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Emotional Support and Mental Health at Work - How Leaders, HR, and Management Can Help

Emotional Support and Mental Health at Work - How Leaders, HR, and Management Can Help

Emotional support and mental health at work are critical topics in today’s world, which is full of stress and uncertainty. Read on to discover how to ensure mental health in the workplace and what can be done to offer emotional support at the level needed in organizations of today.

Harry Ethan Justus |

Workplace mental health and emotional support has been at the forefront of HR's agenda in recent years. As the world continues to grapple with the aftermath of the COVID-19 pandemic, along with conflict, war, and escalating global tensions, people need more support now than ever before— including in the workplace. In this article, we’ll walk you through some of the ways in which emotional support and mental health initiatives can be effectively integrated into the workplace. I will also discuss the extent to which HR is responsible for employee mental health, by addressing the following questions: Is mental health the responsibility of HR? In what way and to what extent? What can HR and managers do to support employees with their mental health and emotional wellbeing?

The Current State of Mental Health:

First, let’s take a look at the general concept of mental health. Mental health and neurodiversity are extremely complex topics, which can stem from any number of life circumstances and genetics— not to mention the potential effects of socio-economic status and gender identity, and ethnicity. The CDC defines mental health as follows:

‘’Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices.’’

Mental health conditions are vast, and vary in the degree to which they affect people. Common mental health conditions include:

  • Anxiety
  • Depression
  • Obsessive-compulsive disorder (OCD)
  • Schizophrenia
  • Post-traumatic stress disorder (PTSD)
  • Bipolar disorder
  • Attention deficit hyperactivity disorder (ADHD)

Mental health challenges are found among employees across multiple sectors and at various organizational levels. In 2021, 76% of employee respondents in a Harvard Business Review study reported at least one symptom of a mental health condition in the past year, up from 59% in 2019. Clearly, mental health has always been a serious issue in the workplace. However, the pandemic, alongside several increased stressors in today’s environment, have served to further exacerbate workplace mental health challenges. It is therefore imperative that leaders approach mental health as an organizational priority.

In the midst of an ongoing global pandemic, economic volatility, war, and increased day-to-day pressures in modern society, it comes as no surprise that reporting of mental health conditions are on the rise. For example, a WHO report stated that in the first year of the pandemic, the global prevalence of anxiety and depression increased by a massive 25%. Loneliness, grief, financial insecurity, and fear— of infection, suffering, and death for oneself and for loved ones have also all been cited as stressors caused by the pandemic, leading to anxiety and depression. Estimates from the latest Global Burden of Disease study also shows that the pandemic has affected the mental health of young people and that they are disproportionally at risk of suicidal and self-harming behaviour. It also indicates that women have been more severely impacted than men and that people with pre-existing physical health conditions, such as asthma, cancer and heart disease, were more likely to develop symptoms of mental disorder.

In addition to the pandemic, another recent global tragedy has also played a major role in many peoples’ mental health: the war in Ukraine, which has left those directly impacted either unable to focus and deliver to the same level as before, or unable to work at all. Ukrainian immigrants and others with family in Ukraine, as well as people with refugee backgrounds, may be at greatest risk of experiencing mental health difficulties in the workplace as a result of the war.

Even people who have not been directly impacted by the war, or have not had close friends or family involved in the war, can also experience mental health concerns, such as vicarious trauma, a condition resulting from the bombardment of the central nervous system transmitted through observation, such as through the news and social media. The massive shock to the nervous system can engender intense emotions such as crying, shallow breathing, or lashing out. Other common aftereffects include difficulty sleeping, heightened anxiety, sensitivity to loud noises, or dissociation.

With all of this in mind, it is clearer now than ever before that mental health conditions are on the rise, and that it for sure impacts many people going to work - both those who suffer from mental health issues themselves, but also their colleagues. What does that mean when it comes to our day to day work-life, and what responsibility do managers, HR and others have when it comes to building emotionally supportive workplaces? This leads us to our next question:

Who Is Responsible for Employee Mental Health?

Workplaces play an essential part in nurturing and maintaining positive mental health amongst workers. They can give people the opportunity to feel productive and be a strong contributor to employee wellbeing. However, the workplace can also be a stressful environment that contributes to the rise of mental health problems and illnesses. To prevent a mentally unhealthy workplace, the onus lies on leaders, managers, and HR teams. Here’s one way to break down each role’s responsibilities:

  • HR professionals and teams play a critical role in removing systemic barriers that exist today, particularly regarding policy and hiring practices. The role of HR overall is to support people, and so, HR should be the advocate in the room.
  • Managers/Leaders are a key determinant of peoples’ satisfaction in the workplace. Therefore, managers are key players in creating mentally healthy workplaces. Managers need to develop emotional intelligence (EQ) and role model healthy behavior. For example, understanding the need for and creating psychological safety amongst workers. If workers do not feel safe, then they will never be able to do their best work and this will effect their mental health negatively.

How Can We Cultivate a Mentally Healthy Workplace?

There is still an undeniable stigma around mental health in general, let alone mental health in the workplace. However, the pandemic has created an indirect silver lining: the opportunity for more open and supportive conversations between HR, employees and senior leadership. In pre-pandemic times, HR professionals typically referred employees to external resources to help improve their mental health, rather than providing direct support. Often, employees were left with a lack of follow-up care, and outcomes were rarely tracked or monitored in any meaningful way. However, things are starting to change for the better: HR professionals are not only expected to optimize operations and workflow, they must also take ownership of proactively bettering employee mental health outcomes. HR teams need to leverage available resources and find creative solutions to help employees cope with hardships that may affect people at the workplace. The extent of support will depend on the size and financial capacity of the organization, although non-financial support, such as creating a psychologically safe working environment, which in itself does not have to cost a lot of money, is also crucial. Let’s examine how HR and leadership can strengthen mental health at work:

  • Include non-majority employees in decision making processes. Mental health and diversity, equity, and inclusion (DEI) are closely connected.Employees from diverse backgrounds often deal with a lack of representation, microaggressions, unconscious bias, and other stressors that impact their mental health and psychological safety at work. Therefore, HR and management need to give diverse employees a seat at the table and listen to them, when decisions around working conditions and initiatives are to be made.
  • Create a great feedback-culture. Investing time and energy into fostering a culture of continuous feedback can directly increase performance, positively affect engagement and well-being, and even strengthen long-term retention. The first step is creating a work environment where employees feel psychologically safe by way of feedback that is constructive, rather than punitive. Managers must also take care not to avoid feedback altogether, which in itself can be damaging. If feedback is avoided altogether, it inevitably does not create safety, because people do not know whether or not you’re telling them the truth. Truth builds trust, and trust builds safety!
  • Encourage diverse mental health practices. Staying mentally healthy means different things for different people. Welcome and encourage a range of ways, regardless of what that may look like to the individual. For example, HR departments can help create forums to learn about what works best for individual employees. Instead of organizations lecturing employees about what they “should” be doing for their mental health, have your company ask the employee: ‘’What can we learn from you and what works for you?’’ A ‘’one solution fits all’’ strategy simply does not work.
  • Strengthen the sense of belonging. Humans beings are social creatures, so managers and leaders need to encourage a sense of connectedness and belonging - even when teams are working remotely. Although tech gives us the opportunity to connect online, these tools are less important than the human connection itself. Focus on truly connecting with teams and employees and make everyone feel like they truly belong to the team, and the organization as a whole. This illustration by Emily Chang, gives a good overview of the difference between a workplace with diversity, inclusion and belonging:
Illustration of the distinction between "Diversity", "Inclusion" and "Belonging".
  • Normalize conversations about mental health. Removing the stigma around mental health requires leaders to show vulnerability and lead by example, which is not always easy. When leaders are honest about their own mental health, employees will feel more comfortable talking about their own challenges and experiences.
  • Cultivate psychological safety. Psychological safety in the workplace refers to an individual’s ability to make a contribution without fear of being ridiculed or rejected. To prevent a mentally unhealthy workplace, it’s the responsibility of leaders, managers, and HR teams to create psychologically safe working environments, which CCOHS describes as: “A workplace that promotes workers' mental well-being and does not harm employee mental health through negligent, reckless or intentional ways.”
  • Prioritize emotional training. Training can help to develop effective soft skills, such as empathy, vulnerability, compassion and active listening. Providing “soft skills” enables employees and leaders to better connect with others. By investing in training, organizations are helping employees have difficult and important conversations and create safe and inclusive workplace environments.
  • Create room for close working relationships. Although technology can (and arguably should) be leveraged to optimize mental health outcomes, the power of relationships should never be overlooked. Whether you are part of the HR team, in a leadership role or working as colleagues, reach out to your colleagues and employees and check-in to see if they are okay. Not every conversation has to be about work. Simply acknowledging that we are living in strange and stressful times, and asking your colleagues how they are feeling can make all the difference.
  • Build a proactive workplace mental health culture - rather than a reactive one. Rather than only addressing mental health concerns as they arise (that is, reactively), a good workplace should emphasize wellbeing, and focus on proactively providing positive mental health support. Creating a work environment of emotional wellbeing needs to happen not as a consequence of mental health challenges, but as a barrier against them.

Challenges In Supporting Employee Well-Being and Mental Health

There are a lot of reasons why traditional well-being initiatives have not been successful in the workplace. Here are some of the challenges:

  • Lack of openness: Mental health is all too often treated as a taboo issue. It has been historically stigmatized, and this lack of openness can hold back employees who want to open up about their mental health issues. The fear of being judged convinces them to suffer in silence rather than talk about it.
  • Lack of expertise: The journey towards supporting mental health can be sensitive, and therefore needs to be handled with utmost compassion and empathy. Lack of relevant expertise in the workplace to develop and manage employee mental health initiatives and programs has prevented businesses from getting the desired impact, despite effort and money invested.
  • Lack of training: Managers are directly and indirectly responsible for employee well-being. Leadership development is key to helping them understand their role in contributing to a healthy work environment. With training and assistance, managers can help their employees be in a safe mental space, which will translate to better workplace productivity and better business results— not to mention happier employees.

Perhaps the biggest reason why mental health is not supported in the workplace is a lack of willingness to commit from leadership. Many leaders and founders are well-versed in business practices, but hold little information about the business value that optimizing employee mental health brings. Fortunately, there’s a real shift happening right now as younger generations come of age and join the workforce. There is less separation between life and work in the younger generations, and people are becoming more open to talk about personal aspects of their lives, also when at work.

Mental Health Challenges in the Start-Up Ecosystem

Although burnout and mental health challenges can exist in any work environment, the problem is particularly exacerbated when it comes to start-ups. The (hopefully soon gone) Startup attitude of “move fast and break things” has often created a culture of overwork and burnout, leading to damaging outcomes for founders and employees alike. Start-ups are also very cautious about alienating any potential customers, and thus might shy away from being open and honest about challenges as well as fearful of taking a stand on mental health.

TechBBQ’s Founder Wellbeing Report describes structural factors in the start-up ecosystem that contribute to founders’ predisposition to mental health issues. The anxiety and high levels of stress that start-up founders face can also have a trickle-down effect, impacting employees at every level of a company. This is due to the fact that startups operate in fast-paced and high-pressure environments, and employees and founders struggle with high expectations, stress and pressure.

If you are curious to learn more about founder mental health, you can also check out another article published by Session’s CEO Pernille Brun: Start-up Life: Securing the Mental Health of Start-up Founders - Why Is It Important?


We spend most of our days at work, and the lines between our work and our lives continue to blur. Emotional support and mental health at work are therefore topics that should not be overlooked. In today’s world of uncertainty and anxiety, the need for support in the workplace is more vital than ever. HR, managers and leaders alike need to approach mental health as a priority that is continuously cultivated, rather than something to be addressed when it reaches the point of crisis. We should be working to create psychologically safe workplaces in which employees can comfortably discuss their mental health. In doing so, you will be laying the foundations of emotional support for your team, making your employees happier, and your organization too.

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Meet the Author

Harry Ethan Justus

Harry Ethan Justus

Harry Ethan Justus is a project manager at TechBBQ, helping to put on Scandinavia’s largest annual summit for tech startups and entrepreneurship. Harry holds a BA in Psychology with a concentration in Neuroscience from Kenyon College in the United States, and an MA in Cognition and Communication from the University of Copenhagen. He led TechBBQ's Mental Health Project, which worked to put mental health at the forefront of the agenda for the Danish startup ecosystem and beyond.

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