Working with Colleagues and Managers Who Have Personality Disorders, Mood Disorders, or Mental Illness

Disclaimer: This article is based on my experience as a health and wellness coach and is not a substitute for professional mental health advice. Please consult a licensed therapist for personalized support.


Navigating bosses and coworkers that test your sanity.

High-pressure, fast-paced work environments demand adaptability, resilience, and strong communication skills. While some professionals thrive in these settings, others may struggle due to unmanaged mental health conditions, personality disorders, or mood disorders. Working closely with colleagues or managers who exhibit unpredictable behavior, emotional volatility, or manipulative tendencies can create a toxic workplace dynamic, increasing stress, anxiety, and even pushing you toward burnout.

If you've ever found yourself walking on eggshells around a difficult boss, dealing with passive-aggressive colleagues, or managing workplace conflict stemming from mental health challenges, you're not alone. Navigating these relationships effectively requires a combination of emotional intelligence, firm boundaries, and self-preservation strategies to protect your mental well-being. Without the right approach, chronic stress from toxic workplace relationships can lead to decreased productivity, emotional exhaustion, and long-term career dissatisfaction.

In this guide, we’ll explore practical strategies for managing workplace interactions with colleagues and supervisors who may have narcissistic traits, borderline personality disorder, bipolar disorder, or other mental health challenges. You'll learn how to set boundaries, protect your emotional energy, and maintain professionalism—ensuring that your career and mental health remain intact.


The Impact of Working with Individuals Struggling with Mental Health Challenges

Increased Stress and Emotional Drain

When colleagues or managers display behaviors consistent with mental health challenges—such as mood swings, erratic decision-making, manipulative actions, or chronic negativity—these behaviors can create an emotional toll on those around them. Over time, constant exposure to such behaviors can lead to emotional exhaustion, making you feel drained, anxious, or on edge.

Reduced Team Productivity and Morale

Workplaces where mental health challenges are not properly managed can become toxic. In teams, unhealthy dynamics can lead to conflict, miscommunication, and a breakdown in trust. As trust erodes, collaboration suffers, and individual performance can decline, which in turn impacts the overall success of the team or organization.

Perpetuating Burnout

When colleagues or managers are mentally unwell, it can place additional strain on the already high-stress environment. Those of us who are highly driven or prone to overworking may find ourselves compensating for others' behaviors, ultimately increasing our own stress levels and making it more difficult to recover from burnout. The added workload and emotional labor—combined with the inability to control or change the behavior of others—can lead to long-term physical and mental health issues.


Identifying Key Personality and Mood Disorders in the Workplace

While everyone’s experience with mental health challenges is unique, certain disorders tend to manifest in similar ways that can impact team dynamics and individual well-being. Recognizing these conditions can help create a more understanding and supportive work environment.

Below are some common personality and mood disorders that may appear in the workplace:

Narcissistic Personality Disorder (NPD)

Narcissistic Personality Disorder is characterized by an inflated sense of self-importance, a need for excessive admiration, and a lack of empathy for others. In a workplace setting, individuals with NPD may manipulate colleagues, take credit for others’ work, or disregard team collaboration. Their behavior can foster a toxic work environment where employees feel undervalued and emotionally drained.

  • Key Characteristics:

    • Grandiose self-perception and a sense of entitlement

    • Lack of empathy and disregard for others' emotions

    • Manipulative tendencies to maintain power or control

    • Strong need for admiration and constant validation.

  • Workplace Impact:

    • Creates a competitive, often hostile work environment

    • Undermines team morale by dismissing others’ contributions

    • May engage in gaslighting or emotional manipulation

  • Challenges:

    • Difficulty in providing constructive feedback without retaliation

    • Struggles with teamwork due to a self-centered perspective

    • Can create stress and burnout among colleagues

Borderline Personality Disorder (BPD)

Borderline Personality Disorder is marked by intense emotional instability, impulsivity, and difficulty maintaining relationships. Individuals with BPD often experience extreme mood swings and may struggle with regulating emotions, which can lead to workplace conflicts or unpredictable interactions with colleagues.

  • Key Characteristics:

    • Intense fear of abandonment, leading to clingy or defensive behaviors

    • Rapid mood swings that can escalate conflicts

    • Difficulty managing emotions and stress

    • Impulsivity, which may impact decision-making

  • Workplace Impact:

    • Unpredictable behavior can create tension in team settings

    • High emotional reactivity may lead to frequent workplace conflicts

    • Struggles with criticism, leading to defensive or extreme reactions

  • Challenges:

    • Maintaining stable working relationships due to emotional fluctuations

    • Difficulty adapting to constructive feedback or policy changes

    • Can cause disruption in collaborative projects due to emotional intensity

Depression and Anxiety

Depression and anxiety are among the most common mental health disorders and can significantly impact an individual’s ability to function at work. Depression is characterized by persistent sadness, fatigue, and loss of motivation, while anxiety often involves excessive worry, restlessness, and difficulty concentrating. Both conditions can reduce workplace engagement and efficiency.

  • Key Characteristics:

    • Persistent feelings of sadness, hopelessness, or dread

    • Fatigue and lack of motivation, leading to decreased productivity

    • Difficulty concentrating or making decisions

    • Social withdrawal and avoidance of responsibilities

  • Workplace Impact:

    • Missed deadlines and decreased efficiency due to lack of focus

    • Increased absenteeism due to emotional exhaustion

    • Avoidance of meetings or collaboration due to anxiety-driven fear

  • Challenges:

    • Difficulty balancing workload and self-care

    • Misinterpretation of symptoms as laziness or disengagement

    • Workplace stigma may prevent individuals from seeking support

Bipolar Disorder

Bipolar Disorder is a mood disorder characterized by alternating periods of mania (high energy, impulsivity, and hyperactivity) and depression (low energy, sadness, and withdrawal). These mood swings can disrupt consistency in work performance and interpersonal relationships.

  • Key Characteristics:

    • Manic phases: excessive energy, impulsive decision-making, grandiose thinking

    • Depressive phases: fatigue, withdrawal, and lack of motivation

    • Difficulty maintaining emotional balance and stability

    • Periods of extreme productivity followed by burnout

  • Workplace Impact:

    • Erratic decision-making during manic phases can lead to poor judgment

    • Decreased productivity and engagement during depressive episodes

    • Can create unpredictability in team dynamics and work consistency

  • Challenges:

    • Maintaining stability in performance and deadlines

    • Managing impulsivity, which may affect work relationships

    • Balancing workload to prevent burnout from manic overexertion


Setting Personal Boundaries at Work: How to Protect Your Mental Health Without Guilt

While showing empathy and understanding toward colleagues struggling with mental health challenges is important, safeguarding your own well-being is just as critical. Without clear boundaries, you may find yourself overwhelmed, emotionally drained, or struggling with workplace stress.

Here are effective strategies to help you set boundaries, maintain your mental and emotional health, and create a healthier work environment.

Recognize the Signs of Emotional Exhaustion

The first step in protecting yourself is identifying when a workplace interaction is negatively impacting your mental health. Emotional exhaustion can manifest as irritability, fatigue, anxiety, or a sense of dread before interacting with certain colleagues.

  • Pay attention to physical and emotional cues, such as headaches, tension, or sudden mood shifts.

  • Notice if you frequently feel anxious, frustrated, or disengaged after conversations with specific coworkers or managers.

  • Acknowledge when work-related stress begins affecting your personal life, sleep quality, or overall well-being.

If you experience these warning signs, it’s time to reassess your boundaries and make adjustments to protect your energy.

Be Clear and Assertive About Your Limits

Once you recognize your emotional triggers, it's essential to set firm yet professional boundaries to protect your mental health in the workplace.

  • Communicate Directly – Politely but firmly express when a colleague’s behavior is disruptive or unhelpful. Use “I” statements to avoid sounding accusatory (e.g., “I need to focus, so I can’t engage in this conversation right now.”).

  • Decline Additional Workloads When Necessary – If your workload is already overwhelming, don’t hesitate to say no to extra tasks that aren’t your responsibility. Offer alternative solutions, such as delegating or prioritizing deadlines.

  • Limit Engagement in Toxic Conversations – If a coworker frequently engages in gossip, negativity, or overshares personal struggles, politely excuse yourself or redirect the conversation to work-related topics.

Setting boundaries is not about being unkind—it’s about protecting your productivity, mental well-being, and ability to perform at your best.

Prioritize Self-Care and Stress Management

Workplace stress is inevitable, but how you manage it determines its long-term impact on your health. Incorporating daily self-care practices can help mitigate the effects of chronic stress and improve emotional resilience.

  • Take Mental Breaks – Step away from your desk periodically to reset, whether it’s through a short walk, deep breathing, or stretching.

  • Practice Mindfulness and Journaling – Engaging in mindfulness exercises or journaling about stressful interactions can help you process emotions and prevent resentment from building up.

  • Ensure Work-Life Balance – Set firm work hours and avoid taking work-related stress home with you. Disconnecting after hours helps prevent burnout and allows you to recharge.

By prioritizing your own well-being, you’ll be in a better position to handle workplace challenges without feeling overwhelmed.

Document Problematic Behavior for Workplace Accountability

If a colleague’s behavior crosses professional boundaries or becomes toxic, keeping a written record can help protect yourself and provide necessary evidence if HR intervention is required.

  • Log Key Details – Note the date, time, and nature of inappropriate interactions or workplace conflicts.

  • Save Relevant Emails or Messages – If communication becomes hostile, manipulative, or inappropriate, having documentation can support your case.

  • Report to HR When Needed – If the behavior persists and affects your work environment, escalate the issue through the proper workplace channels.

Setting personal boundaries isn’t about avoiding challenges—it’s about creating a work environment where you can thrive while maintaining your mental and emotional health.


Advocating for Yourself and Involving HR

HR is there to protect the company, not necessarily the employee. However, you do have a right to a healthy work environment. If you find yourself in a situation where a colleague's or manager’s behavior is becoming untenable, it may be time to escalate the issue. However, it’s important to understand HR’s role and how to navigate the conversation effectively.

  • Know Your Rights: In many cases, workplace mental health issues are protected under various employment laws. For example, if someone’s behavior is creating a hostile work environment or violating anti-discrimination policies, this may warrant intervention from HR. It's important to know your legal rights and have a sense of what constitutes a toxic or harmful work environment.

  • Be Specific and Solution-Oriented: When bringing issues to HR, be specific about the behavior you're encountering. Rather than generalizing, provide concrete examples and describe the impact the behavior is having on your work and well-being. A solution-oriented approach—suggesting ways to improve the situation or offering potential accommodations—will be taken more seriously than a simple complaint.

  • Understand the Limits of HR’s Role: HR departments are tasked with protecting the company's interests, and while they may address issues like harassment or discrimination, they may not intervene directly in every interpersonal conflict. In some cases, HR may recommend mediation, coaching, or counseling. Ultimately, they may decide to take no action if the behavior doesn’t fall within their purview.


When It's Time to Seek External Support

In some cases, particularly if the situation is severe, it may be necessary to involve external support such as a therapist, counselor, or legal advisor. If you’re feeling overwhelmed or unsafe, seeking professional guidance can provide additional tools for managing stress, understanding your options, and determining the best course of action.


Final Thoughts

Navigating relationships with colleagues or managers who struggle with personality or mood disorders requires a delicate balance of empathy and self-preservation. By setting clear boundaries, prioritizing self-care, and knowing when to escalate an issue to HR, you can protect your own mental health while continuing to succeed in your career.

Ultimately, your well-being should always be your top priority. If a work environment becomes too toxic to thrive in, don’t hesitate to advocate for yourself—whether through HR, therapy, or finding a healthier professional setting. Healthy individuals in unhealthy work environments are at high risk of burnout, but with the right strategies, you can not only survive but thrive.


Disclaimer: The information provided in this article is for informational purposes only and is based on my expertise as a health and wellness coach specializing in stress management and burnout recovery. I am not a licensed therapist, psychologist, or medical professional. If you are experiencing significant mental health challenges or believe you may need professional mental health support, I encourage you to consult with a qualified therapist or healthcare provider.


Article References

The sources cited in the article:

  1. CPTSD Foundation. "My Boss Triggers Me." CPTSD Foundation - My Boss Triggers Me

  2. Forbes. “What to Do If Your Colleague Is Having a Mental Health Crisis.Forbes - Colleague Is Having a Mental Health Crisis

  3. Forbes. “Shedding Light on Mood Disorders in the Workplace.Forbes - Shedding Light on Mood Disorders in the Workplace

  4. SHRM. “Strategies to Manage Mental Illness at Work.” SHRM - Strategies to Manage Mental Illness at Work

  5. American Psychiatric Association (APA). “DSM-5-TR: Diagnostic and Statistical Manual of Mental Disorders.APA - DSM5

  6. Mayo Clinic. “Personality Disorders.” Mayo Clinic - Personality Disorders

  7. Mayo Clinic. “Mood Disorders.Mayo Clinic - Mood Disorders

  8. Mayo Clinic. “Mental Illness.” Mayo Clinic - Mental Illness

  9. Power to Fly. “How to Deal with a Toxic Boss.Power to Fly - How to Deal with a Toxic Boss

  10. Forbes. “Leadership and Childhood Trauma:Tips for Building Drive and Motivation In the Face of Adversity.” Forbes - Trauma

  11. People Managing People (PMP). "How Trauma Can Inform Leadership, Employee Performance." PMP - Trauma Leadership

  12. Harvard Business Review (HBR). "Growth After Trauma.” HBR - Growth After Trauma

  13. Harvard Business Review (HBR). “The Anxious Micromanager.HBR - The Anxious Micromanager

  14. Psychology Today (PT). “Healing Ancestral Trauma to Improve Workplace Dynamics.” PT - Healing Trauma Workplace Dynamics

  15. PsychCentral (PC). “Main Signs of Childhood Trauma in Children and Adults.PC - Main Signs of Childhood Trauma

  16. Verywell Mind (VM). “7 Red Flags You’ve Got a Toxic Boss.VM - 7 Red Flags You’ve Got a Toxic Boss

Michelle Porter

About the Author

Michelle Porter is a health and wellness coach specializing in chronic stress management and burnout recovery for high-achieving professionals. Through personalized strategies and evidence-based practices, she helps clients reclaim their energy, focus, and joy to excel in work and life. For more insights, visit michelleporterfit.com.

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