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Tuesday, 13 October 2015

31 Secrets of People Who Live With Anxiety

Anxiety disorders are the most common form of mental illness in America, according to the Anxiety and Depression Association of America. The condition affects 40 million adults in the United States. That’s 18 percent of the U.S. population.
Despite this, people with anxiety disorders still live with a stigma often associated with invisible conditions. So we asked our readers with anxiety what they wished the world could understand about it. This is what they had to say.
1. “I do realize the things I worry about are ridiculous. Even though I’m aware, I can’t just stop it.” — Erika Strojny Myers
2. “I might look like I’m doing nothing, but in my head I’m quite busy.” — Diane Kim
3. “I don’t always know why I’m anxious.” — Teri-Marie Harrison
4. “It’s paralyzing.” — Marlene Pickering
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5. “I don’t just ‘get nervous.’ Heck, half the time I’m not even nervous when I’m having a panic attack — I’m anxious. Sometimes it’s for no reason I can identify. When I’m anxious and nervous I recognize some of it is irrational, but I can’t just snap out of it. My mind and body aren’t cooperating with reason.” — Alex Wickham
6. “I’m not being ridiculous or dramatic.” — Melissa Kapuszcak
7. “We don’t need someone to look at us like we’re crazy. We need someone to be compassionate.” — Kristen Cunningham
8. “I don’t want to feel this way.” — Jenny Genoway
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9. “After a hectic day, especially after being in crowds or dealing directly with multiple people, I have a ‘people hangover’ the next day. I need alone time to reboot from all the energy used. I have to rest and reset my mind. If I don’t, I will become bone-tired, overwhelmed and moody.” — Lisa Shuey
10. “It’s totally possible to have social anxiety and be a raging extrovert.” — May Daonna
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11. “You can’t just stop worrying. There is no ‘on’ or ‘off’ switch.” — Kim Derrick-BenĂ©
12. “Even though we look OK on the outside, our anxiety is wreaking havoc on our insides.” — Cynthia Adams McGrath
13.  “I’m being attacked by something I can’t escape from.” –  Sherri Paricio Bornhoft
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14. “No matter how irrational I may sound, it’s real to me.” — Lorri Smith
15. “Saying, ‘you will be fine’ doesn’t help.” — Thea Baker
16. “It’s not a choice. You don’t choose to have anxiety. It chooses you.” — Patricia Lynn
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17. “It’s sometimes so exhausting and distracting that I may be forgetful or unproductive, but it’s not me trying to be thoughtless, lazy or make excuses.” — Anna Powers
18. “It’s real. I’m not overreacting.” — Kimberly Warren
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19. “Anxiety [is] an illness. You can’t just get over mental illness.” — Heather Morello
20. “Anxiety and worrying are not the same things.” — Amy Hrynyk
21. “Prayer doesn’t make it disappear.” — Kayla Gosse
22. “Just because I can’t explain the feelings causing my anxiety, doesn’t make them less valid.” — Lauren Elizabeth
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23. “I’m not crazy.” — Peggy Hess
24. “All the logic in the world won’t keep my heart from hammering in my chest.” — Rebecca V Cowcill
25. “Even the simplest tasks can be overwhelming at times.” — Rhonda Bodfield
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26. “It’s uncontrollable.” — Asia Pope
27. “Just because you don’t understand doesn’t mean my fears aren’t real.” — Vicki Happ
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28. “It feels as if the weight of the world is on your shoulders. You feel suffocated.” — Danielle Nicole Box
29. “I’m not doing it for attention.” — Georgia Tsaganis Johnson
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30. “The smallest things can set me off. The more trapped I feel, the worse off I am. Personal space will always make me feel better.” — Manda Ree
31. “My mind is my enemy, so I need you on my side. Sometimes I even need you to fight alongside me.” — Erin Farmer-Perrine
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Source: http://themighty.com/2015/05/31-secrets-of-people-who-live-with-anxiety/#ixzz3oRQyaiaC

Wednesday, 7 October 2015

How top European employers are targeting depression at work

An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.

An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds. 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: Evans-Lacko S and Knapp M, PLOS (2014). “Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace”.

 Source: Evans-Lacko S and Knapp M, PLOS (2014). “Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace”.

Sunday, 4 October 2015

Tips to Cope with a Panic Attack

A panic attack is a sudden rush of physical symptoms — like shortness of breath, muscle spasms, and nausea — coupled with uncontrollable anxiety and sometimes a sense of impending doom. Visits to the emergency room and desperate late night phone calls to doctors often result, as do test results that often reveal nothing. If you’ve ever had a panic attack, you can probably empathize with the frustration and hopelessness of not knowing exactly what happened.
By educating yourself about panic attacks, you can begin to gain control of the problem. You don’t have to live in fear and uncertainty any longer. We’ll get you started on your journey toward well-being.
Accepting a panic attack for what it is can help to lessen its effect. To start feeling in control of your anxiety, make an appointment with your doctor and get a full physical exam. This will help you focus your approach, as you’ll find out for certain that you’re coping with panic attacks and not some other ailment. A clean bill of health can also help alleviate irrational fears of dying and doom, which can surface during a panic attack.
Also, your doctor can differentiate between occasional panic attacks and a more serious panic disorder, which may require professional treatment and possibly medication. Working with your doctor, you can also determine if you have a genetic susceptibility to panic attacks, and if your episodes are triggered in part by other conditions, such as a thyroid disorder or lactose sensitivity.

Recognize the Symptoms of a Panic Attack

Familiarizing yourself with panic attack symptoms can help you feel more in control while one’s happening. Once you realize you’re experiencing a panic attack and not a heart attack, allergic reaction, or some other serious ailment, you can focus on techniques for calming yourself.
Being able to recognize it for what it is will help you decide what action to take to overcome it. Although symptoms differ from person to person, and only a trained professional can provide a definite diagnosis, some common ones include:
  • Irregular heartbeat
  • Dizziness and lightheadedness
  • Shortness of breath
  • Choking sensations and nausea
  • Shaking and sweating
  • Fatigue and weakness
  • Chest pain and heartburn
  • Muscle spasms
  • Hot flashes or sudden chills
  • Tingling sensations in your extremities
  • A fear that you’re going crazy
  • A fear that you might die or be seriously ill

Understanding Your Body

A panic attack is often a reaction to fear (either conscious or unconscious), and some of the strange physical reactions you experience during one are the result of your body reacting to this fear. Common catalysts of panic attacks include:
Anticipatory anxiety. You become mentally anxious over a past, traumatic event, and your body responds as if it will happen again right away. Catalysts can include photographs, conversations, or anything that triggers the bad memory.
Self-defeating visualization. You may not only picture yourself re-experiencing a traumatic event, but you may also fear losing control of a current situation and not being able to handle it. You interpret the situation as potentially dangerous, and your body secretes adrenaline to prepare for crisis.
Understanding how your body and mind work during these episodes can help you develop a healthier response to frightening situations. Although there are innumerable variations, common reactions to panic include:
Your body goes on alert. Your brain sends a message to your body to protect it against the perceived danger, and your body prepares for the pseudo-emergency. For instance, the eyes may dilate to improve vision, your heart rate quickens to circulate blood faster to vital organs, breathing increases to get more oxygen to the circulating blood, and your muscles tense in case you have to move quickly.
Your mind remains stuck on fearful thoughts. Instead of reacting to either solve the problem or remove yourself from the situation (which you’d likely do in a real emergency), you get stuck on the perceived threat and remain unable to let go of the fear.
Your breathing becomes more rapid. Inhaled oxygen reacts with your cells to produce carbon dioxide, which is then exhaled. During a panic attack, breathing rates increase so your body can absorb oxygen more quickly in preparation for any necessary action. During rapid, heavy breathing (also called hyperventilation), your lungs exhale more carbon dioxide than your cells produce, causing the level of carbon dioxide in your blood and brain to fall. The results (which may include dizziness and heart palpitations) can cause some people to panic further, thereby increasing breathing even more.

Relax Your Breathing and Muscles

If you feel an attack coming on, simple breathing and relaxation techniques can help you feel more in control. But don’t wait until you’re having a panic attack to perfect the techniques. Practicing them twice a day for just 10 minutes at a time may make your panic attacks less frequent and easier to conquer.
Relax your breathing. Put one hand on your upper-chest, and the other over your diaphragm (where your rib cage meets your stomach).
Take in a slow, deep breath through your nose while counting to five. The hand on the chest should stay still, while the one over your diaphragm should raise with your breath. This is how you know the breath is deep enough.
When you reach the count of five, let the breath out slowly (through your nose) at the same rate. Concentrating on your hands and the counting will help focus you and calm you down. Continue these breaths until you feel relaxed.
Relax your muscles. Find a comfortable position to sit in (or lie down).
Close your eyes and begin to focus solely on your toes. Curl them under tightly for a count of five, squeezing the muscles together as hard as you can, then relax.
Next, concentrate on your feet. Contract all of their muscles tightly for a count of five, then relax.
Continue up your body, isolating each muscle group (calves, thighs, buttocks, stomach, chest, shoulders, neck, fingers, hands, and arms) all the way up to your face.
By the time you contract and relax your face muscles, you should feel much more calm.

Exercise

A panic attack can trick you into feeling fatigued, but often the opposite is true. Instead of retreating to your couch or bed, try these activities:
Walking. During a panic attack, it may seem like nothing short of an emergency room will help you. But sometimes the most basic of activities–like a walk through a quiet park, down a street you find relaxing, or anywhere that helps you take your mind off your anxiety–can be the best medicine. Light aerobic exercise also helps your body produce endorphins. And getting fresh air and sunshine can have a positive effect on your overall outlook.
Yoga and stretching. Like deep breathing, these activities can reduce muscle tension and help you regain composure. Lie flat on your back and bring one knee up to your chest. Hold it there for 20 seconds with your hands, while also breathing deeply through your nose. Repeat with the other knee.
Or, stand with your feet a little more than shoudler distance apart and your knees straight. Bend forward from the waist, touching your fingertips to the ground. Hold that pose for 10 seconds, then gently come back to a standing position (being careful not to strain your back). Repeat these stretches as necessary.
Using peripheral vision. Let your field of vision broaden until you can see from the outside corners of your eyes. Breathe deeply and let your jaw muscles relax. This exercise activates the parasympathetic nervous system, which calms your body.

Confront Your Fear

The more you understand your fear, the better you’ll be able to control it. Try writing in a journal before, during, and after a panic attack; record your thoughts, ailments, and worries. When you’re feeling better, go back and reread the entry. This can prepare you for another attack (as you’ll know what to expect) and can help you look for patterns between attacks. Some other ways to understand your panic include:
Paradoxical intention. The goal of this exercise is to trigger a panic attack and stand up to it, thereby feeling in control of what frightens you. Go into the feared situation with the tools you’ve learned, and perhaps with a friend for support, and actually dare the attack to happen. This can help you train yourself to not be afraid of the situation, and give you an opportunity to learn from it.
Talk to a therapist. A therapist can help you get to the root(s) of the problem and devise a plan to overcome it. To find a therapist who’s right for you, ask for a referral from your doctor.
Join a support group. A therapist, your doctor, or a friend may be able to recommend a support group for sufferers of panic attacks. Group meetings can give you further insight into your situation, as you’ll get a chance to hear how others are coping with their problems.
As frightening as it may seem at first, once you start to learn about panic and stand up to it, you’ll experience newfound wisdom and freedom–a great first step toward all sorts of new possibilities.
Source:  http://psychcentral.com/lib/tips-to-cope-with-a-panic-attack/?all=1

Thursday, 1 October 2015

Want to beat depression?

When I was in my early 20s, I suffered from suicidal despair. I cried for days, sobbed in the street, lost all my self-respect.
I won a prestigious scholarship to America to study ­literature for two years in ­Williamsburg, Virginia, and I became so ­desperately lonely that I took an overdose of sleeping pills. I was found outside my apartment by my flatmate and rushed to hospital, where they pumped out my stomach.
I’d always been a depressive, morbid ­character and suffered from panic attacks. I’d had a very difficult childhood, with a violent father who was addicted to powerful tranquillisers and attacked my mother and me.
Somewhere inside, I knew there was more to life than this. I tried softly-softly therapies such as psychiatry, ‘stress’ management and counselling. They promised to protect me from problems, but all they did was make me feel more helpless.
I could not bear to take antidepressants or tranquillisers because I had seen my father’s character changed by his addiction to them.
But I wasn’t getting better. During one panic attack, I ended up shutting myself in a phone box to ring for help, but I was shaking so badly I couldn’t dial the numbers.
For most of a decade I floundered, working through research, training and academic degrees in search of a magic mindset to make me happy and self-reliant. (I eventually ended up at the University of East Anglia as a research fellow investigating stress.)
Then I turned my research in a different direction, looking instead at what made ­people succeed in difficult or distressing ­circumstances. I studied sports psychology. I looked at the ancient character training used by the Roman army.
The secret, I learnt, was to develop resilience in the face of adversity; to face the problem and be deeply changed by that experience. I came to realise our modern approach to depression and despair often makes the problem worse.
We live in an unusually protective, safety-conscious society that thinks the way to help the weak and vulnerable is to nurse them like infants and prevent them from feeling bad. But look at the number of adults who are suffering from depression and anxiety today and ask yourself: softly-softly — is it helping or harming?
Today, one in three GP patient appointments involves a patient reporting depression. More than six million people in Britain regularly take antidepressants.
A study published just last week found two-thirds of women in England and Wales have suffered mental health problems such as ­anxiety and depression.
Depression is a pandemic, so it must have an underlying cause. I suggest it’s this: we have come to see negative emotions as an inconvenience or an illness. And our modern therapy culture is far too ready to give people labels for their distress — labels that make them feel mentally abnormal and unable to help themselves out of their troubles.
Many people believe they suffer from ‘depression’ or ‘clinical depression’ simply because they are grieving over one of life’s maulings, don’t know what to do to feel better and think it might help if they had a label for their bad feelings.
The label acts like a baby’s dummy or the security blanket of Charlie Brown’s best friend Linus in the Peanuts cartoon — he sucks his thumb and holds it to his ear in times of trouble, though it doesn’t actually serve any useful purpose.
This label is not a cure. It might actually demoralise you and prolong the whole bitter episode.
Once patients are officially labelled ‘depressed’, it tends to sap what little energy they have left to get off their bottoms and set about changing their outlook on life.
Poet John Keats described depression as the ‘drowsy numbness that pains the sense’. It is not only disastrous to life, but dangerous to health. It shouldn’t be mollified with tea and sympathy, but faced down and defeated.
Don't succumb: Your brain has untapped powers to help you (posed by model)
I had such an experience when I was young. I was starting out as a writer, living with my parents, and suffering from panic attacks that were becoming more and more distressing. My habit had been to try to escape the symptoms by surrounding myself with friends and keeping busy. But nights were terrifying spirals and I feared for my sanity.
One evening I decided I couldn’t outrun this any more: I was too exhausted. I’d turn and face the monster. So I went to my room, lay down, folded my arms and waited for the worst.
But suddenly, instead of terror, I felt absolute peace. I went downstairs and looked at my violent, drug-addicted father watching a film on television — On The Waterfront. I was overwhelmed with love and pity for my father, admiration for the film, gratitude for our tiny council house, the lamp on the television, the world I lived in. Everything suddenly made sense. I never suffered from panic attacks again.
Another term commonly applied to depressed people is that they are ‘traumatised’ by some terrible experience. We hear it all the time — schoolchildren have seen an accident in the playground and are therefore ‘traumatised’.
Viewers can apparently even be ‘traumatised’ by watching a particularly challenging episode of EastEnders. But well-conducted studies show that this label, too, can cause far more harm than good. For example, post-traumatic stress counselling can make people feel much worse after they have encountered something shocking.
It can convince them that their reactions are abnormal and a sign of mental illness, causing further anxiety, helplessness and disease.
In fact, negative emotions that go by the name of ‘stress’ can be ­bountifully positive.
A number of Nobel Prize-winning scientists have been studying what are technically known as ‘complex systems’. Examples of complex ­systems include piles of sand, pans of simmering water, the money ­markets and insect swarms.
At the highest point of tension and on the very edge of chaos, they ‘change gear’ and spontaneously produce order.
For example, when a pan of water is put on to boil, all the water molecules behave more and more randomly and ­chaotically until suddenly they all organise themselves into a hexagonal pattern of heat convection and then simmer. From the very edge of chaos emerges order.
‘Nothing to do with me,’ you might think. Except that one of the ­complex systems under study is the human brain, and whether it responds to tension in the same way. Undergoing tension and resolution might be crucial to its vital work.
The nervousness that our stress-managed age has come to fear and avoid might actually be part of a complex process designed to upgrade our abilities, and beat depression and despair.
When we face a threat or challenge, the body goes into the ­complex ‘fight-or-flight response’.
Stress management people are fond of telling us that this is a ‘very primitive’ threat mechanism — one that is suitable for fighting sabre-tooth tigers, but inappropriate for our modern lives.
The mechanism is, in fact, highly sophisticated. Scientists have revealed that it triggers a chain of hormonal and neurological ­reactions which mean that the brain, at the very height of a crisis that threatens to disintegrate us, can suddenly convulse its powers and produce a life-changing revelation.
This miraculous process, which in part is literally a carefully controlled ‘rush of blood’, is what rescued me when I was young and suffering from crippling anxiety.
The brain changes gear when we face threats and challenges. It has to. It is designed to help us survive and learn, to produce brilliant ideas when we’re in the middle of bad experiences. If we are numbed or coddled, we are denied these life-changing breakthroughs — the sudden moments of calm, clarity and visionary joy that occur at the very climax of a personal crisis.
So if you have been ‘diagnosed’, don’t just sit there and succumb. Your brain has untapped powers of recovery just lying there, waiting to help you survive and grow, waiting for you to say: ‘Blast all this. I’m going to get better.’
Source: http://www.dailymail.co.uk/health/article-1348114/Want-beat-depression-Do-I-did--just-grip.html