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[How to deal with request of work-related acknowledgement of mental illness?].

How to deal with request of work-related acknowledgement of mental illness? The physician, face to face with patients attributing their mental illness to work, wonders about the etiology in order to propose appropriate care. It may concern a preexistent psychiatric disease, revealed, unbalanced or worsened by work, criminal working conditions (mobbing, discrimination, violence…) that may lead to a major depressive episode (MDE) or a posttraumatic stress disorder. Besides, some working circumstances and their evolution may constitute the pathogenic sequences or facts, source of MDE. Acknowledgement of occupational origin may contribute to therapeutic decision. The criteria are not clearly established. When reporting, the physician should not refer to work, but should remain descriptive, referring to international classification.