Should You Disclose Depression To Your Employer?

"If I had diabetes I would probably tell my company," Sandy says. "But I've never told them this." By "this," she means the fact that she suffers from depression. Today, CNN tackles a huge question: If you're suffering from depression, should you let people at your job know?

As the piece by Health.com's Anne Harding points out, happy employees are productive employees. So it's in a company's best interests to make sure workers get what they need to be healthy — mentally and physically. The problem, of course, is that a stigma surrounds mental illness.

Depending on the atmosphere and environment you work in, disclosing depression (or bipolar disorder, or any kind of mental illness) can seem like asking for trouble. Your coworkers may see it as an excuse; your boss may think of you as weak, and you might even be the subject of gossip. Of course, this shouldn't be the case. But who hasn't worked at a company where acting human — instead of like a cog in the machine — was viewed as a flaw? Any kind of personal issues were frowned upon; nothing mattered except the work.

The thing is: The more people admit to depression and other mental illnesses, the faster these conditions would lose some of the stigma. And if your job is part of what's making you depressed, well, at least take comfort in knowing we've all been there.

Depression In The Workplace: Don't Ask, Don't Tell? [CNN]

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Top 10 Controversial Psychiatric Disorders -Part 2

8. Narcissistic Personality Disorder - Someone with an inflated ego, need for constant praise and lack of empathy for others might sound like a shoe-in for psychotherapy. But the introduction of narcissistic personality disorder into the DSM in 1980 was not without controversy. The biggest problem was that no one could agree on who had the disorder. Up to half of people diagnosed with a narcissistic personality also met the criteria for other personality disorders, like histrionic personality disorder or borderline personality disorder, according to a 2001 review in the Journal of Mental Health Counseling. Which diagnosis they got seemed almost arbitrary. To solve the problem, the American Psychiatric Association has proposed big changes to the personality disorder section of the DSM-5 in 2010. The new edition would move away from specific personality disorders to a system of dysfunctional types and traits. The idea, according to the APA, is to cut out the overlap and create categories that would be useful for patients who have personality problems, not just full-blown disorders.

7. Dissociative Identity Disorder - Once known as multiple personality disorder, dissociative identity disorder was made famous by the book "Sybil" (Independent Pub Group, 1973), which was made into a movie of the same name in 1976. The film and book told the story of Shirley Mason, pseudonym Sybil, who was diagnosed as having 16 separate personalities as a result of physical and sexual abuse by her mother. The book and the movie were hits, but the diagnosis soon came under fire. In 1995, psychiatrist Herbert Spiegel, who consulted on Mason's case, told the "New York Review of Books" that he believed Mason's "personalities" were created by her therapist, who -- perhaps unwittingly -- suggested that Mason's different emotional states were distinct personalities with names. Likewise, critics of the dissociative identity diagnosis argue that the disorder is artificial, perpetuated by well-meaning therapists who convince troubled and suggestible patients that their problems are due to multiple personalities. Nonetheless, dissociative identity disorder has weathered this criticism and won't undergo any major changes in the DSM-5. (ed. note - Having met someone who underwent extensive therapy and reached recovery with this diagnosis, I'm having trouble believing it doesn't exist... it may be rare, but I think it's real.)

From an article by Stephanie Pappas. First installment here.

Top 10 Controversial Psychiatric Disorders -Part 1

The proposed revisions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have spurred debate over what illnesses to include in the essential psychiatric handbook. Everything from gender identity disorder to childhood mood swings has come under fire, and it's not the first time. The history of psychiatry is littered with impassioned fights over controversial diagnoses.

10. Hysteria -In the Victorian era, hysteria was a catch-all diagnosis for women in distress. The symptoms were vague (discontentment, weakness, outbursts of emotion, nerves) and the history sexist (Plato blamed the wanderings of an "unfruitful" uterus). The treatment for hysteria? "Hysterical paroxysm," also known as orgasm. Physicians would massage their patients' genitals either manually or with a vibrator, a task they found tedious but surprisingly uncontroversial. More contentious was the practice of putting "hysterical" women on bed rest or demanding that they not work or socialize, a treatment that often worsened anxiety or depression.According to a 2002 editorial in the journal Spinal Cord, the diagnosis of hysteria gradually petered out throughout the 20th century. By 1980, hysteria disappeared from the DSM in favor of newer diagnoses like conversion and dissociative disorders.

9. Penis Envy - Sigmund Freud revolutionized psychiatry in the late 1800s and early 1900s with his theories on the unconscious state, talk therapy and psychosexual development. Nowadays, many of these theories -- like his conclusion that young girls' sexual development is driven by jealousy over lack of a penis and sexual desire for their father -- seem outdated. But not everyone has consigned Freud to the dust heap. Organizations like the American Psychoanalytic Association still practice and promote Freudian-style psychoanalysis, and groups like the International Neuropsychoanalysis Society try to combine cutting-edge neuroscience research with Freud's century-old theories. How successful they'll be is unknown: A 2008 study in the Journal of the American Psychoanalytic Association found that today's psychology departments rarely teach psychoanalysis.

Ed. note: From an article by Stephanie Pappas on LiveScience.

10 Ways to Reduce Anxiety... Part 4

8. Breathe it out. You may notice that when your body is tense you hold your breath. Focusing on breathing is a common but effective technique for calming the nerves. Where is your breath now, and where is your mind? Bring them together. Listen to the movement of your breath. Does your mind wander somewhere else? Call it back. Concentrate only on breathing in and out, beginning and ending, breath to breath, moment to moment.

9. Make peace with time. When you're a worrier, everything can feel like an emergency. But notice this about all your anxious arousal: It's temporary. Every feeling of panic comes to an end, every concern eventually wears itself out, every so-called emergency seems to evaporate. Ask yourself, "How will I feel about this in a week or in a month?" This one, too, really will pass.

10. Don't let your worries stop you from living your life. Many of them will turn out to be false, and the consequences of your anxiety -- less sleep, a rapid pulse, a little embarrassment-- are just inconveniences when it comes down to it. What can you still do even if you feel anxious? Almost anything.

Ed. note: Part of an excellent series by Robert L. Leahy, PhD and director of the American Institute for Cognitive Therapy in NY, NY. See the first three installments here, here, and here.