The Silent Struggle: Mental Wellness Among Behavioral Health Providers

Working in the field of behavioral health is uniquely rewarding, but it’s not without its challenges. As professionals, we dedicate ourselves to helping others navigate their mental wellness journeys, often at the expense of addressing our own. Maintaining mental wellness as a provider is vital—not just for our sake, but for the well-being of the patients and teams we serve.

Unfortunately, the stigma surrounding mental illness and treatment is not limited to the general population; it often exists within the very professionals tasked with combatting it. This internalized stigma can lead to avoidance, denial, and a reluctance to seek help until a crisis point is reached.

Mental Health Risks in Behavioral Health and Beyond

A report published in September 2023 highlighted an alarming increase in mental health risks among healthcare workers, with physicians experiencing the highest risk. Behavioral health professionals, while showing a lower comparative increase, are not immune.

Burnout, compassion fatigue, and the emotional toll of caring for others are common challenges faced by those in the field. Yet, healthcare workers—whether physicians, psychologists, or social workers—may hesitate to seek treatment due to the potential impact on licensure, credentialing, or liability insurance.

As Dr. Corey Feist observed:

“Over 20% of the physicians in this country are experiencing depression, yet they have ramifications if they take care of themselves. It’s no wonder that health care workers from across the country are leaving in droves and not returning.”

This systemic issue not only perpetuates the stigma but also creates barriers for providers seeking the care they need.

The Cost of Ignoring Mental Health

The consequences of untreated mental health symptoms among behavioral health professionals can be profound. A colleague, administrator, or treatment team member struggling silently may find their symptoms impacting their ability to care for patients or manage staff. This can lead to ruptures in professional relationships, decreased quality of care, and personal strain.

Unchecked mental health struggles don’t just affect the individual—they ripple through entire organizations. Administrators and leaders must recognize their role in fostering an environment that encourages and normalizes mental wellness for employees.

Creating Space for Mental Wellness in the Workplace

What can administrators and organizational leaders do to promote mental health among their teams? Here are some actionable steps:

1. Review Policies on Mental Health Disclosure:
   Evaluate questions about mental health history on licensure and credentialing forms. Consider advocating for changes that focus on current functionality rather than past diagnoses, reducing the fear of punitive consequences.

2. Provide Confidential Support:
   Offer access to Employee Assistance Programs (EAPs) or external counseling services that ensure confidentiality.

3. Foster a Culture of Openness:
   Lead by example—share personal experiences when appropriate and encourage conversations about mental health in team meetings or training sessions.

4. Establish Safe Spaces:
   Create physical and metaphorical spaces where employees can decompress, reflect, and recharge. This could mean quiet rooms in the office or offering flexible schedules for therapy appointments.

5. Prioritize Regular Check-Ins:
   Encourage supervisors and team leads to have regular, open-ended conversations with their staff about their well-being. These can be informal and focused on fostering connection and trust.

Reflection for Behavioral Health Providers

If you’re a behavioral health professional, consider this:

• How do you maintain your mental wellness?

• What steps have you taken to address stress, burnout, or other challenges in your role?

• Do you feel safe seeking mental health treatment? If not, what needs to change?

It’s essential to recognize that seeking help is not a sign of weakness but a testament to your strength and commitment to providing the best care for your patients.

Options for Mental Health Treatment

For providers looking to address their mental wellness, here are some options to explore:

1. Therapy or Counseling:
   Seeking therapy from a provider who specializes in working with other healthcare professionals can be especially beneficial. Look for someone who understands the unique challenges of the field.

2. Peer Support Groups:
   Join groups specifically for behavioral health professionals or healthcare workers. These provide a safe space to share experiences and solutions.

3. Online Resources:
   Platforms like BetterHelp or Talkspace offer accessible, confidential therapy options for busy professionals.

4. Mindfulness and Stress Reduction Techniques:
   Practices such as mindfulness meditation, yoga, or guided relaxation can help manage stress and build resilience.

5. Consult Your Professional Organization:
   Many organizations, such as the American Psychological Association (APA), offer resources and support for members facing mental health challenges.

A Call to Action for Change

The behavioral health field must address the systemic barriers preventing providers from accessing care. This includes reevaluating licensure and credentialing practices, reducing stigma, and creating supportive workplace environments.

By promoting mental wellness within our ranks, we not only safeguard the health of our professionals but also enhance the quality of care we provide to clients. As Feist aptly pointed out, the well-being of healthcare workers is critical—not just for themselves, but for the sustainability of the field as a whole.

Final Thoughts

Taking care of your mental health is an act of courage and self-respect. It allows you to show up fully for your clients, colleagues, and loved ones. If you’re a behavioral health professional, take time to reflect on how you’re supporting your own mental wellness.

If you’re an administrator or leader, consider how you can foster an environment that encourages employees to seek help without fear of judgment or repercussions. Together, we can create a culture that values mental health as much as physical health—for providers and patients alike.

For additional resources, consider checking out the CNN report on healthcare worker mental health.