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Show Notes Ep. 3

Spotting the signs... - How do you know if a colleague is struggling, and what do you do if they are? How best to support your colleagues.

Managers who know their staff and regularly hold one-to-ones to discuss work and wellbeing are placed to spot any signs of stress or poor mental health at an early stage. Often the key is a change in typical behaviour. Symptoms will vary, as each person’s experience of poor mental health is different, but there are some potential indicators to look out for.

Table 1 is not exhaustive, but it offers some useful pointers. However, if one or more of these signs is observed, this does not automatically mean the employee has a mental health problem – it could be a sign of another health issue or something else entirely. It’s important not to make assumptions or judgements, and to be led by the employee. Always take care to talk to the person directly.

Table 1: Indicators of poor mental health 

Physical Psychological Behavioural 
Fatigue Anxiety or distress Increased smoking and drinking 
Indigestion or upset stomach Tearfulness Using recreational drugs 
Headaches Feeling low Withdrawal 
Appetite and weight changes Mood changes Resigned attitude 
Joint and back pain Indecision Irritability, anger or aggression 
Changes in sleep patterns Loss of motivation Over-excitement or euphoria 
Visible tension or trembling Loss of humour Restlessness 
Nervous, trembling speech Increased sensitivity Lateness, leaving early or extended lunches 
Chest or throat pain Distraction or confusion Working for longer hours 
Sweating Difficulty relaxing Intense or obsessive activity 
Constantly feeling cold Lapses in memory Repetitive speech or activity 
 Illogical or irrational thought processes Impaired or inconsistent performance 
 Difficulty taking information in Uncharacteristic errors 
 Responding to experiences, sensations or people not observable by others Increased sickness absence 
 Increased suicidal thoughts Uncharacteristic problems with colleagues 
  Apparent over-reaction to problems 
  Risk-taking 
  Disruptive or anti-social behaviour 

Samaritans - 116 123 FREE

Mind - 0300 102 1234

NHS - 111 or 999

The 8 Minute Catch-up

An idea popularised by Simon Simek based on work by psychologist Dr Robert Waldinger.

Agree an 8 minute time limit at the beginning of the phonecall, or text beforehand (“Have you got 8 minutes?”). The time limit forces both parties to get down to business and be striaght with each other.

https://simonsinek.com/stories/the-incredible-power-of-an-eight-minute-catch-up-with-a-friend/

Kahlon, M.K; Aksan, N; Aubrey, R; et al (2021) - Effect of Layperson-Delivered, Empathy-Focused Program of Telephone Calls on Loneliness, Depression, and Anxiety Among Adults During the COVID-19 Pandemic (A Randomized Clinical Trial). 

https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2776786?guestAccessKey=3855e7d5-6f21-4d60-bd6f-d8c524d7ad5e&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=022321

Empathy focussed calls aid Diabetes management

https://www.emjreviews.com/diabetes/news/empathy-focused-phone-calls-found-to-aid-diabetes-management/

Using empathy in Communication

https://www.physio-pedia.com/Using_Empathy_in_Communication

Mental health conditions don’t necessarily stay the same. They can fluctuate over time. If you experience changes in mood, physical health, or behavior, you may need additional support.

Examples of these types of changes are:

These symptoms may indicate the need for a higher level of care, such as residential or outpatient treatment.

https://www.cipd.org/en/knowledge/guides/mental-health-support-guide/#early-intervention-spotting-the-signs-of-stress-and-poor-mental-health

A key part of spotting the signs is managers being alert to the potential workplace triggers, such as:

External triggers may also affect an employee’s mental health and wellbeing, such as: