Understanding and Combating Toxic Positivity in the Workplace: A Guide for Every Organisational Level

Toxic Positivity: The Hidden Threat to Workplace Well-Being

Toxic positivity — the insistence on maintaining a relentlessly upbeat attitude, even in the face of legitimate challenges — has seeped into modern workplace cultures, especially during and after the COVID-19 Pandemic.

While optimism is valuable, dismissing negative emotions or critical feedback erodes trust, stifles innovation, and harms mental health. A 2023 study by the American Psychological Association found that 72% of employees in "always positive" environments reported higher stress levels than 48% in psychologically safe workplaces.

This article explores how toxic positivity can manifest at every level of an organisation, from executives to frontline employees, and provides actionable strategies to develop authenticity, resilience, and productivity. By the end, you’ll discover how to transform your workplace culture and have the opportunity to explore our corporate health services designed to reduce absenteeism and increase productivity.

What Is Toxic Positivity?

Toxic positivity is not merely optimism; it’s suppressing “any” emotion perceived as “negative,” such as frustration, grief, or doubt. Common workplace examples include:

  • A manager saying, “Don’t bring problems; bring solutions!” during a crisis.

  • Leadership dismissing burnout concerns by saying, “We’re all stressed, stay positive!”

  • Team members avoiding honest feedback to maintain a “harmonious” facade.

This culture often stems from misconceptions about productivity. Leaders may believe that suppressing negativity will motivate teams, but research from the University of Melbourne shows that invalidating emotions reduces cognitive performance by up to 20%. Employees become less likely to voice concerns, leading to unresolved issues like inequitable workloads and poor processes, low productivity, and less team “entente” (teamwork/togetherness/vision).

Toxic Positivity Definition in The Workplace

— Toxic Positivity in Leadership: Are Executives Unintentionally Fuelling the Fire

Senior leaders set the cultural tone, and well-intentioned efforts to “stay positive” can backfire. For example:

  • A CEO banning “complaints” in meetings to “focus on solutions.”

  • A VP praising teams for “handling everything” during layoffs, ignoring emotional fallout.

While aiming to project strength, this approach silences dissent. A 2022 Gartner survey found that 64% of employees in such environments withhold feedback, fearing repercussions. Over time, this breeds resentment and disengagement.

Solutions for Leadership:

  1. Model vulnerability: Share challenges openly (e.g., “This quarter was tough, let’s discuss what we learned”).

  2. Balance optimism with empathy: Replace “Stay positive!” with “How can we support you?”

  3. Invest in psychological safety training: Partner with experts (like booking our “corporate mental health workshops”) to train leaders in empathetic communication.

— Middle Management Squeeze: The Pressure to Enforce Unrealistic Positivity

Middle managers often become enforcers of toxic positivity, caught between leadership expectations and team realities. For instance:

  • A team leader urging employees to “stay grateful” during unsustainable overtime.

  • A department head avoiding discussions about workload inequities to “keep morale high.”

This dynamic harms managers, too. A 2023 Gallup report found that 43% of managers feel pressured to hide stress, leading to burnout and turnover.

Actionable Tips for Managers (middle management burnout solutions):

  • Validate first, problem-solve second: Acknowledge emotions (“This deadline is brutal, I hear you”) before pivoting to solutions.

  • Advocate for your team: Use data (e.g., productivity metrics) to push back on unrealistic demands.

  • Leverage peer support networks: Connect with other managers through “corporate-led roundtables” to share strategies.

— Frontline Employees: The Silent Toll on Mental Health

Employees bear the brunt of toxic positivity. Forced to mask stress, they experience:

  • Emotional exhaustion: Pretending to be “fine” drains mental energy and impacts productivity, often leading to high absenteeism from increased colds and flu (suppressed immunity) and stress-related symptoms (including IBS-like symptoms, sleep disorders, poor focus and irritability).

  • Reduced creativity: Fear of judgment discourages innovative ideas.

  • Presenteeism: Physically present but disengaged, costs companies $1,500 per employee annually (CDC, 2023).

Case Study: A tech startup saw a 30% turnover spike after employees felt pressured to “always be hustling.” After implementing “mental health days” and feedback channels, retention improved by 25% in six months.

The Ripple Effect: How Toxic Positivity Undermines Organisational Health

Organisations that prioritise false positivity face:

  • Stagnant innovation: No critical feedback = no improvement.

  • Eroded trust: Employees view leadership as out of touch.

  • Financial costs: High turnover, absenteeism, and lost productivity cost U.S. businesses $300 billion annually (APA). The problem is clear, and it has a price. Taking action is not only necessary, but it also makes business sense.

Managers are part of the team and should support each employee, and encourage them to voice their concerns effectively.

Toxic Positivity in the Healthcare Sector: A Post-Pandemic Review

The COVID-19 pandemic exacerbated pre-existing challenges in healthcare, intensifying workloads, emotional strain, and systemic pressures (remember those who got fired for not wanting to be injected mRNA unlicensed concoctions). Amid this crisis, toxic positivity emerged as a harmful coping mechanism, particularly within healthcare settings. This review examines its impact on healthcare professionals (HCPs) and patient care since 2020, drawing on recent studies and expert analyses.

Toxic positivity manifests as phrases like “stay strong” or “look on the bright side,” which, while well-intentioned, invalidate genuine distress. As grief expert David Kessler notes, it is “positivity given in the wrong way, in the wrong dose, at the wrong time” (JUCM, 2022). In healthcare, this often translates to administrators or colleagues encouraging resilience without addressing systemic issues, such as understaffing or inadequate resources. For example, urgent care providers during COVID-19 faced 12-hour shifts in extreme conditions, yet calls to “stay positive” overshadowed actionable support (JUCM, 2022).

Impact on Healthcare Workers

The pandemic’s toll on HCPs’ mental health is well-documented. Studies reveal elevated rates of anxiety (38%), depression (72%), and PTSD symptoms, particularly among frontline workers. Toxic positivity worsened these outcomes by stigmatising vulnerability. Nurses and younger staff, already at higher risk, faced additional pressure to suppress emotions to avoid being perceived as weak. This culture of silence deterred many from seeking help, fearing professional repercussions or social exclusion. For instance, 58% of HCPs with pre-existing conditions reported heightened anxiety, yet few accessed mental health resources due to stigma.

Consequences for Patient Care

Toxic positivity also affects patient interactions. Dismissive remarks like “it could be worse” invalidate patient concerns, potentially delaying care. A 2021 study highlighted that patients hesitated to report symptoms, fearing judgment, when met with minimised responses. Similarly, HCPs operating under emotional suppression are more prone to burnout, which correlates with medical errors and reduced care quality.

Systemic and Cultural Drivers

Administrative pressures played a significant role. While some leaders attributed burnout to individual resilience, critics argued that systemic issues, such as inadequate staffing and unrealistic expectations, were the root cause.

The rise of people requesting more information and transparency on forced vaccinations further strained HCPS, as colleagues opposing public health measures further fueled workplace tensions.

Additionally, social media’s #goodvibesonly created unrealistic benchmarks for coping, isolating those struggling.

Moving Beyond Toxic Positivity

Addressing this issue requires systemic change. Research emphasises the need to validate environments where HCPS can express vulnerabilities without fear. Teams with open communication and strong support networks reported better mental health outcomes. Proactive measures, such as mental health screenings and accessible counselling, are also critical. For example, hospitals with peer-support programs saw reduced burnout rates.

Toxic positivity, though often framed as motivational, undermines HCP well-being and patient care. The pandemic has shown the need for healthcare systems to prioritise emotional honesty over performative resilience. The sector can mitigate burnout and improve care outcomes by creating environments that acknowledge struggle and provide tangible support. As the pandemic’s shadow lingers, rejecting toxic positivity in favour of compassionate pragmatism is not just beneficial but essential.

Toxic positivity is a somewhat understandable reaction to seemingly insurmountable obstacles, which perhaps explains toxic positivity’s ascendancy in the healthcare industry. But now, toxic positivity is bleeding into situations involving challenging but fully solvable problems.
— Sachin Jain, president and CEO of SCAN Group and Health Plan
Doctor sitting exhausted, wearing mask, during COVID pandemic

In a nutshell

Toxic positivity in the workplace refers to an organisational culture that prioritises relentless optimism while dismissing, minimising, or invalidating legitimate negative emotions such as frustration, stress, or doubt.

Unlike healthy optimism, which encourages resilience, toxic positivity demands that employees “look on the bright side” or “stay grateful” even in the face of systemic challenges, unrealistic workloads, or personal struggles.

While intended to motivate, this approach suppresses honest communication, erodes psychological safety, and often exacerbates burnout, high turnover and absenteeism.

Executives Shape (and Break) the Culture

Senior leaders and executives play a pivotal role in either perpetuating or dismantling toxic positivity. When leadership prioritises optimism over authenticity, for instance, by banning complaints in meetings or dismissing burnout as a “mindset issue,” they inadvertently create an environment where employees fear repercussions for voicing concerns.

A CEO who insists on framing every challenge as an “opportunity” without acknowledging the emotional toll of redundancies or restructuring risks alienating their workforce. However, leaders who model vulnerability, such as openly discussing setbacks in company-wide updates or allocating resources for mental health support, encourages psychological safety.

Middle Management: The Pressure Cooker of Positivity Enforcement

Middle managers often bear the brunt of enforcing toxic positivity, caught between leadership’s demands and their team’s realities. Tasked with meeting aggressive targets, managers may feel pressured to downplay challenges or dismiss employee stress to maintain the appearance of control.

To break this cycle, organisations must empower managers with tools to validate emotions while driving progress. Training programmes that teach “emotionally intelligent leadership,” such as acknowledging struggles before pivoting to solutions, can transform middle management from enforcers of toxic positivity to advocates for balanced well-being.

Frontline Employees:

Interns and frontline employees like those in customer service, production, or entry-level roles, often endure the most direct consequences of toxic positivity. Required to maintain a cheerful demeanour regardless of personal or professional stressors, these workers face emotional exhaustion from “surface acting” (masking true feelings to meet expectations). A retail employee forced to smile through hostile customer interactions or a nurse discouraged from discussing staffing shortages due to “staying positive” exemplifies this struggle.

Over time, this emotional dissonance leads to decreased productivity, as cognitive resources are diverted toward suppressing stress rather than problem-solving. The Centres for Disease Control and Prevention (CDC) estimates that presenteeism — showing up to work while disengaged, fatigued or unwell — costs employers £180 billion annually in lost productivity. Worse, employees in toxic positivity cultures are 34% more likely to leave their jobs within a year, according to a 2022 Workhuman survey.

To mitigate this, organisations must create channels for anonymous feedback, normalise mental health days, and train employees in boundary-setting. For example, implementing “no-questions-asked” mental health leave policies or peer support groups can empower frontline workers to prioritise well-being without fear of judgement.

Organisations must create channels for anonymous feedback, normalise mental health days, and train employees in boundary-setting. For example, implementing “no-questions-asked” mental health leave policies or peer support groups can empower frontline workers to prioritise well-being without fear of judgement.

Actionable Solutions for Every Level

1. For Executives

  • Host quarterly “Listening Tours” to gather unfiltered feedback.

  • Tie 10% of leadership bonuses to employee well-being metrics.

2. For Managers

  • Use “Feel, Felt, Found” language: “I see you’re overwhelmed. Others felt that too, and here’s what we found helps…”

  • Partner with “corporate health services” for stress-management workshops

3. For Employees

  • Practice “productive venting”: Pair frustrations with proposed solutions (e.g., “I feel overwhelmed, can we prioritise tasks?”).

4. Organisation-wide

  • Normalise mental health days (e.g., “No-questions-asked” PTO for burnout).

  • Adopt recognition programs that celebrate effort, not just outcomes.

Building Authentic Positivity

True workplace well-being stems from balancing optimism with empathy. Organisations can unlock higher productivity, creativity, and loyalty by encouraging psychological safety.

The Next Step:

Our “Corporate Health Services” specialise in:

- 1:1 coaching for employees (navigating burnout or facing high absenteeism — includes nutrition consultation, 60-90 minutes).

- Leadership training to replace toxic positivity with authenticity.

- Workshops and presentations on resilience and effective communication.

Let’s build a workplace where “real” positivity thrives.


References

Sachin, J. (2023). Is 'toxic positivity' a healthcare problem? One CEO thinks so. Available at: https://www.advisory.com/daily-briefing/2023/02/14/toxic-positivity

Alhouri, A. Abu Shokor, M. Marwa, K. et al. (2023). COVID-19 and Its Impact on Healthcare Workers: Understanding Stigma, Stress, and Quality of Life. Cureus. 15(4), e37846. doi:10.7759/cureus.37846

Al Houri, HN. Alhouri, A. Arrouk, DMN. et al. (2023). Stress, depression, anxiety, and quality of life among the healthcare workers during COVID-19 pandemic in Syria: A multi-center study. Annals of General Psychiatry. 22(1), 41. doi:10.1186/s12991-023-00470-1

Amaré Health. (2021). What is toxic positivity and how is it impacting healthcare professionals and patients?

Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly. 44(2), pp. 350-383. doi:10.2307/2666999

Hernández-Bojorge, S. Campos, A. Parikh, J. et al. (2024). The prevalence and risk factors of PTSD symptoms among nurses during the COVID-19 pandemic - A systematic review and meta-analysis. International Journal of Mental Health Nursing. 33(3), pp. 523-545. doi:10.1111/inm.13257

Meredith, LS. Ahluwalia, S. Chen, PG. et al. (2024). Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: A cluster randomized clinical trial. JAMA Network Open. 7(4), e244192. doi:10.1001/jamanetworkopen.2024.4192

Mrklas, K. Shalaby, R. Hrabok, M. et al. (2020). Prevalence of perceived stress, anxiety, depression, and obsessive-compulsive symptoms in health care workers and other workers in Alberta during the COVID-19 pandemic: Cross-sectional survey. JMIR Mental Health. 7(9), e22408. doi:10.2196/22408

Nielsen, MB. Magerøy, N. Gjerstad, J. et al. (2014). Workplace bullying and subsequent health problems. Tidsskr Nor Laegeforen. 134(12-13), pp. 1233-1238. English, Norwegian. doi:10.4045/tidsskr.13.0880

Puia, A. Pop, SR. Manzat, BOC. et al. (2025). Coping strategies among healthcare workers during the COVID-19 pandemic: Emotional responses, challenges, and adaptive practices. Medicina (Kaunas). 61(2), 311. doi:10.3390/medicina61020311

Reknes, I. Notelaers, G. Iliescu, D. et al. (2021). The influence of target personality in the development of workplace bullying. Journal of Occupational Health Psychology. 26(4), pp. 291-303. doi:10.1037/ocp0000272

Rozovsky, J. (2015). The five keys to a successful Google team. Available at: https://www.michigan.gov/-/media/Project/Websites/mdhhs/Folder4/Folder10/Folder3/Folder110/Folder2/Folder210/Folder1/Folder310/Google-and-Psychological-Safety.pdf?rev=7786b2b9ade041e78828f839eccc8b75

Russel, JW. (2022). An underrecognized epidemic: Toxic positivity in medicine. The Journal of Urgent Care Medicine. pp. 1-2. (LETTER FROM THE EDITOR-IN-CHIEF)

Włoszczak-Szubzda, A. Goniewicz, M. Gómez-Salgado, J. et al. (2025). Predictors of post-traumatic stress disorder among healthcare workers during the COVID-19 pandemic in Poland. Medicine (Baltimore). 104(11), e41821. doi:10.1097/MD.0000000000041821

Yong, E. (201). Why health-care workers are quitting in droves. The Atlantic. Available at: https://www.theatlantic.com/health/archive/2021/11/the-mass-exodus-of-americashealth-care-workers/620713

Sources:

The Health and Safety Executive annual report and accounts 2022 to 2023. Available at: https://www.gov.uk/government/publications/the-health-and-safety-executive-annual-report-and-accounts-2022-to-2023

CIPD. (2022). Health and wellbeing at work 2022: Survey report. Available at: https://www.cipd.org/globalassets/media/comms/news/ahealth-wellbeing-work-report-2022_tcm18-108440.pdf

CMI. (2026). Stressed and overworked: managers struggle in ‘always on’ work culture. Available at: https://www.managers.org.uk/knowledge-and-insights/article/stressed-overworked-managers-struggle-always-on-work-culture

CMI. (2023). New study: Bad managers and toxic work culture causing one in three staff to walk. Available at: https://www.managers.org.uk/about-cmi/media-centre/press-releases/bad-managers-and-toxic-work-culture-causing-one-in-three-staff-to-walk

CMI. (2023). Taking responsibility. Why UK PLC needs better managers. Available at: https://www.managers.org.uk/wp-content/uploads/2023/10/CMI_BMB_GoodManagment_Report.pdf

Google reWork. Understand team effectiveness. Available at: https://rework.withgoogle.com/en/guides/understanding-team-effectiveness#introduction

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