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AXAMindHealthReport

THE2026EDITION

GLOBALDATA,TRENDSANDCHALLENGES

2026AXAMindHealthReport

AIcanopenthedoortosupport,butitmustbeshapedby

clinicallygroundedtoolsfromtrustedhealthplayersthatguidepeopletowardtherighthumansupportwhenitmattersmost-becauseultimatelyAIcanneverreplacehumanconnection.

PatrickCohen,

CEOAXAEurope&Health

Howistheworlddoingmentallyin2026?

We’vebeentrackingMindHealthformorethanhalfadecadeandit’snowatitslowestpoint:almosthalfthepopulationsurveyedisnot

doingwell,withyoungpeoplehitevenharder.Themaindriversremainfinancialstrain,workstress,uncertaintyaboutthefuture,butdigital

habitsintensifythepressure-peoplenowspendmorethan5hoursonscreensoutsideofworkand2in3sayitnegativelyaffectstheir

dailylife.Themainbarriertogettinghelpisinternal:toomanypeoplestilldon’tseekprofessionalsupportbecausetheydon’tconsidertheirsituationseriousenough.Raisingawareness,fosteringdebateand

providingsolutionsremainscrucialandatAXA,wewanttoplayourpart.

AreAItoolshelpingorhurting?

AIcouldbeoneofthebiggestbreakthroughsinmindhealth-butwithoutguardrails,alsooneofthebiggestrisks.Ontheonehand,AIdemocratizesaccess-it’sfree,immediate,available24/7–andisalreadypartofpeople’semotionalliveswith6in10usingittoseekmentalhealthadvice.Buttherisksarereal:manyapplyadvicethatisnotmedicallyvalidated,andalmost1in3sayAIhasledthemtoharmfulbehavior.

Whatisalsoworryingisashiftintrust-awayfromfriends,familyandhealthcareprofessionals,towardsmachines.AIcanopenthedoor

tosupport,butitmustbeshapedbyclinicallygroundedtoolsfrom

trustedhealthplayersthatguidepeopletowardtherighthuman

supportwhenitmattersmost-becauseultimatelyAIcanneverreplacehumanconnection.

Whatroleshouldemployersplay—andhowdoesAXAsupportthem?

Employershavearesponsibilitytobepartofthesolution.Employeesexpectsupport,butmanycompaniesarestilllaggingbehind:more

than8in10employeeswouldjoinsupportprogramsatworkyettwothirdssaysupportisabsentorunknown.AtAXA,wehelpcompaniesclosethisgapthroughconcrete,medicallyvalidatedsolutions–for

examplethroughtheMindHealthSelfCheck,atoolwhichhelpsspotwellbeingtrendsandtargettherightsupport,andtheMindHealth

Odyssey,anonlinetrainingplatformtobuildmentalhealthliteracyformanagersandteams.Companiesthatequiptheirpeoplewithtoolstotakecareofthemselveswillseefewersickdays,higherretentionandmoreproductiveteams.Theneedforsupporthasneverbeengreater,solet’sactonittogether!

/2026AXAMindHealthReport3

5keylearningsfromthesurvey

84%

5.Companies

canexpandthe

conversationaroundmindhealth.

ofemployeesexpectmindhealthsupportfromtheiremployer

Workplacescanplayapivotalroleinimprovingmindhealthbybridgingthegapbetweenemployees’needforandopennesstohelp.Theycanencouragecolleaguestodiscuss

mentalhealthchallengesatworkandalsoraiseawarenessaroundpolicies.

→P.20

1.Despiteincreasedattention,mindhealthdistresskeeps

growing.

+6pts

peoplewhoarestrugglingorlanguishingcomparedto2021

Awarenessaroundmindhealthhasneverbeenhigher,yetthenumberofpeoplewhoareflourishingor

evengettingbycontinuestofall.Overall,10outofthe16countriessurveyedrecordedtheirlowestresultsinmindhealthsincethelndexbeganin2021.

→P.5

2.Alisprovingtobeadouble-edged

swordforsupportingmindhealth.

63%

saytheyhavealreadyusedAIinrelationtotheirmindhealth

Aladvicebringsrealbenefits,

butthereareriskstoo.Although

platformsraiseliteracy,high

numbersofpeoplearetrustingAl-generatedcontentoverprofessionaladvice.Digitalhabitsalsocontributetofeelingsoflonelinessand

isolation.

→P.16

3.Youngadults

remainonthefrontlineofmindhealthchallenges.

59%

arelanguishingorstruggling–that’s13%morethantheglobalaverage

Themindhealthepidemicamongpeopleagedbetween18and34

yearsoldshowsnosignofshifting.However,thereareencouraging

signsthatyoungadultsaremore

opentotalkingabouttheirmind

healthchallengesandseekinghelp.

→P.9

4.LackofawarenessisstilltheNumber1barriertomind

health.

36%

believetheydon'tneed

medicalhelp

Theprimaryobstaclestobetter

mindhealth–includingcost,time,stigmaandaccesstopractitioners–variedacrossagegroupsand

geographies.lntotal,60%of

respondentssaidtheyhadn’t

visitedahealthcareprofessionalforsupportovertheprevious12months.

→P.12

2026AXAMindHealthReport4

1.Thestate

ofmentalhealthworldwide

2026AXAMindHealthReport5

Ourmentalhealthkeepsgettingworse.

Despitethegrowthinawareness,globalmentalhealthremainsamajorconcern.Indeed,peoplearoundtheworldnowidentify

mentalhealthasahigherprioritythancancer.

Whilethetotalnumbersofthosestrugglingandlanguishing

showedsignsofstabilizingin2023-2024,thefindingsreveala3-pointriseinthelastyearreaching46%.

Atthesametime,therearefewerpeopleflourishingtodayatthepinnacleofmentalhealththantherewerein2022.

C

46

%

ofpeoplearelanguishing/struggling(+6ptssince2022)

12%

Struggling

2022-20232023-20242024-20252025-2026

32%

31%

29%

31%

25%

23%

15%

14%

33%Gettingby

28%28%

Languishing

25%

24%Flourishing

15%

Languishing:It

representstheabsenceofpositivewellbeing.Ifyouarelanguishingyouarenotfunctioningatfullcapacity,youmayfeel

unmotivatedandstruggletofocus.

Struggling:Theabsenceofwellbeinginmost

areasislikelytoresultinstruggleanddifficulty.Strugglingisassociatedwithemotionaldistressandpsychosocial

impairment.

Gettingby:Itdescribesthosewhomayhave

someareasofgood

wellbeingbutnotenoughtoreachthestateof

flourishing.

Flourishing:Itrepresentsthepinnacleofmental

health,encompassing

thepresenceofgood

social,psychologicalandemotionalwellbeing.

35%

/2026AXAMindHealthReport6

What’sthemainevolutionyoucansee

intheMindHealthIndexsinceitslaunch?

Atroublingparadoxliesattheheartofmodernprogress.Despiterobusteconomicgrowthandremarkabletechnologicaladvancement,mentalwellbeingisworsening:theshare

ofpeoplestrugglingorlanguishinghasrisenoverthelasthalfdecadefrom40%to46%.

Thecausesarecounterintuitive.Hyper-connectivityhasnotcuredloneliness—ithasdeepenedit,particularlyamongtheyoung.Economicexpansionhasnotdelivered

stabilityforindividuals—anxietyoverjobsandfinancialstabilitypersist.Weknowthatrealhumancontactisirreplaceable,yetwesurrenderfivehoursdailytoscreens.

Theconversation,atleast,isopeningup.Andcautiousoptimismiswarranted.

Technology,properlydeployed,mayyetformpartoftheremedy.

Thequestionremainstowhatextentsocietiesandindividualscanfocustheireffort

anddisciplinetoharnesstechnologyinawaythatstrengthenstheirmentalresilience.

ClaudioGienal,

ChiefTransformationOfficer

AXAEurope&Health

2026AXAMindHealthReport7

DEPRESSION

22%

atsevereormoreextremelevels

26%

25%

23%

20%

19%

13%

11%

4%4%

2022-20232023-20242024-20252025-2026

The“silentepidemic”continuestointensify.

Oneofthestarkfiguresfrom

thisyear’sIndexisthe26%of

respondentspotentiallyaffectedbydepression,anxietyorstress(DASS)atsevereormoreextremelevels.The3-pointrisesince2022representsaworryingtrend,

giventhesignificantsocialandeconomicburdensassociated

withthis“silentepidemic”.

Thenumberofpeoplewhoself-reportamentalhealthconditionhasfallenapointto31%overthelastyear,howeverthatisstilla

4-pointrisesince2022.

26%

arepotentiallyaffectedbydepression,anxietyorstressatsevereormoreextremelevels

23%

STRESS

ANXIETY

5%

atsevereormoreextremelevels

l4%

atsevereormoreextremelevels

14%14%

Depression

5%5%

21%

Anxiety

22%

Stress

DASS

2026AXAMindHealthReport8

Howarecountriesrankingonmentalhealthissues?

Italy

60,3

Switzerland

65,4

Belgium

60,4

Germany

61,4

Ireland

60,4

UK

59,5

Turkey

60,7

China

63,8

USA

63

HongKong

62,7

Japan

58,1

SouthKorea

58,5

France

62,7

Mexico

63,5

Spain

62,3

Thaïland

66,5Philippines

63,5

Brazil

59,8

TheAXAMindHealthIndex

showsanoveralldecline

inmentalhealthacross

theworld;howeverthe

needleshiftsconsiderably

atalocallevel.Forexample,inThailand,atthetopof

theIndex,just6%ofthe

populationarestruggling

withtheirmentalhealth,

comparedto22%intheUKatthebottom.

Switzerlandhasthehighestpercentageofpeoplewhoareflourishing(32%),whileneighboringItalyhasoneofthelowestnumberatthepinnacleofmentalhealthwithjust15%.

JapanSouthKoreaUKBrazilItalyIrelandBelgiumTurkeyGermanyAverageSpainHongKongFranceUSAPhilippinesMexicoChinaSwitzerlandThaïland

58,158,559,559,860,360,460,460,761,461,862,362,762,76363,563,563,865,466,5

/2026AXAMindHealthReport9

Youngpeoplearedramatically

moreexposedtomentalhealthdisorders.

Thisyear’scontinueddeclineinmentalhealthamongyoung

peoplereflectsapatternwidelyreportedinpost-pandemic

research,whereby18-to34-year-oldsareshowinghigherlevelsofseveresymptomsrelatedtodepression,anxietyandstress.

Almostallofthereportedriskfactorsrelatedtomentalhealth(worldinstability,climateanxiety,rapidworkandtechnologiestransformations)impactyoungadultsmorethanotherage

categories.

Inparticular,theyreportexcessiveuseofdigital(16pointsabovetheaverage),fearofmissingoutinsocialmedia(+17points),

lonelinessandsocialisolation(+13points)asdetrimentaltotheirwellbeing.

18-24y.o.arestrugglingorlanguishing(+13pointsaboveaveragepopulation)

2.3

x

Youngadultsunder35aremorethantwiceaslikelytoreceiveaseverediagnosisofdepression,anxietyorstress

MindHealthIndexbyagegroup

pp

30%36%34%

39%

+

32%

33%

31%31%

28%

-

FlourishingGettingbyLanguishingStruggling

+Superiortothetotalpopulation

-Inferiortothetotaloulation

31%

31%

23%

,

ALL

+

21%16%

-

,-

15%20%

+

25-34yo35-44yo45-54yo54yo+

13%

-

18-24yo

9%

-

16%

19%

▲-

18%

+

22%

-

15%

-

37%

/2026AXAMindHealthReport10

Agendergapthatremainssignificant,butisnarrowing.

Women’smentalhealthremainsworsethanmen’sacrosseverymetricinthisyear’sAXAMindHealthIndex–andhascontinuedtodropbelowlevelsreportedin2022.

Men’smentalhealthhasalsodeclined,totheextentthatthegap

betweenthegendersiscloserthanever.Thereisnowa5-pointsplitintheratioofflourishingmentowomen,comparedtoa7-pointgapin2022.

Amongthosepotentiallyaffectedbydepression,anxietyorstressatsevereormoreextremelevels,thegaphasshortenedfrom5pointstojust3.

13%

18%

30%

30%

MALES

29%

27%

32%

30%

23%

22%

FEMALES

25%

20%

,

2022-20232023-20242024-2025

EvolutionoftheShare

oftheFlourishingPopulation

MALES

FlourishingLanguishing

Gettingby

Struggling

FEMALES

2026

21%

27%

25%

20%

,

2026AXAMindHealthReport11

Alwaysonline,

increasinglyalone.

Isolationasaresultofdigitalhabitsisespeciallyprevalentamongyoungpeople,whoseeastrongcorrelationbetweenscreenusageandmentaldistress.Screentimeforthoseunder34stretchesto6hoursadayonaverage,andtheyaretwiceaslikelytoexperiencelonelinesscomparedtotheover55s,whowatchscreensfor4

hours.

75%

reportthattheirscreentimenegativelyaffectstheirdailylives,atleastmoderately

40

%

reportfeelinglonelyatleastsomeofthetimeoverthelasttwoweeks

onaverageperweekdayonascreenforpersonal

activities=approx.55daysinayear,oralmost

2months

5.1hours

/2026AXAMindHealthReport12

Challenge#1:

Creatingmeaningfulawareness

/2026AXAMindHealthReport13

60%

42%

agreethat“thepublichealthcaresystemintheircountryprovidestimelysupportforpeoplewithmentalhealthconditions”

havenevervisitedahealthcareprofessionalformentalhealthconcerns

Toofewpeopleinneedofsupportengagewithhealthcareprofessionals.

TheAXAMindHealthsurveyhasdecodedthehighestbarrierto

bettermentalhealth–anditisnotanexternalfactor.Rather,itistheindividuallackofunderstandingaroundwhatconstitutesgoodmentalhealth,thechallengesthataffectitandrecognizingwhenandwheretoseekprofessionalmedicalhelp.

Whileattentionaroundmentalhealthhasneverbeenhigher,the

surveyshowsthatevenmoreworkmustbedonetoeducatethe

populationaroundtheopportunitiestoimprovethewaytheythinkandfeel.

2026AXAMindHealthReport14

Alackofawarenessisstilltoblame.

“Stigmastillexists”

“Despitetheincreaseinawarenesscampaignstohighlightthe

importanceoflookingafterourmentalhealth;lackofself-awarenessandstigmastillexist.

There’sabeliefthatchallengestomentalhealthdon’twarrantmedicalattention(36%ofrespondents),eventhoughweknowthat46%are

languishingorstrugglingworldwide.lt’sastrikingdifferential.Many

peoplethinkthatahealthprofessionalwon’tbeabletotreattheir

struggles(suchasanxiety,sleepingproblems,moodswings,eating

disorders…).However,mindhealthisequallyasimportantasphysicalhealth,andtheearlieranindividualreachesoutforsupport,thebettertheoutcomes.Earlytreatmentcanavoidmorecomplexproblems,

constantmentalpressureandburnout.Acrosstheglobe,therehasbeenanoticeableriseinsickness-relatedabsenceintheworkplace,with

employeestakinglongerperiodsoftimeoffworkwithmentalhealthdisorders.”

DrImren

Sterno,

AXAHealth

medicaladvisor

Top5barrierstoseekinghelpfromhealthcareprofessionalsformindhealthsupport

Beliefthattheirconditiondoesnotwarrantmedicalattention

36%

Thecost

33%

Timeconstraints

20%

Fearofbeingstigmatizedorjudgednegatively

15%

Limitedaccesstohealthcareprofessionals

15%

“Awarenessdoesn’talwaysmeanunderstanding”

“Peopletalkmoreopenlyaboutmentalhealthtoday,andthat’sarealstepforward.Butawarenessdoesn’talwaysmeanunderstanding.Manystillstruggletorecognizewhattheytrulyneed,orhowtheirpersonal

situation–athome,atwork,andinsociety–shapestheirwellbeing.

That’swhyit’ssoimportanttohavehonestconversations,notjustwithprofessionalsbutalsowithcolleaguesandsupervisors,aboutstrengths,limitsandexpectations.Atthesametime,carehasbecomemore

diverseandaccessible,whichispositive–butalsoconfusing.It’snot

alwaysclearwhichsupportisrightorofgoodquality.Whatpeoplereallyneedisamorepersonal,step-by-stepapproachthathelpsthemfind

therightcareattherightmoment.”

Pr.Lode

Godderis,AXAHealth

medicaladvisor

2026AXAMindHealthReport15

AngèleMalâtre-

Lansac,

GeneralDelegateofAlliancepourlaSantéMentale

“Fosteringawareness:Acollectiveresponsibility”

Althoughsocietyisincreasinglywillingtoengagewithmentalhealth,thereisstillalongwaytogo.Mentalhealthmustberecognizedasacollective

responsibility–onethatcallsforactionfromindividualsintheirdailylives,aswellasfromschools,businesses,communities,orpublicinstitutions.

AlliancepourlaSantéMentaleiscommittedtomobilizingalltheseactors

aroundasharedconviction:thateachofushasaroletoplayinchangingtheconversationandfosteringamoreinclusive,supportivesociety.

Wehavereasonstobeoptimistic.Weseecompaniesevolve,withanincreasingnumberofpreventionprogramsthatshowtangibleandlastingimpacts.

NumerouscompanieshavesignedupourMentalHealthatWorkCharter

toimproveworkplacementalhealth.WealsoseeinnovativeNGOssuchas

Clubhouse,whichsupportstheprofessionalintegrationofpeoplelivingwith

mentalhealthconditions,orNightline,apeer-to-peerhelplineforstudentsthathelpsbreakthecycleofisolation.

2026AXAMindHealthReport16

Challenge#2:

TurningAIinto

aleverofprogress

2026AXAMindHealthReport17

TheexpandinguseofAlformanagingmentalhealth

issues.

63%

reportalreadyusingAIformentalhealthmatters(21%regularuse)

ThefactthatmorepeopleareturningtoAItodealwithmentalhealthchallengesprovesthatthere’sarealneedtofindadviceandincreaseknowledge.AIlowersthefourmainbarrierstodiagnosis:itisfree,

available24/7,immediateandalsoimpersonal,removinganyfearofshame.

However,AIcanbeunhelpfulandevendamaging.Indeed,1out

of3respondentssaytheytrustAIplatformsabovementalhealthprofessionals,while28%admitthatusingAIhadledthemtowardsharmfulbehavior.

/2026AXAMindHealthReport18

Thedouble-edgedswordofAI.

55%

reportbeingsatisfied

vs.

45%

reportbeingdissatisfiedwiththeadviceprovidedbyAI

platformsformentalhealth

ListofperceivedrisksinAImentalhealthsupport

IalmostalwaysapplytheadvicegivenbyAIconcerningmymentalhealth

IprioritizeAItoolsformentalhealthratherthanconfidinginmypeersfacetoface

ItrustAIplatformsmorethanmentalhealthprofessionalsfordeliveringmentalhealthadvice

42%

41%38%

/2026AXAMindHealthReport19

#1AIoffersgame-changingopportunitiesformindhealth.

judgment,costorlackoftime.Inaninstant,withChatGPT,yougetconfidential,immediatesupport.Thedatashowsthatthesetechnologiesserveasanacceleratortoseekhelp.

First,itbreaksdownbarrierstoaccess,whetherit’sfearof

2iiing

evidence-basedtreatmentswhensupervisedby

clinicians.Mostpractitionersreporttheirpatients’

positivefeedback,noting

thatAIcanenhancetherapyoutcomesandextendcare.OurdatarevealsthatthoseseekingprofessionalhelpformindhealtharealsotheonesmostengagedwithAIformindhealthdiscussions.

《3reasonsto

believeinthe

positiveroleofAlinthecarepathway”

praIaliitoiirgifr-iess

andempowerment,AIhelpstocatchissuesbeforetheygetworse.Thisisgoodnews,especiallyforcaringemployerswhowantto

keeptheirworkforcehealthy,engagedandperforming!

ClarissePamiès,GlobalHeadofHealthPreventionatAXA

/2026AXAMindHealthReport20

Challenge#3:

Empowering

companiestoplayacrucialrole

/2026AXAMindHealthReport

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