It's a tough situation. We've just been through it with my bp daughter, who is a teacher. She was teaching a behavioral class, complete with biting and spitting and cussing. She had a breakdown.

She was able to go to her union reps to help her talk to HR. To be honest, HR sort of acted like they had never heard of the ADA. But they did agree to give her an easier situation this next fall. I am sure her immediate supervisors have guessed she has some sort of MI.

I never told anybody at work, but my daughter says no one cares and it is "different" these days.

When things got bad for me, mania or depression, I usually just quit. Sad but true.