In the example, it is assumed the employee has mental health issues because he worries about getting approval that his work is unacceptable. The manager's statement is clearly irrational, contradictory and meaningless. How do you work for a manager who can't provide sensible, timely feedback? In addition, the manager is unable to feel empathy or compassion and regularly displays signs of severe mental illness for which she is prescribed foundation training for mental health. The manager needs to be given time to seek professional help.