The economic burden of posttraumatic stress disorder among Canadian lawyers: an exploratory study

Witnessing traumatic material is common for lawyers and can trigger symptoms of posttraumatic stress disorder (PTSD). This exploratory study aimed to assess the economic burden associated with probable PTSD (determined by a cut-off score on the PCL-5), among a convenience sample of Canadian lawyers. A group of 159 lawyers completed a longitudinal online survey. Participants were also classified as having incident, persistent, remitted, or no probable PTSD. Societal costs included direct, indirect, and patient costs. Past year health services use, physician fees, prescription medications, loss of productivity at work, medical leave, time lost due to medical visits, and fees paid to mental health and other professionals not covered by the universal health care plan in Canada were considered. Lawyers with probable PTSD incurred significantly higher costs than those without PTSD for loss of productivity at work ($62,105 vs $15,847) and, specifically among lawyers in private practice, for billable hours lost ($39,375 vs $7,127). The societal costs associated with probable PTSD were mainly driven by those related to loss of productivity due to absenteeism and presenteeism. How those results mirror the values and behaviors that are promoted in the field of law is discussed.