The workplace can contribute to positive mental health. Work provides income, daily structure and routine, a sense of identity, purpose and accomplishment. In fact, the Mental Health Commission of Canada says that 

“The workplace can be a strong contributor to mental wellbeing, giving people the opportunity to feel productive and achieve their potential.”

However, if you have a mental health condition, or suspect you might, you may find it difficult to perform certain job tasks and symptoms may make things more challenging. Suffering silently and pushing through may be your style but this approach can create new difficulties. If symptoms are affecting you at work, you may find yourself making errors, avoiding key activities, alienating others or working long hours to make up for a decrease in your usual work efficiency.

There are supports available that may help you remain healthy and productive at work.

Mental Health Commission of Canada

Consider your health

  • If you are struggling, be sure to have a full medical check-up to find out what may be causing these changes and if any treatment is required.
  • Take part in employee wellness initiatives if they are available to you. Some companies provide access to such resources as in-house exercise facilities, meditation or stress management classes.
  • If available, access your company’s Employee and Family Assistance Program (EFAP) for confidential brief and solution focused therapies that may help to target the issues you are facing, on and/or off the job.
  • Reach out to community services which provide support specific to your situation.
  • Try self-help strategies. You may wish to try this free resource called Antidepressant Skills at Work: Dealing with Mood Problems in the Workplace. It has been specifically designed by the Centre for Applied Research in Mental Health and Addiction and BC Mental Health and Addiction Services to help you address depressive symptoms at work.

Consider your needs

Sometimes challenges occur when we are not properly equipped to perform the job, and changes to process or duties may become more difficult if you are dealing with an underlying health condition.

Take stock. Do you have everything you need to understand and perform your job?

  • Do you have the necessary tools?
  • Do you have the appropriate training?
  • Do you understand the expectations of your job role?
  • Do you have the right amount of time to complete tasks?

Talk to your supervisor or manager.

  • Ask questions
  • Explain your concerns
  • Ask for help

Although not all jobs or job tasks can easily be adjusted, keeping silent will interfere with finding possible solutions.

EFAP (or sometimes called EAP – Employee Assistance Program) is a service or suite of services offered to employees by their employer, and often is a part of a group benefits plan.

It is designed to assist employees and their immediate family to cope with or address issues related to stressors of daily living. Most EFAP offer short term solution based counselling, which can be used in-person, on the phone or over the internet.

In addition to providing support for addictions and psychological disorders, most EFAP can address issues related to:

  • Marital/family relationships
  • Stress and burnout
  • Interpersonal relations
  • Anger management
  • Financial challenges and debt management
  • Conflict resolution
  • Career transition
  • Pre-retirement planning
  • Bereavement
  • Childcare and/or eldercare
  • Nutrition
  • Improvements to physical health

Online resources may also be available offering self-help courses, videos, and other health related educational resources.

How does the counselling work?

Most EFAP offer in person and/or telephone counselling provided by clinicians with a psychology or master’s of social work degree. Appointments can be made via the EFAP website or by calling a toll-free confidential number. Your counsellor will set an appointment time that works with your schedule. Sessions are usually one hour in length and may continue for six to eight sessions depending on progress. If your counsellor identifies that longer term support is required, they can assist you with accessing additional resources and expertise.

EFAP counselling services are completely confidential. Your employer is only provided with aggregate utilization based information.

Contact your human resources benefits consultant, manager, or union representative to find out if your benefit plan offers EFAP services.

Do you need to request workplace accommodations?

Sometimes all the right tools, training, supports and communication are in place, however the symptoms of an illness interfere with the ability to perform your job fully or safely. In these cases, you can request a medical accommodation from your employer.

This request will require you to share information with your employer about specific restrictions or limitations that interfere with your performance of the job in the way it has usually been done. You will need to collaborate with your employer to develop and revise the accommodation plan to ensure it meets your unique needs. Accommodation is a formal process and your employer may have clear policies and procedures to ensure this process is handled fairly.

Remember that even with appropriate accommodations in place temporarily or permanently, you may find that ongoing recovery with a mental health condition while working presents challenges. You may experience roadblocks and bumps along the journey. You may need to repeat the steps of considering your health and your needs, and you may need to adjust accommodations.

Should you disclose your condition?

This decision is yours. Self-disclosure of any kind should always have a purpose. Although telling your employer about your condition could elicit support and may be a step in accessing your right to any accommodations you might need to help you perform your job, you may be concerned about discrimination. It may help to know that Statistics Canada found that while workers with disabilities felt their employer would deny training or promotion, the percentage that stated they had experienced this type of discrimination was less than seven per cent.

The Boston University Center for Psychiatric Rehabilitation suggests that disclosure is a complex decision and should be made with care. Here are some things to consider:

Your employer

  • Does your employer maintain employee-centred values?
  • Does your employer have an accommodation policy? Are there others who have been accommodated?
  • Does your employer acknowledge and offer mental health supports such as EFAP or stress management programs?
  • To whom should you disclose?
    • Human Resources and Occupational Health professionals understand Human Rights, privacy and confidentiality legislation, and may (if available in your workplace) be able to provide you with additional support.
    • What is your relationship with your direct supervisor/manager? Sometimes it is easier to talk to someone you know, respect and trust.

Yourself

  • What is the cost to you of staying silent?
  • What benefits might you gain by disclosing your condition?
  • What is the purpose and goal of disclosure at this time?
  • What support do you need?
  • What will you say? You may find it helpful to practice with a friend, family member or therapist ahead of time, or even prepare a script.
  • What will you not say? Even when you disclose a medical condition, you do not need to share all the details.
  • With whom are you comfortable with this information being shared? It is ok to discuss the limits on sharing of this information.

Timing

  • Ideally, you would disclose before serious workplace issues arise as a result of the condition so that suitable accommodations can be arranged.

How can you stay engaged at work?

Envision your own future health and wellbeing in the workplace.

  • Identify how you see yourself getting better - what would that mean for you?
  • List the steps that you need to take to facilitate that process
  • Identify the resources that will help you to regain a sense of wellbeing
  • Think about what would be the positive rewards for you if your health improved

Due to ongoing changes in almost all organizations, it is difficult to predict the type of environment you will encounter, and it is therefore important that you are prepared to modify your plans or goals as needed.

Sometimes time off work will be required by your physician to allow for more coordinated treatments to happen.

It is crucial to visit your health care provider for assessment and treatment of your condition. Your role during this time is important as well; you need to follow your physician’s recommendations and treatment. Lifestyle changes may also be required as part of your treatment and recovery.

"More than two-thirds of adults living with a mental health problem report that symptoms first appeared during their youth" 

Mental Health Commission of Canada, 2010

This information focuses on issues related to youth aged 12 and older.

According to Children’s Mental Health Ontario, it is estimated that nearly one in five Ontario children under the age of 19 experience a mental, emotional or behavioural disorder that is severe enough to seriously affect their daily functioning at home, school or within the community. The good news is that early diagnosis and treatment may lead to better outcomes for children later in life.

Children’s Mental Health Ontario – Key Facts & Data Points (www.cmho.org/education-resources/facts-figures, retrieved 2014)

Adolescence can be a particularly challenging stage of life and can be a time of dramatic change. Young people may feel tremendous pressure to succeed at school, at home and in social groups. At the same time, they may lack the life experience that lets them know that difficult situations will not last forever. Mental health problems commonly associated with adults, such as depression, can also affect young people.

According to the Canadian Mental Health Association, mental disorders in youth are ranked as the second highest hospital expenditure in Canada – surpassed only by injuries.

Canadian Mental Health Association (www.cmha.ca, retrieved 2014)

Common areas of stress

  • School
  • Work
  • Peers
  • Self-esteem
  • Home life

Common mental health concerns

  • Depression
  • Anxiety disorders
  • Self-injury/harm
  • Eating disorders

Recognizing symptoms is important. Begin by informing yourself and promote mental health awareness amongst family members.

Two questions you may be asking yourself are “Could my child have a mental illness?” and “What should I look for?” It can be hard to tell the difference between normal changes as your child grows and the symptoms of mental illness. Here are some things you can look for:

  • Sudden changes in behaviour (an active child becomes quiet and withdrawn)
  • Sudden changes in their feelings (signs of feeling unhappy, worried, guilty, angry, fearful, hopeless or rejected)
  • Complaints of physical problems (headaches, stomach aches, problems sleeping, or a general lack of energy)
  • Suddenly keeping to themselves
  • Unexpected change in grades
  • Trouble coping with regular activities and everyday problems
  • Preoccupation with their weight (significant weight loss or gain)
  • Deliberately hurting themselves, unexplained scars, wearing long pants or long sleeves in warm weather
  • Talk of suicide (not wanting to live anymore, etc.)

Canadian Mental Health Association (www.cmha.ca) / Children’s Mental Health Ontario – Key Facts & Data Points (www.cmho.org/education-resources/facts-figures, retrieved 2014)

A good place to begin is to have a conversation with your family doctor.

You may want to write down some information that will be helpful for the doctor and bring the list to your appointment:

  • Things that cause difficulty for your child.
  • The times of the day that your child is most affected.
  • Settings that are the most difficult.
  • Events or circumstances that led up to your child experiencing difficulty.
  • Things you have done when your child is having difficulty.

Look for counselling agencies in your community that offer mental health services to children and youth.

Remember that ‘right fit’ is important. This means that your child needs to feel comfortable with the counsellor/therapist; they need to feel as though they have a say in who they are seeing for assistance and feel encouraged to speak freely in the session.

Model positive mental health self-care:

  • Teaching your children how to manage emotions, especially negative ones.
  • Talk openly about stress, anxious feelings and life challenges.
  • Encourage talking to someone professional as being beneficial.

There are a number of national and provincial websites that provide further helpful information that can support you and your child: