As a psychotherapist and career counselor starting out in the mid-80’s, my biggest surprise has been how many people come in my office and complain not about their work, but about their dysfunctional workplace. They’ve talked and still talk about a lack of vision and organization among managers resulting in chaos and confusion, distrust among employees at all levels and cultures of toxicity that lead to high stress and health problems. A focus on productivity alone is behind decision-making that ignores a worker’s need for respect, to believe in what they do, manageable deadlines and a chance to speak out when problems occur.