Jonathan, January 2, 2019

“I’ve told 2 or 3 people about my depression. I don’t want to be judged, treated differently, ridiculed or to make others feel uncomfortable.”- Jonathan

Next time you hear someone say how far we’ve come in the fight against mental health, take a moment to consider that statement. 1 in 4 people suffer from mental illness in the UK – around 15 million people. That’s potentially 1 in 4 people you know - one of your close friends, a family member, or a colleague sitting at the desk next to you.


But most of those people suffer largely in silence. Recent global studies estimate up to a third of people with depression receive no support or treatment at all. Why? Because despite what you may read in the media, there is still a massive stigma attached to mental illness. A stigma that prevents many from telling even their nearest and dearest, crippled by an overwhelming cocktail of shame, failure, inadequacy and hopelessness. 


Most sufferers of depression will have an experience involving a bad reaction, of some well-meant advice that had the inverse effect. Filed under “What not to say to someone with depression”. Pull yourself together. Snap out of it. Stop feeling sorry for yourself.  What have you got to be unhappy about? Reactions that show while we may be talking more about mental illness, increased exposure doesn’t necessarily equate to a greater understanding of the condition.  


The fear of stigma is even more heightened in the workplace. If colleagues knew your secret surely they’d think differently about you, possibly questioning your reliability or your judgement. At best, they may just feel uncomfortable around you, not knowing what to say or how to say it.  At worst, they’ll doubt your ability to do the job. 


All this means, for sufferers, divulging mental illness at work is a complex issue – a legal and moral dilemma I faced myself earlier this year, when I started a new job. The industry or sector is not important, because what happened next could have happened in many institutions or workplaces across the country. 


On being told I’d got the job, I was invited in for an unofficial meeting to get to know my new colleagues and discuss schedules for upcoming projects. The department consisted of 12-15 people, all of whom seemed amicable, relaxed and funny. I could happily see myself working with these people and felt confident about my new role. That positive first impression lasted of all of five minutes.


As the meeting progressed, the head of the department announced that a date had been set for a mandatory training session about mental health in the work place.  

Cue a collective groan.


With mock seriousness, the head of department noted that this was an important session, in light of what happened earlier in the year to Steve. For my benefit, she explained that Steve was a previous member of staff who had suffered “a mental breakdown” at work.  

Exchanged glances. Uncomfortable shifting in seats. Stifled laughter. 
 

I’d like to say it was one or two, and that it was frowned upon by the others, or swiftly shut down by the team leader, but that’s not what happened. Everyone involved in that meeting was in on the joke, some accessories only through a silent smirk, others outwardly laughing at Steve’s expense.  


The general tone was implicit. Steve couldn’t cut it. Steve wasn’t tough enough. No-one said it. No-one had to.  


One or two even voiced annoyance at having to give up their time to attend this awareness session, like the people who complain about rail delays when some desperate soul has jumped in front of a speeding train.  


And me? Well I was focusing hard to disguise the fact that my cheeks were blanching, and my throat tightening – the tell-tale signs of anxiety that would give my secret away. 


Because I’m like Steve. Sometimes I struggle to keep things together. And as a long-term sufferer of depression, I was experiencing that all too common sinking feeling, triggered by the realisation that this was not going to be a healthy environment for me to work in.


Attitudes like this are exactly why people are scared to confide in colleagues about their condition, myself included. In my working life, I’ve told perhaps 2 or 3 people about this illness since I was first diagnosed 9 years ago. I don’t want to be judged, treated differently, ridiculed or to make others feel uncomfortable in my presence.  


Instead, I choose to hide it. And I’ve been hiding it for so long, I’ve become an expert at concealing it from others. Although officially diagnosed at 34, with hindsight I now understand that I developed the condition in childhood, experiencing my first suicidal thoughts as early as 12 years of age. That’s over 30 years of hiding, pretending and lying. It’s become a part of who I am.

For the following month between that meeting and my first day in the new role, I could feel the dark clouds gathering. While I tried to fool myself and everyone else around me, I knew that I couldn’t work in an environment where people had such an obvious lack of respect and compassion for others suffering with mental health problems. They were laughing at Steve, but in a few months’ time they could be laughing about me.


As friends and family wished me luck, I did what I do best – I put my gut instinct to one side and pretended everything was going to be ok. I went in for my first day, going through the motions in a robotic trance. 


One of my first tasks was to complete mandatory HR forms. A formality for most.  Name, address, National Insurance number. Then the medical declaration form. A small tick box.  Asking me to declare any prior mental health conditions. Flashback to that room full of colleagues laughing. Would you tick it?


I somehow got through the day, suppressing my emotions for later. When the inevitable breakdown happened on the drive home, it marked the release of a month of anxiety, worry and despair. I parked my car in a country lane, unable to face home, contemplating suicide. A frantic mess.


But I’m lucky. When things get tough, I have the support of those who love me. Soon my phone was vibrating with texts and calls. My wife first. Come home. Let’s talk. We need you.  A close friend. You are loved and valued. My father. We’ll get through this together. Whatever you need.


And once the storm subsided, I did the only thing I could do for the sake of my health and well-being. I pressed send on my resignation email after just one day in the job. I didn’t mention the team meeting to HR. I wasn’t looking to lodge complaints and get others in trouble. This was about self-preservation.
 
No-one is harder on a manic depressive than they are on themselves. Quitting as I did was another self-perceived failure that had to be explained away. There followed a string of excuses to friends, lies dressed up to help me salvage some dignity. The position wasn’t what I thought. Contractual issues. Anything other than the truth. 


The whole episode triggered a complete relapse of my depression, which my GP informed me should now be considered a lifelong condition, requiring long-term medication. I was then signed off work for 4 weeks, from a job that no longer existed. “Do you need a letter?” – “No, I think I’ll be ok.” 


So, the next time you hear someone say how far we’ve come, and how much perceptions of mental health have changed, ask yourself this. Would you feel comfortable telling your boss or work colleagues that you suffer from depression? Hearing those colleagues talking about Steve, I know I will certainly always think twice before opening up in future.


And if by chance, you’re sitting next to a colleague who has divulged a mental health condition, instead of looking at him or her as the weak link in the team, consider what strength and bravery it took for them to share that information.

Share your story

Too many people are made to feel ashamed. By sharing your story, you can help spread knowledge and perspective about mental illness that could change the way people think about it.

Comments

I have been bullied most of

I have been bullied most of my life my father raped me from 7_14 years old my mother died when I was 7 nobody believed what was happening to me my siblings bullied me and I have never fitted in with work or school colleagues am finally having counselling which I hope will give me confidence in myself and hope to believe I am as good as a tone else

Reply

Believe you are as good as anyone else, for the straightforward reason that YOU are. I have changed the way I think of myself, and treat myself with kindness. I have found that liberating. I am unlikely to open to colleagues about my past mental health. All the best.

to choose self-preservation is admirable

Many times I feel I "Have to" leave environments that are not going to be good for my mental health. Often I get criticized for being too picky... too 'difficult' for wanting an environment that isn't going to chip away at me. Thank you for telling everyone about how mentally recovering doesn't mean you should be expected to be 'okay' around those who are unkind. And congratulations!-thumbs-up!--bravo! for standing your ground and protecting yourself.. because it means you're doing better. (especially since mental illness often has us being self-destructive instead).

I can empathise

I can fully empathise with this. Throughout my career I have experienced micro management, bullying and harassment and when one company exacerbated my depression and anxiety, they made me redundant by issuing a legal document which meant I couldn't take them to court for constructive dismissal. The stigma is still there and it is hard to declare ongoing mental health conditions. I've seen employers with literature scattered everywhere about wellbeing and how it's okay to talk yet their workplace environment and culture does not match this. Employers need to get a grip and accept that modern society has taken its toll on people and we are not machines. A leaflet about mindfulness is not enough to help the stigma. There should be mandatory courses on mental health. The HSE has regulations about keeping safe, why not impose safety regulations to keep people on work without having a nervous breakdown. I'm glad there are charities like this campaigning. Keep up the good work.

I understand but I shared

Hi, Jonathan, I read your story and sincerely I asked myself this question 1000 times..."should I tell what went wrong..or should I say IS wrong". In 2006, I had my furst Burnout..complete disgusted, I could not work again. In 3 months, I convinced myself that I was ok to go back to work. Wrong...and proof afterwards. Back on the job, I got pictured as angry, agressive, an asocial by members of the board themself. But I kept going ..doing in fact for over 1 year nearly nothing..giving responsabilities to my teams. Years went by...even though they knew my situation , I got another job in the company. And even knowing that I had difficulties to manage the strain..they made me manage from 8 till 26 people today. At X Mas , I couldn't even talk to my family, and my kids were angry. My wife was sad. I cracked. When on 26th of Dec to my GP, and got again pills...anti depressive one, you know. Black clouds in my mind..should I continue ? Depression.. Between Xmas and New year, I wrote my director a mail stating my illness and the question of coming back once??? He was one of the guys who attacked me years ago on nothing communicating on what happened. Guess, what he wrote me back ? " Walter, I'm in shock. But I 'm sure we did a hell of job last year and have good results"..he was not talking about me but about his business !!! Nevertheless, I did the same to my teammanagers...and I got surprisingly encouraging words back. Was this facade ? I guess we'll never can see in the minds of others not. (Would be nice to heal all our depressed loving souls) And the acts will show later if they were sincere about it ..or not. Be our world is hypocrite, we know. So , I think it's up to us to speak or not to speak about our condition. And I'm convinced, this is also different for each one suffering from this terrible thing called depression.

Mental health discrimination in the workpace

I can so identify with this blog entry, and many of the responses too. I walked away from my career in healthcare 2 years ago, rather than stay in a situation where a prolonged wait for treatment for depression led to me being put on capability for reduced performance. For someone who cares greatly about doing my job well, this was a killer blow. Occupational Health advised my managers that I would be unable to perform to my best ability until I could access treatment, nevertheless capability was escalated, causing me to feel suicidal. If I hadn't resigned I wouldn't still be here. But I am devastated that my employer (the NHS) failed to recognise the dissonance in pushing someone they knew was struggling with a mental health condition, whilst also failing them as their healthcare provider. I have worked hard most of my adult life to manage my chronic depression and anxiety, taking responsibility for being pro-active and seeking help when I needed it. It is no different from those who have to manage chronic physical health conditions like diabetes or arthritis, but gets much less understanding or recognition, and there is still a great deal of prejudice and stigma attached to disclosing a mental health condition. The NHS, as a Government body, is bound by the Public Sector Equality Duty to ensure that employees with chronic conditions lasting more than a year which have an impact on their daily life are not disadvantaged in the workplace by what constitutes a disability, and are offered reasonable adjustments to support them to stay in work, or an alternative role if that is not feasible. The public sector is supposed to set the example for others to follow, under the terms of the Equality Act 2010. This law was designed to create a more level playing field, but there doesn't appear to be any monitoring of employers' compliance or accountability, other than to have published policies. If an employee is forced to give up their job, or loses it, due to poor mental health, then those policies are patently not fit for purpose.

depression at work

I have also quit work due to my depression , more than once. im really struggling to cope in my present job too , discuss it with my boss , colleagues , no way . their reaction would be the same as your experience , besides I don't want special treatment , sympathy ,why should others change because of my illness . I don't go to so called therapy anymore , a complete waste of time , and I cannot find a way to cope with the illness myself and I cant cope , just keep hoping those triggers don't happen , but people have sussed me out , they know im inadequate and cant cope

Time to Change

Hi Tom - I'm really sorry to hear this, it sounds like you're going through a really difficult time at the moment. We have some support information on our website that you might find helpful: https://www.time-to-change.org.uk/mental-health-and-stigma/help-and-support Take care - Tash at Time to Change

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