07 Aug 2025
Breaking the Silence: Mental Health and Support Issues in the Construction Industry
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Key Findings
- Prevalence of Mental Health Issues: A significant portion of construction workers experience mental health challenges, with over half reporting anxiety or depression in the past year.
- Substance Abuse and Misuse: The survey shows that a notable number of workers struggle with substance use disorders and other addictive behaviors. Almost half of the respondents have misused or overused substances to cope with mental health issues, indicating a need for better coping strategies and support systems.
- Stigma and Barriers to Seeking Help: Despite a willingness to support colleagues, many workers feel ashamed discussing mental health issues with peers. The stigma surrounding mental health is a significant barrier to seeking help, and 41% of those who have used mental health services reported experiencing discrimination as a result.
- Lack of Access to Services: Nearly half of the workers are unsure if they have access to mental health support services on the jobsite, highlighting a critical gap in awareness and availability of mental health resources.
- Job-Related Stressors: Physical demands, poor work-life balance, and tight deadlines are major sources of stress, contributing to mental health struggles.
Mental Health & Self Medication
- More than half of construction workers (54%) say they have experienced anxiety or depression within the last 12 months.
- 62% female, 51% male
- Millennials reporting highest at 57%
- Results are pretty evenly spread throughout the country
- Comparatively, about 32% of adults in the general public of the United States reported anxiety and depression symptoms in 2023, according to the U.S. Census Bureau Household Pulse Survey.

- More than a quarter of construction workers (29%) say they have experienced substance use disorders or challenges with other forms of addictive behavior within the last 12 months.
- Nearly half of construction workers (47%) admit they have mis-used or over-used at least one substance to cope with their mental health within the past 12 months.
- 48% males, 43% females
- 50% of millennials
- Breakdown of substances mis-used:
- Alcohol, 27%
- Marijuana, (Delta 9) or synthesized THC (Delta 8, HHC, THC-A, etc.), 21%
- Illegal substances, 15%
- Prescribed medications 14%

- Construction workers most frequently say that physical demands of the work (42%), poor work-life balance (36%) and tight deadlines to complete projects (35%) are the main causes of distress on the job.
- Nearly a third of construction workers (32%) say they have missed work due to mental health concerns within the past 12 months.
- 31% male, 34% female
- Just over a quarter of construction workers (27%) have used prescribed medication to treat their mental health within the past 12 months.
- 26% male, 32% female
- 30% Gen Z
Support & Perceived Judgement
- 94% of constructions workers say they would be willing to support another construction worker who was experiencing depression.
- Nearly 2 in 5 construction workers (39%) say they would feel ashamed talking about their mental health, addiction or suicidal thoughts with their coworkers.
- 40% male, 37% female
- Gen Z 44%

- A third of construction workers (34%) say they have used professional mental health services or support programs within the last 12 months.
- 40% millennials
- Among construction workers who have used professional mental health services or support programs within the last 12 months, 41% say they have experienced discrimination or unfair treatment at work due to seeking mental health services or support.
- 44% male, 32% female
- Nearly half of construction workers (46%) report they don’t feel that have access to mental health support services on the jobsite.
Source: Clayco
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