Finding and Keeping a Job With Schizophrenia

If you have schizophrenia, the idea of holding down a job may seem like an unlikely goal. But your mental illness doesn't have to keep you from employment. It's important to stick to your schizophrenia treatment and use helpful on-the-job strategies to deal with your symptoms.

Stigma against schizophrenia and other mental disorders can be a big barrier to employment. It can make a big difference to have a supportive work environment. The right job will depend on your skills, experience, and how severe your symptoms can be.

People with schizophrenia hold all kinds of jobs, including professional roles and salespeople. For some, jobs that require physical labor may be easier than sedentary jobs that demand a lot of mental concentration. Consider part-time roles, which may be more manageable for you if you are enrolled in rehab or supportive programs.

Many organizations have connections with employers who understand some of the unique challenges and gifts of people with mental health conditions. For example, the National Alliance on Mental Illness has a list of job resources. 

The Americans with Disabilities Act (ADA) bars employers from asking for details about your physical or mental health. Hiring managers can't discriminate against you for your condition. If a hiring manager asks about employment gaps, you can simply say you were dealing with an illness. They can't press for details.

One study of working adults with schizophrenia showed that success in the workplace is often linked to behavioral strategies, including: taking your medication exactly as your doctor prescribes it, keeping away from drugs and alcohol, avoiding stressful situations, and interacting with supportive, nonjudgmental people.

Use calendars, checklists, reminder notes, and other tools to stay on track with your tasks. Try working in a setting with fewer distractions, and make time for quiet breaks.

A proven way to stay employed if you have schizophrenia is to use the Individual Placement and Support (IPS) models, which are designed for people with serious mental illness. You work with an employment specialist, employers, and your mental health care team to find and keep the right job.