| Tarun 
              was a star performer. These days, however, he was an angry performer. 
              Snapping at colleagues, losing his cool. When he turned in a self-assessment 
              that was strangely self-critical, that too on trivial points, the 
              company suggested a session with a counselor. And it was here that 
              Dr Achal Bhagat, organisational analyst and psychiatrist, diagnosed 
              Tarun's inability to handle stress-which was making him mad at himself. 
              Having tackled his problem, Tarun now heads the company.  That's not an isolated case. Neither are cases 
              of depression and paranoia, anymore, in Corporate India. What's 
              rare is the recognition that such problems require professional 
              help-and this calls for lifting the giant shroud of secrecy that 
              keeps it all covered up, as if there's something deep , dark and 
              shameful about it.   It's estimated that 80 per cent of the people 
              in Indian metros are working folk, and over half the problems they 
              go to physicians for are in some way linked to stress. Meanwhile, 
              modern times are getting tough, traditional safety valves are losing 
              their efficacy, and executives in their 30s have started dying of 
              heart attacks. If there's shame, it's in the machismo of pretending 
              that everyone's fine, that 'having one's head examined' is a step 
              towards the loony bin, and that help is for sissies.  In the observation of Ali Abbas, Country Manager 
              (HR), AT&T, people remain reluctant to go beyond the support 
              system of family and friends, who may not be qualified to deal with 
              the problem. Yet, such issues remain taboo in the corporate culture 
              of many Indian firms. "This is most unfortunate," says 
              Dr Sanjay Chugh, senior consultant psychiatrist. "They don't 
              even understand stress or what it is doing to the organisation," 
              he laments. 
               
                | Common Ailments |   
                |  DepressionTreated with medication. There are two groups of anti-depressants-SSRI 
                    and TCA. Examples include Sertraline and Fluoxetine. Psychotherapy, 
                    in particular CBT (cognitive behavior therapy), is also useful.
  Alcohol dependenceTreated with psychotherapy and supportive medical management 
                    to control withdrawal symptoms and ensure the person stays 
                    off alcohol.
  Obsessive compulsive disorder (OCD)Treated with medication. SSRIs such as Paroxetine 
                    and Fluvoxamine are specifically for this. Psychotherapy, 
                    especially behavioral therapy, can help too.
 |   For some, handling these things is what the 
              hr department is paid for. So why hire anybody else? True, this 
              department needs to be intimately involved, but the best hr managers 
              also realise that there is a need sometimes for specialised doctors 
              (to correct chemical imbalances in the brain)-or external psychotherapists 
              (who operate through talk-sessions rather than Rx prescriptions) 
              to whom executives can open up without the fear of becoming the 
              subject of coffee-time gossip.   According to Bhagat, most executives are desperate 
              to talk. Their only concern is confidentiality- that is assured, 
              since psychiatrists are aware that they're paid to help people, 
              not to be agents of corporations. Mature companies agree wholeheartedly. 
              "They provide a breath of fresh air," says P. Dwarakanath, 
              Director (HR), GlaxoSmithKline. "People may turn to water the 
              minute they step into a boardroom," adds Jayantika D. Burman, 
              Director (HR), Agilent Technologies, "They will feel far more 
              comfortable talking to an outsider."   Professionals are also able to offer the ''reassurance 
              of numbers''. As Bhagat says, only 2-5 per cent of people need medicine 
              (such as the anti-depressant Prozac). Some four-fifths suffer from 
              'life problems' such as demoralisation, and a fifth (mainly managers) 
              suffer from acute pessimism about the future.  Happens all the time, and it can be resolved. 
              In fact, for most open-minded companies, psychiatrists have become 
              just another part of the regular resource base they draw on to enhance 
              productivity. As 'normal' as that. Some common task areas: behavioral 
              analysis, executive development and self-esteem enhancement.   Perhaps the most routine now is the application 
              of pre-recruitment psychometric tests. "Everyone has a high 
              IQ these days," says Dwarakanath, "so we also need to 
              look at their EQ (emotional quotient), and judge how well they fit 
              into our organisation's culture." According to Ronesh Puri, 
              Managing Director, Executive Access, a head-hunting firm, the tests 
              are in use because they've been found to work. Bhagat cites the 
              example of a CEO candidate he found too pre-assuming and short-fused 
              in his personal life. The man was recruited anyway but failed at 
              the job. It's a matter of 'fit'-fair and square.   Then, there's leadership coaching. "Leaders 
              are now looking for insights into their working style," says 
              Kaushik Gopal, psychiatrist, "they want to see the kind of 
              impact they are having."   Managers might see this as an encroachment 
              on their own area of expertise, but if, say, the CEO is turning 
              slowly paranoid and transmitting these vibes to subordinates, it's 
              perhaps best if a psychiatrist steps in to short-circuit the 'negative 
              feedback loop' before it results in a corporate psychosis.  Therapists are also found to be of help during 
              periods of turbulence, say, following a merger. "When people 
              are faced with tough decisions, such as during the change period 
              last year, a lot of companies bring in professionals for counseling," 
              says Madhavi Misra, Senior Consultant, Hewitt Associates. "This 
              helps minimise the negative impact on employees." Mergers require 
              a consensus on common values, and this can be a rough experience 
              if the two cultures are sharply divergent and egos are bloated. 
              Shifting from seniority to performance-based pay, for example, can 
              cause severe trauma to the grey-haired, and they could need psychotherapy 
              to appreciate the new system.   While psychiatrists are busy providing all 
              manner of services, the biggest growth area, spanning industries 
              and hierarchy levels, remains bad old stress. It shows up in strange 
              ways, and is sometimes devilishly difficult to identify, but must 
              never be taken lightly. Stress management workshops, meditation 
              techniques and yoga sessions are commonplace these days. Still, 
              as Robert Danbeck, Country Manager (HR), IBM, puts it, "Professional 
              help is recommended if needed."   Often, it's the spouse who first identifies 
              a problem-and hr departments that maintain spouse-sensitivity systems 
              tend to do a better job of spotting trouble.   Even so, a vast majority continue to treat 
              all this with dismissive disdain. Psychiatrists, being doctors, 
              are shy in admitting that they have done a poor job of 'market expansion'. 
              But that is exactly what they must do, for their own and India Inc's 
              sake. The best way to begin is to break the barriers. "People 
              are afraid of being medicated," says Gopal, "of being 
              looked at weirdly." It's time to fight the fear. And lift the 
              shroud. You could help-by talking about it. |