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10 Jun 2025

Ep. 22 - The Hidden Cost of Success: Mental Health in Entrepreneurship

Nahed Khairallah
Written by
Nahed Khairallah
The entrepreneurial journey, while often glamorized on social media, comes with significant mental health challenges that affect founders. This newsletter dives into the reality of entrepreneurship - from 70-hour work weeks to constant anxiety about survival - while providing practical solutions like the Energy Audit System and essential wellness practices to help founders thrive. Beyond highlighting the personal costs and dispelling common myths, we explore how entrepreneurs can build sustainable success without sacrificing their mental and physical well-being.

Welcome back to another edition of the Organized Chaos newsletter! This week, I’m addressing the journey of entrepreneurship and the mental toll it takes on founders.

The Reality Check

72% of entrepreneurs report mental health concerns including depression, anxiety, bipolar disorder, addiction, and ADHD. This striking statistic from Dr. Michael A. Freeman’s 2015 study shatters the glamorous façade of entrepreneurship portrayed on social media.

Let’s be real - the entrepreneurial journey isn’t about perfectly curated Instagram posts and overnight success stories. It usually involves:

  • Sleepless nights
  • Constant anxiety about financial survival
  • 70+ hour work weeks
  • Missing personal commitments
  • The weight of endless decision-making

The Myth of the "9-to-5 Entrepreneur"

Those stories about building multimillion-dollar businesses overnight while working 40-hour weeks? They often conveniently omit crucial details like:

  • Inherited wealth
  • Supporting spouses
  • Substantial savings safety nets
  • Previous successful exits

The harsh reality: When your ability to put food on the table depends entirely on your business success, the mental toll is significantly higher.

The Personal Cost

The entrepreneurial journey exacts a heavy toll on personal relationships and work-life balance. Founders often find themselves missing crucial family milestones and watching friendships slowly fade as work demands consume their time and energy.

Romantic relationships strain under the weight of constant business pressures and diminished quality time.

The rare vacation becomes a luxury rather than a necessity, with many entrepreneurs going years between proper breaks.

Perhaps most insidiously, the constant adrenaline rush of business breakthroughs, deal closings, and crisis management creates an addictive cycle that makes it increasingly difficult to step away and find balance.

This combination of sacrificed personal connections and work addiction creates a perfect storm that can leave entrepreneurs feeling isolated despite their professional success.

Practical Solutions for Mental Wellness

After working with hundreds of entrepreneurs and experiencing burnout firsthand, I’ve developed a set of successful strategies that many founders can benefit from.

The biggest revelation? Burnout isn’t necessarily from long hours alone - it’s the crushing weight of constant decision-making, endless responsibilities, and perpetual risk management that takes the heaviest toll.

Here are the strategies that helped me change the course of my entrepreneurial journey:

The Energy Audit System

Implement this 5-step process every 3-6 months:

  1. Track your activities for a couple of weeks and write down everything you do.
  2. Rate each activity on an energy scale from -5 (extremely draining) to +5 (extremely energizing).
  3. Turn your attention to the work you’ve scored towards the top and the bottom of your scale and identify the patterns in what depletes and what energizes you.
  4. Create an action plan to delegate or minimize draining activities.
  5. Schedule more energizing activities into your routine.

Essential Well-being Practices

  • Set Clear Boundaries: Establish firm working hours and stick to them
  • Exercise Regularly: Find your sweet spot for the type of exercise and time of day
  • Prioritize Sleep: Quality rest leads to better decision-making
  • Build a Support Network: Connect with other entrepreneurs who understand your journey and can offer helpful advice

The Silver Lining

While the entrepreneurial path is fraught with challenges, it offers transformative rewards that many founders find irreplaceable.

The learning curve is exponentially steeper than traditional employment. The depth of business acumen gained through hands-on experience across every aspect of operations - from sales and marketing to finance and human resources - creates an unparalleled understanding that no MBA program or corporate job can replicate.

Beyond professional growth, the personal transformation is profound. Entrepreneurs often discover reserves of resilience, creativity, and leadership they never knew they possessed. There’s an indescribable satisfaction in building something meaningful from scratch, watching your vision materialize, and knowing that your work creates value for others.

Remember: Entrepreneurship is a marathon, not a sprint. The goal isn’t just building a successful business—it’s building one that doesn’t compromise your mental and physical health.

Nahed Khairallah
Written by

Nahed Khairallah