Building Minds, Not Just Structures: Prioritising Mental Health & Counselling in Construction
- Patrick Breheny
- Jun 25
- 3 min read

Following a mental health and wellbeing talk I had the privilege of delivering for Pioneer Civil Engineering earlier this year, I've been delving even deeper into a topic that hits very close to home for me: mental health in the construction industry. It's a subject I'm incredibly passionate about, not just as a mental health professional, but as someone who's walked the very sites we're talking about.
The Unseen Burden on Our Workforce: Construction Mental Health
For years, I worked in construction. I understand the unique pressures – the relentless deadlines, the long hours, the job insecurity that often comes with project-based work, and the ingrained "tough it out" culture. It’s an environment where resilience is celebrated, but vulnerability often goes unacknowledged. Now, having transitioned into the field of mental health, I see the profound impact these pressures have from a different, yet equally vital, perspective.
The statistics are truly heartbreaking. In the UK, construction workers are 3 to 4 times more likely to die by suicide than the national average for men. Think about that for a moment: on average, two of our colleagues take their own lives every single working day. This isn't just a number; these are people I've worked alongside, people just like us – your mates, your family members, your neighbours. They are struggling in silence.
Beyond the devastating suicide rates, there's a pervasive presence of stress, anxiety, and depression. Surveys repeatedly show that a vast majority of construction workers have experienced mental health challenges, with nearly all reporting high levels of stress and fatigue.
Why Are Our Builders Hurting? Understanding Mental Health Challenges in Construction
Several factors contribute to this crisis:
Culture of Stoicism: The traditional "man up" mentality discourages open communication about feelings. There’s a fear of being perceived as weak or incapable if you admit you’re struggling.
Demanding Work Environment: Long, irregular hours, high-pressure deadlines, and physically demanding tasks all contribute to burnout and emotional strain.
Job Insecurity: Many workers, particularly those self-employed or on short-term contracts, face constant financial worries and a lack of stability.
Isolation: Working away from home, living in temporary accommodation, and the often transient nature of site work can lead to loneliness and a disconnect from support networks.
Lack of Training & Support: While things are improving, there's still a significant need for more mental health training for managers and accessible support services like counselling on the ground.
My journey has shown me that while we're incredible at building physical structures – from towering skyscrapers to vital infrastructure – we haven't always been as good at building robust mental health support systems, including accessible counselling services, for the very people who construct them. This is a critical issue that we, as an industry, must confront head-on.
Building a Stronger Foundation: How We Can Help Through Counselling and Support
It's time to normalise conversations about mental well-being, to challenge outdated norms, and to foster environments where vulnerability is understood as strength, and support is readily available. Every single person on a site, in an office, or on a project deserves to feel safe and supported, mentally as well as physically.
Here’s what we can collectively work towards:
Breaking the Silence: Encourage open dialogue. Leaders and managers need to set the example, showing that it’s okay to talk and to seek help.
Providing Training and Resources: Equip everyone, especially those in leadership roles, with the skills to recognise signs of distress and direct people to appropriate support, including pathways to professional counselling.
Prioritising Work-Life Balance: Implement strategies to reduce excessive hours and workloads, promoting a healthier balance between work and personal life.
Creating Safe Spaces: Ensure there are channels and resources available for workers to access confidential support, whether through helplines, on-site mental health first aiders, or professional services like counselling.
Challenging Stigma: Actively dismantle the "tough guy" culture by celebrating empathy, understanding, and courage in seeking help, emphasising that utilising support like counselling is a sign of strength.
If you've also witnessed this struggle firsthand, or if you have insights on how we can better support our construction community and improve access to vital services like counselling, I encourage you to share your thoughts. Let’s use our platforms and our voices to amplify the message: it's okay not to be okay, and help, including professional counselling, is always available.
Together, we can build an industry that not only constructs the world around us but also champions the well-being of the incredible people who make it happen.
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