Stress adds anticipation and excitement to life but it can also results to destructive feelings, anxiety and depression; and if left unchecked can lead to health problems such as high blood pressure, heart disease, obesity, diabetes and in extreme cases, suicide attempts. Prolong exposure to work related stressors may lead not only to number of illnesses but it will also increases absenteeism, increases accident cases, reduced employees morale, increase staff turnover and reduce productivity at work. Offshore working environment is categorically consider as extreme, isolated and remote where psychological challenges are reportedly experienced even among physically healthy individuals. Saipem analyzes the mental stress level of its employees working offshore in Kazakhstan in different vessels conditions to determine their mental health status. It shows an increase prevalence of anxiety disorder and depression among offshore workers living on recently mobilized vessels compared to the old ones. Local female, local male and expat male working on recently mobilized vessels are more prone to depression than their counterpart on old vessels. Social anxiety was separately evaluated in seven different vessels and confirmed increase prevalence among offshore workers (19%) compared to the general population (7–12%). Stress and social anxiety can lead to debilitating disorders, reduce workers productivity and drive to unsafe practices. Acknowledging its impact to the company, Saipem developed programs that promote health and Safety in the workplace with accent to mental health. As such, the company has established a psychologically acceptable living and working condition offshore and lay down its plan on commencing the use Telepsychiatry and Telepsychology system in managing mental health.