A final dominant theme that became apparent in 31.9% of cases was stress resulting from employment issues. Three subthemes related to work stress emerged. A common issue was apprehension related to communicating with a supervisor about leaving or returning to work. Many participants were fearful of a lack understanding on the part of their manager or experiencing negative reactions or prejudice. Others were worried about losing their jobs in the context of high job satisfaction, or more commonly, dire financial need. General workload stress was a second evident subtheme. Numerous participants identified an overwhelming workload and a sense of being unable to catch up on work tasks as their most significant stressor. Relatedly, sleep and energy issues were commonly identified as significant stressors affecting job performance. A final subtheme that captured employment-based stress was attendant disrupted functioning and difficulty concentrating due to managing symptoms on the job. For example, many participants explained that significant stress came from the distraction of dealing with auditory voice hallucinations in the workplace.