Coping with Grief and Mental Health Challenges in the Workplace - Psychiatry

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Grief and sorrow?


Hello, doctor.
I am a frequent visitor to the Taiwan e-Hospital.
Besides seeking consultation for my mental health issues, I sometimes share my problems with the Taiwan e-Hospital.
(1) Recently, due to my ongoing issue with tardiness, my company has assigned me to the night shift.
However, I have always been slow in my work since my student days! Now, I am on my fourth day of the night shift, and I haven't been late for four days! My company has been quite lenient and hasn't fired me.
But even though I am taking my psychiatric medications, why is my work efficiency still lacking? Even while working the night shift, I can't think of solutions or ways to improve my efficiency; everything feels sluggish! It feels like my brain is malfunctioning! During my night shifts, I am often criticized by my supervisor for lacking methods and efficiency in my work! I have been contemplating that perhaps I would be better off learning a trade, like hairdressing, to support myself.
Although I do my cleaning job very thoroughly, it is indeed inefficient! I can't seem to find or think of a clean and efficient method! With my current cleaning job, I often cannot prepare for the national exams, and I can't even attend online classes.
I am unsure whether I should change jobs.
Given the pandemic, I am grateful to have a job that keeps me from starving, and I really don't dare to talk about dreams or career planning, especially since I am not getting any younger and have passed the career exploration phase.
(2) Today, I received the news that an old friend of mine has passed away from cancer.
My mother also died of cancer fifteen years ago! I feel so disheartened; why do some people who do bad things not die or face consequences? Yet ordinary people, especially my relatives, family, and friends, often encounter misfortune! I know that time is the best medicine, and if things are severe, one should consult a therapist...
Everyone understands this.
I have started to feel hopeless; when my supervisor called, I didn't want to answer and just wanted to be alone in silence.
When my mother passed away, I wished so much that the person lying in the coffin was me! After experiencing all this, along with the ups and downs of human relationships, I used to fear death in my youth, but now I feel the opposite! It's not that I have become brave, nor is it that someone is waiting for me on the other side.
I don't know what it is; I just no longer fear death.

Jason, 40~49 year old female. Ask Date: 2022/07/05

Dr. Lin Mianzhang reply Psychiatry


Hello Jason: Your slow pace and lack of efficiency may be related to your disease symptoms, medications, or lifestyle.
Some conditions can lead to cognitive decline, certain medications can affect mental responsiveness, and irregular sleep patterns or insufficient sleep can also impact concentration and reaction times.
I recommend discussing these issues with your physician.
Additionally, it's understandable that you are feeling upset about the loss of a friend; your current reactions are quite normal.
However, if you feel persistently low and unable to cope, it may be helpful to talk to family or friends, or consult with your physician.
If necessary, your doctor can refer you to a mental health professional for further support.
Finding an outlet for your emotions can help improve your mood more quickly.
Wishing you peace and health.

Reply Date: 2022/07/05

More Info


Coping with grief and mental health challenges in the workplace can be incredibly difficult, especially when compounded by personal struggles such as a mental health condition. Your situation reflects a complex interplay of workplace stress, grief from losing loved ones, and the challenges of managing a mental health condition. Here are some strategies and insights that may help you navigate these challenges.


Understanding Your Current Situation
1. Workplace Adaptation: Transitioning to a night shift can be particularly challenging, especially if you have a history of slow work pace. It’s commendable that you have not been late during your night shifts, indicating a level of commitment and adaptability. However, feeling inefficient or slow can be discouraging. It’s important to recognize that adjusting to a new schedule and work environment takes time. Your brain and body are adapting to a different rhythm, which can affect your cognitive functions and overall efficiency.

2. Mental Health and Medication: You mentioned that you are on psychiatric medication, which is crucial for managing your mental health. However, it’s not uncommon for individuals on medication to still experience difficulties with focus and efficiency, especially under stress. If you feel that your current medication isn’t helping you as much as it should, it might be worth discussing this with your psychiatrist. They can assess whether your dosage needs adjustment or if a different medication might be more effective.


Coping with Grief
1. Processing Loss: The recent news of your friend’s passing, coupled with the loss of your mother, can trigger profound feelings of grief and existential questioning. It’s natural to feel disheartened and to question the fairness of life when faced with such losses. Allow yourself to grieve; it’s a process that takes time. Journaling your feelings or expressing them through art can be therapeutic.
2. Seeking Support: While you mentioned knowing that “time is the best medicine,” it’s also important to actively seek support. Consider reaching out to a therapist or counselor who specializes in grief. They can provide a safe space for you to express your feelings and help you develop coping strategies. Support groups for individuals dealing with grief can also be beneficial, as they allow you to connect with others who understand what you’re going through.


Improving Work Efficiency
1. Skill Development: You expressed an interest in learning a trade, such as hairdressing. This could be a positive direction for you. Engaging in a skill that you find fulfilling can provide a sense of purpose and accomplishment. Look for local vocational programs or online courses that can help you develop these skills while still maintaining your current job.

2. Time Management Techniques: To improve your efficiency at work, consider implementing time management strategies. Techniques such as the Pomodoro Technique (working in short bursts followed by breaks) can help maintain focus and productivity. Additionally, creating a checklist of tasks can help you stay organized and provide a sense of accomplishment as you check off completed items.


Addressing Existential Thoughts
1. Mindfulness and Acceptance: It’s understandable to have thoughts about mortality, especially after experiencing loss. Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety about the future. Techniques such as meditation, deep breathing exercises, or yoga can promote relaxation and improve your mental clarity.

2. Finding Meaning: Reflect on what brings you joy and fulfillment. Engaging in activities that align with your values can help counter feelings of despair. Volunteering, pursuing hobbies, or connecting with friends and family can provide a sense of community and purpose.


Conclusion
Navigating grief and mental health challenges in the workplace is undoubtedly complex, but you are not alone in this journey. It’s essential to be gentle with yourself as you adapt to your new work environment and process your feelings of loss. Seeking professional help, developing new skills, and practicing mindfulness can all contribute to a more balanced and fulfilling life. Remember, it’s okay to ask for help, and taking small steps towards improvement can lead to significant changes over time.

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