Despite growing investment in employee well-being, workplace stress and mental health challenges continue to rise – a contradiction explored by North-West University (NWU) extraordinary professor Renzo Bianchi.
Prof. Bianchi, who is a psychologist at the Norwegian University of Science and Technology in Norway, examined the growing workplace mental health challenge during a recent presentation titled, “The workplace mental health paradox”.
The presentation explored a question facing employers around the world: if organisations are investing more in employee well-being, why are workers still reporting high levels of stress, anxiety and other mental health problems?
“There is a paradox to be understood,” Prof. Bianchi said, referring to the growing gap between investment in workplace mental health and continuing reports of employee distress.
Over the past few years, organisations have introduced a wide range of initiatives aimed at supporting employees. These include wellness programmes, psychological support, counselling and coaching, stress-management programmes, leadership training, flexible working arrangements and mental health awareness campaigns.
Yet, according to Prof. Bianchi, these efforts have not necessarily resulted in a decline in workplace distress. “If anything, it appears to have worsened,” he says.
Prof. Bianchi identified eight possible explanations for the paradox, while stressing that they should be regarded as hypotheses requiring further research.
One possibility is that organisations are investing in the wrong areas. Employers may be helping individuals manage stress while paying less attention to the working conditions that create it. “Stakeholders may be investing more, but not necessarily in the right targets,” says Prof. Bianchi.
Greater awareness of mental health may also be influencing the figures. As people become more familiar with mental health symptoms, they may be more likely to recognise and report them. Changes in diagnostic practices and attitudes towards mental health-related sick leave could also contribute to rising numbers.
However, Prof. Bianchi cautioned against assuming that the increase is simply a matter of better awareness or changing definitions. Working conditions may genuinely have become more demanding. He points to factors such as technology-related pressure, administrative workloads, job insecurity, economic pressures, fragmented careers and the growing difficulty of separating work from home.
Constant connectivity can also make it harder for employees to switch off. Another factor is changing expectations. Employees increasingly expect their jobs to provide fulfilment, purpose and personal meaning, rather than simply an income. As a result, stressful working conditions may be experienced more negatively.
Prof. Bianchi also noted that the workforce itself has changed, with more people working in emotionally demanding sectors and greater inclusion of people with pre-existing mental health conditions.
He emphasised that there is unlikely to be one simple explanation for the continuing rise in reported workplace mental health problems. “Understanding the paradox may require considering multiple, interacting factors,” he said.
Prof. Bianchi ultimately called for organisations to look beyond simply helping employees cope with stress and to examine whether the way work is structured is contributing to the problem.
He concluded: “Resolving this puzzle should strengthen our ability to evaluate current efforts and to support workers and organisations.”

Prof. Renzo Bianchi