, days off and clear boundaries help prevent burnout and keep you healthy for the long run.
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Research shows people almost always take longer and make more mistakes when switching between tasks than when sticking with one. Doing one thing at a time is often the faster, calmer way.
Read more
The urge to reply to work messages right away has been linked to more tiredness and poorer sleep. Clear limits on after-hours work tech can protect your rest.
When and where to get help
Signs it’s time to reach out, and where to turn.
It’s a good idea to talk to a professional if stress or low mood lasts two weeks or more, or gets in the way of your work or home life. You don’t have to wait until you can’t cope.
Reach out if you notice
- Big changes in appetite or weight
- Feeling irritable, frustrated or restless most of the time
- Losing interest in things you used to enjoy
- Not being able to do your usual tasks
- Struggling to get out of bed because of low mood
- Trouble sleeping or concentrating that won’t go away
Where to start
- A therapist, counselor or psychologist (talk therapy)
- Your primary care provider, who can refer you to a mental health professional
- Your workplace EAP for free, confidential counseling
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- World Health Organization (WHO) (2026). Mental health at work (fact sheet)
- International Labour Organization (ILO). Psychosocial risks and Mental Health at Work
- National Institute for Occupational Safety and Health (CDC/NIOSH) (2026). Stress and Work
- American Psychological Association (APA) (2025). 2025 Work in America Survey: The Experience of Working in America During Times of Change
- Society for Industrial and Organizational Psychology (SIOP), reporting the American Psychological Association survey (2023). APA Releases Results From 2023 Work in America Survey
- Gallup (2026). State of the Global Workplace: United States Country-Level Data
- Cleveland Clinic (2025). 11 Signs of a Toxic Work Environment
- Cleveland Clinic. Your Definitive Guide to Work Stress and Burnout
- International Journal of Environmental Research and Public Health (peer-reviewed) (2022). Telework and Worker Health and Well-Being: A Review and Recommendations for Research and Practice (Beckel & Fisher)
- NHS Every Mind Matters. Money worries and mental health
- U.S. Equal Employment Opportunity Commission (EEOC). Depression, PTSD, & Other Mental Health Conditions in the Workplace: Your Legal Rights
- National Labor Relations Board (NLRB). Employee Rights
- U.S. Office of Personnel Management (OPM). What is an Employee Assistance Program (EAP)?
- National Institute of Mental Health (NIMH) (2026). Caring for Your Mental Health
- National Institute for Occupational Safety and Health (CDC/NIOSH) (2012). Sleep and Work (NIOSH Science Blog / eNews)
- National Institute for Occupational Safety and Health (CDC/NIOSH) (2023). Social Connection and Worker Well-being
- Cerebrum: the Dana Forum on Brain Science (via PubMed Central) (2019). Multicosts of Multitasking (Madore & Wagner)
- NHS Every Mind Matters. Work-related stress
- Journal of Work and Organizational Psychology (peer-reviewed) (2019). Disconnecting to Detach: The Role of Impaired Recovery in Negative Consequences of Workplace Telepressure (Hu, Santuzzi & Barber)
- Cleveland Clinic. 6 Ways To Deal With Difficult Coworkers
- Cleveland Clinic. 10 Tips To Deal With Difficult People
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

