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Psychosocial Risk Assessment
A systematic process of identifying workplace hazards that harm mental well-being. This process must be part of a company’s Occupational Safety and Health (OSH) program. It relies on companies’ proactive approach for both the identification of risks and protective measures
Validated Scales and Business Metrics
How to gather data for Quantitative
Focused Group Discussions and Exit Interviews
How to gather data for Qualitative
Validated Scales
Use tools such as the Copenhagen Psychosocial Questionnaire (COPSOQ) or the Maslach Burnout Inventory (MBI-GS) to measure precise levels of exhaustion and cynicism
Business Metrics
Analyze absenteeism trends (e.g., sick leaves, turnover rates, and clinic visit frequency).
Focused Group Discussions
Facilitated by a neutral third party to ensure psychological safety
Exit Interviews
The most honest data point. Why did the top performer really leave?
Job Demands-Resources (JD-R) Model
A theory by Demerouti et al. (2001) stating that every job has two working conditions : Demands and Resources. Burnout or engagement results from their balance.
True
T/F : Organizations use the JD-R model to reduce burnout and enhance employee well-being by balancing the environment
Job Demands (Drainers)
Physical, psychological, or social aspects requiring sustrained effort. (e.g., 3-hour commuters, irate customers, panganay pressure, unpaid overtime (OT-TY)).
Job Resources (Energizers)
Aspects that help achieve goals, reduce demands, or stimulate growth. (e.g., supportive work friends, clear KPIs, flexible work hours, HMO benefits for dependents)
Evidence-Based Interventions
The conscientious, explicit, and judicious use of current best evidence in making decisions about organizational interventions
Scientific literature : peer-reviewed studies
Organization data : internal metrics
Stakeholder values : company culture and vision
Triad of Evidence-Based Practices
Intuition-Driven
“Our employees look stressed. Let’s buy them all a subscription to a meditation app. “
Data-Driven
“Our HR data shows a 30% spike in sick leave on Mondays, specifically in the Logistics department. Let’s investigate the Sunday shift demands”
Maximizing ROI
Preventing “Initiative Fatigue”
Establishing Clear KPIs
Executive Buy-In
Why Organizations Demand EBP and Data
Maximizing ROI (Return on Investment)
Companies have limited budgets. EBP ensures money is spent on solutions with a proven track record, preventing wasted funds on ineffective feel-good initiatives.
Preventing “Initiative Fatigue”
When HR launches a new, unresearched wellness program e very month that fails to fix the root problem, employees develop cynicism. They stop participating entirely.
Establishing Clear KPIs
Data-driven interventions have built-in baselines. If you know your baseline turnover is 15%, you can mathematically prove your intervention’s success when it drops to 10%
Executive Buy-In
CEOs speak the language of numbers. You cannot secure a budget for mental health by saying, “It’s the right thing to do.” You secure it by saying, “The data shows this intervention will save us ₱ 2 Million in lost productivity.”
Policy
Skills
Treatment
3 Levels of Presentation (Intervention Design)
Levels of Prevention Framework
Mental health interventions must target different layers of the organizations.
Primary Prevention (Policy Level)
Eliminating the hazard at the source. (Fixing the workplace)
Secondary Prevention (Skills Level)
Changing how employees react to the hazard. (Equipping the group)
Tertiary Prevention (Treatment Level)
Healing the employees who have already been harmed. (Restoring the individual).
Primary Prevention (Organizational Redesign)
The Goal : Altering the environment so the stressor never reaches the employee
Job Redesign
The “Right to Disconnect”
Anti-Bullying Protocols
Evidence-Based Policies (Primary Prevention)
Job Redesign
Autonomy enhancement (giving employees control over how they do their work)
The “Right to Disconnect”
Banning managers from sending non-emergency Viber / WhatsApp messages after 7:00 PM
Anti-Bullying Protocols
Setting up anonymous, third-party whistleblowing systems
Secondary Prevention (Evidence-Based Group Interventions)
The Goal : Teaching coping mechanisms to groups of employees facing immovable demands (e.g., you cannot eliminate angry callers in a BPO, but you can teach agents how to process the anger).
Group Cognitive Behavioral Interventions
Restructuring unhelpful thought patterns at work.
Industrial Application : Workshops targeting “Imposter Syndrome” or “Catastrophizing.” Teaching employees to challenge thoughts like, “My boss corrected my report, so I am going to be fired,” and reframe them to, “My boss corrected my report because the client has strict standards”
Mindfulness-Based Interventions
Present-moment awareness to reduce physiological arousal (amygdala hijacking)
Industrial Application : “Micro-Mindfulness.” Implementing 3-minute guided breathing exercises for customer service teams before they log into their phones, or “Mindful Transition” rituals at the end of a high-stress shift to prevent carrying anger home.
Solution-Focused Brief Interventions
Instead of analyzing the root cause of the problem, focus entirely on constructing solutions and recognizing existing strengths.
Industrial Application : (The “Miracle Question” for teams) : Facilitation: “If you woke up tomorrow and the communication breakdown in this department was miraculously solved, what would be the first small sign you’d notice?”
Tertiary Prevention (Restorative Treatment)
The Goal : Providing clinical treatment and rehabilitation
Employee Assistance Programs (EAPs)
Return-to-Work (RTW) Phasing
Evidence-Based Applications
Employee Assistance Programs (EAPs)
Outsourced, 24/7 confidential psychological telehealth services.
Return-to-Work (RTW) Phasing
If an employee takes a 2-month leave for Major Depressive Disorder, they do not return to 100% workload on day one. RTW policies dictate a staggered return (e.g., 4 hours a day for week one) to prevent relapse.
Mental Health Survival Kit
A curated package of tools, resources, and policies given to a specific high-stress department (e.g., ER Nurses, Sales Agents).
Shield (policies)
Anchor (social)
Tools (skills)
Flare (tertiary)
Contents of the prototype (survival kit)
Shield (Policies)
A quick-reference card of their boundaries (e.g., "Script for ending an abusive client call legally").
Anchor (Social)
A peer-support buddy system
Tools (Skills)
A laminated card with a 5-step CBI reframe for failure, or a QR code to a company-paid meditation app
Flare (Tertiary)
The EAP hotline number stored directly into their work phones
True
T/F : To prove an intervention is evidence-based, you must measure its impact using a structured evaluation
Level 1 : Reaction
Did they like it? ("Was the mindfulness training relevant?").
Warning: A high score here might just mean you were entertaining
Level 2 : Learning
Did they acquire the skill? (Pre/Post-Test: Ask them to demonstrate a CBI reframe before and after the program).
Level 3 : Behavior
Are they using it on the job? (Observation/FGDs 3 months later: "Are teams actually doing the 5-minute morning huddles?").
Level 4 : Results (Business Impact)
Did it fix the organizational problem? Has the 40% turnover rate dropped to 20%? Has unauthorized absenteeism decreased? Have customer satisfaction scores gone up because agents are less burned out?
True
T/F : A mentally healthy workplace is not a place where stress doesn't exist. It is a place where stress is manageable, demands are supported, and recovery is built into the system
Counseling Atmosphere
The corporate reality is that you will do counseling in non-conducive rooms and spaces, and it might also be done online. It’s important to establish psychological safety :
Clearly state the limits of confidentiality
Unconditional Positive Regard, Empathic Understanding, and Congruence (Rogerian)
Physical setup
Short-Term Modalities
Employee Assistance Programs (EAPs) and in- house counseling typically authorize only 3 to 6 sessions per employee. Industrial counseling does not aim for deep personality reconstruction. The goal is to restore the employee to a functional, healthy state to prevent turnover and alleviate immediate distress.
Evidence-Based Toolkit
We are transitioning from listening to intervening. You need tools backed by empirical data, not just "positive thinking.".
Cognitive Behavioral Therapy
Fix the broken thought.
Acceptance & Commitment Therapy
Change your relationship with the thought
True
T/F : Aaron Beck’s cognitive behavioral approach posits that it is not the event that causes distress, but the individual's interpretation of the event
Clinical CBT
Treats clinical psychopathology (e.g., Major Depression, PTSD). Looks at childhood schemas
Industrial CBT
Enhances well-being, manages workplace stress, and improves performance in non-clinical populations. Looks at current work habits
Cognitive Distortions
Irrational, automatic, and habitual thought patterns that warp reality, often leading to increased anxiety, depression, and self- loathing. These thoughts often manifest when stressed or as part of cognitive vulnerability to mental health conditions
All or Nothing Thinking
You look at things in absolute, black and white categories
"If my annual performance evaluation isn't a perfect 5/5, it means I'm a complete failure at this job."
Overgeneralization
You view a negative event as a never-ending pattern of defeat.
"I didn't close that sale today. I'm never going to hit my quota. I always mess up my pitches."
Mental Filter
You dwell on the negatives and ignore the positives.
"Did you see the boss's feedback? He pointed out a formatting error on page two. The whole report is ruined." (Even though the boss praised the actual financial analysis).
Discounting the positives
You insist that your accomplishments or positive qualities “don’t count”.
Yeah, they gave me the 'Employee of the Month' award, but that's just because it was my turn in the rotation. It doesn't mean I actually did well."
Jumping to conclusions
Mind Reading and Fortune Telling
"My manager just replied 'Noted' to my email. He's definitely angry with me and thinks I'm incompetent."
Mind Reading
You assume that people are reacting negatively to you when there’s no definite evidence for this
Fortune Telling
You arbitrarily predict things will turn out badly
Magnification or Minimization
You blow things way out of proportions or you shrink their importance inappropriately.
"I was five minutes late to the Zoom meeting. My reputation is permanently destroyed."
Emotional Reasoning
You reason from how you feel: “I feel like an idiot, so I really must be one.” Or “I don’t feel like doing this, so I’ll put it off.”
"I feel completely overwhelmed and stupid right now looking at this spreadsheet, so I really must be unqualified for this promotion."
Should Statements
You criticize yourself or other people with “Shoulds” or “Shouldn’ts”. “Musts”, “Oughts” , “Have tos” are similar offenders.
"I should be able to handle a 60-hour work week without complaining. I must never ask for help because it makes me look weak."
Labeling
You identify with your shortcomings. Instead of saying, “I made a mistake”, you tell yourself, “I am jerk”, or “a fool” or “a loser”.
Instead of saying, "I made a mistake on the inventory, "the employee tells themselves, "I'm a total idiot and a loser.
Personalization and Blame
You blame yourself for something you weren’t entirely responsible for, or you blame other people and overlook ways that your own attitudes and behavior might contribute to a problem.
"The client canceled the contract. It's all my fault because I didn't smile enough during the pitch." (Even though the client company actually went bankrupt).
"I missed the deadline entirely because IT took an hour to fix my laptop.”(Overlooking that they had two weeks to start the project).
ABCDE Model
Activating Event
Belief
Consequence
Disputation
Effective New Belief
Activating Event
ABCDE Model : Boss returned a report with red marks.
Belief
ABCDE Model : "I am incompetent and will be fired."
Consequence
ABCDE Model : Severe anxiety, crying, procrastination.
Disputation
ABCDE Model : Challenging the belief. "Where is the factual evidence that red marks equal termination?”
Effective New Belief
ABCDE Model : "Revisions are a normal part of the process. It means they are investing time in my work."
Behavioral Experiments
Treating the employee's negative belief as a "hypothesis" and setting up a safe workplace experiment to test if it’s true.
Belief : "If I tell my team I don't know the answer, they will lose all respect for me. "
Experiment : The counselor asks the manager to intentionally say "I don't know, let's find out together" in a low-stakes meeting, and observe the team's actual reaction.
Evidence : Experiential disconfirmation leads to faster cognitive shifts than mere talk
Responsibility Pie
Used for employees who hyper-personalize failure and take 100% of the blame for systemic organizational errors.
Industrial Application : An employee is devastated because a client event failed. Draw a circle. Ask the employee to list all factors (the caterer was late, traffic, a vague client brief, and their scheduling error). Assign percentages. Their 100% blame usually shrinks to 15-20%.
ABCDE Model
Behavioral Experiments
CBT Techniques
General CBC Dialogue
Employee: "I sent the email to the wrong client. I'm going to be fired. My career is over."
Counselor: "I hear how terrified you are right now. Let’s look at the facts. In the history of your department, has anyone ever been terminated solely for a misdirected email?"
Employee: "Well... no. Sarah did it last year and just got a verbal warning. "
Counselor:"So, if the evidence shows the worst-case scenario is a warning, what can we do right now, rather than waiting in fear?"
Acceptance and Commitment Therapy (ACT)
Developed by Steven C. Hayes, this does not try to change or stop negative thoughts. It changes our relationship with them. The ability to stay in the present moment, fully aware of emotions, and change or persist in behavior based on chosen values
True
T/F : Bond and Bunce (2000) demonstrated that workplace ACT training increases mental health and innovation
Fusion
When we become entangled with our thoughts and treat them as absolute facts.
Ex. "I am an imposter." The thought dictates behavior; the employee hides.)
Defusion
Creating psychological distance. Realizing a thought is just a string of words generated by the brain
Ex. "I am having the thought that I am an imposter." The employee notices the thought, but still speaks up in the meeting.
Naming the Story
Expansion (Passengers on the Bus)
Values Clarification (Bullseye)
ACT Techniques
Naming the Story
Teach the employee to recognize recurring negative workplace scripts and reframe them as the titles of stories or shows. Label it when it occurs to establish distance.
ACTION : Instead of saying, "I'm going to fail this appraisal," the employee says, "Ah, my brain is playing the 'I'm a Failure' radio station again. I've heard this broadcast before. "
RESULT : The thought doesn't disappear, but it loses its power to control behavior.
Expansion (Passenger on the Bus)
Stop fighting unchangeable workplace stress; instead, make room for it. You are driving the bus of your career. Anxious thoughts are loud, ugly passengers in the back. If you stop the bus to argue with the passengers (fighting the anxiety), you never reach your destination (finishing the project). Let the passengers yell. Acknowledge them. Keep your hands on the wheel. "I can feel anxious about this presentation and still deliver it."
Values Clarification
We can endure immense stress if the work aligns with our core values. Counselors use the "Bullseye" to map out four domains: Work / Education, Leisure, Relationships, & Personal Growth. Ask the employee to place an 'X' on the dartboard to show how closely they live to their values.
The Shift : "You hate this current project, but you value 'Providing for your family' and 'Mastery.' How does finishing this difficult project move you closer to the center of your bullseye?"
General ACT Dialogue
Employee: "I can't lead this team meeting. My anxiety is
screaming at me that I sound stupid."
Counselor (Defusion & Acceptance): "It sounds like the 'Anxiety Passenger' on your bus is yelling really loudly right now. If we try to kick that passenger off, we'll just spend all day fighting. "
Employee: "So I just... let it be there?"
Counselor (Values/Committed Action):"Yes. What kind of leader do you want to be? If one of your values is 'reliability,' can we make room for a racing heart, let the anxiety sit in the back seat, and still click 'Start Meeting'?"
False
T/F : Choose ACT when the employee's distress is caused by clear logical errors, catastrophic assumptions, or a lack of problem-solving skills.
The focus : Challenge and change the thought.
False
T/F : Choose CBT / CBC when the stressor is structurally unchangeable (e.g., a genuinely difficult industry, chronic pressure, grief). Trying to "think positively" about a toxic environment is invalidating.
The focus : Accept the feeling, defuse the thought, and commit to value-based action.
Solution-Focused Brief Therapy
A short-term, goal-directed approach that focuses entirely on solutions rather than dwelling on the root causes of a problem. It assumes clients already possess the skills and resources needed to improve their situation. · It uses techniques to help the client view a situation without the problem, and pushes them towards that vision.o
True
T/F : SFBT is not for clients with deep-rooted problems and traumatic experienced that need unpacking
True
T/F : SFBT usually lasts 3-5 sessions because EAPs typically authorize only 3 to 6 sessions per employee, SFBT is incredibly practical. It bypasses lengthy psychological history-taking and immediately pivots to what the employee wants their work life to look like.
SFBT in Industrial Spaces
Studies show that brief solution-focused interventions significantly decrease occupational stress, reduce burnout, and yield high client satisfaction rates in just 2 to 3 sessions
Problems Usually Targeted : Interpersonal conflicts (e.g., severe tension with a coworker or manager); sudden performance slumps or lack of motivation; career transitions or anxiety over a promotion; feeling stuck in a specific project or role.
Situational Acute Stressors
Short-term, immediate events causing sudden and intense stress, typically passing once the situation resolves.
Miracle Question
Exception Seeking Questions
Scaling Questions
SFBT Techniques
Miracle Question
Asking the client to imagine a hypothetical future where the problem is entirely solved overnight. It helps the client identify what a “solution” actually looks like in concrete, behavioral terms, bypassing the urge to just complain about the problem.
True
T/F : SFBT’s Miracle Question focuses on small, actionable steps the client can do