Mental Health and the Rehabilitation Process

Mental Health and the Rehabilitation Process

Recovering from a workplace injury often involves much more than physical healing.

Injuries can disrupt routines, careers, and daily life, leaving patients to navigate pain, uncertainty, and major life adjustments.

At RIW, mental health care is an integrated part of the injury rehabilitation process, helping patients address the emotional and psychological challenges that can accompany recovery.

By supporting both the physical and psychological aspects of injury, we aim to help patients move forward with greater confidence, resilience, and long-term success.


Why mental health is part of rehabilitation

Why Mental Health Is Part of Rehabilitation

Injury can affect nearly every aspect of a person’s life. Many patients face a sudden change in their daily routine, limitations in their physical abilities, or uncertainty about whether they will be able to return to their previous job. These changes often bring stress, anxiety, frustration, and sometimes depression.

At RIW, our behavioral health providers work closely with physicians, physical and occupational therapists, and vocational counselors as part of an interdisciplinary team. Together, they identify potential barriers to recovery and support patients in staying engaged in their rehabilitation program.

Patients in the pain management program receive a psychological evaluation that explores how they are coping with their injury, including their mood, stress levels, and adjustment to changes in daily life. Patients participating in the brain injury rehabilitation program receive a neuropsychological evaluation, which assesses cognitive functioning as well as emotional and behavioral changes following injury.

Once patients begin a program, mental health providers become part of their care team. After the first few days of therapy—when physical and occupational therapists focus on building the patient’s rehabilitation plan—patients typically meet with a mental health provider to establish treatment goals and discuss how psychological support will be integrated into their care.

One important part of our mental health treatment involves helping patients better understand the relationship between the brain, the nervous system, and physical symptoms.

Many people understandably interpret persistent pain or cognitive symptoms as a sign that something is still physically wrong. However, recovery from injury often involves complex interactions between the body, the nervous system, and emotional factors such as stress, sleep disruption, and changes in routine.

Mental health providers help patients learn how these systems work together. By understanding the role the nervous system plays in symptoms like pain, fatigue, and cognitive difficulties, patients can begin to shift their perspective and develop more effective coping strategies.

Treatment may include approaches such as mindfulness, relaxation techniques, and thought-management strategies that help patients recognize patterns like excessive worry or self-criticism. These tools can help reduce stress on the nervous system and support overall recovery.

Supporting a Return to Meaningful Life Activities

Another key focus of our mental health services is helping patients reconnect with the activities and values that give their lives meaning.

When someone is injured, it’s common for daily routines to shrink dramatically. People may stop participating in hobbies, social activities, or even simple tasks because of pain or fear of making symptoms worse. Over time, this loss of routine can increase feelings of isolation and depression.

Mental health treatment encourages patients to gradually re-engage with life, even if some symptoms remain. By focusing on meaningful goals—such as spending time with family, returning to hobbies, or working toward employment—patients can begin to rebuild confidence and motivation during recovery.

In addition to care within rehabilitation programs, we also offer individual mental health services for patients recovering from work-related injuries.

Some patients may develop conditions such as depression, anxiety, or post-traumatic stress disorder related to their injury. In these cases, psychotherapy can be provided when authorized through the workers’ compensation system. Other patients may not meet criteria for a specific mental health diagnosis but still experience significant stress, fear, or difficulty coping with symptoms. For these individuals, behavioral health services focus on education and practical coping strategies that support recovery.

Our providers may also work with patients who are participating in work rehabilitation programs, offering psychological support alongside physical and occupational therapy when stress or fear becomes a barrier to returning to work.

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A Whole-Person Approach to Recovery

One of the most common misconceptions about mental health in rehabilitation is the idea that psychological care implies symptoms are “all in someone’s head.” In reality, rehabilitation recognizes that recovery involves the entire nervous system—body and mind working together.

Pain, stress, sleep, mood, and physical conditioning all interact in complex ways during recovery. By addressing these factors together, RIW’s mental health services help patients develop the tools they need to move forward.

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Sean Tollison, Ph.D.
Sean Tollison, Ph.D.

Sean J. Tollison, PhD received his doctorate in clinical psychology from the University of Washington in 2010 then completed a one-year post-doctoral fellowship in interdisciplinary treatment of substance abuse at the Seattle VA Medical Center. Since joining the team at the Rehabilitation Institute of Washington, he has strived in his role as a pain psychologist and clinical director of the pain management program to work with people in facilitating recovery from injury using mind-body, acceptance, and motivational approaches. He emphasizes the importance of incorporating patient values and building relationships to not only facilitate the rehabilitation process, but also help people re-establish quality of life and sense of fulfillment. In addition to his work at RIW, he has provided various presentations and trainings on psychological approaches to facilitating recovery from persistent pain/disability and motivating behavior change for The Foundation of Medical Excellence, Professionals in Worker’s Compensation, and International Association of Rehabilitation Professionals. When not at RIW you can find him cheering wildly (and maybe a little uncontrollably) at Seattle Sounders games or romping through the mountains and jumping into the glacial lakes of the Pacific Northwest.

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Mental Health and the Rehabilitation Process

Recovering from a workplace injury often involves much more than physical healing. Injuries can...

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