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Leadership · October 29, 2026 · 4 min read

Your Managers Are Lying When They Say "I'm Fine"

By Nate Smith

Your managers are carrying more than they show you.

Manager engagement worldwide fell from 27% to 22% in a single year, according to Gallup's latest State of the Global Workplace findings. That's the group responsible for engaging everyone else, and they're running low themselves.

The pressure keeps stacking. In a recent Modern Health survey, 82% of senior managers said the job is harder than ever, and 80% said AI has raised expectations for their personal output. Only 37% feel strongly equipped to spot burnout on their own teams.

What it looks like before it shows up in the numbers

In my years leading teams in healthcare, I've learned burnout almost never announces itself. It shows up as:

  • Decisions that used to take a day now take a week
  • Your strongest manager going quiet in meetings
  • "I'm fine" becoming the default answer

That same survey found most managers rate their mental health as fine, while a quarter say it's worse than last year. They've gotten very good at masking.

Three moves I'd make this month

  1. Ask a better question. Swap "How's it going?" for "What's taking more of your energy than it should?"
  2. Protect one hour. Give every manager one meeting-free block a week that nobody books over, including you.
  3. Make recovery normal. If your leaders never take a day, your team won't either.

These are starting points, not the full fix. The real work is redesigning how pressure moves through your organization so it lands on systems instead of people, and that looks different in every company.

Where to go from here

If you lead managers, start with the free Leadership & Wellness Playbook. Chapter one walks through an energy audit you can run this week.

If your management layer is already stretched thin, request a consultation and we'll map where the pressure is building.

— Nate