Lately, conversations around pollution stress have become inseparable from everyday life, reflecting how deeply the air quality crisis has embedded itself into collective consciousness. What was once viewed purely as an environmental concern has now evolved into a significant psychological challenge. Mental health professionals often emphasise that surroundings play a crucial role in emotional well-being—and the air people breathe is a fundamental part of that environment. When the air itself feels unsafe, the human body instinctively shifts into a state of hypervigilance, irritability, and constant alertness.
Ritika Rachel Wilson, Counselling Psychologist at Rocket Health shares why pollution stress is becoming a major mental health trigger for Indians
Even a quick glance at daily AQI updates is enough to trigger anxiety. On December 7, 2025, several cities across northern India recorded AQI levels ranging between 300 and 450+, a range that increasingly feels like the new normal. Continuous exposure to notifications, social media reels, and headlines labelled “severe” or “poor” signals danger to the brain. Over time, this activates the fight-or-flight—or even freeze—response. When such stress responses persist for prolonged periods, they often lead to emotional exhaustion, irritability, and reduced resilience. Many individuals report feeling as though they are perpetually living in survival mode.
While the physical health impacts of pollution are well-documented through extensive research, its effect on emotional and psychological well-being is equally significant. Mental health practitioners note that many clients complain of waking up feeling tired, experiencing breathlessness at night, or feeling chronically fatigued without any identifiable cause. These symptoms frequently spill over into daily routines. Some individuals have given up morning walks or outdoor exercise, fearing that the harm caused by polluted air outweighs the benefits. Others have turned down job opportunities in highly polluted cities due to concerns about worsening respiratory conditions like asthma. For many, stepping out without a mask has become unthinkable, as it triggers intense anxiety.
Reduced outdoor activity also means less exposure to sunlight, which can affect Vitamin D levels, sleep patterns, mood, and overall energy. Social interactions have declined, particularly among parents of young children and older adults with pre-existing health conditions. This withdrawal adds another layer of anticipatory anxiety—worries about breathing difficulties, infections, or loved ones falling ill. Over time, this isolation contributes to persistent low mood and emotional strain.
Pollution stress is distinctly collective in nature, mirroring the shared experiences of Indian society. During the winter months, especially post-Diwali, there is a widespread sense of dread. Online humour—such as jokes asking whether people are smoking or if the city itself is smoking them—often masks deep frustration and helplessness. While some individuals turn to substances to cope with restlessness and anxiety, others report brain fog, poor concentration, and memory lapses.
There is also a critical socio-economic dimension to pollution stress that cannot be overlooked. Low-income families and those living on the streets often lack access to air purifiers, quality healthcare, or even the option to remain indoors during severe pollution episodes. For them, the psychological burden is far heavier, giving rise to intense feelings of anger, injustice, and helplessness. In such cases, pollution stress is not an occasional discomfort but a chronic psychological reality.
Today, pollution stress stands as a persistent mental health concern that deserves recognition and validation. What people are experiencing is real, and simply naming this emotional response can offer a degree of relief. Beyond acknowledgment, there is a pressing need for greater psychoeducation, community-level awareness, and long-term planning. The distress caused by polluted air is not an overreaction—it is a natural, emotional response to an ongoing environmental crisis that continues to shape daily life and mental well-being.

