When you leave work early or call out sick, people think you actually are sick or you're a slacker. What do you tell people when you need time off for mental health? I feel like I have to pretend to be physically sick because that's what people expect. But it just seems weird and wrong. Often times I don't take time off I need (and would usually be ok to take) because I feel like I am not physically sick so I shouldn't say I am.