Karoshi (suicide by working yourself to death) may now be in the public domain having been recognised since the 1970’s, but fear and insecurity, exacerbated by performance anxiety, continue to insidiously manifest in presenteeism. This can go right up to the point of adaptation exhaustion when the employee can no longer persevere and develops more serious, debilitating, non-communicable, physical or mental ill-health, sufficient to enforce an escape to put some distance between themselves and the work-stressors.