Work addiction (workaholism): symptoms, causes, consequences, and treatment

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Work addiction (workaholism): symptoms, causes, consequences, and treatment

Work addiction is an obsessive compulsion to work excessively and relentlessly, often at the expense of personal relationships and well-being. People who emphasize work over relaxation and recreation experience physical, mental, and emotional fatigue as a result of this disorder.

The symptoms and signs of work addiction include an inability to disconnect, putting in unnecessary hours, persistent urge to work, forgoing sleep in favor of work, guilt or anxiety when not working, fixation on professional achievement, physical symptoms of stress, paranoia about work performance, coping with depression or guilt through working, and working to avoid dealing with crises.

The causes of work addiction are perfectionism, cultural expectations, fear of failure, parental work addiction, as well as impulsiveness and compulsiveness.

The consequences of work addiction include chronic fatigue, burnout, stress, strained relationships, mental health issues, impaired judgment, and poor health.

Treatment options for work addiction include cognitive behavioral therapy (CBT), motivational interviewing (MI), 12-step programs, rational emotive behavioral therapy (REBT), time management training, and lifestyle changes.

What is work addiction (workaholism)?

Work addiction, or workaholism, refers to a condition where individuals feel an uncontrollable urge to work excessively, often beyond what is required or healthy. Personal relationships, self-care, and a multitude of life responsibilities are neglected as a consequence of an excessive preoccupation with work tasks.

Unlike those who work long hours out of necessity or ambition, workaholics are driven by a deep, often compulsive need to achieve or stay busy, sometimes as a way to avoid emotional distress or gain approval.

Over time, this relentless focus on work leads to burnout, stress-related health problems, and social isolation, as workaholics find it difficult to disengage from their professional lives.

What is a workaholic?

A woman working on a laptop and having coffee.

A workaholic is a person who displays an irresistible or compulsive need to work, at the expense of their personal life and well-being. This fervent commitment is not solely a result of extended hours or substantial workloads; it is rooted in a compulsive desire to remain perpetually engaged in tasks.

A variety of factors, such as an obsession with perfection or an attempt to avoid dealing with sensitive personal issues, possibly drive this behavior. Despite the potential harm, workaholics struggle to recognize or address their behavior, as they often equate their self-worth with professional achievements.

When does work become an addiction?

Work becomes an addiction when the need to work shifts from being a professional responsibility to an uncontrollable compulsion that interferes with other aspects of life. This shift happens when someone puts work above all else to the point where it interferes with their capacity to maintain healthy personal and mental connections, as well as their leisure time.

Unlike healthy dedication to a career, where individuals maintain balance, work addiction manifests in an inability to step away from tasks or feel satisfied with accomplishments. Environmental factors of addiction contribute to this, as workplace culture, societal pressures, or even family expectations tend to fuel the compulsive need to overwork. This persistent focus on work signals a shift from productivity to a harmful dependency.

How common is work addiction?

The prevalence of workaholism varies across studies, with estimates ranging from 10% in the overall population of the United States to greater rates in certain industries including agriculture, management, and communication, according to a 2014 article by Cecilie Schou Andreassen titled, “Workaholism: An overview and current status of the research.”

The study did note, however, that our present understanding of the number and variety of individuals impacted by workaholism is limited. There are three main reasons for this: there is no agreement on the definition of workaholism; there is no agreement on the measurement of workaholism and the location of the cutscore between normal and pathological work behavior; and there are almost no surveys in the field that have employed representative samples.

What are the symptoms and signs of work addiction?

A man working on laptop and talking on phone.

Symptoms and signs of work addiction refer to the observable behaviors and physical or emotional indicators that suggest a person is compulsively overworking. The symptoms and signs of work addiction are listed below.

  • Inability to disconnect: Individuals with work addiction find it challenging to stop working, even during designated breaks or time off. They continuously check emails or perform work tasks outside of regular hours. This inability to set boundaries erodes work-life balance and personal well-being.
  • Putting in unnecessary hours: Workaholics often feel compelled to stay at the office or work on tasks during their personal time. This excessive commitment stems from a deep-seated need to appear productive or to fulfill an internal compulsion.
  • Persistent urge to work: A workaholic feels an ongoing, compulsive need to stay busy with work tasks. This urge overrides other interests and responsibilities, making it difficult to enjoy leisure or relax, resulting in physical and emotional exhaustion.
  • Forgoing sleep in favor of work: Affected people sacrifice sleep to continue working, believing that additional hours are essential for success. They stay up late or wake up early to complete tasks, ignoring the need for adequate rest. The association between work addiction risk and stress at work, as well as the association between work addiction risk and well-being, was found to be mediated by sleep quality, as per a 2024 study by Charkhabi et al., titled, “Work addiction risk, stress and well-being at work: testing the mediating role of sleep quality.” Inadequate sleep amplified the adverse impacts of work addiction risk on both stress levels and overall well-being.
  • Guilt or anxiety when not working: When not engaged in work, individuals with work addiction experience significant guilt or anxiety. They feel unproductive or undeserving of rest, leading to stress about not working. In a 2021 research by Figueiredo-Ferraz et al., titled, “The Mediator Role of Feelings of Guilt in the Process of Burnout and Psychosomatic Disorders: A Cross-Cultural Study,” which included both Spanish and Portuguese instructors, the more indifferent the teachers felt as a result of burnout, the more guilt they experienced. This guilt subsequently resulted in additional physical health issues, such as stomach issues or headaches.
  • Fixation on professional achievement: Work addicts are intensely focused on achieving success and recognition in their professional life. Their self-esteem and identity are closely tied to work accomplishments, leading to an obsessive drive for career advancement. However, a 2022 article by Gomes et al., titled, “Modeling the influence of workaholism on career success: a PLS–SEM approach” did not uncover any substantial correlation between drive (the internal compulsion to work) and either subjective or objective career success. This implies that an individual’s motivation to work does not necessarily correspond to their sense of accomplishment in their professional life.​
  • Physical symptoms of stress: Chronic overworking can manifest in physical symptoms such as fatigue, headaches, or sleep disturbances. These symptoms are indicative of stress and burnout caused by excessive work. The body’s constant state of strain leads to long-term health issues if not addressed.
  • Paranoia about work performance: Individuals with work addiction exhibit excessive worry about their work performance and fear of failure. Their primary focus is frequently on perceived deficiencies or possible errors, resulting in continuous self-assessment. This paranoia compels them to do more effort in order to prevent unfavorable consequences, therefore exacerbating stress and anxiety. This conduct impedes their capacity to unwind and derive pleasure from their leisure time outside of work.
  • Coping with depression or guilt through working: For certain people, working excessively becomes a strategy to manage feelings of guilt or depression. They use work as a distraction from negative emotions or to gain a sense of accomplishment and control. In a 2020 study by Misiolek-Marín et al., titled, “Influence of Burnout and Feelings of Guilt on Depression and Health in Anesthesiologists” revealed that higher guilt levels among anesthesiologists were associated with noticeably greater depressive symptoms, indicating that guilt operates as a mediating element to amplify the negative consequences of burnout on mental health.
  • Working to avoid dealing with crises: Workaholics immerse themselves in their job to escape dealing with significant life crises such as death, divorce, or financial problems. Through focusing on work, they divert their attention from the emotional impact and practical challenges of these crises. This avoidance prevents them from addressing their issues effectively and delays necessary coping and recovery processes.

What are the causes of work addiction?

A man wearing suit with laptop open.

Causes of work addiction refer to the underlying factors that contribute to an individual’s compulsive need to work excessively. The causes of work addiction are listed below.

  • Perfectionism: Individuals with perfectionist tendencies often push themselves to meet unrealistic standards at work. They feel compelled to complete tasks flawlessly, which leads to excessive hours and overcommitment. A 2023 paper from the International Journal of Environmental Research and Public Health titled, “The Role of an Individual and a Situation in Explaining Work Addiction: Disclosing Complex Relations” revealed a strong correlation between perfectionism and work addiction. People who possess elevated levels of this characteristic are at a higher risk of exhibiting work addiction, particularly in demanding organizational settings.
  • Cultural expectations: Societal norms that equate success with hard work tend to pressure individuals to overwork. In cultures where long hours and constant productivity are celebrated, people feel obligated to prioritize their career above all else. Work addiction is often associated with cultures that place a high value on work and careers, and even treat people based on how successful they are financially or professionally, as per a 2018 commentary by Lior et al., titled, “Work addiction: An organizational behavior as well as an addictive behavior?” The way that people regard themselves at work is significantly influenced by national culture, which frequently celebrates professional stress and hard labor as virtues.
  • Fear of failure: A strong fear of failure motivates some individuals to work compulsively in order to avoid negative outcomes. They overextend themselves, believing that anything less than constant effort is going to result in professional setbacks. This fear keeps them working even when rest or balance is necessary. Over time, the fear of failure becomes a dominant force, trapping them in a cycle of overworking.
  • Parental work addiction: Growing up with parents who are workaholics instills similar behaviors in their children. These individuals are likely to internalize the belief that constant work is the key to success, or that their worth is tied to how much they achieve professionally. In a 2023 paper by Modesta Morkevičiūtė and Auksė Endriulaitienė titled, “The Role of an Individual and a Situation in Explaining Work Addiction: Disclosing Complex Relations,” employees who had parents who exhibited higher levels of work addiction exhibited stronger indirect relationships between perfectionism and work addiction through extrinsic motivation. The work addiction tendencies of their children appear to be reinforced by the fact that their parents are work-addicted, as this influences their motivation towards work.
  • Impulsiveness and compulsiveness: Impulsive and compulsive tendencies drive individuals toward work addiction by pushing them to act without careful thought or to engage in work tasks obsessively. In a 2023 article from Scientific Reports titled, “The neuropsychological profile of work addiction,” participants in the high-risk work addiction (HWA) group exhibited greater levels of impulsivity and compulsiveness in comparison to those in the low-risk group (LWA). These findings indicate that persons suffering from work addiction are more susceptible to impulsive and compulsive behaviors, which are linked to their addictive work habits.

What are the consequences of work addiction?

A burnout woman with hand on head.

Consequences of work addiction refer to the negative outcomes that result from compulsive overworking. The consequences of work addiction are listed below.

  • Chronic fatigue: Work addiction often leads to physical exhaustion as individuals push themselves beyond their limits. Constant overworking, combined with inadequate rest, depletes energy levels over time. A 2020 study by Yang et al., titled, “The mediation role of work-life balance stress and chronic fatigue in the relationship between workaholism and depression among Chinese male workers in Hong Kong” found that workaholism exhibited a strong connection with chronic fatigue, while fatigue showed a positive link with depression.
  • Burnout: Burnout syndrome is a state of emotional, physical, and mental exhaustion caused by prolonged overworking. Workaholics often push themselves to the point where they feel drained and unable to meet ongoing demands. There are several processes via which work addiction is linked to burnout; these mechanisms mostly include stress management and emotional states, as per a 2023 study by Bereznowski et al., titled, “Work addiction, work engagement, job burnout, and perceived stress: A network analysis.”
  • Stress: One of the most immediate and pervasive consequences of work addiction is constant, high levels of stress. As individuals push themselves to meet unrealistic work demands, their bodies remain in a state of heightened tension. A 2024 article from Frontiers in Public Health titled, “Work addiction risk, stress and well-being at work: testing the mediating role of sleep quality” found that stress at work and stress at home were positively correlated with the probability of work addiction. Stress levels were higher at work and at home among workers who were more likely to develop a work addiction.
  • Strained relationships: The compulsive need to work often results in the neglect of personal relationships with family, friends, and romantic partners. Workaholics miss important events, fail to engage emotionally, or prioritize work over spending time with loved ones. This ongoing neglect creates distance and resentment in relationships, leading to conflict or disconnection.
  • Mental health issues: Work addiction is closely linked to mental health problems such as anxiety and depression. The constant pressure to perform, combined with the lack of downtime, heightens feelings of stress and emotional strain. Over time, these mental health issues worsen, creating a cycle of work addiction as they turn to work as a coping mechanism.
  • Impaired judgment: Excessive work clouds an individual’s ability to make clear, well-informed decisions. Overworking leads to mental fatigue, which diminishes concentration and critical thinking skills. As a result, workaholics make errors in judgment, overlook important details, or take unnecessary risks.
  • Poor health: Work addiction often leads to a decline in physical health, as individuals neglect self-care in favor of work. They may experience issues such as high blood pressure, headaches, or weakened immunity due to chronic stress and overwork. A lack of sleep, unhealthy eating habits, and insufficient exercise further deteriorate their well-being.

What are the impacts of work addiction on family life?

Work addiction substantially interferes with family life, causing emotional detachment and deteriorating bonds. As workaholics devote excessive time to their jobs, they often neglect family responsibilities and spend less quality time with loved ones.

The absence of active involvement results in emotions of isolation, frustration, and hostility among members of the family. Due to the emotional distance, it becomes more difficult to communicate, which in turn makes it harder to handle family matters or settle disputes.

Children and spouses often feel abandoned or undervalued, causing strain within the household. A lack of intimacy and trust caused by an imbalance between home and work life tends to weaken or even break relationships over time.

What are the impacts of work addiction on mental health?

Work addiction takes a heavy toll on mental health, leading to conditions like overwhelming stress, persistent worry, and emotional depletion. Stress levels are increased by the ongoing pressure to meet job obligations and the incapacity to step away from tasks.

A 2022 study by Fekih-Romdhane et al., titled, “Work Addiction and Depression, Anxiety, and Stress: the Mediating Role of Food Addiction Among Lebanese Young Adult Workers” indicated that work addiction (WA) was significantly correlated with elevated levels of stress, anxiety, and depression. Mental health outcomes were substantially worse for workers who were addicted to work, with WA serving as a predictor of psychological distress.​

Overwhelming mental exhaustion from work deteriorates cognitive function, making it challenging to concentrate and make decisions. The cumulative impacts of work addiction ultimately result in mental illness, which damages emotional well-being and makes it more challenging for a person to go about their everyday activities.

What are the work addiction treatment options?

A burnout man sitting in office at night with hands on head.

Work addiction treatment options refer to the interventions designed to help individuals manage and overcome their compulsive need to work excessively. The most widely used work addiction treatment options are listed below.

  • Cognitive behavioral therapy (CBT): CBT is a therapeutic approach that helps individuals identify and change negative thought patterns that contribute to work addiction. One of the most researched and proven therapies for behavioral addictions, such as workaholism, is CBT, according to a 2014 review article by Cecilie Schou Andreassen titled, “Workaholism: An overview and current status of the research.” The emphasis is on cognitive restructuring, which involves assisting individuals in the modification of irrational beliefs, such as “I must complete the work myself because no one else can do it correctly.” This is accomplished by confronting these thoughts and substituting them with more rational reasoning.
  • Motivational interviewing (MI): Motivational interviewing assists people in identifying their objectives and overcoming hesitation about changing their work habits, as per a 2013 study by Steven Sussman titled, “Workaholism: A Review.” It is particularly beneficial for individuals who struggle to recognize the adverse effects of their work practices. MI entails offering feedback on the individual’s work habits and assisting them in identifying the motivation necessary to undergo change.
  • 12-step programs: Based on the principles of mutual support and accountability, 12-step programs like Workaholics Anonymous (W.A.) offer a structured approach to overcoming work addiction. Regular meetings provide a community where members share experiences, offer support, and work toward personal recovery. In order to help people stay on track in their quest to overcome work addiction, this peer-driven addiction treatment cultivates a sense of accountability and connection.
  • Rational emotive behavioral therapy (REBT): REBT, a type of CBT, assists people in recognizing and disputing illogical beliefs, such as the need to work because of perfectionist inclinations, according to a 2013 paper from the Journal of Behavioral Addictions titled, “Workaholism: An overview and current status of the research.” The ABC theory is one of the strategies employed, which states that A (triggers) or activating events, B) (beliefs) lead to C) (emotional or behavioral consequences). Workaholics are additionally guided through challenging work-related situations using rational emotive imagery and role-playing, which aids in the development of healthy emotional responses.
  • Time management training: Effective time management skills allow individuals to work more efficiently without feeling the need to overwork. Training programs teach prioritization, task delegation, and scheduling techniques that enhance productivity. Through optimizing how they use their time, individuals are able to accomplish more within set work hours.
  • Lifestyle changes: Making lifestyle adjustments is crucial for achieving long-term recovery from work addiction. Doing things like exercising regularly, eating well, and getting enough sleep are all part of this. Positive effects on one’s physical and mental health are the outcome of these adjustments, which in turn promote happiness beyond the achievements made at work. More successful outcomes in recovery are possible when people strike a healthy balance between their professional and personal lives.

How to break work addiction?

To break work addiction, the first step is to acknowledge the issue and to recognize its influence on one’s mental, physical, and emotional well-being. Limit your work hours and avoid working on job-related duties during non-work hours to make clear limits between your work and personal life.

Incorporate stress management techniques like mindfulness, meditation, or exercise to deal with work pressures in a healthier way. Getting expert assistance, like therapy or counseling, helps you deal with the root causes of your addiction. Making time for social events, family time, and hobbies additionally helps reestablish balance and keeps work from taking over your life.

Is there a work addiction test?

A woman working at home

Yes, there are work addiction tests designed to help individuals assess whether they exhibit signs of work addiction. In fact, a 2023 article by Andersen et al., titled, “The prevalence of workaholism: a systematic review and meta-analysis” stated that since the 1980s, researchers and clinicians have developed several screening measures for workaholism, including the widely used assessments like the Work Addiction Risk Test (WART), Workaholism Battery (WorkBAT), Dutch Work Addiction Scale (DUWAS), and Bergen Work Addiction Scale (BWAS).

The review further explained that the WART and WorkBAT measures examine several behavioral and psychological characteristics linked to workaholism, but have been subject to criticism over their factor structures and applicability.

While DUWAS effectively captures the cognitive and behavioral dimensions of workaholism, it lacks robust theoretical foundation in addiction models. The BWAS is based on addiction theory and is considered a more clinically sound and dependable assessment tool.

How is work addiction diagnosed?

Work addiction is diagnosed primarily through self-report questionnaires and behavioral assessments that focus on specific characteristics such as compulsive work behavior, an uncontrollable drive to work, and the prioritization of work over personal and social activities.

The process of diagnosing frequently involves spotting psychological patterns and behaviors that align with addiction models, such as obsessive behaviors, poor control, withdrawal symptoms, and adverse consequences.

The Bergen Work Addiction Scale (BWAS) is a diagnostic instrument that is extensively validated and is based on the addiction model. The tool is a robust diagnostic aid for work addiction, as it evaluates seven components of addiction (e.g., mood modification, salience, tolerance, withdrawal, relapse, conflict, and problems).

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