• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
CommentaryCareers

Employees across North America and Europe are struggling with depression and anxiety. Here’s when it peaks at work, according to the largest study of its kind

By
Jo Aggarwal
Jo Aggarwal
Down Arrow Button Icon
By
Jo Aggarwal
Jo Aggarwal
Down Arrow Button Icon
September 12, 2023, 6:27 AM ET
Since the start of the COVID-19 pandemic, 42% of employees globally have reported a decline in mental health.
Since the start of the COVID-19 pandemic, 42% of employees globally have reported a decline in mental health.Craig F. Walker—The Boston Globe/Getty Images

More than any other decade, the 2020s began with a focus on addressing the global crisis of declining mental health and its impact not only on our personal lives but also on the economy. Employee well-being has risen to prominence as employers realize its potential for high return on investment. Improved employee mental health leading to greater productivity has motivated more businesses to join the rallying cry. However, the focus on productivity alone could create even more mental health issues.

Research from Bain & Company showed that today’s tech-enabled work culture with its emphasis on productivity leads to high burnout. In an era of growing corporate social responsibility, perhaps it’s not naïve to expect more leaders to want to improve the mental health of their employees for reasons that go beyond the bottom line.

We conducted the largest observational study of its kind globally, analyzing over 150,000 anonymized conversations with 11,300 employees in 11 organizations across 60 countries over a period of 13 months. We found that many people are struggling with mental health challenges, often while at work.

Since the start of the COVID-19 pandemic, 42% of employees globally have reported a decline in mental health. Employees in Europe and North America reported the highest average depression scores with 65% and 56% of employees, respectively, reporting symptoms of mild or more severe depression. If more than half of the workforce is feeling depression symptoms, more than just productivity is being impacted. When 75% of working people report having low-to-moderate energy levels on average throughout the day, society itself suffers.

My own startup was born out of my struggles with founder depression and the gap between the lived experience of mental health issues and the resources available. At the time, I felt alone and scared to discuss my thoughts with anyone. I needed to talk, but at the same time, was afraid of being judged. The need to talk through negative thoughts was not a weekly occurrence–it happened many times a day, sometimes at 3 a.m. Finding and connecting with a therapist was my long-term plan, but I also needed moment-to-moment support.

The study, which was shared at the World Economic Forum this year, validates my lived experience: 41% of mental health crises happen during working hours, between 10 a.m. and 6 p.m. At the start of the workday, 33% of employees globally report feeling “not okay,” this number kept going up throughout the workday, reaching its peak towards the end of the workday.  

The number one reason people with moderate to severe depression or anxiety don’t seek help is time (40%), followed by not thinking it’s serious enough (32%), and feeling too embarrassed (29%). Sadly, 15% said they couldn’t get an appointment at a convenient time, which is not surprising in a survey of busy employees, and 11% said they tried but couldn’t get the right help. This is why organizational readiness–not a single program but a proactive approach and an entirely different attitude towards mental health–is needed. 

Recognizing that employees can experience symptoms at any time of day–at work or outside of it–means employers need structural change to destigmatize mental health challenges throughout the organization. This could mean creating safe spaces, encouraging time to take breaks, and leading by example to illustrate an open and accepting culture when it comes to mental health struggles. Morning wellness reminders like pointing to the availability of Employee Assistance Programs, could boost the mere 7% of employees currently taking advantage of EAPs.

Companies should also embrace AI-led solutions. ChatGPT blew the doors wide open on the promise of AI at work. While AI could never replace human therapy or EAPs, it can help build resilience and alleviate the system. With employees needing help during such a range of times, and a global shortage of human therapists, AI-led solutions can help bridge the gaps so companies are always ready to address needs. AI can also determine who within an organization needs higher levels of support, including human resources staff, while still supporting people at scale. Additionally, research shows that people are more likely to open up to an anonymous chatbot than a manager or an HR colleague.

Organizational readiness requires reconsidering America’s infamous workaholic culture. Organizational readiness comes from engaging with employees, leveraging emerging technology-based solutions, and creating a culture where work-life balance isn’t just the norm, but a collective goal for employees at all levels to actively strive towards.

Jo Aggarwal is the co-founder and CEO of Wysa

The opinions expressed in Fortune.com commentary pieces are solely the views of their authors and do not necessarily reflect the opinions and beliefs of Fortune.

Join us at the Fortune Workplace Innovation Summit May 19–20, 2026, in Atlanta. The next era of workplace innovation is here—and the old playbook is being rewritten. At this exclusive, high-energy event, the world’s most innovative leaders will convene to explore how AI, humanity, and strategy converge to redefine, again, the future of work. Register now.
About the Author
By Jo Aggarwal
See full bioRight Arrow Button Icon

Latest in Commentary

Julian Braithwaite is the Director General of the International Alliance for Responsible Drinking
CommentaryProductivity
Gen Z is drinking 20% less than Millennials. Productivity is rising. Coincidence? Not quite
By Julian BraithwaiteDecember 13, 2025
17 hours ago
carbon
Commentaryclimate change
Banking on carbon markets 2.0: why financial institutions should engage with carbon credits
By Usha Rao-MonariDecember 13, 2025
18 hours ago
Dr. Javier Cárdenas is the director of the Rockefeller Neuroscience Institute NeuroPerformance Innovation Center.
Commentaryconcussions
Fists, not football: There is no concussion protocol for domestic violence survivors
By Javier CárdenasDecember 12, 2025
2 days ago
Gary Locke is the former U.S. ambassador to China, U.S. secretary of commerce, and governor of Washington.
CommentaryChina
China is winning the biotech race. Patent reform is how we catch up
By Gary LockeDecember 12, 2025
2 days ago
millennial
CommentaryConsumer Spending
Meet the 2025 holiday white whale: the millennial dad spending $500+ per kid
By Phillip GoerickeDecember 12, 2025
2 days ago
Sarandos
CommentaryAntitrust
Netflix, Warner, Paramount and antitrust: Entertainment megadeal’s outcome must follow the evidence, not politics or fear of integration
By Satya MararDecember 12, 2025
2 days ago

Most Popular

placeholder alt text
Success
Apple cofounder Ronald Wayne sold his 10% stake for $800 in 1976—today it’d be worth up to $400 billion
By Preston ForeDecember 12, 2025
2 days ago
placeholder alt text
Economy
Tariffs are taxes and they were used to finance the federal government until the 1913 income tax. A top economist breaks it down
By Kent JonesDecember 12, 2025
2 days ago
placeholder alt text
Success
40% of Stanford undergrads receive disability accommodations—but it’s become a college-wide phenomenon as Gen Z try to succeed in the current climate
By Preston ForeDecember 12, 2025
2 days ago
placeholder alt text
Economy
The Fed just ‘Trump-proofed’ itself with a unanimous move to preempt a potential leadership shake-up
By Jason MaDecember 12, 2025
1 day ago
placeholder alt text
Economy
For the first time since Trump’s tariff rollout, import tax revenue has fallen, threatening his lofty plans to slash the $38 trillion national debt
By Sasha RogelbergDecember 12, 2025
1 day ago
placeholder alt text
Success
Apple CEO Tim Cook out-earns the average American’s salary in just 7 hours—to put that into context, he could buy a new $439,000 home in just 2 days
By Emma BurleighDecember 12, 2025
2 days ago
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • Future 50
  • World’s Most Admired Companies
  • See All Rankings
Sections
  • Finance
  • Leadership
  • Success
  • Tech
  • Asia
  • Europe
  • Environment
  • Fortune Crypto
  • Health
  • Retail
  • Lifestyle
  • Politics
  • Newsletters
  • Magazine
  • Features
  • Commentary
  • Mpw
  • CEO Initiative
  • Conferences
  • Personal Finance
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
About Us
  • About Us
  • Editorial Calendar
  • Press Center
  • Work At Fortune
  • Diversity And Inclusion
  • Terms And Conditions
  • Site Map

© 2025 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.