They sometimes cope with these problems by not talking about them, by not mentioning them or by ignoring them. The avoidance of reality builds up a feeling of uneasiness. As a family unit, there has to be some restructuring concerning the roles and responsibilities. The disabled person would be unlikely to go back to the original role. One of the most important role which could be lost is that of an employee or a breadwinner.
Work supports the feeling of self-worth and gives one an identity as well as financial independence.
A change in employment has many implications. For the majority, rehabilitation and job retraining could be a way of getting back into employment. However, if the person is unable to adjust to the new work and environment, depression can set in. For those whose occupation was the cause of the injury, there may be anxiety about returning to the work site, or returning to the same occupation. As social prejudice and attitudes towards the disabled are often based on impressions or appearance alone, job opportunities are greatly diminished, and if they are employed, promotions may be denied to them.