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PTSD Work Rehabilitation — MRCPsych Paper B MCQ

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EasyAnxiety & Stress-Related DisordersPTSD Work RehabilitationMRCPsych Paper B

An office worker has been absent for 8 weeks while receiving trauma-focused CBT for PTSD following a road traffic collision unrelated to work. Symptoms are improving, although some manageable anxiety remains. The workplace is safe and temporary adjustments are available. What is the most appropriate approach to occupational rehabilitation?

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Correct answer: D — Arrange a phased return with adjustments and occupational health input

The best answer is **B**. Occupational rehabilitation should be individualised and coordinated with ongoing PTSD treatment. NICE recommends discussing temporary workplace adjustments, including a phased return, reduced hours or altered duties, with occupational health involvement when needed; these should be documented and reviewed. NICE PTSD guidance also emphasises overcoming avoidance and restoring adaptive functioning, including work. Complete symptom remission is not a prerequisite for returning safely, so A is incorrect. Permanent redeployment or exclusive home working is not routinely required, particularly when the trauma was unrelated to the workplace and that workplace is safe. An immediate return to full duties without adjustments may be poorly tolerated and is less likely to support a sustainable return.

Reference: National Institute for Health and Care Excellence. Workplace health: long-term sickness absence and capability to work (NG146), sections 1.3, 1.4 and 1.6. 2019, updated 2022. https://www.nice.org.uk/guidance/ng146/chapter/Recommendations