The Fatigue Epidemic in Spain
Spain is grappling with an alarming trend; a significant number of workers report psychological discomfort related to their jobs. Sick leave due to mental health disorders has more than doubled since 2016, underscoring a serious issue within the workforce. While it’s troubling to see this uptick, there is a glimmer of hope—we are beginning to understand the underlying causes.
The Normalization of Exhaustion
We have reached a point where being exhausted has become normalized. According to the OSH Pulse 2025 survey conducted by the European Agency for Safety and Health at Work, 40% of Spanish workers link stress, anxiety, or depression directly to their jobs. To put this into perspective, the European average stands at just 29%, placing Spain among the countries most severely affected by work-related mental health issues.
Understanding the Causes: Allostatic Load
The concept of ‘allostatic load,’ introduced by Bruce McEwen and Elios Stellar in 1993, sheds light on why we are experiencing such levels of fatigue. Allostatic load refers to the physical and psychological wear and tear incurred by the body as it repeatedly adapts to chronic stress. This continuous strain results in significant cardiovascular, metabolic, immune, and neuroendocrine deterioration, leading to severe health implications.
A 2021 systematic review found that high allostatic load correlates with increased all-cause mortality, cognitive impairment, chronic fatigue syndrome, diabetes, cardiovascular disease, and various psychiatric disorders. When stress mediators like cortisol and adrenaline remain perpetually activated, it creates a vicious cycle where both mind and body begin to function above their normal capacity, resulting in overwhelming stress and deterioration of health.
The Spanish Paradox
In Spain, we face not only high levels of work-related stress but also a lack of preventive resources, which are among the lowest in Europe. Despite grappling with this mental health crisis, the financial commitment to combat it has been insufficient. A striking 54% of employees fear that acknowledging mental health issues could jeopardize their career prospects, further complicating efforts to address the problem.
Moving Toward Solutions
Recognizing the severity of this issue is the first step toward making meaningful changes. Various solutions have been proposed, including individual, union, and health approaches. However, the current focus often lies heavily on the individual, despite limited evidence supporting this method’s effectiveness.
In order to shift the narrative and take this issue seriously, we must advocate for systemic change. Awareness is crucial, and society must begin to redefine the concept of normalcy surrounding our work-life balance.
Conclusion
It’s high time we challenge the notion that living in a constant state of fatigue is acceptable. By understanding the root causes and striving for systemic solutions, we can begin to pave the way for a healthier workforce.

