Mental ill-health in organisations may be a taboo subject and may carry a stigma. Sufferers may suffer in silence until their condition worsens to the point of crisis. When crisis does strike, in addition to individuals’ difficulties, the organisational upheaval and cost can be significant, as can the damage to working relationships. However, in an open culture people are more likely to feel engaged and to give of their best, and evidence shows that business results are much better than in cultures where the issue is not faced. It is the coach's responsibility to work with whatever shows up - but not to aim to heal or cure.