Entrepreneurs & founders
You built something from nothing. You deserve the same care you give your business.
Running a business and your mind
Why founders carry so much, and common myths.
Starting and running a business takes vision, courage and stamina. Entrepreneurs create jobs, solve problems and serve their communities. They also often carry heavy stress alone, with their savings, reputation and other people’s jobs on the line.
In a 2019 study of 242 entrepreneurs, mental health differences directly or indirectly affected 72% of them, through their own experiences or their family’s. The traits that help founders succeed, like drive, energy and willingness to take risks, are strengths. They also need balance.
Who this guide is for
- Family business owners
- Freelancers, consultants and gig workers
- Shop, restaurant and trade business owners
- Startup founders and co-founders
- Anyone thinking about starting something of their own
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Startup culture often celebrates sleepless nights. But the CDC notes that enough sleep helps with attention, memory, stress and mood, all things a founder needs to make good decisions.
The CDC recommends 7 or more hours of sleep a night for adults. Busy, driven people often sleep far less.
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You do not have to share every fear with your staff. But having a few places where you can be fully honest, like a mentor, peer group or counselor, protects you and your business.
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From the outside, a busy shop or a big funding round can hide a lot. Even very successful founders can feel empty, anxious or alone. Struggling is not a sign that you are failing. It is a sign that you are human.
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- Comfort with risk and challenge
- Creativity and problem-solving
- Drive and the ability to keep going
- Learning fast from what does not work
- Seeing possibilities others miss
Isolation at the top
“It’s lonely at the top”, even at the top of a tiny company.
Founders often feel they cannot share fears with staff, investors or even family. They may worry that showing doubt will hurt morale or confidence in the business. Many work long hours alone, especially in the early days.
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Founders often feel they must look confident for employees, customers and investors. Over time, keeping worries hidden can feel heavy and lonely.
What can help
- Find a mentor who has been through it
- Have one person you can be fully honest with
- Join a peer group of other founders or business owners
- Keep friendships that have nothing to do with your business
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Long hours, money worries and constant phone checking can leave partners and kids feeling second place. Families may also share the money risk without having a say.
What can help
- Agree on phone-free family time
- Share the big picture honestly with your partner, not every detail
- Make big money decisions together
- Plan regular time that is just for family
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Disagreements about money, roles or direction can be painful, especially between friends or family. Unspoken tension can wear down both people.
What can help
- Write down roles and how decisions get made
- Hold regular honest check-ins, not only about numbers
- Bring in a neutral advisor or mediator early if things get stuck
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Ideas
- Work from a coworking space or café sometimes
- Set up a weekly call with another freelancer
- Join a local business association or online community
- Plan social time outside work into your calendar
Risk and money worries
Personal savings, loans and paychecks all riding on the business.
Many entrepreneurs put their own money, home or family savings into their business. Cash flow can swing from month to month. Worrying about making payroll or paying back loans can keep people awake at night.
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What can help
- Keep separate bank accounts for business and home
- Pay yourself a set amount, even if small
- Decide ahead of time how much risk you and your family can handle
- Get advice from an accountant or a free small-business advisor
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Knowing that employees and their families depend on you can be motivating, and also heavy. Many owners lose sleep over layoffs or late paychecks, even when the cause is outside their control.
What can help
- Be honest with staff early when times are hard
- Get advice before making painful decisions alone
- Remember that you are responsible for doing your best, not for controlling the economy
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SCORE (score.org) is a nonprofit partner of the U.S. Small Business Administration (SBA). Its volunteer mentors offer free, confidential business mentoring in person, by phone or by video.
The SBA also works with Small Business Development Centers, Women’s Business Centers and Veterans Business Outreach Centers, which offer training and counseling. You can find local help at sba.gov.
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What can help
- Write down tomorrow’s money tasks before bed, then close the laptop
- Pick one set time each day to check the numbers
- Talk worries through with someone during the day, not at 2 a.m.
Pressure and decision fatigue
Investors, family, staff, and your own high expectations.
Startup culture often celebrates “hustle”, sleepless nights and overnight success. Social media shows other founders’ wins, not their struggles. This can make normal setbacks feel like personal failure.
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What can help
- Celebrate small wins along the way
- Define success in your own words, not only in money or growth
- Remember that most businesses face setbacks and change direction
- See a business setback as information, not as proof of who you are
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Founders make constant decisions: hiring, pricing, products, problems, emails. Many people notice that after a long day of choices, it gets harder to think clearly, and they become more impulsive or put things off.
What can help
- Create simple routines and rules for small choices
- Hand off decisions to trusted team members
- Make your biggest decisions earlier in the day
- Sleep on big decisions when you can
- Take real breaks away from screens
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Funding announcements and success posts rarely show the debt, doubt and failed attempts behind them. Comparing your messy middle with someone else’s big moment can make you feel behind.
What can help
- Limit time on business social media
- Measure progress against your own goals
- Talk with founders who share the hard parts honestly
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Most founders are learning on the job. Feeling unsure is normal when you are doing something new. It does not mean you do not belong.
What can help
- List problems you have already solved
- Ask for help early. Experts expect questions.
- Talk about the feeling with peers. Most will recognize it.
When a business struggles or closes
Setbacks, closing and starting again.
Business struggles and closures are common. U.S. Bureau of Labor Statistics data show that about 1 in 5 new business locations close within their first year, and only about half are still open after five years.
That does not make it hurt less. For many founders, the business holds years of work, money and hope. Losing it can feel like losing part of yourself.
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People may feel sadness, anger, relief, shame or numbness after closing a business, sometimes all in one day. These are normal reactions to a real loss.
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Many founders worry about telling family, staff or investors. Shame can make people hide away just when they most need support.
What can help
- Tell the story in simple words: “It didn’t work out, and I learned a lot”
- Lean on people who care about you, not your business
- Remember that many founders try more than once
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Questions to ask
- What was outside my control?
- What would I do differently next time?
- What did I do well?
- What do I want my next chapter to look like?
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Some people start again quickly. Others take a job, rest or change direction. There is no right timeline. Taking time to recover can help you choose well.
Founder burnout
When you are the business, it is hard to switch off.
The World Health Organization describes burnout as coming from long-term work stress that hasn’t been managed well. It has three parts: feeling drained of energy, feeling distant or cynical about your work, and feeling less effective at it.
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Many founders work evenings, weekends and holidays, always on call for problems. Without rest, exhaustion builds.
Signs to notice
- Constant tiredness
- Cynicism about the business or customers
- Health problems or getting sick more often
- Losing interest in work you used to love
- Strained relationships
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What can help
- Set “off” hours and tell your team
- Turn off work notifications at night
- Name a backup person for emergencies
- Keep one day a week mostly free from work
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What can help
- Plan for the business to run without you for a few days
- Write simple guides so others can handle common tasks
- Start small: one long weekend, then a full week
- Get support from a counselor or coach before you hit empty
Daily foundations
Sleep, food, movement and boundaries that keep you going.
Busy founders often skip the basics. But sleep, regular meals, movement, time outdoors and connection with others are the base that everything else stands on.
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- Eat regular meals and drink enough water
- Make sleep a priority, with a steady schedule and less screen time before bed
- Move: just 30 minutes of walking a day can help lift mood, and shorter bouts add up
- Set priorities, and say no to new tasks when you are stretched too thin
- Stay connected with people who can give emotional or practical support
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CDC sleep tips
- Go to bed and wake up at the same times
- Keep your bedroom quiet, dark, relaxing and cool
- Limit caffeine later in the day, and avoid alcohol and big meals near bedtime
- Put screens away at least 30 minutes before bed
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When your entire identity rests on your business, every setback can feel like a threat to who you are. Building other parts of life gives you balance and a soft place to land.
Try this
- Keep one hobby that has nothing to do with work
- List five things you are besides a founder, like friend, parent, cook, reader
- Spend time with people who knew you before the business
How community helps
People who truly understand your path.
Talking with others who face the same pressures can bring relief, ideas and hope. Peer support makes it clear you are not the only one.
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Where to find them
- Chambers of commerce and local business associations
- Coworking spaces and startup meetups
- Industry groups for your field
- Online communities for founders and freelancers
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SCORE mentoring is free, no matter how many times you meet. Mentors are volunteers with real business experience, and conversations are confidential.
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The SBA works with Women’s Business Centers for women entrepreneurs and Veterans Business Outreach Centers for veterans who own or want to start a business.
Many communities also have business groups for immigrants, people of color, LGBTQ+ owners and people with disabilities.
Supporting a founder
For partners, families, friends, staff and investors.
Founders often feel they must look strong. They may hide struggles to protect investors’ confidence or their team’s morale. A caring person who notices and asks can open the door.
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SAMHSA suggests talking when and where the person feels safe, speaking plainly, and watching how they react, slowing down if they seem upset.
Openers adapted from SAMHSA
- “I’ve been worried about you. Can we talk about what you’re going through?”
- “I care, and I want to listen. What do you want me to know about how you’re feeling?”
- “It seems like a hard time. How can I help you find support?”
Founder-specific openers
- “How are you holding up, not the business, you?”
- “What would help you rest this week?”
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- “I told you it was too risky.”
- “Must be nice to be your own boss.”
- Comparing them with a more successful founder
- Treating a failed launch or closure as proof of who they are
SAMHSA encourages treating people with mental health problems with respect, compassion and empathy, and reminding them that help is available.
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- Celebrate effort and character, not only sales
- Cook a meal or handle an errand during a crunch
- Help them find a mentor, peer group or counselor
- Keep inviting them to plans, even if they often say no
- Protect their rest: plan low-key time away from work
SAMHSA suggests offering help with everyday tasks and continuing to include people in your plans without being overbearing.
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A business failure, big debt or a falling-out with a partner can hit very hard. NIMH lists warning signs such as talking about wanting to die or being a burden, feeling hopeless or trapped, withdrawing, giving things away, taking dangerous risks, and drinking or using drugs more.
The 5 action steps (988 Lifeline)
- Ask directly: “Are you thinking about suicide?” Research shows asking does not increase risk.
- Be there, in person or by phone.
- Help keep them safe by putting time and distance between them and dangerous items.
- Help them connect to 988, a clinical provider or other ongoing support.
- Follow up with a call or text in the days after.
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Living with a founder means living with the highs and lows of the business. Keep your own life, friendships and rest going.
- Get your own counseling if you need it
- Say clearly how much money risk you are comfortable with
- Talk with other partners of business owners
When and where to get help
Signs it’s getting too much, and where to start.
Founders are often very good at pushing through. That can make it hard to notice when stress has gone too far. Signs often show up slowly, in sleep, mood, body and relationships.
Reach out if
- A business loss or debt has left you feeling hopeless or trapped
- Feeling your worth depends entirely on how the business is doing
- Pulling away from friends and family
- Stress, low mood or worry has lasted two weeks or more
- You are struggling to sleep, eat or work
- You are using alcohol or other substances to wind down or keep going
- You have any thoughts of hurting yourself or someone else
NIMH suggests getting professional help if distressing symptoms, like trouble sleeping, changes in appetite, losing interest in things you enjoy or struggling to manage everyday tasks, have lasted two weeks or more. A primary care provider is a good first stop and can refer you on.
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Talking therapies help people understand their thoughts and feelings and build new ways to cope. Some counselors specialize in business owners and leaders.
Common approaches
- Acceptance and commitment therapy (ACT): living by your values even when feelings are hard
- Cognitive behavioral therapy (CBT): noticing and changing unhelpful thought patterns
- Mindfulness-based approaches: staying present instead of stuck in worry
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- Talk to your clinical provider.
- Look for a therapist who works with business owners. Many offer evening or online sessions.
- For business worries, get free mentoring from SCORE or a local Small Business Development Center.
- Tell one person you trust how you are really doing.
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Find A Helpline (findahelpline.com) lists free, confidential crisis helplines around the world. You can search by country and topic.
Many countries also have free government or nonprofit advice services for small businesses.
By the numbers
What research tells us about founders and small businesses.
Founders
U.S. businesses
📝 Worksheets for this guide
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Sources
- Small Business Economics (Freeman et al.) (2019). The prevalence and co-occurrence of psychiatric conditions among entrepreneurs and their families
- U.S. Bureau of Labor Statistics (BLS) (2025). Business Employment Dynamics: Survival of private sector establishments by opening year (Table 7)
- SCORE (resource partner of the U.S. Small Business Administration). SCORE Frequently Asked Questions
- U.S. Small Business Administration (SBA). Resource Partners
- World Health Organization (WHO) (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases
- Centers for Disease Control and Prevention (CDC). About Sleep
- National Institute of Mental Health (NIMH). Caring for Your Mental Health
- Substance Abuse and Mental Health Services Administration (SAMHSA). For Friends and Family Members (How to Talk About Mental Health)
- National Institute of Mental Health (NIMH). Warning Signs of Suicide
- 988 Suicide & Crisis Lifeline. Help Someone Else
- 988 Suicide & Crisis Lifeline (#BeThe1To). #BeThe1To: The 5 Steps and the Evidence Behind Them
- ThroughLine (with the International Association for Suicide Prevention). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

