The grades are good. The work gets done. The appointments are kept, the emails are answered, and everyone seems to be managing. It all gets done. Until something changes. Someone adds one more request. Plans shift unexpectedly. A task takes longer than expected. Suddenly, the person snaps, cries, becomes angry, or seems to fall apart. Those around them are bewildered: “Why is this such a big deal?” Sometimes this is the first visible clue that keeping up has been costing more