14/01/2026
When someone returns to work from time off for their mental health in the UK, their employer has a legal duty to make reasonable adjustments to support them.
Examples include: a phased return to work, reviewing duties and making adjustments to the physical environment.
When I'm supporting a client in therapy as they return to work I:
1) offer to write a letter with recommendations to their employer of the adjustments that will make a real difference based on what we have learnt from our therapy together.
2) make time to talk about their own internal 'reasonable adjustments' too (we might also visualise these and operationalise how to try them out in their workplace).
A few examples of internal reasonable adjustments include:
- Understanding that your capacity rebuilds gradually, and that this includes cognitive as well as physical (which can be a surprise to many). For example, expect your focus, decision-making, emotional tolerance for challenges to be compromised. Trying, therefore, to start with 'easier' tasks to develop your confidence in your own skills again, and being patient with yourself if things feel harder or slower than before.
- Noticing if there a mindset around "I'm back and therefore should be operating at the same level as before" present (this is very common). If you notice this yourself try writing down these words to keep re-reading: "I'm back and easing myself back in, I have permission to go slowly".
- Loosening your grip on any familiar high (often unrelenting) standards for your work, and trying on more flexible standards for size e.g. "I would usually continue working on this for another hour to perfect it, but I'm tired and I've done a good enough first-draft so will send this version for now"
This is just a taster of adjustments which can support Post-Burnout Growth - "the process of coming back stronger after adversity by embracing your relationships, appreciating new elements of life, and becoming open to making positive changes".
Have you made any internal 'reasonable adjustments' when returning to work that you can share below?
(The quote is from p226 of my book Burnout: How to Manage Your Nervous System Before It Manages You)