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Article #7: The Role Of Work In Recovery

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Work plays an important role for a person psychiatrist, psychoanalyst, and
recovering from a mental illness. The professor of psychiatry at UCLA Medical
workplace provides a social support School, "Not only are friends and family
system and the opportunity for people to members very capable of handling these
regain their sense of self-esteem, crises that come along, but every once in
control and self-worth. a while, you run into someone who has a
Although in some more severe instances a great understanding of human nature."
return to work is not possible, once on Although most people may not be
the path to recovery, many individuals experienced with mental illness, says Dr.
can benefit tremendously from working Gorney, "They have had decades of
again. A supportive workplace can offer a experience trying to figure out people's
sense of stability that is otherwise hard minds. Never undersell your own intuition
to find. and never ignore your own experience," he
The reintegration of an employee into advises.
the workplace after recovery again Before you can help the situation, it
requires the employer's flexibility. helps to have a diagnosis. "In mental
Often the process has to be gradual. The health," Dr. Gorney says, "the average
workload may have to change temporarily person doesn't realize that there are
and hours and days worked may have to be very specific diagnoses for feeling
altered. Job sharing and people working terrible emotionally." What you do about
with an emergency fill-in person are your condition, or someone else's,
considerations depending on the depends on the diagnosis. "A generalized
individual's and employer's needs. anxiety state could have a medical basis,
The benefits of understanding a stress basis, or could be a result of a
The benefits to the employer of conflict that the individual is placed in
accommodating the return of an employee by someone else," Dr. Gorney explains.
are many. They avoid the added costs of While traumatic life changes, such as
hiring a new employee, and training and loss of a spouse, parent, job or health
raising him or her to d level of often trigger emotional emergencies,
productivity comparable to that of an physical illnesses may also precipitate
experienced worker. Overall morale will them, says Dr. Gorney. "Certain sudden
rise as employees see the care placed on anxiety experiences may be due to
the individual, and coworkers share in physical causes, such as the rare adrenal
the challenges faced by the returning tumor," he says. In the case of sudden
staff member. manic psychosis, such as when someone
Employers and employees alike will with a very high fever is deluded and is
always benefit from breaking down the physically combative, they may need acute
stigma attached to mental illness in the medical care to save them from a
workplace. Removing the barriers to fatality. Dr. Gorney advises restraining
education, open discussion, flexibility the individual and calling 911 for
and acceptance will ultimately allow paramedics in these cases. Individuals
those needing medical attention and who become suicidal or show signs of
social support to seek help and receive acute onset depressive psychosis must
it. also be restrained while someone calls
Everyone knows when to go to the 911 for help.
hospital in a physical emergency, but In less dramatic emotional emergencies,
what are the warning signs of emotional such as when people experience modest
emergencies? When and how do we get help depression or anxiety and/or start
for these urgent conditions? Most of us exhibiting changes in diet, weight,
fear and/or dread mental illness, so it's sleep, job attendance, mood and behavior,
hardly surprising that emotional individuals can seek a psychiatric
emergency is a widely taboo topic. This referral from a primary care provider.
accounts for why many of us lack the "If you're not getting referred," Dr.
insight and resources to deal with urgent Gorney says, "you have to push on it.
emotional situations in our own lives, or Speak with your care manager in the HMO
in the lives of our friends and families. or insurance person who can authorize
that kind of a consultation."
It benefits all of us, however, to Many health insurance plans fail to
understand how we can respond to these cover psychiatric referrals and some
events, which can be just as people lack insurance altogether, but
life-threatening as severe accidents or low-cost resources can be located via
physical illnesses. According to Roderic your local or state psychiatric society.
Gorney, M.D., a Los Angeles, Calif.






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