Skip to main content
Submitted by Tdutt on 19 May 2017

Severe mental illness like Schizophrenia and Bipolar Disorder can get better with appropriate care. But when it begins to raise its disturbing head again in a person, it tends to have a few telltale signs. Tanya Dutt, founder of AtmaNirbhar explains how it is important for an employer to recognise and manage these situations at a workplace.

Work is an important part of our lives and well being and is a key factor in the recovery of a person battling a mental health issue like Schizophrenia. For a person with mental illness, being gainfully employed increases self-esteem, gives a sense of being valued and productive, helps in functionality and forming an identity.  In an everyday situation our environment is filled with stress and unpredictability and a person will mental ill health might be vulnerable to certain factors which even with the timely management of the illness, could lead to a relapse of the illness. 

Relapses are the return of symptoms of the illness after a period of time when no symptoms are present. Is it possible to circumvent a relapse? As an employer of persons with mental illness, what are the five signs of a relapse to watch out for at the work place and what you could do in these situations.

Five signs that indicate a relapse could be imminent and ways to address these issues

1. Absence from the work place

When the individual who has been fairly regular at work begins to take leave often or refuses to do any work preferring to do nothing for long periods of time, the supervisor should pay attention to signs of distress before the individual completely stops showing up for work.

2. Personal hygiene

When the individual begins to suddenly show up at work in a dishevelled and unkempt manner for several days or if their personal hygiene is lacking, there could be a  possibility of underlying distress.

3. Disturbed behaviour

When the individual who has been relatively polite and articulate begins to display signs of aggression or withdraws into extended periods of silence, there is a need to address the situation.

4. Communication lapse

When the individual starts communicating in disjointed sentences, incoherent language or slurry speech, these issues should be addressed immediately.

5. Delusional Thoughts

When the individual begins to verbalise their delusions in an effort to convince everybody around them, the possibility of a relapse is imminent.

How do we deal with this

The Supervisor/Manager must

  1. Ascertain whether the work environment is conducive to the individual’s performance or whether the individual is either overworked or under motivated to perform his work.
  2. Ascertain if there is any friction between individual’s relationship with co workers and managers.
  3. Communicate with the caregivers if required.
  4. Provide support to the individual to return to work once he gets well.

At any point of time the supervisor/employer should have an open and empathetic line of communication with the individual. When signs of a relapse begin to exhibit the supervisor must be proactive in looking for the source of distress - whether the distress is environmental or organic and provide support as required.

AtmaNirbhar is a non-profit that is focussed on creating gainful employment opportunities for persons with severe mental illness. Atmanirbhar manages four retail stores employing 18 individuals with mental ill health. The recommendations above are based on the experiences at AtmaNirbhar.

If you have a question as an employer or a caregiver or a person with mental illness you can write in here

Stories

  • I am comfortable with myself and with the world again
    SCHIZOPHRENIA AWARENESS WEEK 2016 Mahesh (name changed) was caught unawares by schizophrenia which rendered him unsuitable for the world outside and for all those parameters which tag a person ‘normal’. He was unfit for school, for friends, for academics and for competition of any kind. Rudderless as he was, SCARF provided him with that much-needed cushion to re-discover himself and find his comfort zone. He recounts his fight here and how he managed to come to terms with it.…
  • Schizophrenia Signs and Symptoms
    What are the signs and symptoms of Schizophrenia?  The symptoms exhibited at different stages are different. The symptoms do not appear suddenly. They creep in stealthily and may be present for weeks to months before they progress to a full blown state. Stages of Schizophrenia elaborates how the symptoms progress. The signs and symptoms of schizophrenia are broadly grouped into two: Positive symptoms  Negative symptoms. Positive symptoms of schizophrenia are behaviors and…
  • Schizophrenia Stages
    The symptoms of Schizophrenia progress slowly. There are broadly two stages in terms of the progression of Schizophrenia:   Prodrome Stage Acute Stage Prodrome Stage In the very beginning there are some “Behavioral changes” which can pass for normal variations in daily life. It is very difficult to state that at this stage they clearly indicate a disorder. These changes are not just a set of particular symptoms but a definite variation in the routine behavior of the individual…
  • Schizophrenia
    What is Schizophrenia “A slowly progressive deterioration of the entire personality which involves mainly the affective life and expresses itself in disorders of feeling thought and conduct and a tendency to withdraw from reality”          -  Eugen Bleuler  Schizophrenia is a chronic, severe multi-faceted and complex disorder of the mind, now being increasingly considered a brain disorder. It affects approximately 1% of the world population and has a…
  • Schizophrenia Management
    Effective management of schizophrenia always involves a multidisciplinary team of psychiatrists, social workers, psychologists, occupational therapists and  families. Medication is the mainstay of treatment in schizophrenia. There is a wide range of medication to choose from depending on the person’s age, nature of illness, affordability, side effect profile etc. Treatment in schizophrenia does not stop with symptom control. It extends to include rehabilitation and reintegration back…
  • Schizophrenia Causes and Risk Factors
    What causes schizophrenia? There is no single cause for this ailment. Several factors play a role in the causation of this illness.  First and foremost are the genetic factors which are in place right from a person’s intra-uterine life. Then come the environmental factors which include adversities in life.  A combination of genetic predisposition, inherent vulnerability and the presence of environmental factors such as prolonged stress seem to lead to schizophrenia. Other…
  • Schizophrenia Diagnosis and Tests
    Are there investigations to diagnose Schizophrenia? There is no single diagnostic test to confirm this illness. The information provided by an observant family member combined with the doctor’s clinical acumen go a long way in arriving at a diagnosis. As a family member watch out for these signs and symptoms of Schizophrenia. Then how is this condition diagnosed? Like seizures or migraine this is a clinical entity which is diagnosed purely by a good psychiatrist’s diagnostic skills. The…
  • Schizophrenia Prevention
    There is no documented way to prevent Schizophrenia but if you are at a high risk due to genetic and environment factors, counselling may help. Also, early treatment is helpful in getting the symptoms under control and preventing full blown development of the condition. It is also important to stick to the treatment plan to prevent relapses. The treatment plan may include complementary therapies that help calm the mind like meditation, martial arts, art therapy, music therapy.  
  • Schizophrenia Treatment
    This section coming soon Refer to Schizophrenia Management for more information
  • Ma you are the rock, the support, the best,
    Happy Mother's Day 2016 This Mother's Day we asked a few of our contributors, to share a Mother's Day wish. They shared poems, beautiful thoughts for their mothers who have been their caregivers and their stength in their journey. We look forward to hearing from each of you what you wish for your Mother or if you have a message for her, express yourself today. Read Smitha's entire poem here: To the World's Best Mother - My Mom Know more about Siddharth Jayakumar, Melissa Chan, Vedika and Smitha…