Does your employer have to pay you for stress leave?

Asked by: Angeline Rogahn DVM  |  Last update: February 11, 2026
Score: 4.5/5 (64 votes)

Your employer might have to pay you for stress leave if it qualifies as a serious health condition under the federal FMLA (unpaid but job-protected) or state laws (some offer paid leave), or if your stress qualifies as a disability under the ADA, requiring reasonable paid or unpaid accommodation, though the ADA doesn't guarantee pay, only accommodation like leave unless it's an "undue hardship". Many employers also offer paid sick leave or short-term disability insurance that covers mental health, but eligibility depends on your company's policies and your specific insurance plan.

Who pays you if you go on stress leave?

Paid time off work via the workers compensation scheme may be available if you're diagnosed with a stress-related illness caused by your job. This is covered in detail in this article.

How to ask for mental health leave?

An employer may require an employee to submit a certification from a health care provider to support the employee's need for FMLA leave. The information provided on the certification must be sufficient to support the need for leave, but a diagnosis is not required.

Can I lose my job due to mental illness?

No, you generally cannot be sacked because you have a mental health condition, as laws like the ADA protect against discrimination, but you can be dismissed if the condition prevents you from performing your job's essential functions even after reasonable accommodations are made, following a fair process. It's illegal to fire someone solely due to a mental illness (like depression, anxiety, or PTSD), but employers can dismiss for poor performance or inability to meet job requirements if they've explored adjustments and those adjustments aren't feasible or effective. 

Is stress leave paid in CA?

Stress leave can be paid or unpaid, depending on the situation. If the job-related stress is causing a serious health condition, it may be wise to speak to an employment attorney. They will help you understand your rights as an employee to take sick leave in order to preserve a safe mental condition.

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Do you get paid for being off with stress?

If you are an employee, and your mental health makes you too ill to work (for example, you experience an extended period of mania, making you unable to work), you will be entitled to statutory sick pay. You are not entitled to any extra sick pay for a mental health condition, even if caused by work-related stress.

What's the difference between FMLA and stress leave?

The Family and Medical Leave Act (FMLA) is the primary federal law that may cover stress leave. Under FMLA, eligible employees can take up to 12 weeks of unpaid, job-protected leave for serious health conditions, including qualifying mental health issues.

What to say to a doctor to get stress leave?

Below are some key points to remember when talking to your doctor about stress leave:

  • Be open about your symptoms.
  • Be upfront about your feelings. Don't leave out any details.
  • Listen to your doctor's advice.
  • If needed, book follow-up appointments.
  • Explain your situation clearly and what you feel triggers your predicament.

Can I terminate an employee with mental health issues?

California law prohibits discrimination against employees with mental health issues. The Fair Employment and Housing Act (FEHA) protects workers from being fired due to their mental health conditions. Employers must offer reasonable accommodations for their employees' mental health needs.

What are 5 signs of work-related stress?

Five key signs of work-related stress include physical symptoms (headaches, fatigue, sleep issues), emotional changes (irritability, anxiety, withdrawal), cognitive difficulties (poor concentration, trouble making decisions), behavioral shifts (lateness, absenteeism, social withdrawal), and a lack of engagement (loss of motivation, reduced interest in work, decreased performance). These signs often appear together and signal that job pressure is becoming overwhelming.
 

How long will my doctor give me off for stress?

If you've been wondering about the maximum time off for stress UK employees can take, there isn't a strict legal limit. However, after 7 days, you'll need a doctor's fit note to confirm your ongoing leave. Your GP can renew it as often as necessary until you're fit to return.

What qualifies as a mental health crisis?

A mental health crisis is a situation where a person's thoughts, feelings, or behaviors become so intense or unmanageable that they risk harming themselves or others, or can't function or care for themselves, requiring urgent support, even in people without a prior diagnosis. It involves feeling overwhelmed, out of control, and may include severe changes in sleep/eating, isolation, paranoia, psychosis, or suicidal thoughts, often triggered by stress, trauma, or isolation, but not limited to diagnosed conditions. 

How to prove workplace stress?

You prove it through medical evidence and documentation of the workplace event that caused the stressor. Documentation of the event might include witness testimony, videos or photographs from the incident, and follow-up emails or text messages.

Can I claim compensation for stress and anxiety?

2. Your psychiatric illness must be caused by work and by a breach of duty on the part of your employer. If you have suffered stress which is mainly due to personal circumstances outside of work, it is unlikely that you can obtain compensation from your employer.

What is the first step towards getting stress leave?

Communicate with Your Employer

Open communication with your employer is crucial. Discuss your health conditions and the need for stress leave. Be aware of company policies regarding stress leave and the benefits to employees. Providing a doctor's note can substantiate your request.

What are 5 warning signs of stress?

Five common warning signs of stress include physical symptoms like headaches or muscle tension, emotional changes such as irritability or feeling overwhelmed, cognitive issues like difficulty concentrating, behavioral shifts like changes in sleep or appetite, and social withdrawal, where you avoid loved ones, all signaling your body and mind are under strain.
 

Can a doctor put you out of work for stress?

Under the California Family Rights Act (CFRA), you may also be entitled to stress leave. The CFRA is a state leave law that mirrors the FMLA. However, more people are eligible for leave under the CFRA than the FMLA. Like the FMLA, the CFRA provides unpaid but job-protected medical leave.

How long can you go on stress leave for?

“How long can you take stress leave for?” depends on the severity of your condition and advice from your doctor. Personal leave entitlements usually provide 10 days of paid sick leave per year for full-time employees.

What is the #1 worst habit for anxiety?

There isn't one single "#1 worst" habit, but procrastination/avoidance, lack of sleep, negative self-talk, and excessive caffeine/poor diet are consistently cited as major drivers that intensify anxiety by creating a cycle of stress, worry, and poor coping. These habits often feed into each other, making it harder to manage anxious feelings, with procrastination often stemming from anxiety and then worsening it further.
 

What drink calms anxiety?

For calming drinks, focus on herbal teas like chamomile, lavender, and peppermint (often containing apigenin or L-theanine for relaxation), green tea for L-theanine's calm alertness, and warm milk with tryptophan; also consider water for hydration and nutrient-rich smoothies with ingredients like turmeric or ginger. These beverages, especially those with antioxidants and amino acids, support mood regulation and stress reduction, but shouldn't replace professional anxiety treatment.
 

What does crippling anxiety feel like?

Crippling anxiety feels like being trapped in a cycle of intense fear, dread, and physical distress, making everyday tasks overwhelming with symptoms like a racing heart, shortness of breath, trembling, and a constant sense of impending doom, often leading to avoidance, social withdrawal, and an inability to focus or relax, significantly disrupting your life. It's a severe anxiety that goes beyond normal worry, stealing your ability to feel calm and in control, leaving you feeling isolated and exhausted.
 

How long can I be off work with stress?

The duration of the absence is determined by the fit note (formerly known as a sick note), which specifies the period the employee is considered unfit for work. Fit notes can cover periods from a few days to several months, depending on the severity of the stress and its impact on the individual.

How long does an employer have to hold a job for someone on medical leave?

An employer must hold a job for an eligible employee on medical leave for 12 weeks per year under the federal Family and Medical Leave Act (FMLA), requiring restoration to the same or an equivalent job. If leave extends beyond 12 weeks, job protection isn't guaranteed under FMLA, but the Americans with Disabilities Act (ADA) may require longer leave as a "reasonable accommodation" unless it causes "undue hardship" for the employer, with some states (like California with CFRA) offering more extensive protections. 

Is anxiety enough for FMLA?

For anxiety to qualify for FMLA leave, it must qualify as a serious health condition. FMLA defines serious health conditions as those requiring either inpatient care or ongoing treatment from a healthcare provider. If anxiety severely disrupts an employee's ability to perform their job, it might qualify for FMLA.