This feedback — which I have received repeatedly since the publication of my book,
The Anxious Achiever, last year — makes me feel grateful. It also makes me angry.
Every
day, my inbox is filled with stories that would make your eyes burn. I
recently conducted an informal poll on LinkedIn in which 87% of 1,228
respondents reported that a stressful coworker, client, boss, or work
situation was the catalyst for negative physical symptoms such as
migraines, nausea, hair loss, sleep loss, weight changes, autoimmune
outbreaks, and panic attacks.
And it’s not just my community. Headspace’s 2024 Workplace State of Mind
study
found that work stress has negatively impacted physical health for 77%
of employees and relationships outside of work for 71%. A May 2023
Gallup and Workhuman
poll
found that fewer than one in four employees felt their organization
cared about their well-being — nearly half the number who said the same
before Covid-19.
What
happened? While benefits and conversations around mental health have
changed, workplace cultures haven’t caught up. Workplace mental health
expert Natasha Bowman also shared that while a high level of empathy and
compassion emerged during the pandemic, she’s seeing a shift back to
pre-pandemic habits, including rollbacks of DEI and well-being
initiatives. People are not responding well. “Today, workers demand more
than just a paycheck — they demand respect for their mental health
needs. It’s not just about ticking off boxes, it’s about creating a
culture where employees feel empowered to prioritize self-care without
fear of repercussions,” said Bowman.
I
couldn’t agree more. To address this critical moment for companies and
employees, I wanted to share my state of workplace mental health —
culled from what I’ve learned from wise colleagues and from hundreds of
keynotes and conversations on workplace mental health since the launch
of my book — as a path forward.
Start with the Work
Today,
improving workplace mental health involves tackling how, why, and where
we work. Pat advice on putting your phone away in the evening or
scheduling your emails feels so 2020.
So,
get specific and focus on the work product you need and how you can
better support the employees involved. For example, imagine a large
hospital system: The workplace mental health considerations of ER
clinicians are going to be very different from those of the billing
department because their work product is totally different. Advice from
flexible workplace expert Cali Yost should be the cornerstone of any
well-being initiative: When you start with what needs to get done, Yost
says, teams can “reimagine how, when, and where work is done to perform
effectively as an organization, and help people be their best as well.”
Consider
new research
from JAMA, which finds that greater job flexibility is associated with
decreased odds of serious psychological distress and lower odds of
weekly anxiety.
Like
return-to-work mandates, blanket policies for employee mental health
rarely succeed and aren’t realistic given the varied ways we work today.
Jim Mortenson, president of R3 Continuum, a leading workplace
behavioral health provider, says: “Just as a general practitioner can’t
handle every physical medical issue that an individual has, a single
behavioral health solution won’t address all the problems that an
employee base has. You have to both recognize the diversity of issues
within a company and also understand the specific stressors of that
organization, because they do differ. If you aren’t tailoring the
solutions to the problems that people are experiencing, you won’t get
the results you need.”
Don’t Rely on Outsiders to Drive Behavior Change
Too
often, companies rely on outside experts or a designated well-being
consultant without also engaging internal champions who are managers and
leaders in business units. Or, a company confines the work to human
resources or an internal wellness team. Either way, if you’re asking
teams to change how they work to achieve better mental health outcomes,
you need buy-in from day-to-day decision-makers within business units.
Newton
Cheng is an example of one of these decision-makers. He is a former
engineer who serves as Google’s director of health and performance, and
he is one of the most powerful advocates I’ve seen for improving mental
well-being in large, complicated organizations. Cheng is both public
about his own mental health issues — which helps him connect to the
wider employee base — while also working to change a large system,
navigate red tape, and meet business goals.
In
a conversation I had with him, Cheng reflected on why his mental health
workshops around Google are successful: “I’m sitting in the same shared
stigma they are. I’m modeling what it looks like to lead vulnerably in
the same organization they are. It gets really hard to do anything about
mental health until you see someone who’s doing it right in front of
you.”
Don’t
get me wrong, outside clinicians and practitioners help leaders develop
crucial mental health literacy and learn to talk about and model
healthy practices. But experts don’t get it like managers do. And yet
Newton is the first to admit that becoming this leader took time and a
lot of trial and error, plus a comfort with risk. Organizations that
want to create mentally healthy cultures need to recruit well-respected,
successful insiders who are willing to step out and take the lead.
Others will follow!
Foster Conversations Across Generations and Genders
There
are two elephants in the room that need to be addressed. First, every
generation at work struggles with their mental health; it’s not just
young people who want to talk about their feelings. Second, men want to
share their emotions at work but might feel more stigma than women. How
can workplaces tackle these biases?
To
start, increase mental health literacy across the organization. When
there’s no shared language or baseline of knowledge, biases and stigma
flourish. Younger people may talk more openly about mental health simply
because they grew up talking more about it than previous generations,
though overusing and misusing terms (e.g., “OMG I had a total panic
attack”) can make comments easier to diminish and ignore. Invest in
training for everyone to learn the mental health basics.
It’s
also crucial to make sure men are visible and talking. If your mental
health programs skew too female, invite men in! I joke that having
“manvangelists” talk about mental health is crucial to decoding the
gender bias of emotions at work.
Finally,
give generations their own spaces to share: Mental health is an
inclusive conversation but it can be helpful to offer people who share
lived experiences — generationally or otherwise — the space to connect.
Be Patient and Prepare to Invest in What Matters
There’s
no magic app to make people happier at work. Becoming a more mentally
healthy organization is a commitment to change the fundamentals, and it
starts with leadership. Psychologist Emily Anhalt says organizations
must embrace this reality: “This will not be a quick and easy thing.
This is a forever journey that you have to decide is worth your while.”
There are two key aspects of this journey that I’ve come to see as most important.
First,
recognize that technology will not fix our mental health issues;
technology is part of the problem. Every conversation I have includes
feelings of utter hopelessness that we have lost the battle with our
phones and attention spans. The hyper-responsive cycle of always being
online exacerbates anxiety at work. We need strategies to address mental
health that acknowledge the outsized role technology plays in our work
lives and the damage it does to our mental health.
Second,
consider that work is about people, and people are messy and difficult.
“Pretty much every mental health struggle a person is having, at its
core is a struggle of relationships, Anhalt notes. “Companies have to be
willing to get in there and help people actually feel met and heard and
seen and connected.” Here’s the wonderful thing: When employers invest
time, curiosity, and thoughtful strategy as they develop mental health
programs, people do feel met and heard and seen and connected. It’s a
win!
In
the end, Anhalt recommends that leaders who care about mental
well-being need to invest in the long game and build trust with
employees over time. This approach is difficult to justify for
businesses beholden to short-termism and shareholder pressure, but there
is growing interest in the field of human sustainability and models
like the U.S. Surgeon General’s
Framework for Workplace Mental Health and Wellbeing.
These give me hope and feel like the mindset shifts we need. Whether
any of these ideas will gain “juice” inside companies remains TBD.
Walk the Talk
Mental health is core to everything we do at work. Protecting it will take all of us.
No
matter what level you are in your company, if you’re passionate about
mental health, be persistent. Anhalt notes that the reason why there are
more mental health benefits now is that enough people said, “I’m not
going to work here if that’s not part of it.”
Those
of us in the workplace mental health field look forward to the day when
we don’t have to try so hard to convince organizations to invest in
this work. “What is keeping me up at night is that we are currently in a
state of ‘pushing’ our trauma-informed corporate transformation work
with companies and leaders,” says Susan Schmitt Winchester, former CHRO
at Applied Materials and author of
Healing at Work.
“My dream is that in the future, leaders are ‘pulling’ for our work
because they deeply understand the connection between leader and
employee well-being to everything they care about — culture,
performance, productivity, employee experience, etc.”
Magic
in service of workplace mental health can happen at all levels of an
organization and some of the simplest, human-centered tactics can be
incredibly powerful. Have a candid conversation with a coworker. Find
strength in numbers by asking for policy change with colleagues. Be the
team leader who reaches out to encourage a more reasonable sign-off time
after seeing midnight email timestamps from your staff. Be the CEO or
VP who shares a personal story so others who struggle can feel seen.
One
thing I am reminded of time and again is that being anxious and being
an achiever are not mutually exclusive. We all have issues to work
through because we’re human. But we can thrive at work when our needs
get the air time and support they need and deserve.
Was this article helpful? Connect with me.
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