More than 20% of Americans will be diagnosed with mental illness in their lifetimes. They will, that is, experience conditions that influence the way they think, feel and act – and that may initially seem incompatible with the demands of work.

Our new research suggests that what people living with chronic mental illnesses need most to succeed at work is for their managers to be flexible and trust them.

This includes the freedom to adjust their schedules and workloads to make their jobs more compatible with their efforts to manage and treat their symptoms. For that to happen, managers need to trust that these workers are committed to their jobs and their employers.

We’re management professors who reviewed hundreds of blog and Reddit posts and conducted in-depth interviews with 59 people. And those are the most significant findings from our peer-reviewed study, published in the October 2025 issue of the Academy of Management Journal.

We gathered our data from three sources: anonymous blog posts from 171 people, Reddit posts from 781 people, and in-depth interviews with 59 workers employed in a variety of jobs across multiple industries.

All these people worked while dealing with chronic mental illness, such as major depressive disorder, generalized anxiety disorder and bipolar disorder. The blog posts were maintained by a nonprofit concerned with the experiences of individuals living with mental illness. We focused on posts tagged “work.”

To identify relevant data on Reddit, we searched using a combination of the word “work” with several terms associated with mental illness. Additionally, we restricted our data collection to unsolicited narratives published prior to mid-March 2020 to avoid overlap with the employment changes that occurred during the COVID-19 pandemic. Because this data was gathered from the internet, we couldn’t obtain details about participants’ gender, age, profession or education.

We also recruited people to interview through social media postings, advertising in a public university’s alumni listserv and contacting an organization that focuses on men’s mental health. We........

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