Every leader has a secret struggle, even (and maybe especially) highly successful leaders. Underneath the outwardly projected success are a thousand balls they are juggling at any given moment – a handful of challenges on their team, at least one HR issue, and a host of decisions they need to make that do not yet have a direct or determined course of action. Research among leaders in 21 countries showed that role conflict, ambiguity, and overload were constant themes in their leadership.