Disclosure, Discrimination, and Identity among Working Professionals with Bipolar Disorder or Major Depression

This chapter presents the results of an analysis of in-depth interviews with a snowball sample of 45 people who identified as working professionals diagnosed with bipolar disorder or major depression. It explores three dimensions of their experience: disclosure versus concealment of their diagnosis on the job, exposure to discrimination in the workplace based on their mental illness diagnosis, and identity strategies they used to manage the status inconsistency between being a professional and having a mental illness diagnosis. The findings reveal how people learn to calculate when it is safe to disclose their diagnosis on the job, especially after experiencing discriminatory treatment such as being fired or demoted. They also indicate that applying for workplace modifications to accommodate symptoms of mental illness may be met with unprofessional and unsupportive reactions on the part of managers, Human Resources professionals, and coworkers, which could explain in part why so few participants in this sample sought them. When it comes to balancing inconsistent statuses, the findings demonstrate how people distance themselves from their mental illness identity in favor of the more prized status of working professional as a means of self-preservation. The chapter concludes with a call for sweeping changes in workplace culture to minimize fear and shame and maximize inclusion of people diagnosed with mental illness, allowing them to flourish in careers in which they may realize their full potential.