Aside from the multifaceted symptoms that some people with CAH seem to develop as they age (and I have spoken with quite a number who are in their late 40’s, 50’s and 60’s who are in wheelchairs and have other major physical and mental health issues - chronologically well before one would expect a ’normal’ person to), perhaps the type of employment or the particular job for which they are trained, may play a part in a CAH person’s ability to cope in the workforce on a long-term basis.

Factors such as: whether it is a sitting down job compared to a standing/walking type of job or driving a vehicle (taxi, truck, train etc) or outdoor heavy work.

The medium on which you are working - eg. a concrete based (hard) floor compared to a timber (more resilient) floor.

Type of work environment with noise levels, whether you have a place of your own to retreat to, temperature control, availability of regular meal breaks etc.

Levels of stress and responsibilities may play a part: constant stress versus intermittent stress: life and death stress versus deadline stress: people-colleagues-workmates-clients levels of harmony etc.

Employers ability to adapt job roles and hours of work according to changing health or personal needs or an ’all-or-nothing’ attitude.

.....and many other factors.