The Silent Strain: How Debt Takes A Toll On Mental Health (2024)

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Debt is an inescapable part of life for many Americans, affecting not only our financial stability but also our mental health and relationships. Debt stress is real and pervasive, leaving many feeling like they’re drowning in debt and depression.

With a staggering 77% of American households dealing with some form of debt and the cost of living continuing to rise, the pressure of managing debt can negatively impact the well-being of Americans.

A new survey by Forbes Advisor uncovered the impact debt has on Americans’ mental health and how debt affects our relationships, spending habits and outlook on future financial prospects.

Key Takeaways

  • 54% of U.S. adults with debt say they always or often feel stressed because of their debt.
  • 60% of respondents say financial stress has led to disagreements in their relationships.
  • 72% of respondents stated they were very or somewhat likely to accumulate more debt when experiencing stress.
  • A staggering 66% of respondents say they would be very or somewhat likely to consider bankruptcy as a means to address their debt situation.
  • 38% of respondents are optimistic about being debt-free within five years.
  • Due to debt-related stress, 48% reported sleep problems, 40% had higher anxiety, 38% led diminished social lives and 34% experienced depression.

How Americans Fall Into Debt

Many Americans find themselves tangled in debt, and there are common reasons why this happens.

  • 55% of respondents cited economic circ*mstances as the principal factor driving them into debt.
  • 48% of respondents attributed their debt to the pervasive influence of advertising and consumerism.
  • 42% identified difficulties in tracking and controlling their spending as a primary reason for their debt burden.

Where does most of this debt come from? Three-fourths (75%) of people point to credit cards as the main reason they’re in debt. Personal loans are not far behind, with 68% of respondents citing them as a big source of what they owe.

Mortgages cause a lot of financial stress too, with 66% saying mortgage payments contribute significantly to their debt. Over half of the respondents (55%) highlight medical bills as a major reason they owe money.

Together, these factors paint a picture of why so many Americans struggle with debt and how difficult it can be to escape.

How Debt Impacts Mental Health

Dealing with debt isn’t just a financial challenge; it also has significant effects on mental health. According to the survey, 54% of respondents share that they often or always feel stressed by their debt circ*mstances. Another 32% say they sometimes feel stressed because of their debt.


As a result of debt-related stress, 48% of the respondents reported experiencing sleep difficulties, 40% noted an increase in anxiety levels, 38% reported a diminished social life and 34% indicated they have depression.

These responses make it clear that debt doesn’t just affect our wallets—it has a serious impact on our mental well-being, making it even more important to find ways to cope and seek help when needed.

How Financial Stress Impacts Relationships

Debt doesn’t just stress out individuals—it puts a strain on relationships too. A significant 60% of people say that their financial stress has led to disagreements in their relationships.


Of those experiencing debt-related stress, a whopping 86% believe it's hurting their relationships, with 55% saying it’s resulted in a loss of trust between themselves and their loved ones.

The Cycle of Stress and Additional Debt

When people are stressed about money, it often leads to even more financial trouble. In fact, 72% of respondents say they’re somewhat or very likely to go further into debt when they're feeling stressed.


When we looked at how debt-related stress affected people's spending, here’s what we found:

  • 38% of people said they missed payments and incurred extra charges because their debt stressed them out.
  • 23% mentioned that stress made it hard for them to manage their money and pay off their debts as they planned.
  • More than half of the people (56%) felt guilty when buying things, and 53% felt overwhelmed when they needed to spend more money.


A significant 28% of those surveyed shared that carrying debt triggers impulsive spending. This means that, for some, the pressure and stress of owing money can sometimes lead to seeking temporary relief or comfort through buying. This, in turn, exacerbates the financial strain, creating a cycle in which learning how to deal with debt stress becomes even more challenging.

Respondents Are Eager To Break the Debt Cycle

Americans in debt are feeling the pinch, but they’re not giving up. When asked about their intentions to boost income or generate cash to pay off debt, 50% of respondents plan to get a second job, 49% plan to sell property and 45% plan on using an inheritance to become debt-free.

As for big life changes, almost half (48%) of respondents are open to moving to a place with a lower cost of living, even if that means another state or country. But, 35% say moving isn’t something they'd consider.

Bankruptcy is a drastic measure, but given the debt and mental health statistics indicating widespread distress, it's a consideration for many. A staggering 66% of respondents reported they would be very or somewhat likely to consider bankruptcy to deal with the debt. Meanwhile, 50% of respondents reported using or thinking about using debt consolidation as a debt relief solution.

These responses show just how far people are willing to go to escape the heavy burden of debt and the strategies they’re willing to use to get there.

Despite Debt’s Toll on Mental Health, Respondents Remain Hopeful for a Brighter Future

Even though debt anxiety is taking a toll on people’s well-being, many still have hope for a better future.

More than one-third (38%) of people express optimism about their financial future and believe they’ll be free from debt in the next five years. Almost 40% think they’ll at least owe less money in that time.

This shows that even when dealing with debt stress, people hold onto the hope of having more financial security. They believe things can change, and that’s a big step toward becoming debt-free.

Tips on Effectively Breaking Free From the Debt Cycle While Prioritizing Mental Well-being

Breaking free from debt is a journey, but it’s one you can navigate with the right tools. Here are some tips to help you find your way while keeping your mental health in check.

Prioritize Your Debt Wisely

Our survey revealed that most people prefer paying off their oldest debt first. While this seems logical, it doesn’t always make the most financial sense.

There are many different types of debt—and some are more damaging than others. Instead of focusing on the oldest or smallest balance, it can be more helpful to pay off the debt with the highest interest rate first. This is known as the debt avalanche method, and it can be especially helpful if you have credit card debt stress. With this method, you can save money on interest and pay off your debt faster.

Cut Back on Non-Essentials

Consider using a budgeting app to get a closer view of your spending. Are you buying items you don’t really need? Could you save money by dining out less or canceling subscriptions? Finding areas to pull back on your spending can free up money and help you pay down debt faster.

Before buying something, ask yourself if it’s a need or a want. This can be especially helpful if your debt anxiety leads to impulse purchases. Thinking through non-essential buys and potentially delaying them can help curb impulsive spending and keep your budget in check.

Practice Money Mindfulness

“Financial anxiety can be debilitating, and it often presents itself in physical ways like sleep disruptions, changes in eating habits or obsessively checking your bank accounts,” says Jacqueline Howard, head of money wellness at Ally Bank. While money can be stressful, Howard assures readers there are ways to overcome their financial anxiety.

“When your brain is stressed, it can be difficult for you to make rational, forward-looking decisions,” says Howard. “It’s important to first acknowledge the increased anxiety, then pause and allow your brain to calm down so that you can better problem-solve." Howard calls this practicing "money mindfulness," which involves stopping to observe your thoughts, actions and emotions when you spend money.

Howard also promotes conscious spending as a way to reduce financial anxiety. “This practice lets you spend without shame on things you absolutely love and cut back on things that are less important. For example, if you’re a foodie who wants to visit a Michelin-star restaurant once per quarter but you don’t care about driving a fancy car, budget for the foodie experience and cut back on how much you spend on a car.”

Build a Safety Net

Saving money while paying off debt might sound tough, but having an emergency fund is important. Start small. Even a little money set aside can stop you from going further into debt when unexpected expenses pop up.

Consider opening a separate high-yield savings account specifically for emergency savings. You’ll earn interest on your balance each month, and the money will be out of sight and out of mind. Once you build the habit of saving money, it’ll get easier to leave that money alone and let it grow.

Work With the Right Debt Settlement Companies

Another tip is to consider working with a debt settlement company. But be careful—while the best debt settlement companies can help you lower your debt, some can make things worse.

Do your research. Look for companies with good reviews, and ask lots of questions. Make sure you understand how they work and what they charge. Avoid companies that ask for money upfront or make promises that sound too good to be true.

Stay Positive and Seek Support

Break your financial goals into smaller, manageable tasks that feel more achievable. Celebrate small victories along the way to keep yourself motivated.

Remember, taking care of your mind is as important as taking care of your wallet as you pay off debt. Confronting anxiety about debt head-on and finding coping strategies is crucial. Educate yourself on the connection between debt and mental health. Find stress-relieving activities that work for you, whether that’s exercise, meditation or talking to a counselor.

Find The Best High-Yield Savings Accounts Of 2024

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Methodology

This online survey of 2,000 U.S. adults with debt was commissioned by Forbes and conducted by market research company OnePoll, in accordance with the Market Research Society’s code of conduct. Data was collected from Sept. 15 to Sept. 18, 2023. The margin of error is +/- 2.2 points with 95% confidence. This survey was overseen by the OnePoll research team, which is a member of the MRS and has a corporate membership with the American Association for Public Opinion Research (AAPOR).

The Silent Strain: How Debt Takes A Toll On Mental Health (2024)

FAQs

How does debt affect your mental health? ›

They don't tell the human side of struggling through a shortage of money. Fact is, debt stress syndrome is linked to a number of mental health issues, including a massive increase in denial, anger, depression, and anxiety. Among the negative effects of debt stress are low self-esteem and impaired cognitive functioning.

How does student debt affect mental health? ›

Higher student debt was correlated with higher stress. In short, “if you have more student debt and you feel like things are unstable, you have higher levels of stress and anxiety,” Lindgren explains.

How do finances impact mental health? ›

People with depression and problem debt are 4.2 times more likely to still have depression 18 months later than people without financial difficulty. People in problem debt are three times as likely to have thought about suicide in the past year.

How to mentally deal with debt? ›

Find out more here.
  1. 6 steps to dealing with debt stress.
  2. Spot the signs of debt stress. You cannot deal with a problem until you see it. ...
  3. Talk to someone you trust. ...
  4. Get in touch with us for debt advice. ...
  5. Let your creditors know you need support. ...
  6. Take the first step out of debt worry. ...
  7. Talk to people who know what it is like.

How much debt is unhealthy? ›

Generally speaking, a good debt-to-income ratio is anything less than or equal to 36%. Meanwhile, any ratio above 43% is considered too high. The biggest piece of your DTI ratio pie is bound to be your monthly mortgage payment.

Can debt cause trauma? ›

Substantial debt can lead to money anxiety about student loans, car payments, mortgages, business loans, and credit cards. Having a partner or spouse with significant money stressors can also trigger financial trauma, as individuals may feel responsible for helping fix the situation.

Why is student debt harmful? ›

Key Takeaways. Carrying student debt can affect your ability to buy a home if your debt-to-income ratio is too high. If you have too much student loan debt, you won't be able to save as much for retirement. Student loan debt can lower your credit score, especially if you fail to make on-time payments.

Who suffers the most from student debt? ›

Although most college students take out student loans, women and people of color are more likely to have student loan debt—and higher balances—than their white male counterparts.

How much student debt is healthy? ›

Regardless, one rule of thumb for student debt is that you should try not to borrow more than the first year salary you can expect in your chosen field. This means that if you expect to earn $38,000 in the first year of your career, you should try to borrow $38,000 or less for your degree.

How to stop being broke? ›

How can I stop being broke?
  1. Stop spending more than you make.
  2. Budget your monthly earnings to have money left over.
  3. Increase your earnings through higher pay or working more hours.
  4. Start acquiring assets.
  5. Stop acquiring more debt.
  6. Save up an emergency fund.
Dec 21, 2022

How does income affect mental health? ›

Low income is demonstrably correlated with poor mental health, but it is less clear whether changing someone's income will improve their mental health. Those with poor mental health are more likely to experience subsequent income losses, indicating potential for reverse causation or health selection.

What is the financial burden of mental illness? ›

Mental illness costs the U.S. economy $282 billion annually, which is equivalent to the average economic recession, according to a new study co-authored by Yale economist Aleh Tsyvinski.

How debt is affecting my mental health? ›

Debt can make you feel anxious, especially if you don't have support from friends or family or from your creditors. Debt can be a considerable burden, made worse by dealing with it alone. Worrying about debt can affect your sleep.

Can debt be forgiven due to mental illness? ›

As of May 2023, around 492,000 borrowers have gotten loan forgiveness through TPD discharge. And there are multiple ways to qualify! To get TPD discharge, you must show that you have a disability that severely limits your ability to work, now and in the future. This can be a physical or a mental disability.

How to help someone who is struggling financially? ›

15 Tips for Helping Someone Struggling Financially
  1. Give money free and clear. ...
  2. Teach your friend to budget. ...
  3. Share smart finance apps. ...
  4. Help set healthy “helping” boundaries. ...
  5. Provide information about financial support groups. ...
  6. Find free workshops. ...
  7. Suggest a consolidated debt management plan.
Oct 18, 2023

What are the mental benefits of being debt free? ›

According to experts, paying off debt comes with the following perks.
  • Less stress, improved health. ...
  • Emotional relief. ...
  • Freedom to pursue other life goals. ...
  • Increased self-confidence. ...
  • The strength to avoid slipping back into debt. ...
  • Improved relationships. ...
  • An altered link between spending and happiness.
Oct 30, 2023

How does debt control your life? ›

A low credit score can affect things like your future employment, ability to buy a home or rent an apartment and even your car insurance premiums. She also added that out-of-control debt can cause physical symptoms of distress, such as insomnia, headaches and fatigue.

How does bad debt affect you? ›

Creditors often report charged-off accounts to the credit bureaus. A charge-off as bad debt reflects poorly on your past payment history. Considering that 35 percent of your FICO score is based on payment history, you can expect your credit score to be adversely affected.

What are the physical effects of debt? ›

Understanding the Impact of Debt on Your Health

The constant pressure of paying off debts can disrupt your sleep, causing insomnia and fatigue. Depression: Debt can lead to feelings of hopelessness and depression. The fear of never being able to escape the burden can be emotionally crippling.

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