“There’s a lot of pressure on young professionals to prove themselves”
OT heard from Charlotte Maxwell-Davies, head of workplace mental health and training at Mental Health UK, about patterns of stress in younger workers and tips for finding balance
24 April 2025
The heavy weight of coursework and exams, a challenging day in practice, the creeping feeling of dread before the new week...
Stress isn't always a negative thing – provoking us to revise before an upcoming exam, meet deadlines, and keeping us safe in the face of real danger.
The Stress Management Society explains that the problem comes when stress appears in “inappropriate situations,” highlighting that if we are kept in a state of stress for long periods, it can be detrimental to health.
In some cases of long-term stress, a state of physical, mental, and emotional exhaustion can occur, known as burnout.
A report by Mental Health UK into the stress levels of the UK made for “worrying reading of the nation’s continuing risk of burnout,” according to Brian Dow, chief executive of the organisation.
A survey of 4418 UK adults conducted by YouGov formed the basis of Mental Health UK’s second annual report into burnout and found that 91% of respondents reported experiencing high pressure or stress at some point in the past year.
The findings suggested that it is young people who are most at risk of high stress in the workplace currently, with a 4% rise in the likelihood of younger generations (those aged 18-24, 25-34, and 35-44) reporting that they had needed to take time off due to poor mental health.
The number of workers aged 18-24 who felt comfortable opening up to a manager about pressure and stress also dropped “sharply” from 75% to 56%, the report found.
OT asked Charlotte Maxwell-Davies, head of workplace mental health and training at Mental Health UK, to unpack the patterns of stress seen in younger workers and what can be done to improve wellbeing at work.
Unmanaged stress
“Stress is too often seen as just ‘part of the job,’” especially in high-pressure environments like healthcare,” Maxwell-Davies said.
Occasional stress can be motivating, but persistent stress can take a toll on wellbeing and performance.
Maxwell-Davies said: “In roles like optometry, where professionals have to make critical decisions and are responsible for the care of others, unmanaged stress can affect both staff and patients.”
AOP Peer Support Line
The AOP’s listening service, the Peer Support Line, received its highest ever number of calls in 2024 with 516 calls, up 11% on the previous year. Common issues shared by callers including stress, employment, professional conduct, or disciplinary issues, OSCEs, and mental health.
The confidential helpline is available for optical professionals and students at any stage of their career to discuss their problems with a trained and empathetic peer.
In 2024, the AOP introduced a pre-registration support service, through which callers can be referred to a pre-reg specialist for a call back at a later date to check-in.
More information on the Peer Support Line can be found on the AOP website. The helpline can be reached by calling 0800 870 8401.
Navigating change
The General Optical Council’s Registrant Workforce and Perceptions Survey 2024 asked optometrists who had joined the register in the past two years to specify the biggest challenge they faced at work since becoming newly qualified. Most responses referred to the challenges of workload and time management.
While the majority of all respondents to the GOC survey reported never taking a leave of absence due to stress (77%), analysis by registration type highlighted that a larger proportion of student optometrists indicated that they had taken a leave of absence due to stress in the past 12 months (18%) when compared with all other registration types.
The pattern is echoed in the findings of the Burnout Report 2025, in which young people were more likely to report stress due to issues such as high workloads and working overtime beyond contracted hours. It was also found that 18-24-year-olds were most likely to be absent due to poor mental health caused by stress.
Looking at the patterns, Maxwell-Davies suggested: “Part of it may be a generational shift, with young people feeling more comfortable taking time off for mental health reasons.”
“But it’s also worth noting that the transition from education to full-time work, especially in high-responsibility sectors like healthcare, is a huge adjustment. Often, there’s little structured support to help navigate that change,” she continued.
Mental Health UK found that 18-24-year-olds were the most likely group to say that reasonable adjustments, staff training on mental health, stress prevention plans and access to professional mental health support helped to relieve their stress.
“Looking after your wellbeing isn’t a luxury – it’s what helps you succeed”
Bonnie Lam, final-year student at the University of Manchester and AOP Councillor representing undergraduate student optometrists, shared an encouragement for other students and pre-regs:
“Being a student or pre-reg optometrist can be tough–juggling clinic hours, coursework, exams, and finding a placement can all add up. It’s completely normal to feel overwhelmed at times. Having a few go-to strategies helps: taking regular breaks (even short walks help), talking things through with coursemates or supervisors, and setting small, achievable goals to avoid burnout. Don’t be afraid to reach out for support — whether through your university, the AOP’s Peer Support Line, or chatting with someone who gets it. Looking after your wellbeing isn’t a luxury–it’s what helps you succeed.”
Tackling the taboo of stress
The Burnout Report found that the number of younger workers who feel comfortable opening up to a line manager about stress dropped from 75% to 56% this year.
Asked about potential reasons behind this decrease, Maxwell-Davies said: “Unfortunately, stress is still a taboo subject in many workplaces. Younger professionals, especially those aged 18-24, can feel particularly nervous about speaking up, worried about being judged or seen as unable to cope. In traditional or hierarchical settings like healthcare, this fear can be even more pronounced.”
“We need to create environments where people feel safe talking about their challenges. Staying silent won’t make stress disappear; acknowledging it is the first step to taking action,” she said.
Staying silent won’t make stress disappear; acknowledging it is the first step to taking action
“There's a lot to juggle”
Over the past year, Habeeb Rahman, AOP Councillor representing pre-registration optometrists, has shared his experiences of pre-reg with OT.
Sharing advice for managing stress during this period, he said: “As a pre-reg, there’s a lot to juggle. Full-time work, continuous assessments, and still finding time to study can get overwhelming at times. What’s helped me stay grounded is having a good network of friends to talk to and share experiences with.”
“I also make time for things I enjoy outside of work. I play in my local table tennis league and compete in weekly league matches. Having that break helps me unwind and maintain a healthy balance. My advice is to find a hobby you genuinely enjoy.”
The problem with being ‘always-on’
Finding a work-life balance could be a challenge for younger generations, the Burnout Report indicated, with only one-third of respondents aged 18-24 agreeing with the statement that they could switch off from work when they needed to, compared with 46% of those over 55.
Maxwell-Davies said: “One explanation is our ‘always-on’ culture, which has steadily become normalised over the years, accelerated by changing work patterns during the pandemic. The boundaries between work and personal life have blurred, especially with smartphones and constant digital communication. Work can now follow us home, into the evenings, and even into the weekends.”
“There’s also a lot of pressure on young professionals to prove themselves. Even when the workday ends, it’s hard to switch off mentally. You might find yourself overthinking whether you performed well enough that day or stressing about tomorrow’s tasks,” she added.
Charlotte's tips for switching off from work
- It’s important to remember that switching off doesn’t mean you’re not committed. In fact, it’s essential to doing your job well over the long-term
- One helpful habit is to create a wind-down routine at the end of your workday Maybe that’s going for a short walk, listening to a podcast, or catching up with a friend. Give your brain a clear signal that work is done for now. Try to avoid going straight from your last patient into emails or revision
- It’s okay to set boundaries. For non-urgent tasks, saying ‘I’ll get to that tomorrow’ isn’t a sign of slacking. Resting helps you return to work with more focus and energy.
Creating a supportive work environment for all
The Burnout Report noted that the generational divide in experiences of stress has widened, with younger workers disproportionately affected.
In his comments on the Burnout Report, Dow said: “As the gap between generations widens, there’s a need to rebuild bridges and open up conversations on changing attitudes and expectations around work.”
Maxwell-Davies told OT that “younger workers often have a different relationship with work than older generations,” with many seeking balance, purpose, and wellbeing, meanwhile, she suggested: “Older generations might be more used to keeping quiet about stress, or ‘just getting on with it,’ so there can be a bit of a disconnect.”
“But when you open up conversations and listen to diverse perspectives, you start to build those bridges,” she said.
“It’s not about one group having it right or wrong,” Maxwell-Davies emphasised, adding: “It’s about recognising that we all experience work differently, and creating a space where everyone feels respected and supported, whatever stage of life or career they’re in.”
Wellbeing at work
From heavy workloads to discrimination, OT explores the factors that are affecting mental health among UK optometrists
Employers: Start small
When employers take the time to listen and show understanding, it helps to build trust.
Businesses don’t need a big HR team to make an impact in staff wellbeing, with Maxwell-Davies suggesting: “One of the most powerful things leaders can do is simply make time to check in, and not just about tasks and targets, but also how people feel about the work they do and whether workloads are manageable.”
“Being honest about your own challenges can go a long way, giving staff the permission to open up about the challenges they are facing,” she added.
Modelling positive behaviour such as regularly taking annual leave and practising a good work-life balance can encourage staff to do the same.
Maxwell-Davies outlined: “Creating a culture of trust and openness starts with the small stuff. Regular conversations, active listening, and letting your team know their wellbeing matters as much as their output.”
Charlotte's recommendations for pre-reg optometrists on balancing studying, work, and rest
- Try breaking things down into manageable chunks so it doesn’t all feel overwhelming. Prioritise what needs to be done, and don’t be afraid to ask for help or lean on others, whether that’s a supervisor, a mentor, or fellow trainees
- You can use tools like the Mental Health UK Stress Bucket to identify what’s driving stress and positive strategies for managing it
- Make sure you’re giving yourself proper breaks. Even 10 minutes of fresh air or a chat with a friend can make a big difference to how you’re coping
It’s important to be kind to yourself
- Focus on the basics. Do your best to prioritise getting good sleep, eating well, exercising often, and relieving stress through techniques such as mindfulness
- It might sound like a cliché but it’s important to be kind to yourself. This is a demanding time and it’s okay if it feels tough. Don’t forget to set aside time to do the things which bring you joy, whether that’s cooking, playing an instrument, spending time with family or in nature, or something else entirely.
- Explore more topics
- Health and wellbeing
- Students
- Pre-regs
- Employment advice
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Comments (3)
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Anonymous08 May 2025
Agree with a lot of what Hilary and Michael have said. Still, I strongly disagree that "independent practitioners can look forward to extinction." The multiples will likely be hit by a tsunami soon and will go the way of the dinosaurs.
On another point, it never ceases to amaze me. Why would anyone want to "buy a job" as a franchisee (sold as becoming a business owner)? Do people really believe that?
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hilaryandmichael01 May 2025
professional magazine articles invariably paint a sanitized version of workplace stress in optometry and rarely present a "blood and guts" portrayal of what really happens in their establishments. Corporate optics has developed a mass meat grinder version of what optical businesses were in previous years. Both O.O's and D.O.'s have to work under the cosh of ruthless sales managers and chief execs who themselves are out on their backsides if targets are missed and being continually ramped up.
Technology has made optometrists significantly more challenging, being expected to produce clinical eye data far in excess of what yesteryears practitioners were expected to do but for the businesses reputational gain over the competition without remuneration for extra time spent with an utterly insulting NHS fee which cannot be right.
Also judging by the number of contributions to optical journals by a certain corporate opticians, the independent practitioners as a whole can look forward to extinction sooner or later which in fact was the declared intention of a certain optical company at its inception. On a more positive note, there will hopefully always remain a hardcore of independent practitioners who will strive to give good optical care at a fair price to our public whilst not contributing to the tsunami of complaints that feature online on the quality of care and service meted out by some corporate glasses sellers ti their unfortunate punters - happy days!
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Anonymous24 April 2025
I’m in my fifties, you are expected to just “take it on the chin!” Old school oos do, don’t you. Just leave.
When you ask for help, you are ignored, just seen as “capabilities “ not efficient, a year later you are pressured to “resign.”
Young colleagues , loyalty does not pay, look after yourself, no one else will. We always put patients/employers first.
Conversion/sales most important, GOC ignore, as long as they get an ever increasing registration fee.
Don’t forget, AOP offers employment advice as well as legal and professional indemnity.
Your health is more important than your profession. If health suffering, don’t wait, leave!
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