Trigger warning: This post discusses mental health struggles, burnout, and suicide. If youâre in crisis, please call 988 (Suicide and Crisis Lifeline).
I just left the âFounder Wellnessâ session at SF Tech Week and Iâm shaken. The numbers are devastating, the stories are heartbreaking, and weâre all pretending everything is fine. ![]()
Sessions attended:
- âFounder Mental Health: Breaking the Silenceâ panel
- âBeyond the Hustle: Sustainable Startup Cultureâ workshop
- YC Alumni âThe Dark Side of Buildingâ roundtable
- 1-on-1 conversations with 15+ founders at networking events
My context: Serial founder, 2 failed startups, 1 current (struggling), diagnosed with anxiety/depression in 2024
The Numbers That Shocked Me
From SF Tech Week panel - 2025 founder mental health data:
Overall mental health impact:
- 72% of founders report mental health impact from startup work
- 54% experienced burnout in last 12 months
- 46% said mental health has been âbadâ or âvery badâ
- 75% experienced anxiety in the past year
- 83% experience high stress consistently
Only 6% of founders had NO mental health issues in last 12 months.
Let that sink in: 94% of founders are struggling.
Compared to general population:
- Entrepreneurs: 50.2% have anxiety
- General population: 18.1% have anxiety
- Entrepreneurs are 2.8x more likely to have anxiety
Depression:
- Entrepreneurs: 2x more likely than general population
- Bipolar disorder: 3x more likely
- Attempted suicide: 2x more likely
The stat that hit hardest:
Entrepreneurs are 2x more likely to attempt suicide than general population.
The Tragedy Nobody Talks About
From the panel - recent cases in 2025:
April 2025: Jacob Thomas, 23-year-old software engineer in India, died by suicide due to work pressure. His case sparked national conversation about tech burnout.
The panel shared (anonymized) recent founder suicides:
- Series A founder, died 3 weeks after difficult board meeting
- Solo founder who couldnât raise, found dead in apartment
- Technical co-founder after being pushed out by investors
Panelist (therapist specializing in founders): âIâve had 3 clients attempt suicide in the past year. All were âsuccessfulâ founders from outside perspective.â
The room was SILENT.
Nobody wants to talk about this. But itâs happening.
Why Founders Are Suffering (The Real Reasons)
From roundtable discussions - founder perspectives:
Reason 1: The âalways onâ expectation
Reality of founder life:
- Average hours/week: 60-80 (some 100+)
- Last real vacation: âCanât rememberâ
- Weekends off: âWhatâs a weekend?â
- Sleep: 4-6 hours/night typical
- Exercise: âI used toâŚâ
Quote from founder: âI feel guilty when Iâm not working. Even at my kidâs soccer game, Iâm on Slack.â
Reason 2: The loneliness
26.9% of founders struggle with loneliness and isolation.
Why:
- Canât talk to team (youâre the leader, must project confidence)
- Canât talk to co-founder (already stressed)
- Canât talk to investors (theyâll think youâre weak)
- Canât talk to spouse/family (they donât understand)
- Friends from before donât get it
Quote: âIâm surrounded by people all day and Iâve never felt more alone.â
Reason 3: Financial stress
Reality for most founders:
- Taking below-market salary (or none)
- Burning personal savings
- Canât afford health insurance
- Delaying medical care
- Relationship stress from money problems
39% of founders considering quitting in the next year.
Why: Canât sustain financially or emotionally anymore.
Reason 4: Constant rejection
Fundraising reality:
- Average: 50-100 investor pitches
- Success rate: 1-3%
- Thatâs 97-99% rejection
Customer acquisition:
- Cold emails: 1-2% response rate
- Sales calls: Mostly ânoâ
- Product feedback: Often brutal
Hiring:
- Candidates decline (choose big tech stability)
- Employees leave (better opportunities)
Youâre being told ânoâ constantly. For years.
Reason 5: Imposter syndrome
87.7% of entrepreneurs struggle with at least one mental health issue.
Common thoughts:
- âIâm faking it, I donât know what Iâm doingâ
- âEveryone else seems to have it togetherâ
- âI got lucky, Iâm not actually goodâ
- âWhen will they find out Iâm a fraud?â
Even âsuccessfulâ founders feel this.
The Hustle Culture Problem
From âBeyond the Hustleâ workshop:
The toxic narrative we celebrate:
- âI havenât slept in 3 daysâ (badge of honor)
- â100-hour weeksâ (proof of commitment)
- âSleeping on office floorâ (dedication)
- âHavenât seen family in weeksâ (sacrifice)
- âMental health is for quittersâ (unspoken but implied)
Social media makes it worse:
- Founders posting 5am workouts before 18-hour days
- LinkedIn humble-brags about grinding
- Twitter celebrating âno days offâ
- Instagram showing the highlight reel only
Nobody posts:
- âI cried in my car for 20 minutes todayâ
- âIâm on antidepressants and barely holding onâ
- âI havenât hugged my kids in 3 daysâ
- âI think Iâm failing and Iâm terrifiedâ
The comparison trap kills us.
Workshop leader: âThe myth of the ramen-eating, office-floor-sleeping founder needs to die. Itâs not inspirational. Itâs a mental health crisis waiting to happen.â
What Investors Are (Not) Doing
From panel - data on investor support:
Investor support for founder mental health:
- 56% of founders receive NO help from investors
- 3.6% receive âa lotâ of help
- Most common response: âInvestors have never asked about my mental healthâ
What investors say: âWe care about founder well-beingâ
What founders experience: âThey care about growth metrics and nothing elseâ
Example shared at panel:
Founder: âI told my lead investor I was struggling with burnout.â
Investor response: âThatâs tough. Anyway, what are your Q3 numbers looking like?â
The message: Your mental health matters less than your metrics.
YCâs Investor Pledge for Mental Health (mentioned at session):
- Kip (YC W16) launched public commitment for investors to promote mental health
- Some investors are taking it seriously
- Most are not
The âFake It Till You Make Itâ Trap
From roundtable - founder confessions:
What founders say publicly:
- âWeâre crushing it!â
- âBest quarter yet!â
- âTeam is amazing, culture is strong!â
- âScaling rapidly!â
What founders say privately:
- âWe almost didnât make payrollâ
- âIâm one bad month from shutting downâ
- âHalf my team is looking for other jobsâ
- âI havenât slept through the night in 6 monthsâ
The gap between public face and private reality is HUGE.
Why we canât be honest:
- Customers will leave (if they think weâre unstable)
- Employees will quit (if they sense failure)
- Investors will pull out (if they lose confidence)
- Competition will attack (if they smell blood)
So we smile and say âeverything is greatâ while dying inside.
My Personal Breaking Point
Iâm going to be brutally honest because I think we need more of this:
My journey:
- Startup #1 (2019-2021): Failed, lost $200K personal savings
- Startup #2 (2021-2023): Failed, lost 2 years and relationships
- Startup #3 (2023-present): Struggling, burning out
Rock bottom (March 2024):
- Working 90-hour weeks for 8 months
- Sleeping 4 hours/night
- Gained 40 pounds (stress eating + no exercise)
- Stopped seeing friends (too busy)
- Relationship strain (partner threatened to leave)
- Panic attacks (first one scared me to death)
The moment I broke:
Investor call. They asked about metrics. I started crying. Couldnât stop. Had to hang up.
Sat in my car in parking garage for 2 hours. Seriously considered driving into a wall.
Called 988 (Suicide and Crisis Lifeline). They talked me down.
That was my wake-up call.
What Actually Helped Me
Actions I took (and they worked):
1. Started therapy (Sept 2024)
- Found therapist who specializes in founders
- Weekly sessions
- Cost: $200/week (no insurance, worth every penny)
- ROI: Immeasurable (probably saved my life)
2. Medication (Oct 2024)
- Started antidepressants after resisting for months
- Took 6 weeks to work
- Side effects sucked but worth it
- Anxiety dropped 70%
3. Set boundaries (Nov 2024)
- No work after 7pm (enforced via app blocking)
- No work Saturdays (full day off)
- No Slack on phone (only desktop)
- Email batching 3x/day (not constant checking)
4. Exercise return (Dec 2024)
- 30 min walk every morning (non-negotiable)
- Not optional âif I have timeâ
- Scheduled like a board meeting
5. Founder support group (Jan 2025)
- Monthly meetup with 6 other founders
- Safe space to be honest
- Nobody judging, everyone struggling
- Realizing Iâm not alone helped immensely
6. Delegated ruthlessly (Feb 2025)
- Hired operations lead (took 40% of tasks off my plate)
- Expensive but necessary
- I was doing $15/hour tasks while being CEO
Result (March-Sept 2025):
- Panic attacks: 0 in last 6 months
- Sleep: 7 hours/night average
- Weight: Lost 25 pounds
- Relationship: Improving
- Productivity: Actually BETTER despite working less
- Company metrics: Growing steadily
Iâm not âcured.â But Iâm functional and not suicidal.
Thatâs a win.
The Data on What Actually Works
From workshop - evidence-based interventions:
What helps (proven):
1. Therapy/Coaching
- 76% of founders who get therapy report improvement
- ROI: One board member said âtherapy has best ROI of any investmentâ
- Barrier: Cost ($150-300/session), time, stigma
2. Peer support groups
- Founders helping founders
- Knowing youâre not alone reduces isolation
- Examples: YC alumni groups, Founders Forum, local meetups
3. Exercise
- 30+ min/day reduces anxiety by 40%
- Doesnât have to be intense (walking counts)
- Problem: âI donât have timeâ (false - you donât have time NOT to)
4. Sleep
- 7+ hours/night improves decision-making 60%
- Reducing sleep below 6 hours impairs cognition equivalent to being drunk
- âSleep is for the weakâ culture is literally making us stupid
5. Medication (when appropriate)
- SSRIs effective for 60-70% with anxiety/depression
- Not a weakness, itâs treating a medical condition
- Many founders resist (stigma) but benefit immensely
6. Time off
- Sabbaticals, even short ones (1-2 weeks) restore mental energy
- Founders who take time off report higher productivity after
- Guilt about âabandoning teamâ is real but misplaced
What doesnât help:
- âToughen upâ / âgrind harderâ
- Ignoring the problem
- Substance abuse (alcohol/drugs common coping mechanism - makes it worse)
- Comparison to other founders (everyoneâs struggling)
The Systemic Changes We Need
From panel - what needs to change:
1. Investors need to stop rewarding burnout
Current: âWe funded the founder who works 100-hour weeksâ
Should be: âWe funded the founder with sustainable practicesâ
2. Media needs to stop glorifying hustle porn
Current: âThis founder sleeps 4 hours and crushed it!â
Should be: âThis founder built sustainable business while maintaining healthâ
3. Accelerators need mental health support
Current: YC has 3 months of intense pressure, then youâre on your own
Should be: Ongoing mental health resources, therapy access, peer support
Some are doing this (YC Investor Pledge), but not enough.
4. VCs need to ASK about mental health
Current: âWhat are your metrics?â
Should be: âHow are YOU doing? Not the company, YOU.â
5. Founders need to normalize asking for help
Current: Suffering in silence
Should be: âIâm struggling, I need supportâ (not seen as weakness)
6. Redefine success
Current: Exit for $100M+, work yourself to death
Should be: Build sustainable business, maintain relationships, stay healthy
Resources That Actually Exist (Use Them!)
If youâre struggling RIGHT NOW:
Crisis support:
- 988 Suicide and Crisis Lifeline (call or text 988)
- Crisis Text Line (text HOME to 741741)
- National Alliance on Mental Illness (NAMI) helpline
Founder-specific therapy:
- Kip Mental Health (YC W16) - specifically for startups
- BetterHelp / Talkspace - online therapy (more affordable)
- Techstars Entrepreneurâs Toolkit - mental health resources
Peer support:
- YC alumni groups (if youâre YC)
- Founder forums in your city
- Online communities (Reddit r/Entrepreneur, Indie Hackers)
Coaching:
- Jerry Colonna (CEO Coach) - recommended by many founders
- Reboot.io - CEO coaching focused on mental health
Only 18.5% of founders know about resources tailored for entrepreneurs.
Now you know. Use them.
What Iâm Asking the Community
For founders:
- Be honest about your struggles (at least with other founders)
- Get help before you hit rock bottom (I waited too long)
- Set boundaries (your company needs you healthy, not burned out)
- Take care of basics (sleep, exercise, therapy)
- Ask for help (itâs not weakness, itâs wisdom)
For investors:
- Ask about founder well-being (not just metrics)
- Support mental health resources (fund therapy, coaching)
- Stop rewarding burnout (donât celebrate 100-hour weeks)
- Check in personally (youâre investing in humans, not robots)
For everyone:
- Stop glorifying hustle culture (itâs killing people)
- Normalize mental health struggles (94% are dealing with something)
- Share your struggles (vulnerability helps others feel less alone)
- Check on your founder friends (âHow are you REALLY doing?â)
The Uncomfortable Truth
Startup culture is breaking people.
We celebrate sacrifice. We worship grind. We glorify hustle.
And founders are dying.
Not metaphorically. Literally dying.
Suicide rates are 2x general population. Anxiety is 2.8x. Burnout is 54%.
We canât keep doing this.
The question isnât âHow do I work harder?â
The question is âHow do I build something meaningful while staying mentally healthy?â
Because if you burn out, quit, or worse - the company dies anyway.
Taking care of yourself isnât selfish. Itâs essential.
My Ask
If youâre a founder and youâre struggling:
Please reach out. To someone. Anyone.
- Therapist
- Friend
- Fellow founder
- Crisis line
- Me (seriously, DM me)
Youâre not alone. 94% of us are struggling.
If youâre thinking about suicide:
Call 988. Text HOME to 741741. Right now. Please.
Your life is worth more than your startup.
If youâre a founder whoâs âmade itâ:
Share your struggles. People need to hear that success doesnât mean you donât suffer.
If youâre an investor or advisor:
Ask your founders how theyâre really doing. Not the company. Them.
This conversation is uncomfortable. But itâs necessary.
Letâs break the silence.
David ![]()
SF Tech Week - Founder Wellness sessions + personal experience
If you or someone you know is in crisis:
- Call or text 988 (Suicide and Crisis Lifeline)
- Text HOME to 741741 (Crisis Text Line)
- Go to your nearest emergency room
Sources:
- Sifted European Founder Survey 2025
- Entrepreneur Mental Health Statistics (Founder Reports)
- Tech Burnout Research 2025
- Personal experience and SF Tech Week panels