Roberto Osuna could have said he had a sore arm. Every pitcher does, at some point during the long season. His team could have checked him out and granted him a few days off, and by that time, maybe the symptoms would have gone away.
Osuna is the All-Star closer for the Toronto Blue Jays. When the Jays did not use him in a closing situation in June, manager John Gibbons explained that Osuna was not feeling well.
That might have been the end of the story, had Osuna not done something extraordinary the next day. He could have told reporters that, indeed, he was not feeling well.
Instead, he asked reporters to share with fans that he was dealing with anxiety.