Initial Evaluation of Patients Reporting a Work-Related Stress or Bullying

Stress at work

“…Typically, three phases are described 13 : an initial ("serene") phase, where the patient reports no particular difficulty a "problem" phase, when obstacles and conflicts gradually appear and the patient tries to deal with the situation a "crisis" phase, where s/he comes to see you • protective factors for severity of outcome include a supportive family environment and financial wellbeing. Aggravating factors are familial isolation, being a single parent with young children, having financial difficulties, or being bound by a particular type of employment contract that forces the patient to stay in the same job.…”

“…15 16 Therapy needs to be supportive, active, flexible, goal directed, and time bound. [10][11][12][13][14] Consider offering a second appointment-for example, if there is too much to cover. You might suggest that the patient brings a family member to the next appointment for support.…”