Contents of the Book

CHAPTER 1 – Depression is Expensive

• 1.1 The Silent Embezzler
• 1.2 The Silent Embezzler in the Workplace
• 1.3 A Series of Catch-22s
• 1.4 The Cost of Depression to Your Company
  • 1.4.1 Direct Costs
  • 1.4.2 Indirect Costs
  • 1.4.3 The Depression Calculator
• 1.5 Is There a Solution?
• Chapter 1 Summary

 

CHAPTER 2 – Workplace Depression is On The Rise

• 2.1 Depression Among Professionals
• 2.2 Reason 1: Stress Levels Have Increased
• 2.3 Reason 2: Workplace Stress has Increased
  • 2.3.1 Insufficient Wages
  • 2.3.2 Increased Demands
  • 2.3.3 Job Insecurity
  • 2.3.4 Powerlessness and Less Control
  • 2.3.5 Lack of Good Leadership
  • 2.3.6 Lack of Social Support from Colleagues
  • 2.3.7 Hazardous Work Environment
  • 2.3.8 Workplace Bullying
  • 2.3.9 Death of a Co-worker
  • 2.3.10 Traumatic Events on the Job
  • 2.3.11 Lack of Down Time
• 2.4 Reason 3: More People Being Treated
• 2.4.1 Psycheducation
• 2.4.2 Destigmatization
• 2.4.3 Expanded Insurance Coverage
• 2.4.4 Employee Assistance Programs
• 2.5 Reason 4: More Effective Treatments
• 2.6 Reason 5: Expanded Job Protections
• Chapter 2 Summary

 

CHAPTER 3 – What is Depression?

• 3.1 Normal Mood Swings or Normal Depression
• 3.2 Clinical Depression
• 3.3 The Nine Main Symptoms of Depression
• 3.4 The Features of Depression at Work
• 3.5 Distinguishing Depressive Conditions
  • 3.5.1 Non-melancholic Depression
  • 3.5.2 Melancholic Depression
  • 3.5.3 Psychotic Melancholia
• 3.6 Bipolar Disorder
• 3.7 The Features of Bipolar Disorder at Work
• Chapter 3 Summary

 

CHAPTER 4 – Who Is At Risk?

• 4.1 Who Is At Risk For Depression?
• 4.2 The Incidence and Prevalence of Depression
• 4.3 Gender and Cultural Differences
  • 4.3.1 Gender
    • 4.3.1.1 The Male Experience
    • 4.3.1.2 The Female Experience
  • 4.3.2 Race and Ethnicity
• Chapter 4 Summary

 

CHAPTER 5 – What Causes Depression?

• 5.1 Biology and Genetics
  • 5.1.1 Genetics
  • 5.1.2 Brain Chemicals: Neurotransmitters
  • 5.1.3 Stress Hormone: Cortisol
  • 5.1.4 Relevant Brain Structures
  • 5.1.5 Complications of Other Medical Conditions
  • 5.1.6 Depression and Immune Dysfunction
• 5.2 History and Upbringing
• 5.3 Personality and Temperament
  • 5.3.1 Dependency on the Symbols of Success
  • 5.3.2 Negative Thinking
  • 5.3.3 Lack of Coping Skills and Resilience
• 5.4 External Situations and Circumstances
  • 5.4.1 Psychological Stressors
  • 5.4.2 Traumatic Events
  • 5.4.3 Depression Often Co-occurs with Other Psychological Disorders
• 5.5 Social Relationships
  • 5.5.1 Bereavement and Loss
  • 5.5.2 Breakdown of Support Networks
  • 5.5.3 The Role of Parenting
• Chapter 5 Summary

 

CHAPTER 6 – How is Depression Treated?

• 6.1 Impact of Culture, Age, Gender and Race
  • 6.1.1 Treating Different Cultures and Races
  • 6.1.2 Treating Men Versus Treating Women
  • 6.1.3 Treating Adolescents
  • 6.1.4 Treating Seniors 125
• 6.2 Pharmacological Treatments
• 6.3 Psychosocial Therapies
  • 6.3.1 Cognitive-Behavioral Therapy (CBT)
  • 6.3.2 Interpersonal Psychotherapy (IPT)
  • 6.3.3 Social Treatments and Psycho-education
• 6.4 Institutionalization
• 6.5 Electroconvulsive Therapy (ECT)
• 6.6 Extensions to Therapy
  • 6.6.1 Exercise
  • 6.6.2 Nutrition
• 6.7 Alternative Therapies
• Chapter 6 Summary

 

CHAPTER 7 – Recognizing Depression in the Workplace

• 7.1 What Should You Be On The Lookout For?
  • 7.1.1 Two Common Assessment Mistakes
• 7.2 Deciding to Step In: Should You Intervene?
  • 7.2.1 Red Flags
  • 7.2.2 Suicide Risk Assessment
• 7.3 Depression Screenings
• 7.4 The Legal Ramifications of Intervention
  • 7.4.1 Legal Issues to Consider
    • 7.4.1.1 Substantial Limitation
    • 7.4.1.2 The Role of Medication in Substantial Limitation
    • 7.4.1.3 Are Job Applicants Required to Disclose Psychiatric History and Disabilities?
    • 7.4.1.4 Can an Employer Require a Medical or Psychiatric Examination of an Employee?
    • 7.4.1.5 When Do Problems with Others Amount to a Substantial Limitation?
    • 7.4.1.6 Inquiries from Co-workers
• Chapter 7 Summary

 

CHAPTER 8 – Be Preventive and Proactive:
Set the Culture for Managing a Depressed Employee

• 8.1 Laying the Foundation: The Keys to Effective Depression Management
  • 8.1.1 What Are the Obstacles to Effective Depression Management?
  • 8.1.2 Building a Depression Management Plan – Where Do You Start?
• 8.2 Learn From Others 183
• Chapter 8 Summary

 

CHAPTER 9 – GRO-DOH: A Comprehensive Model for Manager Intervention

• 9.1 Preparing for a Discussion about the Issue
• 9.2 Having a GRO-DOH Conversation
• 9.3 What Are the Advantages of the GRO-DOH Model?
• Chapter 9 Summary

 

CHAPTER 10 – The Non-Compliant Employee

• 10.1 Depression Denial
• 10.2 Medication Non-compliance
• 10.3 Psychotherapy Non-compliance
• 10.4 Compliance Reduces Risks for Employers
• 10.5 What Behavior Constitutes Non-compliance?
• Chapter 10 Summary

 

CHAPTER 11 – Working With a Depressed Co-worker

• 11.1 Basic Tactics
• 11.2 How Can You Help the Depressed Co-worker?
  • 11.2.1 Be An Ally, Not An Enemy
  • 11.2.2 Reaching Out
  • 11.2.3 Offering Feedback
  • 11.2.4 Offering to Help
• 11.3 What Support Is Not Helpful?
• 11.4 Communicating with a Supervisor
• 11.5 How Can Employers Provide Support?
  • 11.5.1 Provide Support to At-risk Employees
  • 11.5.2 Designate Mentor-Coworkers
• Chapter 11 Summary

 

CHAPTER 12 – Trouble at the Top: What To Do When Your Supervisor is Depressed

• 12.1 The Boss is Depressed
• 12.2 What’s the Solution?
• 12.3 Employee Tips for Handling the Depressed Boss
  • 12.3.1 Determine the Cause
  • 12.3.2 Examine Your Own Behavior
  • 12.3.3 Communicate Effectively
  • 12.3.4 Consult a Professional if Necessary
• Chapter 12 Summary

 

CHAPTER 13 – The Breakdown: Managing a Personal Crisis in the Workplace

• 13.1 Crisis Time
• 13.2 Critical Incident Management Strategy
• 13.3 Co-worker Response
  • 13.3.1 Accept Responsibility
  • 13.3.2 Provide Assistance
  • 13.3.3 Be Attentive and Listen
  • 13.3.4 Take Some Action
  • 13.3.5 Follow-up
• 13.4 A Depressed Co-worker Becomes Violent in the Workplace
• Chapter 13 Summary

 

CHAPTER 14 – Consequences of Not Intervening

• 14.1 Untreated Depression Can Have a Devastating Impact
• 14.2 Why Do Some Employers Resist Establishing Intervention Programs?
• Chapter 14 Summary

 

REFERENCES

 

APPENDICES

• A: Clinical Criteria for Major Depressive Episode
• B: Clinical Criteria for Manic Episode
• C: Anti-depressant Drugs Currently Available
• D: Further Information