Sep 15 2009

How to work through adversity

Published by Graeme under Work and the Blues

This is the first of a 2 part article for Lawyers Weekly magazine. Although there are some aspects relating to the legal area, the message is applicable to all workplaces

Feeling like you are treading water in a whirlpool? Are you struggling with continued interruptions that leave your mind always cloudy? Finding it difficult to switch off from work and sleep properly? Wound up like a spring?

 

Rest assured, you are not alone.

 

In 2007 Medibank Private commissioned a study by Econtech which found the cost to the Australian economy of absenteeism was $ 7 billion and presenteeism amounted to a staggering $26 billion. The report concluded that by far the biggest contributor to this productivity loss was depression and anxiety disorders.

 

Stress has ballooned in the last year

Since the GFC, the strain has been building rapidly with the number of people seeking Medicare rebates for psychological services growing by a staggering 54% from March 2008 to March 2009. Australia’s largest workplace counselling provider, Davidson Trahaire Corpsych reported that sessions related to stress, anxiety and depression were up 62% from last year.

 

 

What makes this even more concerning is that in research undertaken for my book BACK FROM THE BRINK only 9% of people living with depression and anxiety disorders in Australia felt comfortable discussing it with their work colleagues.

 

Anecdotal evidence suggests that managers are very reluctant to initiate a discussion with someone who is struggling with depression and anxiety as they fear they “may open a can of worms”. This avoidance strategy couldn’t be more wrong with clinicians unanimously agreeing that the earlier an episode is addressed the better the outcome for the employee and the organisation.

 

The high rate of depression and substance abuse by lawyers is well documented. In the recent survey conducted for the Tristan Jepson Memorial Foundation, 35% of law students recorded High to Very High Kessler-10 Distress, solicitors scored 31%, barristers 17%, versus a general population of 13%.

 

It is beyond the scope of this article to propose long term solutions to this complex problem, but I would like to contribute some short and medium term strategies that can significantly improve people’s mood and performance in the workplace. Before discussing these recommendations however, I need to discuss levels of distress.

  

The moodometer

I find people can relate to the concept of a moodometer. A moodometer is marked from 0 - 10 where 10= when you are physically, mentally, socially, and spiritually thriving, 5= is when you are stressed. You probably aren’t sleeping well, are having headaches or digestive problems but are still hopeful of getting better, 0 = suicidal - you are relying on drugs to get through the day and have lost hope of improving. For the purpose of qualifying advice, 0-4 is red zone, 4-6 amber zone, and 6-10 green zone.

 

What happens when faced with adversity

Most people’s response to adversity is to slide down the moodometer. This is understandable, but our fulfilment and success in life is ultimately determined by how quickly we can bounce back from these challenges. The focus of my recommendations is for individuals in the red and amber zones (63% of solicitors versus 37% for general population).

 

I have been at the lowest levels of the red zone and it is a place of great despair. What makes it particularly dangerous is that when I was there, I had given up hope of getting better, and couldn’t remember being mentally healthy. My mind was cloudy and I had difficulty in making decisions as quickly as I once did. I mention this for those that may be feeling this way, because after some changes in my lifestyle, I now live my life almost entirely in the green zone. I firmly believe that you can not only bounce back to where you were before, but if you are open to the lessons presented in these challenges, you may come out the other side thriving. You have no choice but to act now – no one deserves to dread each day.

 

Rarely do things improve by themselves

For those in the amber zone, you may be tempted to keep hanging in there hoping that things will turn around by themselves – they probably won’t. You can’t keep doing the same thing and be hopeful of getting a different result. You are in survival mode and probably can’t see options available that may help improve your life.

 

No matter what you know intellectually, when you are going through hard times there is a strong tendency to believe that you are the only one going through it. I know I felt this way. Since I have told my story of battling depression in the work place so publicly, I have found that every person I meet has someone close to them with a similar experience. Believe me – you are not alone.

 

Short term action

If you have been feeling in the red or amber zone every day for two weeks, the first thing you should do is to see your GP, a psychologist, or counsellor from your EAP provider (if you have one). If you are reluctant to do that you should at least consider an anonymous self test for depression at www.BlackDogInstitue.org.au  If the test suggests you need to speak to a mental health professional then organise an appointment immediately.

 

Exercise is essential

The second thing you should commit to doing is at least 30 minutes exercise each day. This doesn’t have to be a marathon – a 30 minute brisk walk in a park amongst nature at lunch time is enough. When you walk try to be in the moment and observe the plants, birds, animals and insects along the way. If you prefer swimming, cycling, aerobics, or dancing, do that. Research by the Black Dog Institute has shown exercise to be the most effective strategy (with no negative side effects) for improving depressive symptoms.

Emotional support 

Your third strategy should be to share you situation with someone you trust. This could be your spouse or partner, family member, or a friend. If your low mood is impacting your productivity at work, I would also strongly recommend talking to your manager. They have mostly likely already noticed the changes and it is better that they are aware of the real issue and don’t dismiss it as just a performance problem. Besides, you will need their support and approval if you are required to take time off to see doctors and to exercise.

 

Follow guidance

It is important in the next 4 weeks that you follow your doctors advice, exercise 30 minutes per day 6 days per week, and plan to meet with loved ones at least 2-3 times per week. I found it helpful to sit down on a Sunday and plan when I was going to schedule these activities in my diary for the week ahead. If you don’t plan for it in advance – it won’t happen. You need to do these things even if you don’t FEEL like it. The opposite of resilience is rigidity.

  

Next week

In the next issue I will be covering the remaining 4 essential strategies for bouncing back from adversity and specifically focusing on medium term action plans. I will also be outlining what managers, team mates and organisations can do to assist someone who is struggling.

WHAT IS YOUR EXPERIENCE

If you have any comments or questions about what has been outlined above please reply to the blog below. You only need to put your first name and email address (which isn’t made public) to register.

I look forward to your input.

Kind Regards

Graeme

8 responses so far

Feb 25 2009

The role of fulfilling work in overcoming depression

Published by Graeme under Work and the Blues

I was very surprised when I did my original research for BFTB, that fulfilling work was rated as the fourth most effective strategy for overcoming/ managing depression. People with depression rated fulfilling work ahead of medication for example, which I’m sure would amaze many people.

FIFTEEN YEARS IN RECRUITMENT AND OUTPLACEMENT TOLD ME THIS WAS TRUE

When I reflected on the thousands of people I had tried to assist with their careers over those 15 years, I intuitively knew how important fulfilling work was to people’s mental health and self esteem.

If you look at the news section of my website - www.IamBackFromTheBrink.com - you’ll see that a number of stories have been published on this topic in the last week, due the the world financial crisis.

WHAT DO YOU DO IF YOU ARE 0-5 ON THE MOODOMETER

If you are depressed, and aren’t capable of working full time, I would strongly encourage you to consider voluntary work. When I was recovering I worked as a volunteer at Volunteering NSW (I know similar organisations exist everywhere).

One of my jobs was interviewing people to help identify which skills they would like to use and then finding charities near them, that would enable them to use those skills. I had the pleasure of watching how long term unemployed and people with a mental illness would grow in confidence when they had the opportunity to positively contribute to a charity. These roles aren’t nearly as pressurized as full time work, yet still offer the benefits of social contact and providing people with a sense of purpose.

Check out www.govolunteer.com.au and http://www.volunteer.com.au/?cid=sk:main:au:nav:vol  to get an idea of the wide array of roles available.

WHAT DO YOU DO IF YOU ARE 4-10 ON THE MOODOMETER BUT NOT ENJOYING YOUR WORK

My strong suggestion would be to do so form of assessment to help understand what skills you get most satisfaction out of using. There are many options out there but a really user friendly and practical one I have used myself is found at www.assessment.com- It is called a Motivational Appraisal of Personal Potential (MAPP) You are asked to go through a questionnaire (takes about 15 minutes) and then you receive your report. There is a free version, but I found the best value one to cost about $US40. This report really resonated with me and gave me a great sense of career direction.

The report identifies your top 10 innately motivating skills but then importantly it then tells you which roles allow you to utilise them. How you go about transitioning to these new roles is too much to cover now, but knowing where you want to head is half the issue.

BLACK DOG INSTITUTE “MOOD DISORDERS IN THE WORKPLACE” WRITING COMPETITION

I have just been asked to be one of 3 judges to help assess the winners in the above competition. It is great this topic is getting some deserved profile. A book will follow on this subject, so keep an eye out for that.

If you have any questions or comments regarding this topic, please respond to this blog.

Kind Regards

Graeme

 

3 responses so far

May 30 2008

US doctors paid bonus for helping patients overcome depression

Published by Graeme Cowan under Work and the Blues

In an article today from the US (see News section of www.IamBackFromTheBrink.com ) several employers from Minnesota have banded together to try to address the high cost of depression in their workforce. Called the “Bridges to Excellence” program, their health insurance companies are asking doctors to be accountable for their results. Patients will be asked to fill out a 9 question survey at the start to assess the severity of their depression. They will then have to redo the survey at 6 months and 12 months. If the patient is recovered after 12 months, the doctor will receive a $100 bonus for their treatment. They then plan to review results after two years with a view to directing patients to the more successful doctors.

This action is a direct result of the cost of depression in the workplace. Although the structure of health delivery in Australia is quite different, I think it is inevitable (and healthy) to have doctors accountable for their treatment. There would then be a much higher motivation to instigate evidence based treatment. In talking recently with Professor Gordon Parker from the Blackdog Institute, I know that he believes that many doctors currently treat depression via an outdated model. Measuring outcomes along the recovery path (or lack of it is a good thing)

May the best in life and love and happiness be ahead of you.

Graeme

One response so far