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MHCC & Series

When Sarah Ford agreed to speak with me about the Canadian Hemophilia Society’s upcoming name change, I’ll admit my knowledge of bleeding disorders was limited — largely informed by pervasive myths and misperceptions.

During our conversation, my understanding deepened, and the parallels with mental health became impossible to ignore: intergenerational trauma, vigilance born of past harms, the weight of stigma, and the challenge of reaching those who don’t yet know they need help.

This is familiar territory for the Mental Health Commission of Canada. And it’s proof that our health challenges, while distinct, share common threads.

The Canadian Hemophilia Society gets a new name

After 73 years, the Canadian Hemophilia Society is poised for a major change. The organization will soon become formally known as Bleeding Disorders Canada.

Sarah Ford, the non-profit’s CEO, recognizes that with a new name comes a new identity.

“Reaching a consensus on something this momentous is never easy,” says Sarah on a Zoom call from her Montreal office. “It’s walking a fine line.”

On the one hand, it’s imperative to honour a rich and storied legacy that dates back to the organization’s founding in 1953. On the other, there is a need to broaden the tent to include people who’ve been historically underserved.

As Sarah navigates this delicate balance, she’s always mindful of the resilience and determination of this small but mighty community — one that has borne an outsized burden.

When a life-saving treatment turns deadly

“Before treatments were available, hemophilia could have been life-threatening, more or less,” she reflects.

The disorder prevents blood from clotting properly, which can lead to internal bleeding and harm to joints. The knees, ankles, and elbows are especially vulnerable. When bleeding occurs in a vital organ, it can be life threatening.

“Then in the 1980s, you had this incredible moment of optimism.”

Sarah is referring to the advent of clotting medications extracted from donated blood, with thousands of plasma donations being pooled into a single batch. These concentrates were able to treat internal bleeding via small infusions, and individuals no longer had to be hooked up to a machine for days.

With this breakthrough came fresh hope — until it was revealed that thousands of people who had received these life-saving treatments had become infected with HIV and hepatitis C as a result of a contaminated blood supply.

“That nascent hope was crushed overnight,” says Sarah. “Many died from the very treatment meant to save them.”

Keeping history close

Decades later, the fear, anger, and grief remain fresh for those who were affected by the contaminated blood supply.

“A woman who lost her father, brother, or uncle at that time, and is now contemplating giving birth — how can we not describe this as intergenerational trauma?” asks Sarah, who felt compelled to memorialize these experiences.

“We need to keep our history close so that we can continue to learn from it. It’s about honouring the previous generations, while protecting those coming up after.”

This felt especially important in the lead-up to a name change. There needed to be reassurance for those early advocates that they would still be very much in the fold.

Led by volunteers, Sarah put the wheels in motion to build a digital national memorial dedicated to those who died and whose lives were forever changed — a reminder of the heavy toll of the past and the need for ongoing vigilance and advocacy.

She anticipates a year of behind-the-scenes work to gather the content and personal reflections that will immortalize the tenacity of those dealt a double blow: first an inherited bleeding disorder, then a diagnosis of HIV or hepatitis C.

“The bleeding disorders community is made up of people who were failed by a system that was supposed to protect them. But because of that, they are among the most savvy, literate, and tireless advocates.”

That watchdog role (what the organization calls hemovigilance) remains critical. And it is one that benefits not just the tight-knit bleeding disorders community, but many others who may need transfusions for various medical reasons.

“We need to make sure the systems are in place to avoid these kinds of preventable public health disasters.”

Next year, 2027, will mark 30 years since the seminal Krever report, which recommended sweeping reforms to ensure a safe blood supply.

“We can’t let these harms from the past become part of a more faded history. We are standing on the shoulders of those who lost so much.”

Sarah Ford

Sarah Ford

More than skin deep

The psychological toll of living with a bleeding disorder runs deeper than the tainted blood tragedy. Globally, some 47 per cent of people living with a blood disorder experience anxiety.

This can be compounded by the stigma attached to an inherited condition, whether it’s fear of insurance complications, workplace discrimination, or concerns about alienating a potential life partner.

“These aren’t abstract worries,” Sarah explains. People make real decisions about disclosure, career paths, and relationships on the basis of fear of how they’ll be perceived.

Inherited bleeding disorders remain prone to mischaracterization. Hemophilia has been mythologized as a disease of the royal line. This is technically true, because Queen Victoria passed hemophilia on to her heirs, but it’s certainly not limited to blue bloods. There is still a pervasive idea that people with hemophilia might bleed to death from a simple cut. Or that hemophilia is exclusive to males.

These misunderstandings matter. They affect diagnosis, treatment, and how people understand their own experiences.

Building a bigger tent

As the original cohort of advocates ages and innovative treatments for hemophilia, like gene therapies, come online, the organization’s shift toward a more inclusive name makes it easier for people to find community and support without having to navigate outdated perceptions.

Sarah ticks off populations that could be better served: women and girls, those with von Willebrand disease (VWD), people living with rare factor deficiencies or rare platelet disorders, and those in rural or remote communities.

“We have to keep our shoulder to progress, and we do that by putting up a bigger tent. If we want the game-changing therapies we’re seeing for hemophilia extended across other blood disorders, we need a new generation of advocates.”

Women and girls, in particular, have been given short shrift for too long. They’ve been labelled as “carriers,” which negates their lived experience beyond childbirth. The organization has spotlighted stories of those like sisters Erin and Emileigh who openly discuss everything from the onset of their periods (painful, heavy), to bruising and joint pain (often), to anxieties about travelling and becoming injured. These experiences have been worsened by doctors’ dismissive attitudes and delayed treatments — which is why Bleeding Disorders Canada is stepping up to the plate.

“Our understanding of these disorders among the female population is a huge part of achieving equity,” Sarah says, who acknowledges it’s not always an easy subject to broach.

“Think about young women getting their periods for the first time. Then layer on the trauma of menorrhagia — heavy menstrual bleeding. Many would rather talk about anything else.”

If Bleeding Disorders Canada wants to be the go-to for information — the first call when someone has a new diagnosis or is wrestling with the possibility — then identifying themselves as that trusted source starts with a name.

Right now, a woman might not see her experience reflected when she comes across the Canadian Hemophilia Society. “And yet,” explains Sarah, “we’re already doing work on her behalf. We’re advocating for her. In all but name only.”

Meeting people where they are

Bleeding Disorders Canada is undertaking a rebrand, but the work won’t diminish. “It’s only going to expand.”

The organization works with health-care providers to ask where the questions are and what community members need to know. Plans include expanding education on everything from novel therapies for hemophilia to updated information on VWD.

“People want concrete, reliable information they can bring with them to their health-care team,” she says.

Increasingly, not-for-profits fill that knowledge gap, providing unbiased, well-researched resources in an era when seeking verified health information can feel a lot like drinking from a firehose.

“Some people want stacks of peer-reviewed journals; others want an infographic they can digest at a glance. We do our best to meet people where they are.”

If you build it, they will come

Closing the knowledge gap for those who may need information but don’t yet have it is part of Bleeding Disorders Canada’s new strategic direction.

Sarah shares a striking statistic: “We have 5,000 people living with VWD registered in the national bleeding disorder database, and that number should be closer to 25,000.”

The new name is a marquee, a signpost that all are welcome. Sarah believes if you build it, they will come.

She lights up when she talks about recently sending three women to the World Federation of Hemophilia 2026 World Congress: “One has von Willebrand disease, one lives with mild hemophilia, and one has a son with severe hemophilia. Two are training as medical practitioners. There is this sense of excitement, this feeling of being at the centre of this conversation. A real feeling of new possibilities.”

I ask if the need for advocacy has decreased as treatments have evolved.

“No!” On this point, Sarah is emphatic. “Applying advocacy to protect care systems and hard-won wisdom to improve conditions for underserved populations — this is an area of tremendous need. It’s an incredible time to see how quickly things are changing.”

The official name change will happen this June, with a transition period focused on logistics — ensuring the chain of communication between community members, decision-makers, and others remains unbroken.

“Whether we are CHS or Bleeding Disorders Canada, what remains true is that we’re dedicated to foundational education and committed to being a trusted source of information for all our constituents — even those who haven’t yet arrived at our door.”

For those who want to get involved, Bleeding Disorders Canada offers volunteering opportunities and peer support programs and maintains links to provincial chapters across the country. The website serves as a hub for resources and information.

As Sarah puts it: “For the community, by the community, with the community.”

To learn more, visit www.hemophilia.ca.

Suzanne Westover

An Ottawa writer and former speechwriter, and Manager of Communications at the Mental Health Commission of Canada. A homebody who always has her nose in a book, she bakes a mean lemon loaf (some would call her a one-dish wonder) and enjoys watching movies with her husband and 14-year-old daughter. Suzanne’s time with the MHCC cemented her interest in mental health, and she remains a life-long learner on the subject.

The power of optimism

When I sat down with Kimberley Hanson to talk all things HealthPartners, I was curious to understand her optimism about the future of workplace fundraising.

“Charities are being asked to do more, with less. Illnesses are on the rise, but pocketbooks are stretched. What do we do?”

Kim smiled, a knowing expression on her face. “That’s the million-dollar question. According to Statista, charitable donations were down 371.7 million dollars from 2021 to 2022.1

She went on to say, “We’re living in polarizing times. And people are feeling pessimistic about the future. This bears out in surveys, and it’s no wonder. The pandemic is still casting a long shadow. Cost of living is up. The health-care system is stretched to the breaking point. And yet, I remain an optimist.”

Kim’s glass half-full outlook comes, in large part, from the work she does to bring awareness into workplaces across the country about the irreplaceable contributions of HealthPartners’ charities.

“They fill tremendous gaps. These charities are focused on the needs of people today – education, advocacy, services, and supports – and they are committed to finding better treatments and cures for tomorrow. We will all likely need their help at some point – whether that’s due to cancer, heart and stroke, ALS, the list goes on – and we will certainly know someone who does,” said Kim.

Collateral benefits

Given the importance of these issues to people in Canada, by bringing these charities to work, employers signal that they understand and are creating an opportunity for employees to conveniently learn more and contribute to something meaningful.

By engaging volunteers, HealthPartners provides access to those with lived experience to share their personal stories. The power of their first-hand accounts is two-fold.

They bring home the profound importance of the work carried out by HealthPartners’ charities, while empowering employers to foster a culture of generosity and social responsibility.

It’s in doing this double duty where the magic happens.

“It’s an antidote to pessimism. And it’s got tremendous collateral benefits. We’re seeing participating workplaces move the needle on accommodations, as just one example. Hearing about a person’s struggle to disclose, say, arthritis or anxiety…fearing a dismissive ‘pull up your socks’ attitude, can create fresh awareness and empathy. A light bulb goes on, and employers start asking themselves: How could we improve the experience of our own employees who might be struggling?”

Rejecting the machine mindset

Kim went on to explain further.

“Employees aren’t automatons. They come to work with their whole being. And they’re largely motivated by finding meaning – not just in their tasks and responsibilities – but in being part of a social fabric that aligns with their values. In short, why I am here, beyond the paycheck? Employees who feel that their employers were highly committed to their communities were two times likelier to be satisfied with their job.  Employees who participated in donating and volunteer programs at work were 2.3 times as likely to stay at their job for the next two years.2

This is borne out in employee engagement and retention, decreased absenteeism, and higher productivity. In fact, surveys conducted by HealthPartners on the heels of workplace campaigns show upwards of 95 per cent of employees are onboard with workplace giving, and 91 per cent would do so again.3

A shared language

Given the average adult spends a third of their life at work, Kim believes workplaces can be foundational in changing mindsets and dispelling myths.

I reflected that the MHCC made normalizing mental health at work a cornerstone of our stigma-busting efforts, sharing the belief that what gets talked about around the watercooler trickles down to the dinner table.

A great example of this is MHCC’s Opening Minds workplace training, which gives employees the tools and shared language to talk openly about mental health problems and illnesses, challenges and changes negative attitudes, and ultimately, reduces stigma. Both in the workplace, and beyond.

And stigma is hardly exclusive to mental illness.

In fact, many HealthPartners’ charities have heard from their communities that tackling stigma is top of the priority list.

Kim heartily agrees. “If I could wave a magic wand to make a major change within our health-care system, it would be the eradication of stigma. It cuts across virtually all our partners. It prevents people from seeking help. It contributes to the misallocation of funds. And it seeps into the unconscious bias of health-care providers themselves, which can compound or worsen the outcomes of illnesses.”

Kim has experienced stigma’s long reach first-hand. At 20, she began losing an alarming amount of weight. Her doctor dismissed her concerns, despite the hard-evidence of a blood-glucose test pointing to diabetes. Sadly, she didn’t present as a “typical” diabetes patient, so her concerns were roundly dismissed.

“That bias cost me two years of my life,” said Kim. “But by addressing stigma and the flip side of the coin, discrimination, we can make access to care more equitable.”

The collective advantage

Kim described the knock-on effect of collective action as being the secret to advancing changes that benefit everyone more rapidly.

When she worked for Diabetes Canada, for example, Kim set her sights on a National Diabetes Framework. She was told she’d never get buy-in from other health charities, focused as they were on their own needs.

But as a patient, and an advocate, Kim rejected this failed logic.

“This is not a zero-sum game,” said Kim, who forged strong alliances across the sector in pursuit of what she knew to be a mutually beneficial goal.

“I have diabetes, so that naturally puts me at greater risk for a host of other conditions: cardiac, kidney, depression…so whatever we can do to help people better manage or ward off the development of diabetes, will naturally be good news across the health-care spectrum. And that applies to many other illnesses as well.”

To a member, each charity is looking for ways to delay or prevent the onset of illness, where possible. And, when the cause of illness remains a mystery, as it often does, no stone is being left unturned in the pursuit of greater understanding.

Given the irrefutable comorbidities that link the communities of so many HealthPartners’ charities, a ‘better together’ approach makes sense, both morally and practically.

A holistic shift

“We aren’t walking organs,” said Kim. “For far too long we’ve treated people’s symptoms in isolation. A nephrologist for kidneys. A cardiologist for heart disease. You get the idea. But when something malfunctions in a complex system, what are the chances that another element of that system might fail? High. So, we need to start treating the whole person.”

And, Kim emphasized, that includes giving people with lived experience a voice at the health-care system decision-making table.

It’s this humanistic approach that sets HealthPartners apart.

Through workplace fundraising campaigns, it recognizes that employees are complex and multi-faceted, many spurred on by a drive to make a positive difference.

And via the health charity partnerships it forges, it highlights that differences don’t preclude common ground. Ultimately, it’s this powerful collective that will create a more responsive, inclusive, equitable health-care system – for all of us.

In the absence of a magic wand, Kim will continue to roll up her sleeves in service to this work.

For one thing, her son, J, was only 18 months old. For another, his level of absorption was hard to interrupt; he wouldn’t resume their walk until he’d finished finger-tracing all the letters and numbers on each plate.

At the time, Dyan wasn’t sure what to make of this unusual behaviour. Soon, though, she noticed more patterns that didn’t fit the usual toddler profile. Shortly after J’s second birthday, he started reading and spelling difficult words — without being taught and without making any mistakes (no cute “kid-invented” spellings). He’d experience meltdowns when the clocks in their house were out of sync, even by a minute. Videos weren’t identified by their title but by their precise duration. And he insisted on watching the end credits, captivated by the scrolling letters.

For years, Dyan searched for an explanation for J’s behaviours, finding little information that matched J’s experiences. When he was finally diagnosed with hyperlexia and hypernumeracy, there were more questions than answers. The challenges of finding ways to support her son continued. As she recalls in her first-hand account, This is Hyperlexia, “the psychologist’s help was minimal: she basically handed me a piece of paper and said, ‘See you in three years. A full report will be mailed to you shortly.’”

The challenges of supporting her son led Dyan to years of learning, advocacy, and resource-building. Along the way, she learned that hyperlexia and hypernumeracy are examples of a broader range of differences known as neurodivergence. J’s story is not only the story of one family’s journey; it also offers a window into how we are beginning to understand and appreciate the true diversity of human thinking and processing.

What is neurodiversity?

J’s way of interacting with the world is part of what researchers, clinicians, and advocates call neurodivergence, a term that encompasses autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), dyslexia, Tourette’s syndrome, and a growing list of other ways people perceive, learn, and engage with their surroundings. Each of these reflects the genuine diversity in our brains. It turns out that, like fingerprints, no two brains are alike. Even identical twins have unique brains.

The term “neurodiversity,” often attributed to Australian sociologist Judy Singer, emerged in the 1990s to reflect this insight about the unique nature of brains. But Singer’s intention was to connect that fact to human rights for people who are deemed neurodivergent. As she describes it, “‘Neuro’ was a reference to the rise of neuroscience. ‘Diversity’ is a political term; it originated with the Black American civil rights movement…. As a word, ‘neurodiversity’ describes the whole of humanity. But the neurodiversity movement is a political movement for people who want their human rights.”

Singer’s aim was to recognize our neurodiverse experiences while enshrining the rights, dignity, and inclusion of people whose ways of thinking and processing fall outside what’s considered typical. While each of us has a unique brain, about 20 per cent of us are considered neurodivergent and 80 per cent neurotypical (those whose experiences align with prevailing expectations).

That said, reaching consensus on how unique brains connect to neurodivergent experiences has been challenging among researchers, clinicians, and sociologists, as it has for those in the neurodiverse community. Debates are ongoing about whether neurodivergent people are best understood by perceived advantages, impairments, or disorders — or by processing differences that reflect their identity.

The significance of these debates becomes clearer when we consider that no one can choose how their mind works. This reality underscores the need to emphasize the rights of neurodivergent people, especially when we recognize that neurodivergent experiences are not illnesses to be cured but rather intrinsic aspects of each person who has them. As such, these individuals’ ways of thinking and processing the world, in all their forms, are best understood, supported, and accommodated in accordance with their rights as human beings.

Supporting neurodivergence

Kim Shah, president of ION Canada

This shift in perspective toward a language of variation can be crucial for giving neurodivergent people practical supports. For Kim Shah, president of the Institute of Neurodiversity (ION) Canada, such an approach lets us see neurodiversity as “a natural form of human biodiversity: a dimension of variation in human cognitive processing and sensory experience.”

That said, what neurodivergent people experience must also be recognized if the supports are to be effective. One aspect of neurodivergence relates to “pronounced peaks and valleys in abilities and experiences,” she says, which make neurodivergence “conceptually distinct from mental health and disability,” while standing in “a complex relational interaction with both.”

As Kim explains, this “spiky profile” defines when and where supports are most helpful. “The skills associated with the peaks, such as creativity, pattern recognition, determination, enhanced sensory perception, and hyperfocus, can be deeply valuable for individual flourishing and for communities,” she says.

The “valley experiences,” on the other hand, arise not just from being neurodivergent but also from “misalignments” between the world and neurodivergent people’s needs. Among them are emotional experiences like high stress, burnout, anxiety, depression, and/or feelings of social isolation. But “they often emerge,” she adds, from “social and physical elements” such as dissonant “environments, systems, and attitudes that don’t fit with neurodivergent needs.”

Dyan’s experiences with J’s hyperlexia emphasize how peaks and valleys apply to abilities, skills, strengths, and weaknesses. People with spiky profiles (which are often found in hyperlexic and autistic people) “excel in certain areas or with certain tasks, but struggle in others,” she says. While all people have strengths and weaknesses, they are much more pronounced in neurodivergent people. For example, individuals with hyperlexia may be able to read without being taught but also “struggle with comprehension.” Or else they “might test off the charts for math, spelling, or spatial skills. Yet, they’re six and still not potty trained.”

Beyond these examples, Kim often emphasizes the individuality expressed in the phrase “When you’ve met one neurodivergent person, you’ve met one neurodivergent person.” Still, she says, while experiences vary widely, “there are shared patterns in what helps neurodivergent people flourish: including sensory-friendly spaces, flexible communication, respectful pacing for their work, and understanding from others.”

That said, as the neurodiversity movement continues to grow, Kim finds a significant gap in the resources currently available to help “families, caregivers, and professionals navigate and appreciate the richness and diversity of neurodivergent lives.” To address it, she believes “health care, education, and other crucial systems must evolve toward a relational, rights-based approach that actively nurtures and supports neurodivergent people and their communities.”

Embracing neurodivergence

J’s journey reminds us that every person’s way of experiencing the world is valid and worthy of respect. Embracing neurodivergence means accepting what it calls on us to do: build communities, workplaces, and schools that are flexible and supportive while recognizing that rights and dignity extend beyond what is neurotypical. By hearing about lived experiences like Dyan’s and J’s, we can learn about the kinds and levels of support neurodivergent people might need. The willingness to listen can also help improve our collective understanding of the full extent of human cognition and sensory experiences.

Mental health concerns and illnesses have a serious economic impact on the Canadian workforce. The annual cost of mental illness in Canada is estimated at $51 billion, including lost productivity. At least 500,000 Canadians miss work because of mental illness every week. One in five Canadians experience mental illness in any given year, and many more will experience mental health concerns and burnout. This in turn increases turnover and affects the ability of employers to retain good employees.

Burnout and mental illness

In fact, in 2025, 39% of Canadian employees reported feeling burnt out, a number that rose from 35% in 2023. Burnout costs employers up to $28,500 per employee annually in lost productivity and turnover. It is one of the strongest predictors of turnover, and organizations that invest in burnout prevention see burnout rates drop to 27%, compared with 47% in organizations that take no action.

Mental health concerns like burnout and mental illnesses like depression, anxiety and ADHD affect the workforce at high rates and create barriers to employee success. Mental illness can lead to disability that affects performance.

Mental health disabilities

The workplace is not made for persons with disabilities. Barriers abound. And yet employees with disabilities are among our most determined, resilient, and creative problem solvers, who have honed these skills over a lifetime of solving complex problems each day in their personal lives. In 2022, 10.4% of Canadians over the age of 15 reported having a mental health-related disability. In the same year, 35% of employed Canadians with disabilities needed at least one workplace accommodation and yet 35% of those who needed accommodations did not ask for them because of the associated stigma. Workplace training like Opening Minds’ The Working Mind can help reduce mental health stigma among employees, and creating a psychologically healthy and safe workplace by applying the National Standard of Canada for Psychological Health and Safety in the Workplace can make the workplace a better environment for people with mental health disabilities.

When barriers present themselves in the workplace, how we respond is critical. Mental health is consistently one of the top issues in employee retention, and accommodations act as the “bridge” between an employee’s mental health needs and their ability to remain productive and committed to their employer. Kristin Bower, a consultant and co-founder of Leda HR, concurs. She needed a workplace accommodation because of a mental health disability early in her career and shares, “There’s the retention piece right there: when I personally wasn’t supported, I didn’t feel a sense of loyalty, rapport or belonging to my employer.”

Kristen Bower

Kristin Bower

Accommodations for mental illness

We tend to think of accommodation for persons with disabilities as building ramps for those using wheelchairs, but it is sometimes less clear how to accommodate a mental health disability. “People leaders don’t need to be the experts,” says Bower. “The accommodation process is one that should be a shared accountability between the person who needs the accommodation and the employer.”

I work in a typical office environment, and because of my mental health disability I have faced many barriers to success in my 15+-year career. For example, some medications that I have taken have caused me to be groggy and sleepy in the morning, making my typical 7 a.m. start time difficult to achieve. At other times, because of cognitive symptoms I have found it difficult to focus on reading long, complex documents from my computer screen. Sitting in an open-concept office space, surrounded by movement and noises, has often made concentrating particularly difficult when I have been experiencing symptoms. All of these issues have been barriers to reaching my full potential at work and have had the potential to cause my regular level of performance to decline.

However, a later start time allowed me to take my medications as prescribed but also be at my best when I am at work. A screen reader has turned reports and briefing documents into podcasts that I am able to focus on despite my cognitive limitations. Moving to a workstation in a lower traffic area has made concentration much more possible when symptoms are causing excessive distractibility.

These are some of the accommodations that have helped me continue to deliver my best work. Before these adjustments were made, I was becoming frustrated and performing poorly, leading to increases in both presenteeism (showing up to work but not working at capacity) and absenteeism (not showing up to work at all). I was starting to think that maybe my job wasn’t for me and that I should go on sick leave or long-term disability or maybe find another job. But as soon as the barriers to success were removed, I was able to go back to being the high-performing employee that my employer had hired, and my job satisfaction returned.

Ideally, I would not have waited until I was thinking about leaving to seek  accommodations. Accommodations work best when they are implemented proactively, not reactively.

Strategies and tools for retention

It can be difficult to know what strategies and tools are available to help accommodate employees with mental health disabilities. “There is a lack of knowledge around what is an accommodation,” Bower says. “Most accommodations are simple to enact and are under $500 or free if you have a disability.” The trick is for managers and employees to work together, often with the help of health-care professionals, to identify an individual’s functional limitations and then put into place adjustments that will help them to overcome those limitations. Sometimes it requires creativity or trial and error to hit on the correct solution. The Manager’s Guide to Workplace Accommodations is a starting point for both managers and employees in their journey into accommodating persons with disabilities.

It is important to note that the workplace is required to accommodate a person with a disability up to the point of undue hardship. But accommodation can also be a strategic retention tool, not just a compliance requirement. “People want to work for a culture that is supportive, and that helps retention overall” says Bower.

Flexible work

This story would not be complete without mentioning the elephant in the room — work from home. Flexibility to work from home has become a major accommodation request since the COVID-19 pandemic, while needs for other types of accommodations have remained stable or declined. A flexible work location, either through fully remote or hybrid work, is one of the most requested accommodations for employees with mental health challenges as it promotes work–life balance, autonomy and flexibility and can help an employee to manage the symptoms of a variety of mental illnesses and mental health concerns, often without having to brave the stigma associated with mental illness. Of course, working from home is not an option for workers in many fields, such as in the health-care and construction sectors. There are a variety of accommodations that can support on-site workers as well. Flexibility and creativity are key. Whether it is in place or time of work, or how the work gets done, exploring options to see what might address an employee’s specific needs is the first step. “Just because you’ve always worked in a particular way doesn’t mean you always have to work in that way,” Bower says. Both Bower and I can attest, through our own experiences, that when high-performing employees are accommodated, the employer benefits from retaining them.

During the pandemic, Christine Hooper, a registered dietitian and yoga instructor who lives in Toronto, found a novel way to lessen the effects of social isolation — cleaning house.

“It’s how I got through COVID,” Hooper says. “I was all by myself with nowhere to go, so I slowly went through all my stuff and cleaned and organized everything.

“I didn’t tackle too much at a time,” she recalls. “I just took a couple of hours every night while I was watching mindless TV and flipped through my things, box by box. It helped that I had time for things to percolate.”

Christine Hooper

Since she lives in a modest one-bedroom, Hooper was surprised to discover how much had accumulated over the years. But, after months of going through all her stuff, she slowly transformed a crowded bachelorette pad into a lean apartment equipped only with things she needed or truly loved. The experience also made her realize how good “spring cleaning” projects made her feel. She even started volunteering to help friends transform their spaces, which she said felt like a “creative act.” Could your dust-buster double as a stress buster? Hooper’s sense that cleaning can help you cope with difficult situations is starting to get a little scientific backing, despite the fact that very little research on any possible connection had been conducted until 2023, when “Actual Cleaning and Simulated Cleaning Attenuate Psychological and Physiological Effects of Stressful Events” hit the stands. An international team that included researchers from the University of Toronto found an association between the physical act of cleaning and the lessening of “residual anxiety” from a “stress-inducing physical scene.” Cleaning helped boost “adaptive cardiovascular reactivity,” a physiological reaction that can make it easier to cope with stress. That may have been the first physiological evidence, but anecdotally, many humans had already observed this. For musician and writer Blair Frodelius, the therapeutic qualities of cleaning have been clear for a while. “I feel less pressure, less anxiety, and less stress in my life,” he says. “I guess the best word to describe it would be ‘unburdened.’” Which may be why many, if not most, cultures and religions have rituals that involve sweeping out the bad energy to make room for good vibes, be it Lunar New Year or Guatemala’s La Quema Del Diablo, which involves giving the house a deep clean, then burning the devil in effigy. “There are a lot of cultural components and cultural messaging that have to do with cleaning,” says Dr. Natasha Williams, a registered psychologist. “I was born and raised here in Canada, but my family is from the Caribbean, where cleanliness is often talked about as next to godliness, you know?”

Dr. Natasha Williams

Dr. Natasha Williams

Growing up, Williams recalls the whole family pitching in to scrub the washboards and fold the laundry so that everything was spotless on Sunday — and ready for the start of the new week. The value of that experience has stayed with her, to the point that her dynamic practice in Toronto melds advice on mental health and empowerment with ways to declutter all the spaces — physical, mental, and even digital.

“The thing is that mental health is whole health,” Williams adds. “So that includes physical health, our social environment, and our physical environment. If your environment is cluttered, that is going to impact the way that you cope on a day-to-day basis.”

Less is more for many, but not for everyone

Williams stresses that cleaning is a highly individual issue. Some find comfort in a cozy room full of memorabilia and stacks of books; others prefer a sparse space.

Clare Kumar, whose Happy Space Podcast is all about neuro-inclusion and design, says the gap between minimalists and maximalists goes beyond personal taste and decorating trends.

Clare Kumar

Clare Kumar – Photo: Dan Coutts

“Some people can become overwhelmed by too much visual stimulation,” explains Kumar, who also used to be a professional organizer. “I think a strategic restoring of order in a space can sometimes be a nervous system regulation. I call it a ‘moment of exhale’ because I find it starts to calm us down.”

Hunting for treasure without ever leaving home
Still, even people who are highly motivated to dial down a room’s sensory overload might struggle to let go of certain things.

“I tell people to look for treasures, so I try to reframe it in a really positive way rather than devaluing things by calling it ‘clutter,’” says Kumar. “Identify the things you really know you want to have in that space, then infuse them with joy and celebration rather than guilt.”

Wendy Stone, founder of Halifax’s Lighten Up Organizing, a trauma-informed service, agrees that using positive, judgment-free language is especially important when “stuff” is part of a coping mechanism.

Wendy Stone

“If you have somebody with severe trauma issues around their things, you can’t call it junk or garbage or just start by asking if they really need it,” says Stone, who has transformed countless homes into well-organized spaces since she founded her business in 2018. “You need to ask why they’ve kept it and then talk about it before you can ask whether they need it.”

Stone remarks that it’s a slow process. And it should be. She recommends not planning to do a whole house or apartment on a single weekend. “It’s all about keeping the focus in a very small space,” she says.

“But it’s so important to try to work on making your home a place you feel good about and feel safe in,” Stone continues. “Because, really, I think our spirit is attached to our space.”

Practical tips from our panel of neatniks:

  • An orderly and clean house is great, but don’t strive for perfection. “Because we’re human beings and human beings are not perfect, there’s no such thing,” says Dr. Natasha Williams. “Perfection is a myth.”
  • “Start small,” Blair Frodelius advises. “Five minutes a day equals two and a half hours per month. So, if you can do 10-20 minutes a day, wow!” If you need a prompt, he notes there are apps that remind you to do all sorts of tasks — from the kind that only come up a few times a year to regular daily or weekly chores.
  • Wendy Stone advises: If you’re sorting stuff in the bathroom and you find a hammer, don’t immediately take it to the tool room. Instead, sort in place and make piles. “We’re not going to move around the house,” she says, “When we’re done, the stuff that goes to the kitchen or the living room goes all at once. That saves your energy and you’re more likely to finish the task at hand.”
  • Christine Hooper recalls that she ran across a stack of love letters from her first boyfriend during the big dig of her apartment. “I read every single letter. Then I chose my favourite and got rid of the rest,” she says. “Sometimes people keep multiple things that remind them of a person or time in their life. You often only need one.”
  • Getting rid of things can feel wasteful and few of us want to feel like we’re contributing to a landfill. Clare Kumar counsels people to look to local charities that need donations for gently used items so they get a second life. “I’ve always wanted to make a TV show that takes unwanted items and follows them to homes where they become treasures.”

Cleaning rituals around the world

In parts of the Middle East, Central Asia and the Balkans, humans have been celebrating Nowruz, a spring equinox celebration, for over 3,000 years. There are many components to the festival but one important one is “shaking the dust” — cleaning house before the equinox.

Better known as Swedish death cleaning, Döstädning isn’t an annual ritual but instead a philosophy that espouses simplicity and minimalism at any age. The name may sound morbid but, in the end, keeping things clean is about caring for loved ones by making sure they aren’t, one day, burdened with a house crammed with possessions. And helping family and friends is good for us, too.

Most of us know all about ridding ourselves of items that fail to “spark joy,” thanks to Marie Kondo’s books and TV shows. Fewer people know that Kondo took inspiration for her work from Ôsôji, a traditional Japanese cleaning exercise designed to let go of regret to make room for all the good fortune and energy coming in the New Year.

Illustrator: Kasia Niton – https://sunnystreet.studio/  Instagram@sunnystreet.studio

At midlife? We’re on our own.

From American Beauty to Mad Men, the male midlife crisis is a cultural obsession — complete with sports cars, affairs, and existential breakdowns.

Take my dad. In his early 60s, he bought a black Mustang GT convertible, beautiful but impractical, a coupe with negligible legroom. We still had a family dog, and my parents regularly made long drives. My mother recalls a juddering so relentless that every few kilometres she double-checked her fillings hadn’t fallen out.

While he conformed to the trope of the male midlife crisis, the reality is a little starker.

Midlife can be a period of reflection, a grab bag of unmet goals and shifting roles. My dad had recently retired, but his job had been central to his identity. His kids were grown. He began offering (not so helpful) observations on my mother’s vacuuming. In retrospect, the car was a stand-in for feelings of grief and loss he couldn’t articulate.

Given that men have been conditioned to externalize distress — acting out in anger, masking depression through workaholism — it makes sense that someone identifying as male might address midlife malaise with a big-ticket item.

A fast car equals a new lease on life. Problem (not quite) solved.

Are you a woman over 45? Pass me the eraser

It’s trickier to find evidence of the female equivalent.

As Ada Calhoun writes in her seminal book, Why We Can’t Sleep: Women’s New Midlife Crisis,

From the outside, no one may notice anything amiss. Women might drain a bottle of wine while watching TV alone, use CBD edibles to decompress, or cry every afternoon in the pick-up lane at school. Or, in the middle of the night, they might lie awake, eyes fixed on the ceiling. There has yet to be a blockbuster movie centred on a woman staring out her car’s windshield and sighing.

Society has a terrible habit of literally erasing women of a certain age from public discourse.

Here I’m thinking about Lisa LaFlamme, the estimable CTV anchorwoman who embraced natural silver locks during the pandemic and disappeared from screens shortly thereafter.

In the United States, a lawsuit against the media company Meredith Corporation highlighted the age disparity between men and women on TV news. Writes Calhoun, “In five years the company removed seven female anchors with an average age of 46.8 and replaced them with younger women, whose average age was 38.1 … male anchors remain a decade older, on average, than their female co-anchors.”

Cause and effect? You decide.

On top of this, as women, we’ve been socialized to internalize our feelings.

You come to this place, midlife. You don’t know how you got here, but suddenly you’re staring fifty in the face. When you turn and look back down the years you glimpse the ghosts of other lives you might have led. All your houses are haunted by the person you might have been.

-Hilary Mantel, Giving up the Ghost

So, if we don’t see ourselves, or our crises, play out publicly, it can lead us to believe we don’t need or deserve psychological help.

“A middle-aged woman’s midlife crisis poses a dramaturgical problem,” opines Calhoun. “Women’s crises tend to be quieter than men’s. Sometimes a woman will try something spectacular … but more often she sneaks her suffering in around the edges of caretaking and work.”

The question isn’t whether we ruminate at this natural inflection point, when as much lies behind as lies ahead.

Of course we do. It’s a season of life when we ask ourselves if it is too late to start a business, get divorced, get married, quit a job, write a novel, travel to far-flung places, or start fresh. But Eat, Pray, Love-ing it only works if there’s someone to watch the kids and walk the dog.

In other words: Is this all there is?

This kind of rumination becomes concerning when we shift from workaday introspection to genuine psychological distress, even if that distress is so quiet we’re the only ones who can hear it.

A perfect storm — with no life ring

A new national report — the 2025 Women’s Mental Health Report, developed by GreenShield in partnership with Mental Health Research Canada — reveals just how widespread this quiet crisis has become.

Nearly half of Canadian women are experiencing heightened anxiety due to political and economic pressures. (And no wonder!)

That anxiety bump is compounded for those staring down perimenopause — a mid-life bonus complete with a steep decline in estrogen, a hormone governing everything from mood regulation and cognitive function to sleep patterns and body temperature.

Hot flash, anyone? If you know, you know.

When your estrogen falls off a cliff, it can lead to anxiety, depression, brain fog, and sleep disruption, not to mention bone density loss and increased risk of heart disease. Given that this dramatic life change is non-negotiable, you’d think more women would be braced for impact.

Yet, as Jessica Yaffe writes in her January 13, 2025, The Globe and Mail essay, Once I hit my 40s, I had no idea what was going on with my body, “I thought I had lupus. I thought I had esophageal cancer. I thought I had rheumatoid arthritis. I thought I was losing my mind. Nope … It was just good old menopause.”

As teens, many of us turned to Are You There God? It’s Me, Margaret, but the 10 million mid-life women[1] living this reality in Canada today don’t have Judy Blume as their guide. More than half feel unprepared for menopause, while 60 per cent are unaware that depression and memory issues come with the territory.[2]

Add society’s unrelenting pressure to look youthful, and you have a population that doesn’t see their realities reflected and that’s struggling for validation and support.

In Why We Can’t Sleep, Calhoun explores the unique challenges faced by Generation X women (born 1965-1980) who were raised to believe they could “have it all.” On the basis of interviews with over 200 women, she reveals that many feel exhausted, overwhelmed and underemployed, caught between housing costs, credit card debt, and career stagnation.

Gen X women were promised equality, but they inherited a world that hadn’t changed to accommodate it. They entered the workforce during economic downturns and were told to lean in — thanks, Sheryl Sandberg — while the structural supports like affordable childcare and pay equity never materialized.

If you’re feeling adrift and unfulfilled, you’re in good company.

S*#t sandwich, anyone?

For many, this hormonal balancing act comes at a time when our parents are aging and we’re still caring for young children.
My daughter is newly 14, and my widowed mom is 87. Between managing teen angst and fighting ageism, I’m battling on two fronts. Often, it’s my own mental health that takes a back seat.

Statistics show that 35 per cent of women aged 45-64 report symptoms of depression or anxiety, particularly during major life transitions.

I’m not alone. A 2024 Statistics Canada study found that 86 per cent of sandwich generation caregivers said their responsibilities affected their health, with women more likely to experience stress, anxiety, and exhaustion. Among the five per cent for whom menopause coincided with double-duty caregiving, 93 per cent reported negative health impacts and 41 per cent reported financial hardship.

These circumstances quickly deplete internal resources, leaving women and non-binary carers with fully depleted reserves of resilience.

The workplace offers little refuge. Three-quarters of working women feel their employer is either unsupportive or uncertain how to help them manage menopause. The economic cost is staggering: the Menopause Foundation of Canada estimates an annual economic impact of $3.5 billion, including $237 million in lost productivity and $3.3 billion in lost income due to reduced hours, lower pay, or women leaving the workforce entirely.

Wine o’clock: more than a meme

When you combine career angst, hormonal shifts, and identity disruption, there’s a risk at midlife that people will reach for substances to numb big feelings. No wonder you can buy aprons, socks, and framed prints proclaiming it’s “wine o’clock.”

But the humour falls flat when you consider that women’s substance use is often more insidious. While men tend to use substances in a more social and visible way, women are more likely to numb their feelings or hide their use to conform to social norms. The slope to high-functioning dependency can be steep and slippery, and serious problems can hide behind a glossy veneer of success.

When the data get personal

Mental health challenges at midlife affect all women, but not equally. Nine per cent of women who identify as 2SLGBTQI+ and eight per cent of racialized women reported needing mental health support but not accessing it — nearly double the rates of their non-2SLGBTQI+ and non-racialized peers.[1]

For Black women, the barriers are more acute. The Voices Unheard survey, which was Canada’s first national health survey focused on Black women and girls, conducted by the Black Women’s Institute for Health, found that respondents were misdiagnosed, ignored, and told they were “too functional” to receive care.

The pressure to appear strong has led to delayed care and isolation. As the survey report states: “When Black women are expected to endure suffering silently, they are denied the support and intervention that could save their lives.”

No Mustang for you!

So, what does midlife support actually look like?

It means recognizing that major life transitions naturally involve questioning and gradual adjustment. A crisis, on the other hand, brings persistent distress, functional impairment, or harmful coping mechanisms.

It means understanding that women’s intense reflection isn’t the hysteria of yesteryear. It’s a legitimate response to profound biological, social, and identity shifts happening simultaneously.

It means creating menopause-inclusive workplace policies; developing accessible, affordable mental health resources tailored to life stages; and addressing hormonal health as part of mental health care.

When we break the silence around menopause and midlife mental health struggles, women don’t have to manage these challenges feeling invisible and alone.

I, for one, would love to watch a feature film starring, say, Kerry Washington, navigating midlife’s tedium, sighing as she looks out a rain-streaked window. (Shonda Rhimes, you got this!)

Thinking back, my dad’s Mustang was about reclaiming youth, freedom, and adventure before time ran out. But a call back to youth or fecundity isn’t what women and non-binary

individuals need at midlife. (I certainly don’t plan on rushing out to buy a top-of-the-line pram, just for show. Besides, my Goldendoodle would rebel.)

What we need, rather, is to be seen, supported, and given the resources to navigate one of life’s most challenging transitions, without feeling silenced by stigma or being forced to self-medicate our way through it.

Society has told our generation of women we can have it all. How about we start with the basics?

Where to find support and sisterhood

GreenShield’s Free Women’s Mental Health Program offers culturally sensitive, trauma-informed virtual therapy with personalized matching on the basis of culture, race, language, and religion. Over 120,000 women have accessed these services. greenshield.ca

Mothering Minds (Black Women’s Institute for Health) provides comprehensive, culturally responsive support for Black mothers, with emphasis on peer connection and community. bwhealthinstitute.com

Menopause Foundation of Canada works to close the menopause knowledge gap, improve access to care, and create menopause-inclusive workplaces. menopausefoundationcanada.ca

Respite4ALL (SE Health and GreenShield) supports working caregivers, especially from equity-seeking communities, with respite care and free mental health counselling. champlainhealthline.ca

Mental Health Commission of Canada has curated resources by province and territory in support of caregiver mental health. Caregiver Resources – Mental Health Commission of Canada

Mental Health Commission of Canada’s guide on Where to Find Care. addresses key questions to help you navigate the public and private options available in Canada.

Illustrations by: Sunny Street Creative

Dr. Melissa Dobson calls herself a reluctant “snowplow mom” – a term for people who actively engage with teachers and administrators at school to remove obstacles for their children.

All three of her adopted “awesome kiddos” are neurodivergent. When her middle child was a toddler, he was diagnosed with Fetal Alcohol Spectrum Disorder (FASD), a lifelong disability that affects the brains and bodies of people exposed to alcohol in the womb.

Dr. Dobson is also the associate chair in the Bachelor of Technology program at the Northern Alberta Institute of Technology and a member of the family advisory committee for the Canada Fetal Alcohol Spectrum Disorder Research Network (CanFASD). 

Dobson says she used to think that her middle child might never be able to write his name or even calm down enough to have a full conversation. Now he’s halfway through high school. All her kids are expected to graduate in the next few years.

“So now I feel like we’re hitting a place where we’re going to face the big problems,” says Dobson. “Bigger kids have bigger issues. We’re having mental health issues, and there are things that I can no longer pave the way for as they get older. So now it’s about figuring out how to create a community that can support them.”

Dobson isn’t alone in her worries. People with FASD and those with mental health problems are over-represented in unhoused populations, substance use disorder programs, and in Canada’s criminal justice system.

“FASD is so complex because it intersects with so many other areas, particularly the justice system,” says Kathy Unsworth, executive director of CanFASD, a national research network focused on FASD, who notes that the over-representation of FASD in the justice system, particularly among youth, is estimated to be 30 times the general population.

People with FASD aren’t the only segment of the population over-represented in Canada’s justice system. Approximately 73 per cent of men and 79 per cent of women who are federally incarcerated in Canada meet the criteria for one or more current mental disorders.

Howard Sapers

Expert adviser Howard Sapers is working with the Mental Health Commission of Canada and a national advisory group on a plan of action for the justice system. Photo: Dave Chan.

What’s being done

To address this issue, the Mental Health Commission of Canada is working with a number of organizations, including CanFASD, on a National Action Plan on Mental Health and Criminal Justice to support the mental health of people who interact with and work within the criminal justice system.

“The National Action Plan is just that, a plan, not something forced on people,” explains Howard Sapers, executive director of the Canadian Civil Liberties Association, and currently a member of the board of trustees of the Centre for Addiction and Mental Health, the CanFASD board of directors, a member of the Legal Aid Ontario prison law advisory committee, and expert adviser to the  Commission. 

“It’s not a federal strategy,” he continues. “It’s a call to action to Canada and all the provinces and territories and all the people that work in the systems we’re talking about, including support systems, criminal justice, and hospital-based health care.”  

Systemic issues connected to the overrepresentation of people with mental disorders in the nation’s justice system are myriad, complex, and intersect with marginalized populations. Some of these, though, can be brought into focus through the lens of the experiences of some people living with FASD who often literally perceive the world differently than neurotypical folks. For example, in addition to issues with emotional regulation and time management, people with FASD often have memory gaps. Studies have shown that “confabulation”—the process of trying to fill those gaps—can make people with FASD particularly susceptible and vulnerable to making false confessions during interrogation.

One key piece on the path towards preventing wrongful convictions would be to ensure that everyone involved in Canada’s criminal justice system was “FASD-informed.” Recent reforms in Winnipeg serve as a good model for this, since the city has created dedicated courtrooms designed exclusively for people with FASD. That move could help prevent false confessions, in keeping with one of the main goals of the National Action Plan, which is to “divert people living with mental illness and substance use disorders from the criminal justice system whenever possible.”

Kathy Unsworth

Kathy Unsworth, executive director of the CanFASD Research Network, leads the national organization that studies and advocates for fetal alcohol spectrum disorder awareness.

A system without support

Unfortunately, FASD is also underdiagnosed or misdiagnosed for several reasons, including both stigma around alcohol use and the profound lack of resources for diagnostic clinics. Experts at CanFASD suggest a conservative estimate is that one in 25 Canadians is on the FASD spectrum, a number that’s significantly more prevalent than other developmental disabilities. Despite this, several provinces don’t even have a single clinic. Sapers says he’d like to see screening at police contact, court contact, and corrections contact, so that, eventually, a smaller proportion of people with this disorder would go through the justice system at all. Especially since it’s tough for jails to be therapeutic and, as the John Howard Society argues, FASD and the criminal justice system are a poor fit.

“The behaviours that are often associated with FASD, such as not following instructions well, are behaviours that can be very problematic in a jail,” says Sapers. “I’ve dealt with individuals living with FASD in a jail that get a lot of institutional disciplinary charges because they refused to follow a direct instruction. Often, though, they’re not refusing. They are just having trouble processing it.”

People with FASD may also lose access to their community health-care providers when they enter the corrections system. In some provinces, including Ontario, health care is administered by correctional services. That can disrupt and derail treatment protocols and interventions.

“We can improve outcomes, and we can improve brain functioning for people with FASD the same way we can improve anyone’s brain health,” says Dr. Jacqueline Pei, a professor in the faculty of education at the University of Alberta. “But we’ve also learned that it’s not a one-size-fits-all solution, and we’re not going to find a magic pill or a clear recipe for interventions that work.”

Pei notes, though, that there has been one important ingredient involved in the recipes for interventions, namely, co-creation. People living with FASD need to play an active role in creating the therapeutic intervention. There are no top-down solutions with FASD. And, speaking in broad strokes, correctional institutions tend to be places with a lot of top-down policies.

To address that, the National Action Plan – scheduled for release in 2026 – aims to support the mental health of justice-involved individuals at all junctures of the criminal justice and forensic mental health systems, including the people who work in the system. Finally, it’s important that continuity of care and support is continued post-release. Sapers says studies have shown that one of the riskiest times for people who’ve been in contact with the law is the month following their release, and there should be programs preparing people for release from “day one.”

Chris Fillion

Chris Fillion, a FASD advocate, says progress is promising, but there is room for more education and systemic change to incorporate awareness into everyday practice.

Making strides

That brings us right back to the importance of community. Winnipeg’s Chris Fillion, an advocate with lived experience of fetal alcohol spectrum disorder, says a lot of progress has been made towards making services FASD-informed in his city, but there’s still a long way to go.

“It does get frustrating for folks like me to go into hospitals or go into clinics or, say, people who are going to rehab, but when you get there, you find the people working there are not all FASD informed,” says Fillion. “It’s not woven into everyday practice.”

Fillion adds that people outside of the social service sector have a poor awareness of the basics around FASD, and, of course, stigma makes these problems much worse, since it discourages open dialogue.

Getting past stigma and rethinking supports for people living with FASD will involve a lot of heavy lifting. It starts with awareness, prevention, screening, and a recommitment to social services, says Melissa Dobson.

“I’m sure it costs far less to make sure that they have a house over their heads than to deal with encampments and homeless populations and criminal justice issues,” she says. “But I think if you could solve the world for a person who is severely impacted by FASD, you can solve the problems for the world,” Dobson adds. “It’s like building a ramp for the people who have an inability to climb stairs. I think it’s the same. If you could redesign classes, healthcare, and justice to fit those people, it would fit all the people.”

Illustrator: Remie Geoffroi

Each year, The Catalyst brings forward stories that deepen understanding, spark dialogue, and highlight the power of lived and living experience. We invite you to revisit or discover the moments that shaped our year.

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The holidays can bring joy, complexity, and everything in between. These Catalyst stories share the experiences, challenges, and small moments of light that shape this time of year. Whether you’re celebrating, coping, or doing a bit of both, we hope these stories offer support along the way.

Four bandmates, four decades of musical discovery. Documenting shifting understandings of temperament and temperance. This isn’t just music; it’s resilience, renewal, and reckoning, woven into a story that could be a song.

When your sibling goes down the rabbit hole, how do you find a loving and healthy way to stay connected?

A woman gracefully soars through the air, surrounded by twinkling Christmas lights.

When we speak openly about challenges, illnesses, problems, and wellness, we recognize that mental health is part of our overall health. Such conversations can be a gateway to meaningful change, and the holiday season feels like an especially good time to tackle the complexities and multitudes of our mental health.

Living with a mood disorder means deliberately seeking out small sparks of joy. On moving through cycles of moping, coping, and hoping during the holiday season.

Woman and holiday-tree
Abstract holiday art

Over the holidays my inner voice proves to be the most critical as I straddle the pull of a commercial Christmas and the deep-seated draw of Kwanzaa. On tackling the minefield of tackiness, tinsel, and trappings of the season.

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