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Mental health

When the Budget meets the weekly shop: financial stress and mental health

As Budget 2027 settles over Malta, a new analysis shows our lowest earners can buy 6% less food than they could in 2021, the sharpest fall anywhere in the EU. Behind that number sits something far less visible: the quiet mental toll of money worry.

27 October 2026 · Dr Gabriel Ellul · 4 min read
A woman sitting at a kitchen table reading a supermarket receipt, chin resting on her hand, with a bag of groceries, a notebook and a calculator in front of her

The number behind the headline

This week’s Budget has dominated the national conversation, with reaction pouring in from all sides. But a separate finding, published just before the Budget speech, deserves more attention than it has received. According to an analysis by Euronews Business, workers on Malta’s minimum wage can buy 6% less food with their salary today than they could in 2021, the largest loss of food purchasing power recorded across the European Union. Spain and France, by comparison, registered falls of 5% and 4%.

The mechanics are straightforward. Between 2021 and 2026, food inflation in Malta ran only marginally above the EU average, yet our minimum wage rose by roughly 27% over the same period, not enough to keep pace with the cost of essentials. The result is that the people with the least financial headroom are absorbing the sharpest squeeze.

Why money worry is a mental health issue

As a clinician, I see the link between financial strain and mental health almost daily. Money is not simply a practical concern; it is one of the most reliable predictors of chronic stress, anxiety and low mood that we know of. Current understanding suggests that when basic needs feel uncertain, the body’s stress response stays switched on for longer, and that sustained activation is closely associated with poor sleep, irritability, difficulty concentrating and a reduced sense of control over one’s own life.

It is worth being precise here: a tight budget does not, by itself, cause mental illness. Research is still exploring the many factors that interact. But financial insecurity reliably increases the risk of psychological distress, and it does so unevenly, landing hardest on those who have the fewest buffers to fall back on.

What the pressure does to us

When money is short, people understandably make decisions that quietly erode wellbeing. They skip meals, put off seeing a doctor, cut back on the very activities (exercise, time with friends, a decent night’s sleep) that we know protect mental health. Over time, the worry can begin to feel like a permanent feature of the day rather than a passing strain.

The important thing to recognise is that this is not a personal failing. It is a predictable human response to sustained pressure, and it is one we are allowed to talk about without shame.

What you can do

If the cost of living is weighing on you, a few grounded steps can genuinely help:

  • Notice the signs. Persistent worry, disturbed sleep, or a constant sense of being on edge are worth taking seriously, not brushing aside.
  • Reclaim small pockets of control. A simple, written plan for the week’s spending, done calmly rather than as self-punishment, can reduce the feeling of helplessness.
  • Protect the free things that help. Sleep, daylight, movement and time with people you trust are among the strongest, least expensive supports we have.
  • Talk to someone. If worry begins to colour most of your days, speak to a professional. Early support is always more effective than waiting until the pressure feels overwhelming.

Financial difficulty is, at its core, a health issue as much as an economic one, and it deserves to be treated with the same seriousness and compassion.

If financial stress is affecting your wellbeing, you don’t have to manage it alone. Every fee we charge is published openly, so you can see what to expect before you book.

financial stressanxietywellbeingcost of living

This article is for general information and does not replace individual psychiatric, psychological or medical assessment. If your mental health is affecting everyday life, please speak to a clinician.