Forget ‘Crushing It,’ Startup Founders Open Up About Mental Health Problems

Neglect ‘Crushing It,’ Startup Founders Open Up About Psychological Well being Issues


From remedy and peer teams to vulnerability and psychedelic medication, entrepreneurs open up about their methods for coping with psychological well being challenges.

By Jeff Kauflin, Forbes Employees

Jason Gardner, the founder and CEO of cost processing startup Marqeta, was going by way of one other bout of despair. It was early 2016, and he struggled to sleep and eat in his Oakland dwelling. Generally he simply laid on the ground and stared on the ceiling. “I might barely get away from bed and could not smile. I felt like issues had been crumbling round me, however I needed to discover the wherewithal to proceed to lift cash and construct the corporate,” he says. Marqeta was weeks away from operating out of money.

He and his spouse Jocelyne had maxed out their bank cards and had been even placing their mortgage funds on bank card checks whereas elevating their 15-year-old son and 8-year-old daughter. “Generally I do not know the way I survived. Not due to one thing I might do to myself, however attributable to my physique breaking down, or my thoughts,” says Gardner. He went on to show the corporate round, ultimately taking it public and stepping down as CEO in January 2023.

In the present day he speaks brazenly concerning the struggles he confronted as a founder—a subject that, even in an period when individuals share intimate particulars about themselves on social media, nonetheless isn’t mentioned typically sufficient. Almost all entrepreneurs face critical psychological well being challenges. In accordance with an April 2023 survey by analysis group Startup Snapshot, 72% of founders say the job has affected their psychological well being. Thirty-eight p.c have skilled despair, anxiousness, bipolar dysfunction, ADHD or substance abuse, in response to a 2022 examine by researchers together with Viginia Tech professor Richard Hunt and Michael Freeman, a psychiatrist who has been teaching entrepreneurs since 2000. Over the previous 5 years, a number of research have proven that entrepreneurs have considerably extra psychological well being situations in contrast with completely different comparability teams, Freeman provides.

Founders are sometimes afraid to indicate a shred of weak point in themselves or their corporations, largely for worry of the way it may have an effect on their startup’s repute and workers’ morale. Ryan Caldbeck, the founder and former CEO of fintech startup CircleUp, remembers being requested by enterprise capitalists a number of years in the past to satisfy with different CEOs whose corporations had been floundering, to provide them some recommendation. “I am going to espresso with the CEO–and I keep in mind this on two or three events–and the CEO would simply speak about how their firm was crushing it, despite the fact that the VC simply informed me they had been in quite a lot of bother,” he says. “That’s Silicon Valley in a nutshell, placing up this facade.”

Over the previous few years, elite athletes like Naomi Osaka and Simone Biles, celebrities together with Demi Lovato and Selena Gomez and U.S. Senator John Fetterman have publicly mentioned dealing with psychological sickness, and entrepreneurs are beginning to observe go well with. In February 2022, Pedro Franceschi, the cofounder of bank card startup Brex, wrote a shifting weblog put up about his psychological well being points, which resulted in him having a panic assault despite the fact that the corporate was rising quickly and changing into a Silicon Valley darling. A couple of months later, Andy Dunn, the cofounder and former CEO of males’s clothes model Bonobos, revealed a ebook, Burn Charge: Launching a Startup and Shedding My Thoughts, chronicling his daunting challenges with bipolar dysfunction.

Whereas efficiency coaches have been round for many years, curiosity in additional fundamental psychological well being companies is now rising quickly. Michael Freeman says he’s talking with enterprise capitalists as soon as per week on the subject, whereas just a few years in the past, he acquired no calls from buyers about it. In Andreessen Horowitz’s annual report of the largest consumer-facing market startups and personal corporations launched in March 2023, psychological well being was the fastest-growing class by far.

Forbes spoke with over a dozen CEOs plus a half-dozen psychologists, coaches and enterprise capitalists to realize a greater understanding of the psychological well being challenges founders face. From remedy and meditation to see teams and exhibiting extra vulnerability in entrance of workers, founders are beginning to open up about their psychological well being challenges–and the methods they’re utilizing to handle them.

Work-Life Out of Steadiness

One of many hardest elements about operating a startup is dealing with an countless stream of daunting issues, which might make even the nice instances really feel unhealthy. Some frequent examples: you’ve got a significant disagreement together with your cofounder; you misplaced an vital buyer; considered one of your prime salespeople left; there’s a critical human assets difficulty between two workers; a competitor launched a promising new product. “In case your startup’s failing, it looks like somebody’s punching you within the face,” says Michael Seibel, a managing director and accomplice at startup accelerator Y Combinator. “However when your startup is working, it looks like somebody’s punching you within the face too.”

Founders’ feelings typically soar or plummet in the midst of a day. “I knew there have been excessive highs and low lows. I simply did not know the frequency,” says Anita Hossain Choudhry, an government coach and CEO of The Grand, a group-coaching startup. “It may well actually occur in minutes the place you are like, ‘All the things is wonderful. That is going nice.’ And then you definately get an e mail and you are like, ‘This isn’t going to work. That is terrible. Why are we doing this?’”

Entrepreneurs really feel intense strain from buyers, prospects and their very own workers. “You’re virtually anticipated to be superhuman,” says Aditi Shekar, cofounder and CEO of digital banking startup Zeta. “There’s fixed strain to overdeliver, outperform, be overly understanding, overly politically right, overly all the things. And it’s not a brief strain. It’s a persistent strain that invariably has a psychological toll.”

Social and cultural dynamics could make issues worse. Shekar says feminine founders face a singular hurdle: they’re anticipated to be “empathetic, form, beautiful and good, however on the identical time cutthroat and aggressive.” Ryan Williams, the African-American CEO of actual property investing platform Cadre, says that rising up, he didn’t know what despair or anxiousness was as a result of the subject by no means got here up. “There are specific communities the place psychological well being is one thing individuals see–particularly in the event you acknowledge you’re having some points–as an actual weak point and virtually a private defect, particularly within the Black group,” he says. “I don’t need to generalize, however that was the case the place I grew up and with my household.”

Overwork typically causes founders to hit low factors. Throughout his first handful of years as an entrepreneur, Brex cofounder Pedro Franceschi felt the urge “to be productive at each second.” He labored 80 to 100 hours per week, sleeping simply six hours an evening, and felt responsible about taking holidays. In October 2019, Brex had launched an vital new product, a enterprise checking account known as Brex Money. However as an alternative of feeling excited, Franceschi felt anxious, and his despair culminated in having a panic assault the morning after attending a Halloween celebration with buddies in New York. He describes the sensation as “fairly determined, particularly when you do not know what’s occurring … You don’t know in the event you’re having a coronary heart assault.”

A month later, he took per week off, unplugged and began feeling higher. He started seeing a therapist weekly and a psychiatrist quarterly, taking treatment and seeing a coach each two weeks. In the present day he will get between seven and a half and eight hours of sleep. “I do not suppose I knew the place the road was for me” of working an excessive amount of, he says at this time. His therapist has helped him higher perceive himself and why he has sure emotions, and now he can acknowledge indicators of his anxiousness a lot earlier. In November 2022, Brex introduced Catharsis, an initiative aimed toward normalizing psychological well being conversations and providing reductions on psychological well being companies for Brex prospects.

Moments when private {and professional} setbacks coincide might be notably debilitating for founders. In mid-2016, Ryan Caldbeck, then CEO of CircleUp, accomplished a spherical of layoffs after the corporate made a strategic pivot. Round that point, he and his spouse started having fertility points–they wished to have a second little one however couldn’t get pregnant–and to prime it off, he was identified with most cancers. Regardless of an investor telling him to take six weeks off in late 2017, he saved working. “After a lifetime of gritting issues out, I informed myself I didn’t must take a break,” he later wrote in a weblog put up, including that it was the most important mistake of his profession.

The subsequent yr, he tweeted about how psychological well being wasn’t mentioned sufficient, writing, “I really feel all consumed. On a regular basis. It is laborious for me to really feel current in non-work conversations. On my Friday date evening with my spouse, I typically battle to give attention to us–my thoughts slips to work. I hate that.” One other tweet in the identical thread learn, “I really feel extremely lonely. As CEO it’s laborious to completely open up about my firm and it’s laborious to search out different CEOs who’re prepared to be weak and discuss actually concerning the laborious issues.”

Within the fall of 2019, the final straw got here. His five-year-old daughter checked out him and mentioned, “Daddy, you all the time look so unhappy.” She mentioned it twice, and he couldn’t get the remark out of his head. A yr later, he introduced he was stepping down as CEO.

Methods for Managing Psychological Well being

There are main monetary incentives for founders to remain at their corporations. In accordance with a 2010 examine by Babson professor Joel Shulman, the funding returns had been 10 to twenty instances higher for founder-led public corporations than comparative companies led by skilled CEOs.

To organize for the robust journey, founders ought to arrange their psychological well being “infrastructure” as early as potential, Ryan Caldbeck argues, particularly since it might take time to search out the appropriate skilled assist. “I want to see the world deal with psychological well being like dental well being–preventatively,” says Brad Baum, a co-creator of the Founder Psychological Well being Pledge, an initiative to destigmatize psychological well being and encourage entrepreneurs and their backers to spend money on founders’ psychological healthcare.


Remedy is without doubt one of the hottest methods founders are beginning to handle their psychological well being extra proactively. For Pedro Franceschi, remedy is “like having a educated skilled invested in your well-being.” It helps him handle stress and reply questions equivalent to, “What are your values? Who’re the individuals you need to encompass your self with?” Jackie Reses, the previous head of Sq. Capital and CEO of Lead Financial institution, meets with a therapist weekly and has been doing so for years. “It’s a method to enhance how you’re on the earth, and it’s in the end essentially the most hedonistic reward you may give your self,” she says.

Bonobos cofounder Andy Dunn believes each founder ought to be in remedy for no less than six months at a time, each two or three years. He additionally advocates for corporations establishing a $2,000 per yr, per worker stipend for out-of-pocket psychological well being bills. “The charges of insurance coverage reimbursement are abysmally low,” he says.

{Couples} remedy might be useful too. Years in the past, Jocelyne Gardner felt annoyed that her husband Jason appeared to be all the time fascinated by Marqeta. “Even when he was within the room, quite a lot of instances he wasn’t within the room–his thoughts was elsewhere,” she says. They did Imago remedy, which concerned a therapist asking Jocelyne to reply a query and clarify how she felt. Jason needed to repeat what Jocelyne mentioned with out commenting or reacting. “It truly softens you,” Jason says. “You start to essentially internalize [the other person’s feelings], since you’re fascinated by what they mentioned, and also you’re virtually placing your self of their footwear.” Jocelyne says the remedy additionally helped her have extra compassion for the extreme strain Jason was feeling at work.

Coaches are additionally very talked-about. Caldbeck sees a coach as soon as a month and a therapist thrice a month. Stephany Kirkpatrick, the cofounder and CEO of funds startup Orum, meets with a coach weekly, and generally extra typically. Chris Dean, the CEO of banking software program startup Treasury Prime, additionally meets with one weekly. René Lacerte, the founder and CEO of publicly traded fintech firm Invoice, has met with a coach often for 17 years and has used remedy periodically, when private problems with stress have arisen.

For founders selecting between a coach or therapist, scientific psychologist Sherry Walling says that enterprise coaches typically present “sensible perception into mindset and focus. They work for the well-being of the enterprise.” A therapist focuses extra on “the well-being of the human. They’ve a lot deeper, longer coaching and perception into how household points out of your childhood, for instance, have an effect on the best way you lead your crew.” Therapists are additionally required to have sure schooling (equivalent to a grasp’s diploma in counseling), licensure and a minimal variety of supervised scientific coaching hours with sufferers. There are not any official necessities or {qualifications} for being a life or enterprise coach.

Meditation has grown right into a broadly used observe for many years, and lots of notable billionaires founders together with Salesforce’s Marc Benioff, hedge fund titan Ray Dalio and Oprah preach of its advantages. Lead Financial institution’s Jackie Reses meditates for 20 minutes day by day. “More and more, I’ve individuals coming at me from in all places, and I completely want the down time and silence to calm my mind, reset it, and convey myself again to a artistic place,” she says. Franceschi meditates twice a day. Ryan Caldbeck and Stephany Kirkpatrick meditate every day, and Cadre CEO Ryan Williams tries to meditate day by day too.


Regardless of the hustle-culture ethos that has lengthy pervaded Silicon Valley, the place founders brag about sleeping 5 hours or much less an evening, there was a brand new motion towards getting extra sleep. College of California Berkeley neuroscience professor Matthew Walker’s 2017 ebook, Why We Sleep, which accommodates in depth scientific proof on the well being and productiveness advantages of getting seven-plus hours of sleep an evening, has made the rounds in tech circles. Soups Ranjan, the cofounder and CEO of fraud prevention startup Sardine, and Franceschi say the ebook has made a big effect on their lives. Eight of the 13 CEOs we spoke with for this text get seven to eight hours of sleep an evening. Mark Zuckerberg does too.

Many entrepreneurs Forbes spoke to additionally train every day. Invoice CEO René Lacerte workouts each weekday for 30 to 60 minutes–typically going for a run with out headphones to spur artistic thought–and 90 minutes or extra a day on weekends.

In mid-2021, Zeta CEO Aditi Shekar’s father handed away from Covid, and he or she began setting extra boundaries. She prioritized seeing household extra typically and stopped engaged on most weekends, which she says helps with creativity and prevents her firm from changing into her total life. Kathleen Stetson, an government coach and former startup CEO, turned depressed after her tech firm failed in 2017. “I spotted that the crux of that despair actually was this: I had made the startup my identification. It took individuals saying, ‘Hey, you are not Trill, you are Kathleen.’”


Many founders say that peer teams, which allow them to privately share their trials and tribulations with different entrepreneurs, are among the many most useful instruments they’ve for managing psychological well being. Cadre CEO Ryan Williams says such teams had been essential to him in the course of the first a number of months of Covid lockdowns in 2020, when everybody was adapting to distant working and the homicide of George Floyd introduced social injustices towards Black Individuals into sharp aid.

The fintech-focused VC agency QED has an annual convention for entrepreneurs it has invested in, and one session entails placing all of the founders in a room, having each investor depart and shutting the doorways. An outdoor moderator guides the dialog. “These are extraordinarily useful,” says Treasury Prime CEO Chris Dean.

Membership organizations like YPO (the Younger President’s Group) and The Grand arrange peer teams the place founders, executives and workers can brazenly talk about the challenges they’re experiencing.


Each entrepreneur has a unique consolation degree for exhibiting vulnerability with workers. “For the primary 5 years of being CEO, I used to be fairly closed by way of what I might categorical about my fears and insecurities, professionally and personally,” says Ryan Caldbeck. “That was considered one of many elements that contributed to loneliness and despair.” He has since discovered that opening up extra–for instance, saying one thing like, “I really feel apprehensive that we have not nailed our technique, and I’m decided to do this”—helps him construct belief and really feel extra related to his colleagues.

QED managing accomplice and Capital One cofounder Nigel Morris argues that being weak with workers reveals them you’re actual and genuine. “Vulnerability is a power,” he says. “To say, ‘I am unsure what to do,’ or ‘I am confused,’ or ‘I am apprehensive’–it does not promote weak point. It promotes loyalty and dedication.”

Andy Dunn believes in “selective and strategic weak disclosure.” He suggests founders take alternatives like a short e mail or hearth chat to debate a problem they’re working by way of. “It may be quick, and then you definately transfer on, and it’s again to work,” he says.

Dunn offers an instance of an e mail a founder can write: “You can say, ‘Hey, in the event you’re noticing I am coping with a little bit decrease power, I am in a little bit of a low spot. I’ve a historical past of despair, and I take meds and see a health care provider. However I’m powering by way of it, and I’m so grateful for the work you all are doing. Thanks for selecting up and working at such a excessive degree, and I will be there with you quickly.’”

“Folks might be riveted” while you do that, Dunn says. “And also you simply created a protected area for anybody within the group to experiment with sharing their very own emotions.” He provides that, when exhibiting such vulnerability, it’s vital to concurrently share the motion plan for assembly the problem.


In some methods, founders are extra accountable to the enterprise capitalists who again them than anybody else, so VCs “have the loudest voice within the room,” says Founder Psychological Well being Pledge co-creator Brad Baum. One factor buyers can do is just test in with entrepreneurs and ask how they’re doing on a given day. Nigel Morris says, “It is about calling individuals up and saying, ‘How are you feeling? What’s in your thoughts? What are you apprehensive about? How are you doing personally?’”

In 2018, Silicon Valley-based VC agency Felicis started a “1% Founder Improvement Pledge” program the place, for each preliminary funding test it writes to a startup, Felicis provides 1% in non-dilutive capital that founders can spend on psychological well being bills. Greater than 50 founders have taken benefit of it, says Dasha Maggio, Felicis’ co-COO who created and leads this system.

Alexis Ohanian’s enterprise agency Seven Seven Six has since launched its personal spin on Felicis’ initiative, making a “2% Development and Caregiving Dedication” the place the agency invests 1% on prime of each preliminary test for “founder private development” and one other 1% for caregiving. However such 1% applications haven’t gained huge adoption, doubtless as a result of they’re seen as too costly.

Founders themselves have begun taking steps to assist their very own workers’ psychological well being. Funds startup Orum offers workers the primary Friday of each month off for a “psychological well being Friday.” Workers are nonetheless on name to prospects, however they don’t take gross sales calls or outdoors conferences, they usually keep off e mail and Slack, says CEO Stephany Kirkpatrick. The corporate additionally closes its workplaces between Christmas and New 12 months’s, and it pays 100% of its workers’ medical health insurance. At Treasury Prime, Chris Dean encourages workers to talk up in the event that they’re having psychological well being points and generally tells them to take a few days or per week off, they usually come again feeling higher, he says.


Psychiatrist Michael Freeman says it’s essential to remain near family and friends so you’ve got a powerful social assist community of people that aren’t related to your corporation. He provides that common “publicity to extra primitive pure environments like mountains and rivers and streams” can have a restorative impact, and it elevates creativity.

Utilizing medication like MDMA (in any other case generally known as ecstasy or molly), psilocybin (magic mushrooms) and ketamine to handle psychological well being is a current development. “Lots of my entrepreneur purchasers are enthusiastic about speaking about utilizing psychedelics, each in psychological optimization and in therapy,” says psychologist Sherry Walling. “It’s already occurring lots in Silicon Valley.” She often makes use of ketamine-supported psychotherapy with sufferers and expects that MDMA and psilocybin will ultimately be permitted by the FDA for medical use.

The CEOs we spoke with for this text say they haven’t tried utilizing any of those medication to enhance their psychological well being, however they don’t write them off both. Franceschi says he’s “conscious of the in depth analysis being performed on this discipline, and I discover it each attention-grabbing and promising.” Caldbeck says he is aware of individuals who have tried them, they usually “rave concerning the results.” Elon Musk has reportedly used ketamine to deal with despair (he didn’t reply to Forbes’ request for remark). He tweeted in June that ketamine “often is a greater choice” to deal with despair than the broadly prescribed antidepressants in the marketplace.

Walling cautions that the dangers of utilizing experimental methods are that “generally these develop into take-home methods … when achieved improperly, a few of these medicines might be actually problematic.” Y Combinator accomplice Michael Seibel notes the dangers as properly, saying, “Your mechanisms for dealing with stress can’t be extra dangerous than the stress.” They’ve to enhance your well being in each the brief and long run.


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