Do Not Over-Share!

Bipolar disorder and other mental health issues are still very much stigmatized in many healthcare settings. Moreover, some physical ailments carry a stigma. Do you disclose your health problems to your employer? Do you disclose your prescribed medications? Nurses Announcements Archive Article

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I first met Toni in the Summer of 2010.

Toni (not her real name) was an average-height woman in her late 40s with a medium build, gray eyes and dark brown hair that fell several inches below her shoulders. She was a floor LVN at the same specialty rehab hospital where I still work. And she was one of the most proficient, highly skilled nurses I had ever met. With nearly 30 years of experience, this woman was a valuable resource who could run circles around virtually every other nurse on the unit. It's unfortunate I only got to work with her for a grand total of three months.

Toni lacked a verbal filter. She talked too much about her personal issues: the perpetually unemployed husband who cheated on her, the slacker adult children, and so forth. Once she revealed to her coworkers that she had bipolar disorder, they began to whisper to themselves, "This woman is so crazy!" As soon as she disclosed that she was not being treated for her issue, some coworkers placed a bulls-eye on her back and began to target her. And eight years of dedicated employment went down the drain as she was forced to resign over a questionable accusation made by a student nurse who was completing clinical rotations in the facility.

Prior to Toni's revelation that she suffered from bipolar disorder, no one bothered her.

Bipolar disorder and other mental health issues are still stigmatized in healthcare settings, whether or not anyone wants to believe it. I am cognizant that many state boards of nursing require nurses to disclose certain mental illnesses. However, if management or the employee health department at your place of employment is not asking about your health conditions, I would not divulge to any of your coworkers that you have any type of mental illness, because it is unfortunate and inevitable that some of these people will label you as 'nutty' or 'unstable.'

Also, develop an internal filter that will prevent you from sharing your personal problems that are none of your coworkers' business. Smile, be pleasant, and play the game. Do not over-share!

It took me some time to learn this lesson because I also have a history of mental health problems. I was treated for depression and post-traumatic stress disorder (PTSD) in the distant past and took medications for a while. I am also an extreme introvert who doesn't particularly enjoy mingling and small talk. Prior to sharing too much information at a previous workplace several years ago, coworkers largely respected me. However, once I casually mentioned my childhood traumas and other personal issues surrounding depression, people began to whisper that I was "weird."

To wrap things up, Toni's forced resignation taught me a couple of lessons that will remain in my awareness for the rest of my working career. For starters, if no one is asking about your mental health issues at the job, do not share unless you wish to be stigmatized. Second, if no one is asking about your physical health problems at the job, I also see no need to share this information unless your employee health department has a specific reason to know.

Finally, get an internal filter as soon as possible. Talk about superficial topics such as the vacation you recently took, the wedding you attended or your kid's birthday party. Anything more personal is none of your coworkers' business.

Specializes in Oncology,Home Health, Med-Surg-Burn Unit.

Hi, Commuter

Thank you for some very enlightening articles/blogs/comments...I have been a member of this forum for a long time, but not commented in a good while...Believing we live in the same area truly emphasizes it is a small world afterall. Having so much to say & share on this and other topics in nursing related to the well kept "secret" destroying the greatest profession on the planet...The "secret" is the absolute tragic state of tolerance for a new breed of destruction infiltrating our profession. The worsening of veteran "career sabotagers" posing as registered nurses, who should have never been allowed to steal a seat in any nursing school. We all know them, as most our managers who do anything but manage. Thankfully, they are few in numbers, however their acts of sabotage are unmistakable. These acts/behaviors occur in various forms of discrimatory actions done behind the scenes & are often unseen, but not unfelt by the target....Would love to share more with you & the other wonderful bloggers, who no doubt can relate... But, make no mistake it is the patient who pays the price (& it can at a great cost) for such disgusting and dangerous behavior exhibited by those in a management role.

It's hard to know where to start, as I have taken a little different path (than some) to fight for justice for the patient. The patient deserves every ounce of our strength to see those who fail to practice the nursing they vowed (nursing oath) and promised to do, but then fell so short are exposed, disciplined and removed from the profession where it cannot be tolerated. Remaining strong, determined and absolute, I plan to continue the fight for the patients I was so honored to care for. Revenge of course, but early in life I learned revenge hurts only the one with the revenge and wastes precious time of which too little exists already...

Thanks for reading,

Have a blessed day,

ballerina2

Hi, Commuter

Thank you for some very enlightening articles/blogs/comments...I have been a member of this forum for a long time, but not commented in a good while...Believing we live in the same area truly emphasizes it is a small world afterall. Having so much to say & share on this and other topics in nursing related to the well kept "secret" destroying the greatest profession on the planet...The "secret" is the absolute tragic state of tolerance for a new breed of destruction infiltrating our profession. The worsening of veteran "career sabotagers" posing as registered nurses, who should have never been allowed to steal a seat in any nursing school. We all know them, as most our managers who do anything but manage. Thankfully, they are few in numbers, however their acts of sabotage are unmistakable. These acts/behaviors occur in various forms of discrimatory actions done behind the scenes & are often unseen, but not unfelt by the target....Would love to share more with you & the other wonderful bloggers, who no doubt can relate... But, make no mistake it is the patient who pays the price (& it can at a great cost) for such disgusting and dangerous behavior exhibited by those in a management role.

It's hard to know where to start, as I have taken a little different path (than some) to fight for justice for the patient. The patient deserves every ounce of our strength to see those who fail to practice the nursing they vowed (nursing oath) and promised to do, but then fell so short are exposed, disciplined and removed from the profession where it cannot be tolerated. Remaining strong, determined and absolute, I plan to continue the fight for the patients I was so honored to care for. Revenge of course, but early in life I learned revenge hurts only the one with the revenge and wastes precious time of which too little exists already...

Thanks for reading,

Have a blessed day,

ballerina2

I have never told this to anyone, but I happen to have a university degree in management, and I have been associated with management in other professions (not nursing). One thing I have noticed is that there are a lot of "nursing managers" who strictly speaking aren't really managers. A lot of the things that they say and do would not be tolerated outside of nursing in a non-nursing management position. Some of these people are very skilled as far as nursing skills and assessments go (which is probably how they got to where they are) but they are not in any way shape or form qualified to manage other people. Just my two cents.........

Specializes in SICU.
Why am I not surprised that misogyny is followed with a bible quote? SMH

How am I showing a hatred for women? Are there no differences between men and women? Are we not allowed to discuss them without our characters being called into question?

You clearly disagree with what I said. Would you say there are no discernible, general differences with who talks more between men and women? Or would you say men generally talk more?

My post was clearly said with good intent (i.e. the apology, and use of the words "tend to" as to not blanket any groups of people etc.). You seem to be searching for a reason to be offended, especially since you didn't respond to any actual point that I made, but rather with a negatively implied remark about the correlation of misogyny and people who quote the bible.

On another topic though, I like your avatar.

Specializes in SICU.
​I'm glad the post clarified that the quote from Proverbs was from "The Bible," and not, say, People magazine.

You never know. A lot of people profess things that they think are proverbs, but are more often quotes from How I Met Your Mother or that new Drake album...

Specializes in Pediatric Pulmonology and Allergy.

I did an ER rotation where one of the doctors (older woman, many years of experience) would sit on the phone for hours talking loudly about her personal issues, arguing with her spouse, etc. When I was there she was going through a divorce. I stopped by recently for a visit and she was still there, but made a comment about her husband so maybe they're back together. Or maybe she married someone else. I was quite shocked at how free she was about sharing her personal info, and that the hospital was willing to put up with a doctor so unprofessional.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
You know what the sad but real truth is? It's going to sound harsh and judgmental, but some people with mental disorders flat out need to be fired because they can't consistently perform the basic functions necessary to complete their job. Everyone wants there to be fair treatment to everyone under the sun and quote things like the Americans with Disabilities Act, but the fact is, that's not how life works. It's the same with physical disabilities.

For instance, every nursing job I've ever applied to says something like, "Must be able to bend and lift 30 lbs" or something to that nature. There are people out there, nurses even, who cannot bend and lift 30 lbs. The sad but real truth is, they shouldn't be hired, even if it's a disability that is keeping them from performing the job. In the same way, if someone with mental problems, whether neatly diagnosed or not, is causing disorder and disruption in their workplace, it may be that they need to be fired, regardless if it's because they're "disabled" or not.

It's unfortunate, but it's life.

It's definitely not as simple as 'go take some meds' or talk to somebody. I think if I was Bipolar, I would probably prefer the wild mood swings to being on meds that hindered my emotions.

Regardless, the point of the article is definitely valid. Share personal things with personal friends, and be professional with professional ones. And women (sorry, women) need this message potentially even more than men. Women tend to talk and talk with emotions, regardless of whether they're bipolar or not. Like the proverb says, Fire goes out without wood, and quarrels disappear when gossip stops. (Proverbs 26:20, The Bible.)

How am I showing a hatred for women? Are there no differences between men and women? Are we not allowed to discuss them without our characters being called into question?

You clearly disagree with what I said. Would you say there are no discernible, general differences with who talks more between men and women? Or would you say men generally talk more?

My post was clearly said with good intent (i.e. the apology, and use of the words "tend to" as to not blanket any groups of people etc.). You seem to be searching for a reason to be offended, especially since you didn't respond to any actual point that I made, but rather with a negatively implied remark about the correlation of misogyny and people who quote the bible.

On another topic though, I like your avatar.

No one reading your posts is going to have to search very hard for a reason to be offended. Your posts are offensive. Yes, your original comment about people with mental illness needing to be fired DID sound harsh and judgemental as you knew it would. I would like to think that my friends with mental illnesses would be given a chance to get treatment, that employers would work with them before firing them. Often times someone only needs a titration in meds in order to become a valuable, productive team member once again.

Your statement about women needing this advice more than men was also offensive, leaning towards misogynistic. It is NOT clear that it was made with good intent. Like the comment about persons with mental illness NEEDING to be fired, it was clear that you knew it would be offensive, but made it anyway.

And yes, I've found that there is a definite correlation between misogyny and people who quote the holy books of their religion to make points about things that have nothing to do with religion. I'm sure others besides mammagui and I have noticed that.

Specializes in SICU.
No one reading your posts is going to have to search very hard for a reason to be offended. Your posts are offensive. Yes, your original comment about people with mental illness needing to be fired DID sound harsh and judgemental as you knew it would. I would like to think that my friends with mental illnesses would be given a chance to get treatment, that employers would work with them before firing them. Often times someone only needs a titration in meds in order to become a valuable, productive team member once again.

Your statement about women needing this advice more than men was also offensive, leaning towards misogynistic. It is NOT clear that it was made with good intent. Like the comment about persons with mental illness NEEDING to be fired, it was clear that you knew it would be offensive, but made it anyway.

And yes, I've found that there is a definite correlation between misogyny and people who quote the holy books of their religion to make points about things that have nothing to do with religion. I'm sure others besides mammagui and I have noticed that.

Misogyny isn't pointing out what you observe. Misogyny is hating women. If I point out that my dogs tend to fight more than other dogs, that doesn't mean I hate my dogs. All it means is I'm commenting on how I observe reality. I could very well love my dogs to death. You can't accurately make the leap that because I said that women "potentially need this message more than men", that I am leaning toward misogyny. That's what I mean when I say you may be looking to be offended. Rather than considering what I said and only what I said, you responded with offense because you heard more than I actually said.

Same thing goes for the mental illness comment. I didn't say "people with mental illness need to be fired" as you quoted me. I said some people with mental illness flat out need to be fired. I happen to completely agree with your entire statement - "I would like to think that my friends with mental illnesses would be given a chance to get treatment, that employers would work with them before firing them. Often times someone only needs a titration in meds in order to become a valuable, productive team member once again."

And finally, it's interesting that the very women who don't like to be negatively stereotyped immediately jumped to stereotyping those who quote the Bible as misogynists.

And just in case if there are any questionable thoughts out there on my view of women, let me clear things up... I freaking LOVE women! In every sense of the word.

That's all.

Specializes in Geriatrics.

Thanks, Commuter, for this timely advice.

Specializes in Skilled Nursing/Rehab.

Thank you for this topic! I probably should have read this a while ago... I started working the night shift in January and have enjoyed the chances we get sometimes to talk to each other while on the job. After reading this, I feel I may have over-shared a bit! Oh well. I am working as an aide now, and I behave very professionally and work hard, so hopefully these things will overshadow any scandalous info I may have revealed about my past. :( It is hard not to share personal stories when others are relating similar experiences, but I will definitely keep this in mind...

Specializes in LTC, assisted living, med-surg, psych.

Yes, you'd be smart to contain the damage now before any more can occur. I never realized how much stigma there really is in healthcare until I lost one job and had my hours cut back in another because of my mental illness. And then there are incidents like the other day, when I went to the hospital lab for a full set of thyroid tests because my psychiatrist wanted to know if my thyroid is really functioning despite a normal TSH level.

Unfortunately, he put my psychiatric diagnosis on the order instead of something a little more innocuous, like "r/o hypothyroidism". The woman at the registration desk greeted me warmly and was all kinds of friendly.....UNTIL she saw the diagnosis. It was like the temperature in the room dropped 20 degrees in an instant. She wasn't rude, but gone were the smiles and light conversation, and we sat in awkward silence for the few minutes that it took to put all my information into the computer.

Now, I don't look for reasons to get offended, and I wasn't even offended about this; it was just the latest in a long line of occurrences which serves to remind me that stigma is alive and well, especially in healthcare. Nursing is tough enough without shooting yourself in the foot, as I have twice now; and even though I'm no longer really in nursing, my next job is in an environment where they don't just hire people off the street, and the less they know about my psych issues, the better! :yes:

Specializes in Sub-Acute, Skilled, Home Health.

I have overshared in several interviews that have IMO cost me the position. I have been diagnosed with PTSD which is being treated but even though this information did not come up, my inability to answer just the questions at hand but overanticipating what was being asked and wanting to be forthcoming can really mess things up. I am not saying to lie but to merely be cordial and honest but not overly so. Having tact is part of a nurses characteristic we are known for by outsiders.

Specializes in Pediatrics, Emergency, Trauma.
I have overshared in several interviews that have IMO cost me the position. I have been diagnosed with PTSD which is being treated but even though this information did not come up my inability to answer just the questions at hand but overanticipating what was being asked and wanting to be forthcoming can really mess things up. I am not saying to lie but to merely be cordial and honest but not overly so. Having tact is part of a nurses characteristic we are known for by outsiders.[/quote']

My PTSD did come up and I overstated in an overt way where I was upfront about it to employee health; once the cat was out of the bag, so to speak; they decided the "not a fit at this time." I can return to this position at any time; I'm sure they would want employee health to evaluate me; IF I want to come back, I will return with expertise behind me where that will be proof I'm functional. :yes: