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Paid childcare

Discuss everything related to paid childcare here, including childminders, nannies, nurseries and au pairs.

Disclosure of mental health to employers

10 replies

csarah · 14/01/2015 04:34

I am qualified in child care, have worked with children for over 20 years in a range of settings, including support work with children with autism, nannying, working in schools etc. In this time I've rarely taken a day off sick and have always been extremely professional and reliable and had excellent references.
However I am now nannying and have recently done a health declaration for Ofsted to become registered on the voluntary register and I have had to disclose to them I have a diagnosis of Borderline Personality Disorder (BPD). I was diagnosed with BPD after a suicide attempt, I attempted suicide after being violently raped several years ago. BPD is not at all like the media portray and the symptoms that have led to this diagnosis have been long-term depression, anxiety and PTSD type symptoms which led me to feel very suicidal. Unfortunately it is now a diagnosis that is on my medical records for life and is a diagnosis that leads to so much stigma, discrimination and negative stereotyping.
In the past I have had to have occupational health interviews, which I have passed without difficulty. However I am having a lot of difficulty with Ofsted registration and it is still in process months later.
I didn't disclose to my employer I had mental health difficulties as these do not affect my work - I have always worked with children and am competent in my job. The mental health team I am under have written to Ofsted saying they have no concerns about me working with children. But Ofsted are still requesting a detailed record of my psychiatric history.
My question is how to approach this with my employers. I want to be honest with them about why Ofsted are taking so long, but I am worried because they are unlikely to know what BPD is. If you google BPD it comes up with so many negative symptoms and awful stories. Yet I have never once met criteria for "unexpected angry outbursts" or a "fear of abandonment" the main criteria I meet is a history of self-harm and suicide attempts. I'm really worried I am going to lose my job because of the stigma of this diagnosis, yet I have done nothing wrong.
Would you employ someone with a diagnosis of BPD?
What would you think if your nanny told you she had BPD?
Thank you

OP posts:
Cindy34 · 14/01/2015 06:56

Would you tell your employer about self harming in your younger years? That is the reason for the delay, so is being truthful without going into depth of a specific diagnosis.

ChocolateBiscuitCake · 14/01/2015 07:06

I am so sorry, but (entirely in my ignorance) I would not hire someone to care for my children who had MH issues as you describe. I know that it awful to say, but just being honest.

Perhaps be armed with definitions and things for them to read because their initial reaction could be negative.

Sorry you are having to go through this - it must be very stressful.

jendot2 · 14/01/2015 08:34

I would also sit down with your employers and say that in your younger years you were violently attacked and that following the attack you had some mh issues and were self harming. That you have received help and your past issues do not affect you currently or your ability to do your job (providing this is 100% the case).
Explain that Ofsted are currently carrying out checks to back this before they register you.
I don't think you have to be specific, or name as specific condition.
The only problem that may arise is if Ofsted refuse your registration. If this happens be prepared for a more in depth conversation with your employers if you want to keep your job.
I would employ someone who had a mental health condition but I would expect them to be open and honest about it.

duplodon · 14/01/2015 08:40

I wouldn't disclose, no. I have OCD which has a much more benign public perception and I had nothing but trouble with my last employer. It actually became dangerous, as a teen I worked with was demonstrating signs of mh difficulties which I flagged and they put it down to my anxiety disorder!! In the end the teen disclosed sexual abuse which has gone to trial. I still shudder when I realise my concerns were dismissed because I has been honest about anxiety.

Footle · 14/01/2015 08:54

This reply has been deleted

Message withdrawn at poster's request.

csarah · 21/05/2015 22:02

Thank you to everyone for your helpful replies. I had a medical with Ofsted, which was pretty intense and very thorough, but I felt the medical assessor was really fair. My GP had to write several supporting letters to Ofsted as they wouldn't accept my psychologists letter (for some reason it had to be my GP who knows me less well, but my psychologist spoke to her first). The outcome was that Ofsted approved my registration, I was completely honest with them about everything - diagnosis, previous history of self-harm, the current therapy I'm having. I hope this gives some people who are worried about disclosing mental health difficulties for assessments like this some hope as I was so worried I would lose my job, but Ofsted did register me. Although the whole process took months.

My experience has been that Borderline personality disorder is one of the most stigmatized and misunderstood mental health conditions, for so many people who have this diagnosis it is as a result of complex trauma in childhood and early adulthood, but if you are a young woman, have a history of self-harm/ suicide attempts, it seems to be the popular diagnosis of the moment by psychiatrists. It feels unfair as this is a diagnosis that will stay on my records forever, yet has nothing to do with "personality" in the everyday sense of the word. All it really means is that I was severely traumatized and had difficulties dealing with that. I really wish they would change the diagnosis to Complex PTSD which would take away some of the stigma a diagnosis of personality disorder carries.

However I was honest about everything to Ofsted and they registered me, so there is some hope. To the mum who said she wouldn't employ me if she knew my history, I really appreciate your honesty, because probably many parents would feel the same way. However so many people go through things that traumatize them, or upset them in ways they later have a hard time dealing with. Rape and sexual abuse unfortunately happens to so many girls and women, and should we really be written off because of something which wasn't our fault, where we were the victim and hurt in devastating ways. The original trauma is so difficult on its own, the stigma and discrimination which comes with mental health diagnoses like BPD feels sometimes like being re-traumatized over and over again because it becomes something that is also shameful. But then in your shoes all I would want to do is protect my children, and the thing is because of what I went through, I am exceptionally protective over any child in my care, I make sure they are really looked after and kept safe.

Its so hard sometimes, because I feel like should I really have to go through the past every time I apply for a job and bring up these painful things that are so hard to talk about, to a complete stranger (medical assessor) and have them ask me deeply personal questions about my history? I feel like I can't leave the past behind, because I will always have to justify myself because of having a mental health diagnosis. I don't want to have to think about or talk about what he did to me, but it will keep coming up because of my medical records and I don't have the option anymore of closing the door on that part of my life. I will always have to justify that yes that happened, but now I'm ok. But sometimes I'm not ok, and yes talking about it may bring tears to my eyes or really hurt because it was a horrific thing he did to me. Yet I was the victim in it all, sometimes it feels like being a criminal, but having not committed a crime.

I hope it reassures parents too that Ofsted are very thorough in the checks they do for nannies (if a medical condition is declared). I had to provide several supporting letters from my gp and psychologist and they were asked to provide a very detailed case history of both past and current mental health. I then also had to attend an occupational health medical assessment which was also a very in-depth.

OP posts:
grandmainmypocket · 21/05/2015 22:44

I'm sorry for everything you went through. Hopefully future applications will be a bit quicker and easier since Ofsted have now registered you.
You're right. It's not fair. But the fact you persisted is amazing.

chloeb2002 · 24/05/2015 00:51

I think as an employer my concern wouldn't be the name, the title, the diagnosis but the potential for a re occurrence of a suicide attempt. When someone has been so low that they attempt to take their own life ( be it either suicide or pseudo suicide) I would be concerned that other future triggers could cause a re presentation. I know that's not the answer you want, but maybe look at doing something else for a few more years. Show psychological stability.
Working with any aspects of society that are deemed to be vulnerable will be difficult for you to work with. Sadly background checks are their for protection for employers and the public. Not employees.
If you feel the diagnosis was incorrect or unfair then go back to the psych and ask for a review. To have the diagnosis revoked.

BlackSwan · 24/05/2015 19:48

Is all this in the past, or the very recent past? When did you attempt suicide? What will you do if you notice you're heading into dark territory again?

Ksvw95 · 03/07/2023 16:35

Hi, Can I just say as someone who's a nanny and got bpd this article has filled me with hope after ofsted called me today saying they're sending health forms out so I'm going to have to go through this. Could you pm me please to speak about it?

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