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Why We Need to Care About the Psychological Toll of Entrepreneurship

Entrepreneurship carries with it unique pressures unlike any traditional office job.

Starting your own business means you shoulder personal risk, work long hours, and endure more stress than most other workers.

New studies are beginning to shed light on the psychological toll of entrepreneurship. Research shows nearly three-quarters of business owners have concerns about their mental health. Almost half have struggled with depression or anxiety.

Society tends to glorify success and achievement. We shy away from talking about mental health due to the fear and stigma attached to it. Thankfully, that’s changing. More top business leaders are coming forward about their battles with bipolar disorder, substance abuse, and OCD. The culture of silence around mental illness in the business world is beginning to shatter and with it the shame of seeking help.

If you’re struggling to cope with the ups and down of the entrepreneurial roller coaster, first and foremost understand that you’re not alone. Millions of other entrepreneurs can relate to having days where you feel on top of the world, followed by periods where you feel as if everything is crashing down around you.

Emerging from a low period takes time, and it’s essential to enlist the help of a knowledgeable mental health professional to get you through.

Your well-being is your best business asset. Knowing that you’re dealing with a mental health condition is the first step towards getting the proper treatment. If you’re concerned about your emotional state, here are tips to get you started on the journey towards brighter days.

Know the signs

It can be hard to tell the difference between being overwhelmed and something more serious, especially if you’re used to operating under pressure most of the time. But there is a line between a normal reaction to daily stressors and diagnosable mental illness.

Stress is generally temporary, and short-term. When symptoms persist for longer than two weeks, you may be dealing with a mental health condition. Negative feelings that are extreme, persistent, and interfere with daily functioning such as the following shouldn’t be ignored:

  • Loss of freedom. You feel they as if you have no alternative way of acting. This can include feeling hopeless or that you cannot overcome difficulties in your life or work.
  • Loss of relationships. This can manifest as withdrawal from social events or isolation from family and colleagues.
  • Loss of productive life. Sleeping and eating patterns change significantly and you may find yourself not caring about activities you once loved.
  • Personal distress. Most commonly this manifests as pervasive and unchanging negative thoughts and feelings including rage, worry, and guilt.

If you recognize any of these signs, seek help. Don’t rationalize away your struggles or simply dismiss them as the result of being crazy busy. Take care of yourself, so that you can take care of business, and more importantly, tend to your emotional well-being in the process.

Get help

No matter what you’re struggling with, help is available — even on a budget or without insurance. Many clinicians offer counseling on a sliding fee scale depending on income. Community health centers, teaching hospitals, universities also may offer psychotherapy services at lower cost.

You can also take advantage of education and resources (including online and in-person support groups) through national organizations like:

Some experts estimate there are more than 400 different types of therapy in practice today, so it’s important to understand what different approaches entail in order to figure out what will be right for you. Medication may also be an option.

Before choosing to work with someone, request a consultation to make sure it’s a good fit. If you’re looking for someone who understands entrepreneurial struggles, ask about their experience guiding people around issues of work, career, or experience they have working with CEOs, founders, or freelancers.

Remember, your ability to face challenges, even personal ones, can be your greatest strength. And no matter how dark it gets, please never give up.

Disclaimer: this not intended to be medical advice. If you need support or are worried about a friend call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

Why We Need to Care About the Psychological Toll of Entrepreneurship

Melody Wilding, LMSW

Melody Wilding, LMSW is a performance coach, licensed social worker, and has a Masters from Columbia. She helps established and rising managers and executives advance in their careers. Her clients work at companies like Google, Facebook, LinkedIn, HP, and Deloitte. She also helps entrepreneurs take bold steps to grow their businesses. Melody has helped over 10,000 smart, self-aware people like you. Her coaching gives you actionable strategies to reach your goals. You get concrete steps to overcome the complex struggles of success. Melody loves arming ambitious people with tools and tactics to boost their confidence. She can teach you skills for assertiveness and influence. Her specialties include better managing your emotions at work. Melody also teaches Human Behavior at CUNY Hunter College in NYC. She writes about psychology and careers for Inc., Forbes, Fast Company, and more. Click here and grab the FREE COURSE to go from insecure to unstoppable confidence 5 DAYS TO FREEDOM FROM SELF-DOUBT..

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APA Reference
Wilding, M. (2018). Why We Need to Care About the Psychological Toll of Entrepreneurship. Psych Central. Retrieved on October 1, 2020, from
Scientifically Reviewed
Last updated: 8 Jul 2018 (Originally: 2 Jul 2017)
Last reviewed: By a member of our scientific advisory board on 8 Jul 2018
Published on Psych All rights reserved.