The purpose of this study was to examine how middle managers within the social services in Sweden perceived their working conditions. The study group included 475 middle managers who were registered in the labour union akademikerförbundet SSR. The study group answered a digital questionnaire based on Karasek’s control and demand model which contained questions concerning their working environment. The result showed that 80 percent of the managers worked more than 40 hours a week and 60 percent of the managers experience high job strain. Four groups with different working conditions were identified through Karasek's control and demand model and the one that showed the most alarming working conditions were analysed further, the high strained group. Within our studygroup we also identified a utterly small group that could be defined as ISO-strained. This working condition is the most harmful working situation for your health since it contains high risk of psychological strain and physical illness.