With Mayo Clinic psychiatrist Gabrielle J. Melin, M.D.

Work is a big part of our lives. Depression affects you no matter if you are at home or at work. Severe depression can affect your ability to perform your job efficiently.

A buzz word in the literature and press is presenteeism. This means that you are physically at work, but at the same time, are ill. The illness can be medical or psychiatric. The illness can range from mild to severe.

Presenteeism can have a significant negative impact on performance, yet can be difficult to measure.

You continue to go to work despite being severely ill or depressed for many reasons. You may feel you will lose your job. You may want to keep your mind active and have structure in your day. You need your paycheck so you can continue to put food on the table and pay the bills. You do not have paid sick leave and therefore, you have to go to work. You go to work because you feel a duty to your employer and co-workers. You go to work to help your customers.

This is not meant to judge people if they do or do not go to work when ill. The purpose is to provide education and awareness.

How can you manage your depression in the workplace? Make sure you are following up with your health care provider on a regular basis. Follow your treatment plan and take medications exactly as prescribed. Call your provider if you have questions, concerns or are experiencing a worsening in your symptoms.

At work, keep yourself active and challenged. Clearly understand your job description and your employer's expectations of you. Talk with your employer if you need assistance. Use resources available to you in the workplace such as human resources or an employee assistance program. Work can provide a sense of pride and accomplishment and therefore, boosts your self-esteem. Set yourself up for success by treating and managing your depression!

Please share your experiences with depression in the workplace and the issue of presenteeism.

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