We Can Work It Out...Or can we? Talking About my Mental Health at Work

Stephen Fry, Patron of Time to Change and mental health advocate

In June, when Stephen Fry appeared on Desert Island discs (which, if you haven’t heard of it, is a fantastic way to glimpse the biographies of the world’s good and great through their reflections on life and 8 discs they would choose to accompany them if they happened to be cast away on a desert island). He talked about the impact of his mental health on his life. He also talked about his decision to be open about his condition, recognising (to paraphrase) that he is never free of thinking of his mental health or others’ through his decision to be open about it. 

Stephen Fry on Desert Island Discs

I sympathise with this perspective, because I would very much like to be free of my own mental illness and to go through life with a normal amount of woe, (whatever a normal amount is) balanced against a reasonable ability to cope with whatever life may drag, toss, push, cajole or offer into my path.

This is the kind of conversation I can so easily have with myself, again and again.

At the moment, however, I am still handling poor mental health every day, and I am more than happy to speak about it in the hope that it will help me to accept myself as I am, rather than embracing all the defective qualities I find it so easy to discover in myself. More than this, I hope that my decision to be open will help other people at work be more open about their illnesses, and I especially hope that it will help managers, leaders and HR professionals (the people whose job it is to support us at work) to see that depression and anxiety do not exclude a person from being able to make a valuable contribution to the working world.

I “came out” at work last year after realising that to go on hiding a condition that left me at times debilitated and unable to get out of bed from my employers only fostered my own strong sense that I was actually a failure, hopeless, useless and no good for anything or anyone. I set myself extremely high standards, nurtured since my earliest memories, for everything that I do, and when I considered the risk that, in coming out with my depression, I might find visible proof that others saw me as “less than”, “weak”, “to be avoided”, I only wanted to crawl further beneath the duvet, to barricade the windows with blackout blinds seven fold and never to come out again, rather than to take that risk.

It's not actually wallowing. It's drowning.

I had had bad experiences at work previously when struggling with my depression, which you can read about earlier in my blog and also in the piece I contributed to Buzzfeed this week about my precarious route along the tangled wiry cables of a life spiked with barbs of depression towards being honest about it to myself and others. It was when I experienced bullying from people outside of my company which left me so destroyed that I did not want to live, that I finally got help in hospital. And it was during recovery and return to work that I realised that I would only protect those bullies and harm myself if I didn’t try to put across my point of view, and show that I was still Jessica, depression, anxiety, and all.

Sometimes I feel this way; mostly I have to work not to hide it, 

as well as deciding whether I have the energy to smile

I have heard many negative stories from people who have been terribly treated by someone from their employer when they have tried to express their needs for support because of their mental illness. It enrages me when I imagine the huge step a person has to take to ask for help because of a (still very much stigmatised) mental illness. I am ashamed for the human race that people wilfully (at times) harm people with mental illness when they refuse support or (at best) to ignore requests for help. 

Despite the funny message intended, being a boss 

who doesn't support colleagues and staff's health needs  is not acceptable.

An atmosphere at work where there is too little support is toxic and unproductive

What makes it worse is that when I am struggling with depression the last thing I want to do, instinctively, is to draw attention to it publicly, because my self-loathing and acute awareness of everything weak and bad in myself is so heightened that I am seething with the physical sensations that this brings, and feel sure that others must be able to see that I am totally worthless. To be refused support only perpetuates this notion. To be told to “pull yourself together” makes me fall farther apart.

It's easy to believe this when you are struggling with depression.

It's so easy that I can believe everyone else will have the same low opinion of me

that I can have of myself

So what would I suggest to those people? Not everyone will have a positive experience when speaking about their mental health at work…but if you are ill you need to take whatever steps are needed to try to get well, whether that is medication, therapy, time off work, adjusted working hours, adjustments to the way that you work. You should be able to get these. 

I believe that everyone has the right to support at work, with illness

and that everyone has the right to work without fear of discrimination

I understand that you might not want to speak up or ask for help, naming your need as a mental illness, because you feel the weight of your own self-hatred holding you back, and you are afraid that you’ll be met with stigma, be shamed, be devalued, perhaps even lose your job.

I can only say, you are not wrong to ask for help. You deserve help. You are worth it, even if you have never felt more worthless. You can seek help from Remploy (in the UK) and other mental health work information sites which provide information for you on your rights and give helpful advice on how to speak to your employers about your needs. (And, on the Remploy site, there is also a downloadable advice leaflet for employers, so if you’re reading this and wondering how better to support your staff, please take a look at this, and use the Mind website and helpline for further information.)

Remploy and other sites can help to reassure us that we do have rights,

and can (and should) expect support for our needs

(Mind's legal line can also advise on what to do, you can reach them on 0300 466 6463) 

In my experience, I continue to have to “come out” throughout my working life, because my job means that I’m frequently working with different teams of people who don’t know me or the fact that I have health reasons for needing adjustments to the way that I work. I try to do this in a fairly ‘light’ way, because I have work to do, firstly, and if we have a thirty minute conversation about my depression and medication, that’s not something I’m going to be able to put on my status update to my manager as a positive outcome. (Although, I can put it in this blog and feel a little bit glad that I continued to be honest when it was hard!) I want to be seen as the sum of my parts, and depression is still just one part of who I am, the pink and purple hair-streaked business woman who likes to write, sing, paint, eat good food and drink good wine, buy far too many pairs of shoes, run in the park and watch endless films and TV shows on Netflix, and read good literature and totally crap novels.

The crucial point: I am not denying that my mental illness is part of who I am.

I am who I am...depression, pink hair and all

Towards the end of that episode of Desert Island Discs, presenter Kirsty Young asked Stephen Fry, “You’ve more than hinted earlier that much of the torment you’ve gone through is why you are the person you are. If you had the choice to live without your bipolar condition, what choice would you make?”

“Interesting" he answered. "I wouldn’t want anyone to underestimate the seriousness of a condition like that it can shorten lives, sometimes traumatically and terribly. It can have a terrible effect on families and people around you, but it’s so hard to separate it from oneself. W. H. Auden perhaps put it best. He said, “Don’t get rid of my devils because my angels will go too.””

My story on Buzzfeed. Read more here

I am still trying to be well, and on and on it goes. Tomorrow and tomorrow and tomorrow perhaps my depression will go. I am so lucky that I have had the chance to learn that, whatever I may think of myself in my darkest times, my illness is real and worthy of treatment, care and respect. And because not everyone has that experience (not even me, all the time, from everyone) I am going to carry on talking about it. Here, and on Twitter @volette and on Facebook, and face to face. I hope you might be able to join me one day.

Nothing Munch To Worry About: The Serious Cost of Mental illness

Whether he's hearing a scream, or screaming, there's definitely something to scream about

I feel bad about my own worrying. I mean, what do I have to worry about compared to most? Not only do I not have Ebola, but I'm not involved with the Band Aid umpteenth revival.

This week, in creative writing class, we had to write about something which interested us (no prizes for guessing what I chose), and then write a piece about it, using facts we found through research. Below is my offering. I think it's more Comment is Free than me, in terms of style, but I do believe that worrying too much is dangerous. Even if I am a first class worrier. And I'm going to try hard not to worry about that.

"It's snowing still," said Eeyore gloomily.

"So it is."

"And freezing."

"Is it?"

"Yes," said Eeyore. "However," he said, brightening up a little, "we haven't had an earthquake lately."

Worries are something few of us can say we’ve never experienced from time to time. In the past few years, worries have come easily to us Brits more than ever before as uncertainty abounds: the economic situation is insecure; we have – at best – a shaky government. 

At work, redundancies have been common and the future seems less sure than ever, which leads to money worries with little or no job security or secure future for ourselves and our families.

O, that this too too solid flesh would melt, thaw and resolve itself into a dew! - Sing it, Hamlet

Those retired from work are, for the first time in many cases, seeing their children in a worse economic situation than they were in themselves as young adults. Things are tough whether you’re eighteen or eighty, but no less so than for the working population, who are juggling national and personal challenges with one very full pair of hands. Knowing this, it can’t be a surprise that this might have affected how many worries the average person experiences, and only a step farther to understand that ongoing worries might lead to illness and absence from work.

In the UK, 1 in 4 people suffer from mental illnesses, myself one of those “ones in four”. Recently, the World Health Organisation has reported that four of the ten leading causes of disability in the US and other developed countries are mental disorders, and estimate that, by 2020, major depressive illness will be the leading cause of disability in the world for women and children[i]. 

Before this year, I had never taken time off work related to depression, despite having suffered from it at different points of my life during the last twenty or so years; when I did take time off work, I sometimes related my illness to other causes or sometimes I worked through my illness despite the debilitating nature of the condition on my sense of well-being. In this I exemplify another statistic: that university-educated professionals are less likely to take time off work when depressed, and, if they do, are reluctant to tell their employer the reason why[ii].

Talking to my friends and family members, it is amazing that the statistic is only one in four. Almost everyone I have spoken to has experienced some period of their life where worry has turned to stress or worse. But I never knew about their illnesses / worries before; and they never knew about mine. We were all keeping one big secret from one another.

Employers are required to support any employee returning to work after a period of illness, and to make what are called ‘reasonable adjustments’ during this time. In the light of our secrecy this is hard to fathom. Personally I just don’t know what a reasonable adjustment should be – maybe don’t mark me down as a failure at my job if my eyes tear up in the office one day? Treat me as totally normal is probably the best thing I can think of.

These reasonable adjustments, though, and more direct action to help workers suffering with some kind of mental illness, are imperative for employers to take action on. In Europe, depression is said to cost workplaces £77 billion annually, with the greatest economic loss coming through absenteeism and lost productivity, according to a recent report by the London School of Economics and Political Science (LSE), and King’s College London[iii]. 

Many employers have publicly taken steps to pledge their commitment to addressing mental health, through signing the Time to Change pledge to end the mental health stigma and by founding the City of London Mental Health Alliance. This is a start – and only a start – to helping employees know that the companies for whom they work want to support them (and this makes sense. It's not as if doctors have an instant cure; partly why there's so much mystery around mental health).

Further, employers are starting to focus on mental health as a priority topic among the other ‘inclusion and diversity’ focuses, and many like my own employer, have set targets to address mental health awareness and support within their own organisations.

None of this stops me worrying – well – a little, but no more, nor enables me to ditch the medication and the therapy for depression in one fell swoop. However, knowing the statistics tells me my employer has as much to be worried about as I do. It must act to resolve its own, similar worries about an insecure future and potential financial loss. It makes economic sense to do so. Organisations and their employees have to work together to keep going amid the uncertainties that we all continue to face. It remains to be seen which organisations (and employees) will embrace the challenge and come through it stronger.

Seriously, though, we need to worry less!

[i] http://www.nami.org/template.cfm?section=about_mental_illness National Alliance for Mental illness

[ii] http://www.lse.ac.uk/newsAndMedia/news/archives/2014/03/WorkplaceDepression.aspx

[iii] http://www.lse.ac.uk/newsAndMedia/news/archives/2014/03/WorkplaceDepression.aspx