By now, I think many people are well aware that there are limited protections for workers in the U.S., and when it comes to healthcare, employees are at the mercy of employers. Even though I was not a good fit for my last position, I was afraid to leave because I would lose my insurance if I did.
In order to keep up with the large workload that I had, I had to work overtime, which meant I worked 45-50 hours a week (for less than $40,000 per year). To be honest, even working an extra hour or two a day didn't help me keep up with the work. I felt constantly overwhelmed. I did eventually have a mental breakdown, and it took four weeks for me to recover and finally go back to work full time. During that time, I was able to use my vacation hours and sick time, and thankfully, my supervisors didn't give me too much flak.
I got the flak later. The last couple of months before I left my position, I decided to stop working overtime because I was incredibly stressed out and didn't feel like I could handle it without my health taking another dive. But the department head then gave me a huge spill about how salary workers are required to work overtime sometimes, and that I had to work overtime to finish projects before I left the company. It made my blood boil. I had worked overtime for a few years, and it was my last two months. It was pure bullpoop. I angrily responded I couldn't work overtime because I was in pain, and she required that I submit a doctor's note. So I did. I was so pissed off that I asked two different doctors for notes. If she wanted notes, she was gonna get them. I thought about perhaps contacting a lawyer and trying to figure out how to invoke ADA. Perhaps I should have gone to HR to ask for accommodations, but I didn't trust them. HR exists to protect the company from getting sued, not to protect the employees.
In the U.S., there is nothing to stop a boss from abusing salaried workers. And let's be honest. Requiring salaried workers to work overtime every single day in order to keep up with the workload is abuse. It's extremely unhealthy and causes harm to the workforce and productivity. Working long hours can lead to burnout and to the development of physical and mental health disorders, such as tension headaches, anxiety, and depression. (By "requiring" here I mean that there are many employers who will say to your face that you shouldn't have to work overtime or you should only work overtime occasionally, but then there is an implicit company culture that suggests you should be working overtime and checking email all the time.)
The U.S. does have the Americans with Disabilities Act, which requires employers to provide accommodations to employees with disabilities. But I feel like the act doesn't do enough to protect those with disabilities. And is mental illness a disability in the first place? My mental illness did cause me to procrastinate, and I feel it took me longer to get started and to complete work than expected. However, I'm still not sure that my anxiety could have been considered a disability, even though my doctors had classified it as "severe."
In my supervisors' defense, I didn't tell them I had been diagnosed with multiple mental illnesses or that my anxiety disorder caused physical symptoms, such as stomachaches and headaches. I felt uncomfortable disclosing my conditions because I thought they would have treated me even more poorly than before due to the stigma of mental illness (and yet, here I am talking about it on the Internet, a more public forum than the workplace). I thought there might have been a possibility that I could have been fired since my mental illness slowed my work down and reduced my output.
Mental illness does negatively impact my work, and it cause delays in productivity. I feel like the stress of the workplace environment, working overtime, and just generally struggling to complete daily tasks makes mental health worse, and that supervisors who do not provide compassion or mercy for struggling employees only add to the employees' distress and pain. I wish there were more protections for disabilities and mental illness in the U.S. workplace.