Mental Health in the Workplace
Author(s): Scott Douglas Jacobsen
Publication (Outlet/Website): The Good Men Project
Publication Date (yyyy/mm/dd): 2025/06/11
Gabrielle Provencher, M.Sc., R.S.W., R.M.F.T. (AMHP), Director of Enhanced Mental Health Care and Workplace Support at Homewood Health, shares insights on the rising demand for mental health services post-COVID-19. She highlights a 37% increase in cases related to anxiety, depression, and stress from 2019 to mid-2024, driven by isolation, financial pressure, and sociopolitical strain. Provencher explains how EFAP programs support employees with strengths-based, short-term counselling, crisis intervention, and wellness services. She emphasizes gender disparities in mental health access and the need for inclusive care. Provencher also explores the impact on families and couples, noting how caregiving roles, emotional labour, and relationship stress contribute to mental health strain. Her leadership combines clinical experience with compassionate, trauma-informed responses rooted in equity, community care, and cultural sensitivity.
Scott Douglas Jacobsen: Today, we are joined by Gabrielle Provencher, M.Sc., R.S.W., R.M.F.T. (AMHP). She is the Director of Enhanced Mental Health Care and Workplace Support at Homewood Health, bringing over 15 years of experience since 2009. Gabrielle has held leadership roles across crisis management and long-term psychotherapy services. She is a Registered Social Worker, Psychotherapist, and Registered Marriage and Family Therapist.
Gabrielle holds a Master’s degree in Clinical Criminology, a Bachelor’s degree in Social Work, and a Certificate in Family and Couples Therapy. She specializes in working with couples, families, and equity-deserving groups and actively promotes diversity, equity, and inclusion in healthcare. Gabrielle also operates a private practice and has served on the Board of Durham Children’s Aid Society. Thank you for your time. First question: What is the primary goal of the EFAP program?
Gabrielle Provencher: That’s a broader question because EFAP encompasses many services. At Homewood Health, we are a Canadian leader in mental health and addiction services. EFAP primarily focuses on workplace mental health support. Depending on the coverage, it can involve short-term counselling or longer, mid-term psychotherapy.
We also offer crisis management services on-site in response to traumatic incidents, such as an employee’s passing or organizational restructuring, but also for larger-scale events such as natural disasters, accidents, or acts of violence/terrorism. We also provide various wellness services, including workshops, meditation, and workplace assessments.
So, the goal can vary depending on the specific service. However, if we refer to EFAP short-term counselling—”one-at-a-time” sessions—the main objective is to offer strengths-based, solution-focused therapy. It is very client-driven and focused on immediate concerns. This is not a psychoanalytic approach where we delve into childhood issues. Instead, it supports employees in maintaining a healthy work-life balance.
Jacobsen: What biggest challenges or pressure points that contribute to a lack of work-life balance today?
Provencher: Financial strain is one of the most prominent challenges families face. It manifests in various ways: people taking on multiple jobs, working longer hours, and having less time for family or self-care. We’ll probably discuss this in more depth later, but for women, emotional labour—the caregiving burden—also plays a significant role.
I should not say burden because it is not always a burden. However, in many cases, women are most likely to be caring for both an elderly family member and a child at the same time. We call this the “sandwich caregiver” role. For other families, the financial stress of working harder and longer hours often results in less time with family and children, which impacts many people.
So, these are some of the key issues right now regarding work-life balance. In another area, there is a different dynamic for those employed and have the privilege of working from home post-COVID. Many people feel isolated. Even though we are “together,” we are constantly on camera. It is counterintuitive, but being continually connected makes it difficult to disconnect. Some people find it harder to take care of themselves—go for a walk, take a proper lunch break. Instead, they say, “No, I will just finish this email.” The next thing they know, they have spent eight or nine hours sitting at their desk.
So I think those are the main contributing factors, along with the overall rise in mental health issues like stress, anxiety, and depression, much of it driven by today’s sociopolitical climate.
Jacobsen: You mentioned stress and anxiety. While anxiety and depression are different, they are often linked. What mental health issues have increased since 2019?
Provencher: Mainly anxiety, depression, stress, and work-related stress. Based on our data, there has been a 37% increase in cases addressing these issues since 2019. As I mentioned, this increase has been driven by isolation, financial pressure, increased screen time, and social media time, which intensified during the pandemic.
This especially affected young people in school, but suddenly pulled them out of social environments and placed them in one-dimensional online learning settings. That disruption created a significant developmental gap for many, and we still see the repercussions.
So yes, there is a youth mental health crisis—but adults are affected too. We also see the rise of climate-related mental health issues. There is a term we use: eco-anxiety—and it is real. People are questioning whether they want to have children, whether they can ever afford a home, and what the future holds.
This is compounded by the strain on the healthcare system, where people struggle to access physicians or mental health professionals. All of this contributes to the increasing rates of mental health issues.
Jacobsen: How much of that would you attribute to COVID?
Provencher: That’s a very relevant and complex question. Causality is always difficult to attribute when dealing with large-scale, multifactorial issues like mental health. That said, yes, COVID had a major impact. It is significant to consider that famine, war, and plague have existed throughout history. However, in our time, experiencing something of this magnitude on a global scale, all at once, was unprecedented. We were not prepared.
We were not just unprepared—unless you worked in epidemiology —most people didn’t believe it could happen. I think it was a shock for everyone. It became a kind of collective trauma. It is difficult to explain what we all endured for nearly three years—being at home and making critical decisions such as, “Should I get the vaccine? What does that mean for me? Are there enough studies? Will I be safe?”
There was the constant fear of infection every time you stepped outside. Moreover, we didn’t have much data. We are talking about the importance of having facts, but as the pandemic evolved, we had to make tough decisions with almost no reliable information. That is a traumatic experience in itself.
People were losing their jobs, and then there was everything else layered on top, like the civil unrest following George Floyd’s death. 2020 was an unforgettable year. The years that followed brought many long-standing and deep-rooted issues to the forefront. People became even more polarized in their views, creating ongoing conflict. There is much anger out there.
It is a lot to process. So is it normal to see rising mental health issues? Yes, absolutely. What we are witnessing is a normal reaction to highly abnormal events. That is how I see it.
Jacobsen: How many people exceeded the clinical threshold for anxiety from 2022 to 2024?
Provencher: Between January 2022 and July 2024, 63% of the individuals who called us and underwent screening exceeded the clinical threshold for anxiety. We use psychometric assessments based on the criteria for Generalized Anxiety Disorder (GAD), and 63% screened above the level we would consider functionally manageable. That is a very high number.
Jacobsen: What are some of the common symptoms of anxiety in daily life?
Provencher: Anxiety can present in many different ways. It may show up as excessive worry, panic disorder, or social anxiety. For some individuals, it can show up as phobias such as social phobia (fear of being judged) or agoraphobia (fear of being in situations where escape might be difficult or help might not be available), etc. Physically, it can include symptoms like sweaty palms, a racing heart, sleep disturbances, gastrointestinal issues, and panic attacks.
In terms of cognitive symptoms, anxiety often involves intrusive thoughts. With generalized anxiety disorder, for instance, nearly everything in life becomes something to worry about or overthink. You might constantly ask yourself, “What will people think of me if I go to that event?” or catastrophize everyday situations. It becomes a mental loop that is hard to break.
Or, “What should I wear?”—that question is typical for many of us. I think it is natural to experience some level of anxiety. Anxiety in itself is not always negative. It can help us prepare or stay alert. However, it becomes a concern when it starts interfering with your daily functioning and impacts your relationships, work, or ability to parent. That is when it turns into a clinical issue.
In some cases, people may turn to substance use to cope with persistent, intrusive thoughts. The content of those thoughts can vary depending on the individual’s specific disorder or the situation they are facing.
Jacobsen: COVID-19 began from late 2019 to early 2020 and continued through 2022. You mentioned a 37% increase in mental health issues. Was that increase steady, or did it plateau into the later part of 2024 or even into 2025?
Provencher: Interestingly enough, the rates of anxiety and depression have now almost returned to pre-pandemic levels. However, stress and work-stress continue to rise, alongside marital issues. I think we’re starting to recognize the deeper emotional impact of stress and understand that not everything is a diagnosable illness—stress is affecting our health in more complex and subtle ways. There’s growing awareness of the nuanced ways stress manifests, so people may now articulate their distress more in terms of stress and emotional strain rather than clinical disorders.
The effects of COVID are still reverberating. Financial stress remains, and younger generations, particularly students, have been disproportionately affected. I am thinking of my sister who completed her bachelor’s degree almost entirely in her basement! Those are formative years that she will never get back, when you are supposed to socialize, build friendships, and network. That kind of isolation contributes to increased social anxiety.
Jacobsen: Are there noticeable gender differences in how people seek out mental health supports, and in the self-stigmas that might prevent them from doing so?
Provencher: Yes, unfortunately, there are. We are mindful of this and try to ensure our services are inclusive and accessible to different groups. However, when it comes to societal expectations, especially for men, there is often pressure to appear stoic, strong, and self-reliant. For some, seeking help is seen as a sign of weakness, which makes it much harder to reach out, even when they recognize the signs in themselves. That stigma continues to be a barrier.
What you are describing also leads to internalized stigma. We know that men may often perceive a mental health crisis as a personal failure rather than recognizing it as a medical or psychological condition. It becomes tied to their sense of identity, as if struggling is a weakness of character.
Surveys show that men are far less likely to admit they are struggling emotionally, even to close family or friends. It often takes them much longer to seek support, and usually it happens only once they have hit a crisis point. That is when they are most likely to access services.
And I want to be clear—this does not apply to all men. There are certainly many men who take care of their mental health and access services early. But from a broader perspective, we need to improve how we reach and engage men with mental health campaigns. There’s more work to be done to effectively target this audience.
Men also tend to express emotional distress differently. Women may verbalize their struggles more readily, whereas men might externalize through anger, substance use, or withdrawal. Some men might prefer action-oriented coping strategies, like going to the gym or taking medication, before they consider talking to a therapist.
These social differences—how we are raised and conditioned—shape how people seek help. Moreover, society also plays a role. Vulnerability and emotional expression are often seen as more socially acceptable for women. On the other hand, women are disproportionately diagnosed with mental health issues, which opens a whole different conversation.
For instance, we need a better understanding of how physical health issues might lead to mental health symptoms in women and not rush to label something strictly psychological. We also need to understand emotional labour and caregiving responsibilities. Sometimes, what we call a mental health issue is an entirely normal response to being overwhelmed. Recognizing this can help us provide more appropriate, gender-sensitive support to both men and women.
Jacobsen: How do these issues manifest within families and couples?
Provencher: When talking about a unit—whether it’s a couple or a family—you have to take all of these individual issues and multiply the complexity. Now, you’re dealing with relational dynamics, communication breakdowns, emotional withdrawal, and competing needs.
Unfortunately, we are seeing more relationships under strain. It is becoming harder for couples to maintain a healthy relationship amid the stressors of modern life. Parents are stretched thin, often with little time to spend with their children, let alone with each other. There is also the challenge of protecting kids from the emotional toll of what is happening in the world.
We must remember that the idea of “family” is changing. Families look very different today. They’re more diverse, and their needs are more varied. However, one consistent theme is that people have less time to commit to their partner and children and to nurture those relationships.
These issues are complicated. If you are in a relationship with someone who is clinically depressed, it can be highly challenging. Not only are they likely to be off work, but in severe cases, they may not even be able to get out of bed. That leaves the other partner to take on everything—household responsibilities, emotional support, parenting—and that is a considerable burden.
When your partner is supposed to be your support system and suddenly cannot fulfill that role, it is emotionally taxing. It truly does take a village. While we say that often, we could do much better as a community by supporting one another.
Jacobsen: Has your leadership experience in crisis management and long-term psychotherapy helped your current work?
Provencher: Yes. I currently maintain a private practice, which is very important to me. I have been in leadership for a long time, but I intentionally returned to direct clinical work because it grounds me. As we build and oversee programs, I want to ensure the quality remains high and that we do the right thing for our clients and customers.
Staying connected to clinical work helps me remember what it is like to be in the room with someone and truly listen and support them. My training and experience with clients deeply inform my leadership.
When it comes to crisis management, that experience also helps me navigate what is happening in the world today. For example, after the recent tragic event at the Lapu-Lapu festival in Vancouver, we were able to respond and provide support to the affected community. It’s meaningful to be part of that—to help people through trauma and to be involved in making things better, even in the face of violence. It all comes down to kindness. We need more of it, and I keep that at the core of what I do.
Jacobsen: Gabrielle, thank you for your time today. I appreciate your expertise, and it was really nice to meet you.
Provencher: Thank you, same here.
Jacobsen: Okay, have a good day!
Provencher: Thank you again. Take care.
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