Pausa Framework for Supporting Employee Mental Health
It's a practical leadership tool derived from the article Harvard Business Review article: “HBR’s Best Practices for Supporting Employee Mental Health,” May 2025.
Leaders can’t ignore Mental Health anymore
Most leaders don’t need another statistic to know something is off. Teams feel stretched, distracted, and anxious. Leaders themselves report more anxiety, loneliness, and burnout than ever before. External pressures like rapid technological change, geopolitical uncertainty, and financial instability only amplify this strain. Mental health is no longer a side topic; it has become a core part of how modern organizations function.
At Pausa, the core belief is simple: healthy systems create healthier people, and healthier people build better systems. Below is a practical framework leaders can use to support both their teams’ mental health and their own—without waiting for a crisis.
The SHIFT Framework for Modern Leaders
Think of SHIFT as five levers you can actually pull:
S H I F T = Systems · Humans · Influence · First Stories · Thrive
Each element invites you to redesign how your organization works, not just add another wellness initiative on top.
S – Fix Systems, Not Just People
Many organizations invest in wellbeing apps, workshops, or helplines and then wonder why nothing really changes. Individual tools matter, but they rarely work if the underlying system still burns people out.
Practical moves:
Redesign work, not just benefits
Make flexibility real: where possible, allow some control over when and where people work.
Experiment with simpler meeting structures, clearer priorities, and realistic deadlines—small operational shifts that lower chronic stress.
Train managers as “behavioral architects”
Teach managers how to spot early warning signs of overload and how to open simple, non-dramatic conversations about wellbeing.
Embed rest and recovery into how work is planned, rather than leaving it to personal willpower.
The message: stop assuming resilience is an individual trait; treat it as a design outcome.
H – Honor Identity and Difference
People don’t experience or talk about mental health in the same way. Age, gender, culture, and personality all shape how safe someone feels raising a concern—or whether they even have the language for what they’re going through.
What leaders can do:
Build a shared language
Introduce simple, non-clinical language around stress, overload, and support so people aren’t guessing what is “allowed” to be said.
Offer basic education so everyone understands that mental health is a spectrum, not a label.
Make representation visible
Ensure that not only HR or wellbeing champions speak about mental health; senior leaders, including men and people from underrepresented groups, should be seen participating in these conversations.
Create spaces where people with similar lived experiences can connect (peer circles, informal groups, mentoring).
The goal is to make it clear that mental health is about everyone, not about “other people with problems.”
I – Your Behavior Is the Loudest Message
You can have all the right policies and still exhaust your team by how you lead day to day. Sudden changes in direction, constant pessimism, or a sense of perpetual urgency can quietly raise anxiety levels across the organization.
Questions to ask yourself:
Am I predictable enough?
Do people generally know what to expect from me, or are they always guessing how I will react?
Can I reduce unnecessary complexity by giving clearer context and making decisions more transparently?
What mood do I broadcast?
Do I default to worst‑case scenarios that make things feel worse than they are?
Do I communicate timelines and risks in a way that is honest and stabilizing?
And one powerful practice:
Share selectively, not performatively
Without oversharing, leaders who briefly name their own mental health ups and downs help normalize these conversations for everyone.
Done well, this positions vulnerability as strength and signals that it is possible to perform at a high level and be human.
Your behavior sets the ceiling for how safe others feel to be honest.
F – Use Stories as “First Aid”
Most organizations already have some kind of support: peer listeners, internal champions, access to professionals, or external partners. Often, uptake is surprisingly low—not because people don’t need help, but because they’re unsure if it’s “for them.”
A highly effective lever is storytelling:
Share real, anonymized stories
With consent and care, tell short, composite stories of people using existing support for common challenges like work stress, sleep problems, or worry—not only severe crises.
Emphasize how normal it is to ask for help early, not only when everything breaks.
Normalize “small” reasons to reach out
Frame support options as something you use the way you’d see a physiotherapist: to stay functional and prevent bigger issues, not just after an injury.
Even modest increases in participation can translate into hundreds or thousands more people getting timely support in larger organizations.
T – Thrive by Taking Your Own Mental Health Seriously
Leaders often try to push through their own anxiety or overload, telling themselves they’ll deal with it “after this quarter.” That strategy rarely works. Unaddressed anxiety tends to leak into decision-making, relationships, and culture.
One simple four-step process:
Reflect
Name what you’re feeling and what seems to trigger it: uncertainty, constant firefighting, loneliness at the top.
Acknowledge it rather than hoping it will silently resolve.
Tactics
Use healthy strategies: movement, time in nature, structured breaks, and meaningful conversations—rather than numbing, overworking, or avoidance.
Adopt small rituals that ground you before high-stakes decisions or conversations.
Bounded vulnerability
Share enough with your peers or team to be real, without turning work into your therapy room.
Keep these conversations purposeful: “Here’s how I’m managing myself, and here’s what I’m putting in place so we can navigate this well together.”hbr
External support system
Build a circle outside your organization (coach, therapist, trusted peers) to help you think clearly, challenge your blind spots, and support you through tough seasons.
Leaders who do this work early tend to make better decisions and are more stable anchors during uncertainty.
Bringing It Back to Pausa
The SHIFT framework mirrors what Pausa stands for:
Not just helping individuals “cope,” but reshaping how leaders design work.
Recognizing identity, power, and culture as central to mental health.
Supporting leaders to care for themselves so they can build healthier organizations.
For leaders, founders, and executives, the invitation is simple: don’t wait for a breakdown in yourself or your team. Start shifting your systems, your conversations, and your own habits now—so performance and wellbeing can finally pull in the same direction.

