Stress Leave: How To Take Time Off Work For Stress

It’s undeniable, stress leave is a serious issue.

But when should you take time off work for stress? And how can you speed up your recovery?

In this guide, you’ll learn everything you need to know about taking stress leave from work.

You’ll learn how to get a doctors note, ways to reduce stress in the workplace and tips for informing your employer.

Let’s get into it.

Table of Contents

1. What Is Stress Leave?

1.1. Definition Of Stress Leave

Whilst ‘stress leave’ is a commonly used phrase, the legally recognised term is ‘sick leave’.

In fact, from a legal perspective ‘stress leave’ doesn’t actually exist.

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This situation happens when an employee is no longer mentally fit to work.

This may be caused by stress, burnout, anxiety or depression.

Now far from being a way to ‘get off’ work, stress leave is a serious mental health issue.

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It affects millions of people everyday and it’s an affliction that deserves compassion.

Note: If you’re struggling with stress and you’d like to learn more about how to manage it, check out this list of stress reduction ebooks (a lot of them are free!).

work related stress leave infographic


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It’s remarkably common, as you’ll see in the statistics below.

1.2. Stress In The Workplace Statistics

It’s not unusual for someone to feel like they’re letting their employers down when they take time off with stress. They might even feel ashamed to take stress leave.

But the truth is, it’s much more common than you think.

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In a world where we tend to be working more hours for less pay, our overall stress levels are rising at a dramatic rate.

Whether we’re managing a small business, or one of hundreds of staff in a large company, we’re all at risk of workplace stress.

Here’s a few statistics about stress in the workplace:

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1.3. What Are The Main Reasons For Stress Leave?

There are many reasons why someone would take stress leave. But some are more common than others.

So what are the biggest reasons why people feel stressed at work?

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As you can see in the chart below, workload, people issues and juggling a work life balance are some of the main causes of work related stress.

Let’s run through each of them:

Workload: The pressure of maintaining high levels of performance at work is often a trigger for stress.

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Sometimes, it’s hard to say – especially when a task comes from your manager or a colleague you’re trying to impress.

But when you have too many things to do, it’s easy to feel overwhelmed.

This creates stress because you’re overloaded by the number of tasks you need to do vs the amount of time you have to do them.

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Juggling Work/Personal Issues:

With so many ways to communicate at work – emails, phone calls and texts to name a few – it’s becoming increasingly challenging to create a work-life balance.

Checking emails first thing in the morning and last thing at night isn’t unusual.

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People Issues:

It’s not unheard of to experience gossiping, bullying or interpersonal conflict in the workplace. Work is often a close knit community, where our happiness depends on the people we’re dealing with.

Lack Of Job Security:

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Work often becomes a part of our identity.

When we’re worried we could lose our job, it affects our stress levels because we’re anxious about the financial, social and status consequences.

2. When To Go On Stress Leave

2.1. Consult Your Doctor

Did you know that an estimated 75% of doctor’s appointments are stress related?

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Doctors are medically trained to help you with any mental health issues you’re suffering from.

So if you’re considering taking stress leave, it’s important to consult your doctor as soon as possible – before your situation escalates.

If your symptoms fall within a certain criteria, you will get a doctors note for stress.

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Sometimes, it’s hard to differentiate whether you just need a few days off, or your situation requires long-term stress leave.

Transitory stress isn’t the same as a burnout. Burnout is a much more severe, long-term problem that requires a lengthy healing process.

Warning signs that you need to see your doctor about stress include:

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  • Apathy and fatigue
  • Feelings of anxiety or depression
  • Struggling to get to sleep or sleeping more than usual
  • Frequently feeling worried
  • Feeling overwhelmed

2.2. What Qualifies As Stress Leave?

There’s a big difference between taking a few days out and requiring stress leave.

Taking a break for a few days can help some cases of stress.

However, stress leave is required when the situation is much more serious.

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Stress leave can be for a few months at a time, and can even stretch beyond 1 year.

It’s a significant period of recovery.

​2.3. Signs That You May Require Stress Leave

There’s a few common symptoms that signal you may require stress leave.

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Obviously, it’s important to explain how you’re feeling to your doctor first, because they’re trained to identify the warning signs of stress.

This might include:

  • Your stress levels are impeding your ability to work
  • You can’t perform your job duties
  • Your work-related stress levels are interfering with your home life
  • You’re experiencing symptoms of anxiety or depression – confirmed by consulting your doctor

3. How To Take A Leave Of Absence From Work Due To Stress

3.1. When To Talk To A Doctor About Stress Leave

Did you know that 9/10 millennials avoid seeing the doctor?

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Whilst it’s tempting to procrastinate seeing a doctor, you shouldn’t put this off. Waiting until your stress escalates could damage your recovery in the long-term.

little known stress leave facts

So if you feel like your symptoms are serious and you require stress leave, then book in an appointment as soon as you can.

3.2. How To Get A Doctors Note For Stress Leave

You might feel uneasy about asking your doctor for time off from work.

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But you have to remember that they’re here to help you. Plus they have the experience and training to deal with such situations.

stress leave statistics

So here’s how to talk to your doctor about stress leave:

  • Understand that being open about your symptoms is essential
  • Be upfront about how you’re feeling – doctors can’t read your mind
  • Clearly communicate the symptoms you’re experiencing
  • Be open to the doctor’s advice
  • Book in follow-up appointments if you need to
  • Explain your situation and what you feel are the root causes

3.3. How To Tell Your Employer

Now you’ve received a sick leave note from your doctor, you may be wondering what’s the next step?

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You should inform your employer about your situation.

At this stage, you might not feel comfortable explaining to your employer that you need some time off.

However, you should understand that it’s probably not the first time your employer has dealt with stress leave.

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It’s a very common situation.

informing your manager about stress leave

So it’s best to speak directly with your manager or HR team and explain:

  • Your stress levels are impeding your ability to perform your job duties
  • You’ve received a sick note from a physician for leave
  • Whilst you’ll want to provide your employer with the details of your condition, you don’t have to explain everything
  • Don’t feel pressured into explaining the personal side of your situation
  • Sometimes it’s confidential and not necessary for your employer to know

​3.4. What Do You Tell Your Manager When You Go Out On Stress Leave?

Before you speak to your manager, it’s useful to speak to a close friend or family member about the situation.

This will help you verbalize how you’re feeling: 

It’s often a healthier alternative than dealing with your symptoms alone.

If you call your manager or speak to them face to face, try not to feel intimidated. At the end of the day, your wellbeing is much more important than work. 

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Then start by framing the situation to your manager.

Phrases such as “I wouldn’t bring this up unless it was absolutely necessary”, or “it’s not easy to discuss this but…”.

After this, you can discuss the amount of time you’ll take off and the sick leave note. 

You don’t need to go into too much detail here, especially because it’s such personal information. Just an overview of your situation and setting expectations is enough.

3.5. Is Stress Leave Paid?

This really depends on few factors including:

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  • Your country’s legal system for employers
  • Your current position and working hours
  • How long you’ve been working for your employer
  • The size of the company and how many employees they have (legislation is often different for smaller vs larger businesses)
  • Your employer and their company guidelines

Note: Wondering if you’re eligible for stress leave with pay?

I’ve included useful links to Government sick leave regulations here.

3.6. Talking To Your Employer About Stress

A lot of people taking stress leave worry about the consequences on their job.

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Legally, employers usually have a responsibility to care for your wellbeing in the workplace.

Whilst these laws vary from country to country, there are strategies you can use to minimise the impact of taking stress leave.

Here’s a few ideas:

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  • Communicate with your employer – it’s important to manage their expectations
  • Answering emails and phone calls whilst on stress leave is not advised
  • Stress leave is a period of recovery, so it’s important to switch off from work
  • Check in with your employers every so often
  • Be clear and up-front when dealing with your employer

4. Recovering From Work Burnout During Stress Leave

Now let’s jump into how to recover from burnout whilst on stress leave…

4.1. Stay Positive

It’s essential to try and stay positive. 

So don’t fall into the trap of negativity. Reflecting on the negative creates what’s known as a ‘vicious cycle’. 

It’s better to try and stay optimistic, even if that feels challenging at times.

4.2. Address The Causes Of Burnout

Burnout often doesn’t get better on it’s own.

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So it’s better to identify why you have experienced burnout.

It might have been caused by a lack of sleep, personal problems or a work related issue. The best way to improve your recovery is by looking at the root problems and resolving them.

Recommended ReadingBurnout: The Secret to Unlocking the Stress Cycle

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4.3. Be Mindful Of How You Feel

Stress can also affect us physically.

It’s like your body is calling out for attention – whether that’s through feeling fatigue, achiness or tiredness.

The basics of good health can help to address this.

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The overall health of our minds and bodies are closely linked. For example, a physical ailment can often affect our mental health.

how exercise helps relieve stress

To improve your physical health, you could:

  • Improve your diet
  • Eat more fruits and vegetables
  • Do some low intensity exercise
  • Take a gentle stroll, do some stretching or try yogic relaxation

Exercise floods our body with Endorphins – often known as ‘happy hormones’.

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This makes us feel good, so incorporating exercise it into your schedule 2-3 times a week can really help to improve your overall wellbeing.

Note: When you’re recovering from a burnout, it’s best to take it easy with exercise because you don’t want to fatigue your body when it’s in a gentle state.

4.4. Drink Plenty Of Water

Did you know that water can improve our mood?

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Hydrating ourselves can improve the way our brain functions, reducing tiredness, apathy and boosting energy levels.

On the flip side, beverages that stimulate us – such as caffeine – can make us feel more anxious.

They also dehydrate our bodies, so it’s best to steer clear of caffeine related products such as energy drinks or coffee.

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4.5. Improve Your Sleep

Depression is one of the main symptoms of a burnout.

In a study by The University Of Zurich, through decades of research, the results revealed that insomnia and poor sleeping patterns can lead to depression.

If you’re struggling to sleep, it’s usually because something is troubling you – such as stress, anxiety or depression.

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So during stress leave, it’s important to optimise your sleep patterns.

Here’s a few tips to get started:

  • Create a routine – try to sleep and wake up at similar times everyday
  • Avoid exposing yourself to too much light at night. Dimming the lights before sleeping can help.
  • Electronic devices often stimulate our minds too much to sleep – try to avoid using them at least an hour before you go to bed
  • If you’re taking a nap, try to avoid sleeping for too long as it can disrupt your sleep pattern at night
  • Avoid drinking caffeine before you sleep
  • Optimise your bedroom: reduce noise levels, keep your room at a cool temperature and get a comfy mattress

4.6. Be Patient

If you’re experiencing severe stress, it might feel like you’re never going to feel normal again.

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You can recover, but it might take longer than you’d like.

There’s no guarantees of when you’ll feel better, how long it takes to recover or what’s the best way to reduce your stress levels.

Whilst doctors can help, you still need to be patient. It might take them a while to find out what works for you.

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4.7. Take Time Out

Stress and burnout creates fatigue. Therefore, your body and mind needs to rest.

This is harder than it sounds. Taking time to relax, unwind and switch off from our busy lives isn’t easy – but it’s important for your health.

5. Returning To Work After Time Off For Stress

5.1. Phased Return To Work After Stress

It’s not easy returning to work after time off for stress. But there are some techniques you can use to help you.

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If you’ve had a few months off work after stress leave, you might be tempted to jump back in at the deep end.

The problem is, this can have severe consequences.

If things were rough before you left work, then you need to take your time coming back.

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staying stress free in the workplace


This is what’s known as a phased return.

You might start with a few hours a week, then do a few half days. Monitor your progress and see how you’re feeling.

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It’s better to take your time rather than overwhelm yourself as you return to work.

5.2. Dealing With Colleagues

When you return to work, you might receive questions from your colleagues about why you took time off.

The main thing to note here is that you don’t have to explain exactly why you left.

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You could just say it was down to health reasons, whilst keeping your explanation vague.

But again, that’s entirely up to you.

5.3. Reducing Stress In The Workplace

There are techniques you can use to reduce the amount of stress you feel in the workplace.

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This might include:

  • Speaking to your managers, explaining your situation and discussing ideas to improve your work situation
  • Reducing your job’s workload
  • Re-allocating tasks (at least temporarily) that you previously found stressful
  • Switching your job to a less demanding position
  • Reducing your working hours
  • If your job situation shows no signs of improving, it might be time to look for an alternative employer

Your employer may also have an occupational health department. If so, their team should be able to help with strategies to reduce your stress at work.

5.4. Changing Your Lifestyle

Stress is something that can impact our whole life.

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To improve your recovery, it’s important to look at the areas of your life that cause stress.

natural stress relievers

This might include:

  • Regularly practicing relaxation techniques
  • Improving your diet
  • Taking some time out for yourself
  • Practicing meditation
  • Exercising more
  • Avoiding relationships that are harmful to your mental wellbeing
  • Improving your work-life balance
  • Reducing the time you spend on electronic devices – being bombarded with emails, phone calls and notifications can raise your stress levels

5.5. Monitor Your Progress

When you bounce back to work after stress leave, you might worry about falling back into bad habits and letting stress overwhelm you again.

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That’s how a mood diary can help you.

With a mood diary, you simply write down how you’re feeling during the day – maybe in the morning, afternoon and evening – along with the activities and events.

This way you can track what you did, how you felt and even identify the situations that trigger stress.

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5.6. Learn How To Manage Your Reaction To Stress

When we face adversity, it’s how we react that counts.

But stress management isn’t a skill that comes easy to most.

However, if you learn how to manage stress now, you’ll improve your wellbeing in the future.

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don't stress over what you can't control

You see, there are some situations that are out of our control.

We can’t control how people speak to us, spontaneous spikes in workload or that frustrating email that just landed in your inbox.

Yet you can control your reaction to stress.

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Here’s a few ways to do that:

  • When you encounter a stressful situation, take a step back
  • Whilst it may feel instinctive, try not to react with anger or frustration to a stressful situation
  • If you feel like stress is overwhelming, practice some breathing exercises
  • Be mindful of how you’re feeling
  • Avoid situations that you know will be stressful

The more you practice improving your reaction to stress, the more natural it will become. ​

Eventually, it’s second nature to you.

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5.7. Line Up Your Priorities

Whilst your workload might seem important, your health should come first.

To speed up your recovery, you should prioritise the activities that will improve your wellbeing.

Things like getting enough sleep, eating healthily, quality time with your friends, seeing your family and exercising can help to re-energise you.

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​5.8. Acknowledge That Some Days Will Be Tough

Whilst you can take all of the steps above to help your return to work, you have to realise that this isn’t going to be easy.

Not everything can go perfectly. You will have rough days.

However, if you accept that and you can deal with it, then you’re prepared for almost anything that comes your way.

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Plus, on the days when things are going a little rough, just take a step back and relax.

it's a bad day not a bad life quote

Don’t try to fix everything at once.

In time, you’ll become mentally stronger and more resilient to stress. And that will significantly help your recovery from burnout.

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You might even come out of this stronger than ever.

6. Useful Resources For Stress Leave.

Employees often worry about losing their job, financial complications and the stigma attached to stress leave.

So you may be wondering what are your legal statutory rights as an employee when it comes to stress leave.

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This often depends on the size of the company, the country you’re based, your current position, working hours and how long you’ve been working for your employer.

Here’s a few useful resources to guide (sourced from Government websites):

Taking Sick Leave In The UK (Gov.Uk)

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Sick Leave In The US (United States Department Of Labor)

Sick & Carer’s Leave (Fairwork Ombudsman Australia)

Sick Leave Entitlements (Employment New Zealand)

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Articles About Health & Fitness

7. FAQs About Stress Leave

Can I take stress leave from work?

So the legislation around this varies from country by country, state by state and company by company.

It also depends on your employment situation:

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You can find this information out by:

  • Consulting your company’s HR department
  • Reading your company’s internal employment guidelines
  • Speaking to an employment lawyer
  • Asking your manager
  • Reading about the legislation in your specific state/country

For example, if you’re a freelancer, then stress leave most of the time won’t be paid.

Do you get paid for stress leave?

Getting paid for stress leave majorly depends on the internal guidelines laid down by each company. Being paid for stress leave also depends on the country you’re living in. Few organizations permit stress leave for approximately only 3-6 months. In such situations, it’s always best to contact your HR department. 

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This really depends on your company’s internal guidelines and the country you’re in.

Some companies may allow paid stress leave for 3-6 months, and after that your leave may be unpaid. Companies must implement a comprehensive employee wellness program to improve the physical & mental well-being of employees

It’s best to consult your employer’s HR department to find out their specific company guidelines.

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Does stress leave count as sick leave?

Stress does not fall into the category of sickness. Thus stress leave cannot be counted as sick leave. However, employees might suffer from some kind of mental illness (for example, depression or anxiety disorders) due to stress. Therefore, in such situations, leave taken can be granted as sick leave to employees. 

What is a stress leave?

Stress leave can be defined as a lengthy period, where a worker takes off from work. During this period, the worker takes time to recover from a stress-related illness. Stress leave depends on numerous factors such as the company’s internal rules, the country and state the worker lives in, etc.

Stress leave is a period of time where as an employee of a company, you take time off to recover from a mental health related issue.

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Symptoms might include stress, anxiety or depression.

Some people also refer to this as ‘burnout’.

Stress leave gives you the opportunity to take a break from work, work towards overcoming your stress and recover from the stress related workplace issues you were facing.

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Does stress leave affect future employment?

Untreated stress for prolonged times can obstruct your ability to work. Long stress leaves can hamper your relationship with the present employer. Absences from work due to stress also spread work to new employers, in addition, could also stir up legal issues. Thus, it is always better to resolve matters. 

Can I be sacked for being off sick with stress?

In case you’re taking really long sick leaves because of stress, then your manager is not obliged to keep your job contract active. Your boss could eventually reject your position in the company for prolonged sick leave. However, your company can do so only after a fair and reasonable procedure.

Can I sue my workplace for stress?

Stress up to a certain level (example: demanding boss, long hours, etc.) is always considered healthy in the workplace, However, if your company is putting a lot of unnecessary pressure or illegitimate harassment, which has affected your physical and mental well-being, then it is your right to sue your company. 

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Do you need a doctors note for stress leave?

Most companies require a doctor’s note in order to legitimize the period of absence from the office. However, it’s not necessary that the doctor’s note should specify the illness that the employee might be undergoing. The doctor’s note must confirm that the employee needs to take leave and the time frame.

Is stress and anxiety covered under FMLA?

In order to take FMLA, the employee needs to be suffering from “serious health condition.” In case the employee has been suffering from stress or any anxiety disorder for an extended period, then he might be eligible for FMLA.

Nevertheless, provided that such a condition has hindered his ability to perform tasks.

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