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Mental health issues and entrepreneurship



Kirjoittanut: Ariel Cohen - tiimistä SYNTRE.

Esseen tyyppi: Akateeminen essee / 3 esseepistettä.
Esseen arvioitu lukuaika on 9 minuuttia.

Handling mental issues as an entrepreneur 

 

This essay is written by Ariel Cohen and Elina Valve 

 

Intro 

Entrepreneurs’ capitals are more than just financial capital. Mental health is part of entrepreneurs working ability. The most common occupational disease is exhaustion. As an entrepreneur, you need to improve your entrepreneurial skills all the time. One of these skills is performance and stress management. An entrepreneur needs to be good at self-management to be good at leading. As in an airplane you put an oxygen mask first on your face, then others.  

This essay is about our own thinking and experience in stress management and mental issues throughout life as an entrepreneur. We tried to think about what leads to that and what kind of stigmas is behind it and how we can manage it. 

 

Ariel  

Lately in my life, there has been this series of unfortunate events going on, and combining that with other things that have happened to me in the past, l had to think of many ways how to handle these issues with school, entrepreneurship, hobbies, friends and being a father to my amazing son. The reality is that there is not any common model of how to do it and every one of us is different in many ways, but there are some general things that can help each and every one who is having hard times in their life. This essay is not written by a psychologist or other mental health professional, it is mostly written from the viewpoint of a regular guy with some shit going on in life.  

 

When l refer to shit going in my life, l mean that my best friend just died in a car accident and l have been battling with an injured leg that left and will leave me out of wrestling for a long time.  l have been diagnosed with bipolar disorder and suffered from anxiety and depression for a long time.  

 

When l started to write, l mostly wanted to write this to me, but when going deeper into the subject l thought that this could turn into a real essay and l could learn more about depression among entrepreneurs. Mental issues are often kept secret because it is not something people preserve to be normal and it shows that people are actually much more fragile and broken.  The stigma around mental issues is real and it is the reason why people are not seeking help or talking about it. One in five adults in the US are living with mental issues and less than a half of them are seeking help because they are too ashamed and fear judgment. (Libby M. 2020)  

 

Stigma 

Stigma means when someone is viewing you in a negative way because you have a distinguishing characteristic or personality that is thought to be a disadvantage. Unfortunately, stigmas can lead to discrimination. It can be obvious and straight or just completely unintentional or subtle.  

“Some of the negative effects of stigmas can include: 

 

  • Reluctance to seek help or treatment 
  • Lack of understanding by family, friends, co-workers, or others 
  • Fewer opportunities for work, school, or social activities or trouble finding housing 
  • Bullying, physical violence, or harassment 
  • Health insurance that doesn’t adequately cover your mental illness treatment 
  • The belief that you’ll never succeed at certain challenges or that you can’t improve your situation” 

 

(Mayo clinic staff. Mental health: Overcoming the stigma of mental health. 2017) 

The topic of mental health is more visible than ever and is considered a significant public health issue. They are prevalent, disabling, and often chronic illnesses that cause a huge economic burden for society, causing huge amounts of direct and indirect costs, influencing significantly the outcome of cancer, diabetes, and cardiac diseases, lowering your immune system, and also increasing the risk of substance abuse.  So why so few of us are seeking the help they need? The answer is that the stigma around it is still a huge barrier.    (Annie S. 2020) 

 

When someone has a physical illness, like a broken hand, cancer, or even diabetes, we rally around them and offer our help, support, and empathy. A strong network provides resilience and helps people manage trough stress in hard times. Why is it that when someone who is struggling with mental illness and is being brave enough to actually talk about it, rather than being supportive, we throw out platitudes like “Just don’t think about it”, “Just be positive and think about positive things”, “There is bigger problems than that” or “lot of people are having harder times than you”. This attitude usually just does more harm than good.  

 

“Stigmatization of mental illness isn’t something new. Marginalization of people with mental illness has been going on for thousands of years. Early beliefs about the causes of mental illness, such as demonic possession, magic, the wrath of a deity or moral punishment, provoked reactions of fear, mistrust, and discrimination.” (Libby M. 2020).  

 

So how all of this relate to entrepreneurship?  

 

The game of entrepreneurship is idolized and associated with words like “Freedom” and “Autonomy” but the emotional side of individuals is not talked about often. Freedom brings with it responsibility. Sometimes the responsibility for the whole business is exhausting. Entrepreneurs have lots of responsibility which leads often to burnout. Entrepreneurship is this golden road to success and you are the boss of yourself.  Although entrepreneurship is surrounded by these motivating words, unfortunately, the reality doesn’t always match. UC Berkeley, a university in California recently published a study about mental health issues among entrepreneurs and they found that 72 % of them have reported mental health concerns during their careers. (“The entrepreneurs were significantly more likely to report a lifetime history of depression (30%), ADHD (29%), substance use conditions (12%), and bipolar diagnosis (11%) than were comparison participants.

 

Groups did not differ in rates of anxiety, with 27% of entrepreneurs and 26% of non-entrepreneurs reporting anxiety concerns. Asymptomatic entrepreneurs described their first-degree relatives as experiencing significantly more mental health conditions than did the asymptomatic comparison participants, including depression, ADHD, substance use conditions, and anxiety.”  (UK Berkeley ) 

 

Now that there is clear proof, that there are a lot of mental health issues around entrepreneurship, we can start to go a bit deeper to what is the actually the psychological price of entrepreneurship.  

 

As we all know, there are companies and entrepreneurs everywhere you go and you might think that starting a somehow successful company is easy, but in reality, it is much harder than you think. The small business administration defines a small business to be operated with under 500 employees and although it seems like small business or startup companies are not a big part of the economy, small businesses actually make up 99,9 % of all US businesses. According to the small business administration, in 2019, the failure rate of startups was around 90 % divided by 10 years, with over 50 % of them failing in the first three years. Now, after addressing this, the mental issues among most entrepreneurs do not sound odd. You are on this rollercoaster of feelings during your journey and you are most likely to crash in the end. That sounds tempting, right?  (Bryant. S. 2020) 

 

There are many reasons why entrepreneurs get depressed. Having bad success in your company, naturally being prone to high levels of anxiety, difficulties feeling that you are not in control of things, getting rejections from investors, working too much and suffering from burnout, being sabotaged by your partners, staff, or investors. It is not rare to go bankrupt and actually financial problems are the leading cause of anxiety, depression, and suicidality.  

 

Female entrepreneurs tend to face gender-based obstacles such as gender bias, biological influences, gender-based violence, and challenging work conditions (e.g., gender pay gap, sexual harassment, longer working hours, aesthetic labor, etc.) Good thing is, that women are usually more likely to talk about their feelings than men so it is easier to recognize the problem and find a solution.  (Negruzi. A. 2021)  

 

Male entrepreneurs usually want to have more control of everything and financial stress is a significant risk for people who thinks that they are in the role of “provider”. Although we live in this equal world, the old roles from history still exist. Sadly, many men still live in this illusion. 

 

Entrepreneurs usually juggle many roles, thinking they need to do everything alone, face countless setbacks with lost customers, disputes with partners, all the time increasing competition, issues with hiring employees, and covid19, all while trying to make payroll. You are battling against constant traumatic events in your career that can and will affect you in the future. Traumatic events can cause more mental health issues and just like a domino effect the pit just gets deeper. Starting entrepreneurs might think that they are much more resilient than they actually are. You eat too much or too little, you don’t sleep, you stop exercising, and make your social life suffer.  

 

“People who are on the energetic, motivated, and creative side are both more likely to be entrepreneurial and more likely to have strong emotional states,” says psychiatrist and former entrepreneur Michael. A Freeman is researching mental health and entrepreneurship. Those states may also include depression despair, hopelessness, worthlessness, loss of motivation, and suicidal thinking.  (Bruder. J.) 

 

“Rather than showing vulnerability, business leaders have practiced what social psychiatrists call impression management–also known as “fake it till you make it.” Toby Thomas, CEO of EnSite Solutions (No. 188 on the Inc. 500), explains the phenomenon with his favorite analogy: a man riding a lion. “People look at him and think, This guy’s really got it together! He’s brave!” says Thomas. “And the man riding the lion is thinking, How the hell did I get on a lion, and how do I keep from getting eaten?” (Bruder. J.) 

 

Tools to handle mental issues 

Dopamine is playing a huge part in human mental health. If we think about daily routines and daily life, there are many little things example learning new things or social interaction, which cause little spontaneous dopamine spikes. Our daily life should cause these spikes randomly. If we don’t have dopamine spikes at all, we live in a dopamine desert. Dopamine desert leads us to bad situations where we try to reach pleasure in unhealthy ways example fast food or drinking alcohol. 

 

Firstly entrepreneur needs to understand how important is to have good mental health. They need to recognize their own resourses. Basic problem solving is understanding the problem. Then you can choose the way to solve it. One of the easiest and still most important ways to get dopamine spikes is through social interaction. Hundreds of studies establish that social support benefits mental and physical health (Cohen 2004). Social support may have an indirect effect on health through enhanced mental health, reducing the impact of stress, or fostering a sense of meaning and purpose in life (Cohen 2004). Because this is one of the most important ways to keep good mental health, we need to as an entrepreneur have a safety net. Before starting a business you need to make sure, you have people around you cheering up and standing your back if something happens.  

 

Second, if you watch how most successful people are living, you can see they have pretty good habits. They wake up early, work out, eat healthily, etc. It’s not magic or something everybody can´t reach. Their life is all about balance, and they understand how owning good habits keeps up a good performance. This is something everybody should learn, especially entrepreneurs. Because entrepreneurs’ time is limited, we need to be good at self-management. 

 

We get dopamine when we succeed. Commitment at work is good when our work and reward are balanced, (Koskela 2011). Goals need to be achievable and in their own skill level. If the target is too far or too hard to accomplish, it often fails and causes too much stress.  

 

One of the cheapest tools to handle stress and mental struggles is to be thankful. Gratitude is one tool to make our mindset more positive and happier. Gratitude takes attention away from failures, disappointment, it strengthens self-worth and dignity, (Mattila, 2018) Gratitude is like medicine. But without side effects. Gratitude training can be just a 15minutes per day. It can be meditation or walking in nature. It can be a gratitude journal, where you put 3 things you are thankful about the current day. 

 

In the book thinking slow and fast, Daniel Kahneman was a point about entrepreneurs being often too optimistic. They think that statistics don’t apply to them. This is a common illusion. For example, 90% of riders think that they can drive better than is it. (Kahenman, 2011,299). This illusion leads to bigger risk-taking. And it´s not a bad thing to be optimistic. Entrepreneurship sometimes needs that, you need to believe your own idea, on the other hand, you need to identify the situation where is the best place to give up.  

 

 

Elina 

My own battles as an entrepreneur have been about exhaustion and performance-orientedness. I make too much pressure on my head. I often catch myself thinking that I need to be like the next Elon Musk to be accepted as a human. This kind of thinking is not good for mental health. It’s good I’m already self-conscious about it. The problem is that I’m battling with myself about whether is it good or bad and whether I need to try to achieve success like that? Well, you get it, I’m a girl who has straight A syndrome. This has been my syndrome for as long as I remember and often I think I`m trying to be some kind of superhuman. This is a very common problem among women.  

 

I started as a private entrepreneur. Then worked with my friend and we established a smoothie bar last summer. I can tell you, this job wasn´t two girls’ job at all. I mean about that, we worked the whole summer 24/7 and burned out ourselves. Now I have done teamworking and projects in Kipinä. I can say that team has the power. We can help each other and no one arent left alone. This leads us to a conclusion; Team working is more valuable than solo working as an entrepreneur. I know it is tempting to start your own business all alone, well all money flows to you. But if you think about it in the bigger picture, you see you can´t do it all by yourself. You need to delegate responsibility to others and trust them. This is the point about team leadership. Maybe you have many members in your business, but you really do everything right in the first place. It is better to be slow and sure than fast and fail. 

 

 

References: 

 

Mattila, A. 2018. Gratitude. https://www.terveyskirjasto.fi/ont00901 

 

Koskela, M. 2011. Entrepreneurs working ability  https://www.theseus.fi/bitstream/handle/10024/34981/Koskela_Matti.pdf?sequence=1&isAllowed=y 

 

Kanheman, D. 2011. Thinking fast and slow. Turtleback books. 

 

MacCathy. L. 2020. Why we need to stop judging mental illness. Read on 18.05.2022 

https://www.psycom.net/mental-illness-stigma 

 

Mayo Clinic Staff. 2017. Mental health: Overcoming the stigma of mental illness. Read on 15.04.2022.  

https://www.mayoclinic.org/diseases-conditions/mental-illness/in-depth/mental-health/art-20046477 

 

Stuart. A. 2020. How depression affects your body. Read on 25.04.2022.  

https://www.webmd.com/depression/how-depression-affects-your-body 

 

Freeman, A. M. Johnson, S. L. Staudenmaier, P. J. Zisser, M. R. 2015. Are entrepreneurs touched by the fire. Read on 25.4.2022 

 

https://www.michaelafreemanmd.com/Research_files/Are%20Entrepreneurs%20Touched%20with%20Fire%20(pre-pub%20n)%204-17-15.pdf  

 

Bryant. S. 2020. How many startups fail and why. Read on 25.04.2022.  

https://www.investopedia.com/articles/personal-finance/040915/how-many-startups-fail-and-why.asp 

 

Negruzi. E. 2021. Lets talk about entrepreneurs’ mental health. Read on 25.04.2022. 

https://starthub.london.edu/lets-talk-about-entrepreneurs-mental-health/ 

 

Bruder. J. 2014. The psychological price of entrepreneurship. Read on 25.04.2022 

https://www.inc.com/magazine/201309/jessica-bruder/psychological-price-of-entrepreneurship.html  

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