November 2025 – Being at Work Is the Foundation of Wellness
Introduction
In conversations around mental health and disability, it’s easy to assume that rest is synonymous with recovery. We often default to the belief that stepping away from responsibilities—especially work—is inherently healing. But as clinical psychologist Dr. Les Kertay recently reminded us, this well-meaning instinct can inadvertently hinder recovery.
“I never thought it was a good idea for my patients with major depressive disorder to sit home and stare at the wall. That was the last thing I wanted them to do.” – Dr. Les Kertay
Why Work Matters in Mental Health Recovery
Work is more than just a source of income—it provides structure, social contact, identity, and a sense of daily purpose. In fact, research supports the therapeutic value of returning to work for those dealing with mental illness. According to the World Health Organization (WHO), employment can be protective against mental ill-health and serves as a key factor in rehabilitation and recovery for individuals with depression and anxiety disorders (WHO, 2019).
Here’s why work is a vital part of mental health recovery:
- Structure and Routine: A consistent schedule anchors people, giving them predictable activities that regulate sleep, energy levels, and emotional well-being.
- Social Interaction: Isolation is a known risk factor for depression. Even brief, daily interactions at work can help counteract this.
- Sense of Identity: Being part of a team or organization contributes to self-worth and reinforces a person’s value beyond their diagnosis.
- Purpose and Motivation: Achievable daily goals create momentum, which can help break the cycle of avoidance and low mood.
The Risk of Avoidance
When we avoid engaging with claimants about their function, we may unintentionally validate maladaptive coping strategies, such as social withdrawal or avoidance of responsibilities. These behaviors, while understandable, can deepen symptoms of anxiety and depression, leading to longer claims and delayed recovery.
Instead of simply waiting for someone to “feel ready,” we should ask:
- “How are you doing—really?”
- “What would help you return to a small part of your routine?”
- “What support would make getting back to work feel possible?”
These kinds of questions signal both empathy and clinical insight. They open the door to meaningful conversation while reinforcing the expectation of improvement—just as we would with any other health claim.
Expectation of Improvement
Mental health claims should be treated with the same mindset as physical health claims: with the expectation of progress. According to a study published in The Lancet Psychiatry, individuals recovering from depression often benefit from behavioral activation—gently reintroducing them to meaningful activities, including work (Ekers et al., 2014).
That doesn’t mean pushing people before they’re ready. It means becoming a partner in their recovery. When we check in with curiosity and support, we offer hope and accountability. Recovery isn’t just about symptom reduction—it’s about helping people return to a meaningful life.
Final Thought
Work, when supported properly, is not a burden—it’s therapy. As those supporting individuals on disability, our role includes not only empathy but also clinical awareness. When we reframe work as a foundation for wellness, we empower people to reconnect with their lives, one step at a time.