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I trust the medical experts to make the right determination when it comes to my health and the health of my subordinates. If they tell me someone needs stress leave. I would rather have someone on stress leave come back in shape than endure someone that isn’t functional because they “need to suck it up.” We have medical leave as part of our leave policy for a reason.
You really have no other choice. Those chits trump all.
Im not sure how anyone can't truly see mental health is being abused. The saddest part for me isn't the abusers is the truly hurting who are having their care distracted by the nefarious.