Amanda Sullivan MCP, RCC
604 Columbia St.
New Westminster, BC V3M 1A5
(778) 875-9495
asullivantherapy@gmail.com

Date submitted: March 25", 2026

Date, Time, & Length of Follow-up Sessions: 16075
Mark Holand
1) February 26", 2026 - 2:30-3:30pm 42647461

2) March 10, 2026 - 4:00-5:00pm
3) March 19%, 2026 - 4:00-5:00pm

Late Cancellations:

1) February 25", 2026 - family obligation
2) March 5‘", 2026 - indicated went to RCH emergency same afternoon

For: Critical Incident Response Program, WorkSafeBC
Attn: Amy Vaughan, Family & Critical Response Specialist
RE: Worker MH, SC #16075

Description of Type of Session: Follow-Up Sessions
Dear Amy,

This report is further to your referral of MH, a Control Operator at BC Rapid Transit.
To date, I have seen MH for a total of three follow-up sessions at my office in New
Westminster. MH has not driven since the work incident and walked to all appointments.

MH has described ongoing physical and mental health symptoms, including ear pain,
headaches, sleep difficulties, heightened stress responses, irritability, mood fluctuations,
and sensory sensitivity.

MH has been engaging in a number of strategies to manage his symptoms and
distress including wearing noise cancelling headphones, sleeping with a tent over his bed to
block out light, requesting referrals to specialists, and creating complex devices to monitor
his sleep and track physical health data. MH went to RCH emergency department on at least
one occasion over the reporting period due to distress related to his physical and mental
health symptoms. MH has continued taking prescribed medications for mood and obtained
an additional medication for sleep, which he indicates has been helpful. MH has also been
referred to a group for anxiety through Fraser Health which he plans on attending.
Additionally, MH has made an effort to re-engage with hobbies and interests, participate in
activities with his family and friends, and maintain a healthy lifestyle to help manage his
mental health and self-care.

MH remains distressed about his limited understanding of his physical symptoms and
does not feel ready to return to work until he has greater clarity regarding their nature and
prognosis. He continues to emphasize the safety-sensitive aspects of his role and expresses
concern that symptom re-aggravation could impair his ability to perform his duties safely.
MH also reports concerns about potential long-term hearing damage. In addition, MH
described psychological distress related to his workplace, reporting that he felt dismissed by
his employer, feels like his injury has been minimized, and that safety concerns have not
been taken seriously. These experiences have contributed to ongoing hesitancy regarding
returning to the workplace.