Depression: How to help yourself and others EMPLOYEE ASSISTANCE PROGRAM Updated 3.14 CATERPILLAR CONFIDENTIAL: GREEN

Everyone feels down, “blue” or sad from time to time Everyone feels down, “blue” or sad from time to time. But Depression is a serious medical condition that can negatively impact one’s work, social life, and health

So why is are we talking about this? Depression is……. Is associated with an increased risk for mortality from suicide as well as other causes, such as heart disease Is associated with lower workplace productivity and more absenteeism, which result in lower income and higher unemployment. Is associated with higher risk for other conditions and behaviors, including: Other mental disorders (anxiety disorders, substance use disorders, eating disorders)

What does it look like? Sleep and weight/increase or decrease Less social, more conflicts Trouble getting organized or doing basic tasks (shopping). Forgetful. Argues, seems angry, irritability Falling grades or performance Seems distracted or distant. Loss of sexual interest. Stops having fun “Sick” a lot, from school and work. Aches, pains, fatigue, GI problems. Excessive substance use, even “workaholism”

What can we do? Recognize Spotting Depression can be tricky, particularly at work and across cultural/gender variations Changes in mood and interpersonal relations Difficulty with co-workers or social withdrawal Loss of interest or effectiveness in daily activities Fatigue, changes in eating patterns, ETOH use Excessive absenteeism or tardiness Accidents and injuries Sudden or significant deterioration in performance Trouble making decisions Difficulty accepting constructive criticism or guidance These are specific to Depression, but largely applicable to any mental health condition, and many physical health crises

Depression screening: PHQ-2 Over the last two weeks, how often have you been bothered by: Little interest or pleasure in doing things? Feeling down, depressed or hopeless? If either of these is screened “positive”, then further evaluation is needed.

Suicide After cancer and heart disease, suicide accounts for more years of life lost than any other cause of death. 10th leading cause of death in the U.S. 17th worldwide. Attempts are hard to measure. But in the U.S. twelve (494,000) people attempt suicide for one completion (41,000). Estimates are as high as 25 attempts for each completed suicide. Women attempt suicide 3x more often Men are 4x more likely to die by suicide. Source: www.afsp.org

What can we do? Intervene QPR Question, based on what you’ve noticed “I have noticed you seem depressed. Have you been feeling ‘down’ or not your normal self?” Persuade them to get help “I’m really concerned about you. I would like for you to talk to someone about this.” Refer to the EAP or other resource “Here’s the number for the EAP. It’s completely confidential.” Or, “would you like me to make the call?”

What can we do? Talk about it. During a moment of peace, share your concerns Give yourself plenty of time Allow the person to talk freely Listen. Share more of your concern than your observations. Avoid talking directly about him, use “I” statements Don’t blame, accuse, or criticize. Don’t judge or condemn. I’m here for you. You matter. Let me help. Depression is a (real) thing. There is hope. You can survive this. You will feel better. I’ll do my best to understand. You won’t push me away. I care about you. We’ll get through this together.

What can we do? Referral Options Suggest they speak to someone they trust Get them to a doctor, who can evaluate and treat Clergy member Trusted friend or family member who has influence Company doctor/nurse Private counselor Employee Assistance Program (EAP)

www.benefits.cat.com > EAP Employee Assistance Program (EAP) EAP is a voluntary, confidential, FREE benefit designed to help you and your family address and resolve a variety of personal issues before they impact your well-being, health or productivity. EAP provides consultation, assessment, counseling, referrals and online information. 1-866-CAT-0565 www.benefits.cat.com > EAP

Accessing EAP By phone: 1-866-CAT-0565 By web and live-chat. Link on the Employee Assistance Program tab at: www.benefits.cat.com > EAP Global access numbers click, where is EAP available > click here or chestnutglobalpartners.org/cat On-site EAP offices Contact Dr. John Pompe, Monica Ratcliff, Suzanne Clausen, Rob Peters

Questions?