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PR and Mental Health Problems

Stress leading to burn-out and mental illness is real.

Cover photo: @jerrysilfwer

PR is stressยญfulโ€‰โ€”โ€‰take your menยญtal health seriously.

This post will provide sevยญerยญal powerยญful mindยญsets and techยญniques to help comยญmuยญnicยญatยญors- and PR proยญfesยญsionยญals avoid stress and menยญtal illness.

According to a recent study, 41% of all sick leaves in the Swedish comยญmuยญnicยญaยญtions industry are menยญtal illnesses.

During my 17 years in the PR industry, I know of countยญless former industry colยญleagues who suffered periยญods of stress-related menยญtal health problems.

And Iโ€™m no excepยญtion; in 2016 (the same year I was awarยญded Cision Scandinaviaโ€™s PR Influencer of the Year Award), I had to turn the volume down on my career to get my head back straight.

It took me three whole years to get back into menยญtal shape.

Here we go:

PR is a Stressful Job, But โ€ฆ

Public Relations is one of the most stressยญful jobs in the world. Slowing down in a world where everything is instantยญanยญeous can be chalยญlenยญging. We work long hours and rarely get paid what we deserve.

โ€œOur annuยญal State of the Profession report (2019) revealed that 21% of pubยญlic relaยญtions pracยญtiยญtionยญers live with, or have preยญviยญously lived with, a diaยญgnosed menยญtal health conยญdiยญtion reflectยญing nationยญal data. Over half of those respondยญents said their work conยญtribยญutes highly to their diaยญgnosยญis. Around a quarter (23%) of PR proยญfesยญsionยญals say they have taken sickยญness absence from work on the grounds of stress, anxiยญety or depresยญsion. This is an issue that has far reachยญing conยญsequences for employยญees and busiยญnesses. Organisations have a responsยญibยญilยญity to take steps to proยญtect the wellยญbeing of all their staff.โ€
Source: Chartered Institute of Public Relations 1Chartered Institute of Public Relations. (2019). Mental Health. Ciprโ€‹.coโ€‹.uk. https://โ€‹ciprโ€‹.coโ€‹.uk/โ€‹Cโ€‹Iโ€‹Pโ€‹Rโ€‹/โ€‹Oโ€‹uโ€‹rโ€‹_โ€‹wโ€‹oโ€‹rโ€‹kโ€‹/โ€‹Pโ€‹oโ€‹lโ€‹iโ€‹cโ€‹yโ€‹/โ€‹Mโ€‹eโ€‹nโ€‹tโ€‹aโ€‹lโ€‹_โ€‹Hโ€‹eโ€‹aโ€‹lโ€‹tโ€‹hโ€‹.โ€‹aโ€‹spx

PR proยญfesยญsionยญals often face the menยญtal stress of workยญing in a high-presยญsure envirยญonยญment. This can lead to more severe menยญtal health probยญlems like depresยญsion or anxiety.

Mental illยญness is an epiยญdemยญic, with 1 in 5 Americans sufยญferยญing. This is not only a menยญtal health issue but also a social probยญlem. And the PR- and comยญmuยญnicยญaยญtions industry seems espeยญcially afflicted.

Why are PR jobs so stressยญful?
Are we โ€ฆ weak?

Doctors and nurses save lives. Construction workยญers and enginยญeers build homes, hosยญpitยญals, and roads. In conยญtrast, we might brainยญstorm names for a corยญporยญate insurยญance podยญcast that will likely be forยญgotยญten in six months.

What right do PR proยญfesยญsionยญals have to comยญplain about our corยญporยญate jobs? Was the cofยญfee machine broken this morning?

Low Professional Self-Esteem

We all comยญmuยญnicยญate all the time. Still, no one knows what the heck is going on. When comยญmuยญnicยญatยญing, we know more about quantum mechยญanยญics than whatโ€™s hapยญpenยญing inside our brains.

We donโ€™t know how our brains grew to conยญsume 20% of all our energy. Did we develยญop large brains because we strived for comยญplex forms of comยญmuยญnicยญaยญtionโ€‰โ€”โ€‰or was it the othยญer way around? Why have we evolved to think and comยญmuยญnicยญate with such comยญplexยญity when it was unneยญcesยญsary for early hunter-gatherยญers? 2If youโ€™re curiยญous about how little we know about the oriยญgins of lanยญguages, Noam Chomsky has plenty to say on the subยญject. 3Thereโ€™s also sciยญentifยญic evidยญence that our brains are shrinkยญing and that weโ€™ve lost a chunk the size of a tenยญnis ball in the last 20,000 years. Iโ€™ll save that nugยญget of informยญaยญtion for anothยญer โ€ฆ Continue readยญing

Most people work at jobs where they know things. We donโ€™t.

We selยญdom know anyยญthing for sure. Although I have been workยญing with PR every day since 2005 (and studยญied it at the uniยญverยญsity between 2000 and 2005), I rarely know if the press release I wrote will take off.

I donโ€™t know if the pitch will resยญult in a full-page artยญicle. I donโ€™t know if the webยญsite copy will conยญvert at 0,5% or 3%. I donโ€™t know how many subยญscribers will forยญward that last newsยญletยญter. Will our brilยญliant PR strategy work? I mean, I hope so. 4There are no standยญards when it comes to conยญverยญsion rates. To find benchยญmarks for your websiteโ€™s niche, you should expect that online numยญbers might be exagยญgerยญated for effect. Still, conยญverยญsion rates โ€ฆ Continue readยญing

What if someยญthing in our proยญfesยญsionยญal life worked once before? We can almost always be sure that it wonโ€™t work preยญcisely the same way ever again. The gist is that we donโ€™t knowโ€‰โ€”โ€‰but we have to delivยญer tanยญgible resยญults repeatedly.

If youโ€™re PR- and comยญmuยญnicยญaยญtions, and you donโ€™t have a touch of low proยญfesยญsionยญal self-esteem, please let the rest of us know how you do it.

Theory of Mind: A Blessing and a Curse

A โ€œPR superยญpowerโ€ is imaยญginยญing oneยญself in anothยญer personโ€™s situยญation and reasยญonยญing from their perspective. 

The term โ€œtheยญory of mindโ€ was first coined by Premack and Woodruff (1978) and referred to peopleโ€™s thoughts and reasยญonยญing about their minds and those of othยญers. The assumpยญtion that we need a theยญory for our thoughts is called introยญspecยญtion. 5Theory of mind. (2023, December 4). In Wikipedia. https://โ€‹enโ€‹.wikiโ€‹peโ€‹diaโ€‹.org/โ€‹wโ€‹iโ€‹kโ€‹iโ€‹/โ€‹Tโ€‹hโ€‹eโ€‹oโ€‹rโ€‹yโ€‹_โ€‹oโ€‹fโ€‹_โ€‹mโ€‹ind 6Schwitzgebel, E. (2019). Introspection (Stanford Encyclopedia of Philosophy). Stanfordโ€‹.edu. https://โ€‹plaโ€‹toโ€‹.stanโ€‹fordโ€‹.edu/โ€‹eโ€‹nโ€‹tโ€‹rโ€‹iโ€‹eโ€‹sโ€‹/โ€‹iโ€‹nโ€‹tโ€‹rโ€‹oโ€‹sโ€‹pโ€‹eโ€‹cโ€‹tโ€‹iโ€‹on/

The theยญory of mind is the abilยญity to attribยญute menยญtal statesโ€‰โ€”โ€‰thoughts, intents, desires, preยญtenยญsions, and world-viewsโ€‰โ€”โ€‰to oneยญself and othยญers and to underยญstand how those menยญtal states influยญence behaviour.

This form of empathy is a critยญicยญal develยญopยญmentยญal skill that helps chilยญdren experยญiยญence empathy and underยญstand othยญer peopleโ€™s feelยญings and intentions.

However, a strong theยญory of mind can also be a stressor.

Despite our best or worst efforts, PR work involves a delยญicยญate balยญance between sucยญcess and failure. 

As PR and comยญmuยญnicยญaยญtions proยญfesยญsionยญals, we must always conยญsider what othยญers think and feel. Our emphatยญic comยญmuยญnicยญaยญtion skills might make us more susยญceptยญible to emoยญtionยญal stress.

If emphatยญic presยญsure is allowed to build for long periยญods of time, variยญous menยญtal health probยญlems might follow.

โ€œI always thought burnout happened when you work too much. Now I get it. Itโ€™s investยญing emoยญtionยญally and not getยญting a return on that investยญment.โ€
โ€” @spamap

Read also: Theory of Mind: A Superpower for PR Professionals

How To Avoid Stress in PR

Public relaยญtions proยญfesยญsionยญals often report feelยญing overยญworked, stressed, and anxious. In 2019, PR ranked eight out of the 10 most stressยญful jobs in the US. 7Blagojeviฤ‡, I. (2023, May 19). PR Statistics 2023. 99firmsโ€‹.com. https://โ€‹99firmsโ€‹.com/โ€‹bโ€‹lโ€‹oโ€‹gโ€‹/โ€‹pโ€‹rโ€‹-โ€‹sโ€‹tโ€‹aโ€‹tโ€‹iโ€‹sโ€‹tโ€‹iโ€‹cs/

Workplace Mental Wellbeing Audit 2021 - Key Findings
Mental health in the PR industry. (Source: Workplace Mental Wellbeing Audit 2021)

However, many are not aware of the stressors present in their everyยญday work. These stressors can be related to the job or perยญsonยญal struggles affectยญing work perยญformยญance. When these stressors are allowed to pile up, stress can negยญatยญively impact menยญtal health.

I knowโ€‰โ€”โ€‰Iโ€™ve been there myself.

The Covid-19 panยญdemยญic isnโ€™t doing us any favours, either. In a recent newsยญletยญter, PR blogยญger Arik Hanson writes:

โ€œIn my conยญverยญsaยญtions with folks the last couple of weeks, one theme is comยญing through loud and clear: People are at their witโ€™s end. Burnt to a crisp. FRIED.โ€

Iโ€™m not a medยญicยญal proยญfesยญsionยญal, but the five strategies below have helped me improve and stay menยญtally healthy. Here are some ways to reduce stress levels while makยญing an impactยญful career.

1. Stop Moving the Goalposts

One of the many things Iโ€™ve learned as a PR conยญsultยญant is that cliยญents are nevยญer satยญisยญfied for long. If you delivยญer top-notch resยญults, cliยญents will reward your efforts by expectยญing the same outยญput level (or highยญer) at the same comยญpensยญaยญtion level the next time.

If I delivยญer way above what Iโ€™m being comยญpensated for, itโ€™s probยญably because I got lucky that time. One could wish that cliยญents would rememยญber this if Iโ€™m not so forยญtuยญnate at some point. But no, thatโ€™s not the way the busiยญness world works.

And itโ€™s no difยญferยญent workยญing in-house, either. Thereโ€™s always someone walkยญing around with unreasยญonยญable expectยญaยญtions, which also outยญrank you in the workplace.

But itโ€™s still up to you to conยญstantly manยญage such expectยญaยญtions. Today, Iโ€™m always reasยญonยญably explainยญing to everyยญone around me what to expect. 

Iโ€™m describยญing when we got lucky due to unforeยญseen cirยญcumยญstances.
Iโ€™m explainยญing before, durยญing, and after streaks of bad luck.

2. Itโ€™s โ€œHell Yeahโ€ or โ€œNoโ€

Inspired by Derek Siversโ€™s book โ€œHell Yeah or No,โ€ Iโ€™ve realยญised I used to be too quick to say yes. 8Sivers, D. (2020, July 12). Hell Yeah or No. Siveโ€‹.rs. https://โ€‹siveโ€‹.rs/n

Today, if I say, โ€œHell yeah,โ€ itโ€™s a yes. If Iโ€™m not too enthuยญsiยญastยญic but canโ€™t say no, I start disยญcussยญing what to remove from my to-do list. If I can trade doing someยญthing thatโ€™s โ€œFine, I guess,โ€ and get rid of someยญthing thatโ€™s โ€œOh god, thatโ€™s pointยญless,โ€ then Iโ€™m still betยญter off than when I had my cofยญfee that morning.

Itโ€™s Pavlovian conยญdiยญtionยญing. If you take on everything, co-workยญers will quickly learn to send delivยญerยญables your way. 

Pavlov Dogs - Doctor Spin - The PR Dog
Weโ€™re all just animยญals, right?

If you punยญish bad sugยญgesยญtions by forยญcing tough decisions, you will increase your co-workยญersโ€™ cogยญnitยญive load. This type of negยญatยญive reinยญforceยญment will lessen their unwanted behaviours.

The basic rule of behaยญviยญourยญal psyยญchoยญlogy is that you get more of what you reinforce.

3. Hug Lots of Trees Weekly

Many vicยญtims of work-related stress often say the same thing: nature heals. 

And I agree. Nothing healed me more than spendยญing time in nature. In my case, I took an interest in nature phoยญtoยญgraphy (which is why every blog post on Doctor Spin has a covยญer photo taken from some tree-hugยญging excursion).

Today, whenevยญer I feel the slightยญest stress creepยญing up on me, I grab my camยญera and head off into the woods.

4. Force Positive Change by Removing Friction

One idea to comยญbat stress is to add activยญitยญies to your lifeโ€‰โ€”โ€‰and thatโ€™s fine. But adding too many non-work-related hobยญbies to help you relax and have fun can become a stressor. This is probยญlemยญatยญic because if your life is causยญing you menยญtal health probยญlems, you must change your life.

Life change is easiยญer said than done. Adding more to your life might not be the corยญrect answer. At least, it wasnโ€™t for me.

I found that removยญing minor daily frusยญtraยญtions had the most sigยญniยญficยญant impact. In 2016, when I was in my worst state, I was irritยญated at someยญthing every ten minutes of every wakยญing hour. If I feel irritยญated over anyยญthing small or insigยญniยญficยญant, I immeยญdiยญately remove that fricยญtion from my life.

I used to be irritยญated about comยญing up with what to cook for dinยญner, so I autoยญmated weekly groยญcery delivยญerยญies. I used to be annoyed over havยญing a slow comยญputer, so I bought a fast laptop and built an even speediยญer desktop. I used to be irritยญated over being interยญrupยญted by pointยญless teleยญphone calls and voice mesยญsages, so I creยญated a perยญsonยญal phone policy.

You can change your life by removยญing one frusยญtraยญtion at a time. 

5. Liberate Your Inner Weirdo

I know youโ€™re a little bit weird; we all are.

  • My favourยญite school subยญject was grammar.
  • I sufยญfer from motteยญphยญoยญbia.
  • I spend at least one week (โ€œThink Weekโ€) in isolยญaยญtion yearly.
  • And I preยญpare for the zomยญbie apoยญcaยญlypse by learnยญing skills like lock-pickยญing, first aid, and urbยญan survival.
  • Iโ€™ve got a fuckยญet list.
  • My phone policy is someยญwhat passive-aggressive.

Yes, Iโ€™m a total weirdo. And I think that youโ€™re probยญably pretty weird, too.

My best advice is to allow yourยญself to be youโ€‰โ€”โ€‰for your menยญtal healthโ€™s sake. Itโ€™s libยญerยญatยญing. And people are, at least in my experยญiยญence, surยญprisยญingly forยญgivยญing as long as youโ€™re authenยญtยญic to yourself.

In the words of Steve Jobs, โ€œHereโ€™s to the crazy ones.โ€

Misfits - Crazy Ones - Steve Jobs - Apple
โ€œHereโ€™s to the crazy ones.โ€

Take Your Mental Health Seriously

Stress is a part of life. It comes in many forms and can be caused by many factors. Public relaยญtions proยญfesยญsionยญals are often expecยญted to take on many difยญferยญent tasks. Juggling variยญous responsยญibยญilยญitยญies can quickly pile up and lead to menยญtal illยญness if not dealt with propยญerly. 9According to a recent study, mulยญtiยญtaskยญing will resยญult in a 40% loss of effiยญciency.

Individuals experยญiยญenยญcing these issues should seek help and not be afraid to speak up about their probยญlems to loved ones. Or to seek help from a medยญicยญal professional.

Stress leadยญing to burnout and menยญtal illยญness is real. Youโ€™re not weak, but rather too strong for your good. Our industry is losยญing too many proยญfesยญsionยญals to this silent panยญdemยญic. 10PR blogยญger Jessica Pardoe points to a UK surยญvey 2020, in which 58% of over 2,000 employยญees reporยญted some form of stress at work, and almost 70% had experยญiยญenced it in genยญerยญal. Over 60% claimed they โ€ฆ Continue readยญing

I found my path to wellยญness. It didnโ€™t include yoga, group therยญapy, or green tea. But maybe your path will? 

If I can leave you with just one insight: Take your stress sympยญtoms serยญiยญously. The longer you wait to take action, the longer your path to recovยญery will be.

Signature - Jerry Silfwer - Doctor Spin

Thank you. Please supยญport my blog by sharยญing artยญicles with othยญer comยญmuยญnicยญaยญtions- and marยญketยญing proยญfesยญsionยญals. Please also conยญsider my PR serยญvices or speakยญing engageยญments.

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1 Chartered Institute of Public Relations. (2019). Mental Health. Ciprโ€‹.coโ€‹.uk. https://โ€‹ciprโ€‹.coโ€‹.uk/โ€‹Cโ€‹Iโ€‹Pโ€‹Rโ€‹/โ€‹Oโ€‹uโ€‹rโ€‹_โ€‹wโ€‹oโ€‹rโ€‹kโ€‹/โ€‹Pโ€‹oโ€‹lโ€‹iโ€‹cโ€‹yโ€‹/โ€‹Mโ€‹eโ€‹nโ€‹tโ€‹aโ€‹lโ€‹_โ€‹Hโ€‹eโ€‹aโ€‹lโ€‹tโ€‹hโ€‹.โ€‹aโ€‹spx
2 If youโ€™re curiยญous about how little we know about the oriยญgins of lanยญguages, Noam Chomsky has plenty to say on the subยญject.
3 Thereโ€™s also sciยญentifยญic evidยญence that our brains are shrinkยญing and that weโ€™ve lost a chunk the size of a tenยญnis ball in the last 20,000 years. Iโ€™ll save that nugยญget of informยญaยญtion for anothยญer blog article.
4 There are no standยญards when it comes to conยญverยญsion rates. To find benchยญmarks for your websiteโ€™s niche, you should expect that online numยญbers might be exagยญgerยญated for effect. Still, conยญverยญsion rates seem to adhere to the engageยญment pyrยญamยญid in which approxยญimยญately 1% are actยญively engaged. Interestingly, few disยญcuss what hapยญpens with the 99% that donโ€™t convert.
5 Theory of mind. (2023, December 4). In Wikipedia. https://โ€‹enโ€‹.wikiโ€‹peโ€‹diaโ€‹.org/โ€‹wโ€‹iโ€‹kโ€‹iโ€‹/โ€‹Tโ€‹hโ€‹eโ€‹oโ€‹rโ€‹yโ€‹_โ€‹oโ€‹fโ€‹_โ€‹mโ€‹ind
6 Schwitzgebel, E. (2019). Introspection (Stanford Encyclopedia of Philosophy). Stanfordโ€‹.edu. https://โ€‹plaโ€‹toโ€‹.stanโ€‹fordโ€‹.edu/โ€‹eโ€‹nโ€‹tโ€‹rโ€‹iโ€‹eโ€‹sโ€‹/โ€‹iโ€‹nโ€‹tโ€‹rโ€‹oโ€‹sโ€‹pโ€‹eโ€‹cโ€‹tโ€‹iโ€‹on/
7 Blagojeviฤ‡, I. (2023, May 19). PR Statistics 2023. 99firmsโ€‹.com. https://โ€‹99firmsโ€‹.com/โ€‹bโ€‹lโ€‹oโ€‹gโ€‹/โ€‹pโ€‹rโ€‹-โ€‹sโ€‹tโ€‹aโ€‹tโ€‹iโ€‹sโ€‹tโ€‹iโ€‹cs/
8 Sivers, D. (2020, July 12). Hell Yeah or No. Siveโ€‹.rs. https://โ€‹siveโ€‹.rs/n
9 According to a recent study, mulยญtiยญtaskยญing will resยญult in a 40% loss of efficiency.
10 PR blogยญger Jessica Pardoe points to a UK surยญvey 2020, in which 58% of over 2,000 employยญees reporยญted some form of stress at work, and almost 70% had experยญiยญenced it in genยญerยญal. Over 60% claimed they had experยญiยญenced at least mild anxiยญety sympยญtoms, and 58% said the same for depresยญsion. In Pardoeโ€™s blog post on menยญtal health, she argues for the importยญance of openly disยญcussยญing these issues in the PR industry.
Jerry Silfwer
Jerry Silfwerhttps://doctorspin.net/
Jerry Silfwer, alias Doctor Spin, is an awarded senior adviser specialising in public relations and digital strategy. Currently CEO at Spin Factory and KIX Communication Index. Before that, he worked at Kaufmann, Whispr Group, Springtime PR, and Spotlight PR. Based in Stockholm, Sweden.

The Cover Photo

The cover photo isn't related to public relations obviously; it's just a photo of mine. Think of it as a 'decorative diversion', a subtle reminder that it's good to have hobbies outside work.

The cover photo has

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