Returning to work after mental illness

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Going back to work after being off with anxiety or depression is daunting, and it can feel overwhelming. It's natural to feel apprehensive, especially when you're unsure what to expect. If your employer has supportive policies in place, you should have been kept informed about developments in your team or department, and hopefully had regular check-ins with your manager. During these discussions, you should have explored important topics such as a phased return (if applicable), your current well-being, any support you might need, and how much you'd like your colleagues to know about your time off (if anything).

Facing your first day back

When that first day back comes, you can feel like a fish out of water. If you've been off for a while, especially in a larger company, it's possible that some colleagues have left, and new faces may have joined. If you're on a phased return and your company uses hot desking, you might even find yourself without a regular seat, which can add to the feeling of displacement.

You might also be experiencing some common fears, such as:

  • Can I still do this job?
  • What will people think?
  • Will they think I'm not pulling my weight?
  • Am I now going to be seen as a vulnerable person in the team?
  • Will they still expect me to be the strong one?
  • How much should I say about being off?
  • Will they think I'm weird?

If your absence was due to work-related stress, additional concerns might arise, such as:

  • Will things go back to how they were before?
  • Do I even want this job anymore?

Validating your feelings

These concerns are entirely valid. It's important to have regular one-on-one meetings with your manager during your transition back to work. These conversations are key to addressing your worries, setting clear expectations, and ensuring you have the right support in place.

In some cases, it can be helpful to seek external support, such as counselling or coaching, to help you process and manage the feelings that come with returning to work. This can provide a safe space to vent your concerns and receive guidance on managing your emotions during those first few weeks.

You are not alone

It's crucial to remember that mental health challenges are more common than many people think. In fact, one in four people will experience a mental health issue at some point in their lives. You are not alone. It’s very likely that others in your workplace have also dealt with anxiety, depression, or other mental health concerns.

If you find the process of returning to work overwhelming, don't hesitate to reach out for help. Whether it’s a trusted colleague, a mental health professional, or a support organisation, there are resources available to support you through this transition.

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The views expressed in this article are those of the author. All articles published on Counselling Directory are reviewed by our editorial team.

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London N1 & N8
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Written by Marilyn McKenzie
BSc, PGDip, MBACP, Couple’s Counsellor
location_on London N1 & N8
I am Marilyn McKenzie and I am a qualified psychotherapist who has worked with couples, addiction, DV, young offending, grief and bereavement as well as anxiety and depression. I am integrative in my approach but often work systemically. I have...
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