Check your employee handbook or talk with your direct manager about this. Some companies require 30 days' notice for vacation and doctor's notes for more than three days of sick time. There may be some prohibitions during high-activity times (for example, in a former company, we were prohibited during the first week of a quarter and the entire month of December. Of course, different positions had more of a chance of being granted an exception, especially during December, but since that was our peak sales time, most employees had some role in the sales cycles. If you need to take a week and have the accrued PTO available, talk with your manager, and they will probably approve, and if not, ask why. If co-workers have a problem with that, it's none of their business. You went through the proper channels.
One other thought, some companies allow employees to "cash out" some or all of their unused PTO at the end of the year, so the "culture" you describe could be employees choosing to take advantage of the "cash-out" option rather than taking a break. If you are denied your PTO, ask if this is an option. It doesn't give you a long rest but compensates you for it.
I've also been at places where people choose to take one day a week for the summer months rather than a lump-sum vacation. This allows them to take multiple day trips with their families and has them working part-time hours at full-time pay and benefits.
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