Category: Mental Health
This first appeared in the Boulder Community Health Foundation Summer 2019 Magazine in an article titled Taking On The Mental Health Stigma.
I started the second week of 2013 in Las Vegas at the Consumer Electronics Show. Within two hours of arriving, I was in my hotel room, the shade closed, the door locked, and in bed with a pillow over my head. I couldn’t deal with anything at all. Having been here before, I knew I was in a deep depression.
From all external perspectives, my life was going great. I was healthy, my business (Foundry Group) was successful, I had an excellent marriage to Amy Batchelor, was surrounded by numerous friends, and I got to live in Boulder, Colorado. But I was physiologically exhausted from 2012. I’d run an ultra-marathon in the spring that I never recovered from, had a near-death bike accident, and squeezed a marathon in October when I had no business running one. I was on the road 75% of the time, working constantly, dealing with the explosive growth of several of our investments while struggling through the challenges at others while writing two books. Ending up with a kidney stone in November that required surgery and a month of rest should have been the warning I needed to slow it all down and take care of myself.
I’m fortunate that my wife, business partners, family, and friends are helpful to me when I’m depressed. I’m in a privileged position of having the financial resources to do whatever I need to do. I have a job that provides me a lot of flexibility. And I’m no longer afraid of being depressed or ashamed of being public about my struggles with depression and anxiety.
I had my first major depressive episode in my mid-20s. While I probably had been depressed prior to that, I never really processed it as depression. I was one of those kids who was successful at almost everything I tried, loved by my parents, and comfortable growing up. One day I found myself in the middle of a divorce, being kicked out of a Ph.D. program, and bored of my work at my first company, even though it was successful. I was lucky to have a Ph.D. advisor who was able to recommend a psychiatrist to me. I was quickly diagnosed with obsessive-compulsive disorder (OCD) and again lucky to have a psychiatrist who was able to combine CBT and medication to help me overcome OCD while providing a safe space for me to explore my underlying anxiety disorder and the root causes of it.
At the time, I was incredibly ashamed of everything around my depression. I was ashamed that I was depressed. I hated that I took medicine. I was terrified that someone would find out that I was going to a psychiatrist. I was afraid to tell anyone I worked with, other than my business partner, that I was depressed. I thought CEOs and leaders had to be strong and show no weakness.
Again, I was lucky. My business partner Dave was supportive, even when he didn’t really know what to do. My new girlfriend (now my wife) Amy didn’t view me like a broken toy she needed to fix but rather acknowledged that I was going through a difficult time as we began our relationship. I had several friends and family members who showed up for me.
During my 2013 depressive episode, I blogged openly about my struggles and what I did. Since I was no longer ashamed of being depressed, I thought it might be helpful to talk about things. I had a large audience of readers and quickly ended up interviewed by a number of national business publications, including Inc. and Fortune. Several high-profile entrepreneurs had recently committed suicide and mental health was starting to be talked about in entrepreneurial circles, so I became a visible example of a successful entrepreneur who struggled with depression but was willing to discuss it.
The combination of these experiences and my liberation from my shame surrounding depression helped me realize how pernicious the stigma around depression is in our society. I ended up talking with hundreds of entrepreneurs about their own experience with mental health issues, including anxiety, depression, bipolar disorder, and mania. In many cases, I was the first person, including family members, that they had ever discussed their struggles with.
I decided that part of my mission on this planet would be to help destigmatize the issues surrounding mental health. I won’t be done with this until we have achieved parity between prioritizing mental and physical health. Instead of being a stigmatized health issue, we need to talk about and treat mental health as we would any other physical health challenge. Cancer used to be a death sentence; now many cancers are treatable. Smallpox and polio were deeply misunderstood and mistreated; now they are largely eradicated. Diabetes, once a mysterious and crippling disease, is well understood and easily treated in most cases. Destigmatizing mental health issues and removing the barriers to care are critical to addressing and treating mental health diseases.
I’m incredibly moved by the community’s support of the Bolder Community Health initiative to expand critical mental health services. When Amy and I first heard about the effort to raise money for what is now the Della Cava Family Medical Pavilion, we immediately committed to getting involved. We are honored to be able to provide funding in support of the medical pavilion and for the establishment of the Anchor Point Mental Health Endowment and I’m thankful that my partners at Foundry Group have also provided a significant gift through our Pledge1% Fund.
Most importantly, I’m proud of everyone in our community who has supported this initiative, both functionally and financially. We are a special community at the forefront of many things in our society. Providing excellent care for people suffering and taking action to destigmatize mental health issues are important steps that we are pursuing in Boulder. Thank you to everyone who is helping us find our voice around this issue, elevate the conversation, and help destigmatize mental health.
I’ve long written about the stigma around entrepreneurship and depression / other “mental health-related issues.” I was delighted to see two articles in the last day about others addressing this.
First, Felicis Ventures is committing 1% on top of every check the firm writes in non-dilutive capital earmarked for “founder development” in coaching and mental health. I love the way Aydin Senkut has characterized what they are doing and why they are doing it.
“Felicis’ bet is that by making such resources available and publicly known, founders won’t feel too proud, or too much pressure to seem successful, to address personal and team issues. Tactical marketing help can only go so far, Senkut says, when founders aren’t telling their investors that they’re unable to sleep from anxiety, or not speaking to their cofounders.”
Next, Mahendra Ramsinghani has a long article in Techcrunch titled Investors are waking up to the emotional struggle of startup founders. In it, he references a bunch of stuff, including work that Jerry Colonna and the team at Reboot have been doing around this issue. He also points to the survey he is doing for his new book titled Depression: A Founders Companion.
Mahendra Ramsinghani, my friend and co-author of Startup Boards: Getting the Most Out of Your Board of Directors, is starting work on his third book to be titled Depression – A Founder’s Companion. If this is an important topic to you, please spend 10 minutes on the survey Mahendra is doing.
After the recent passing of Kate Spade and Anthony Bourdain, the conversation around depression and suicide has escalated in a generally constructive way. More people are talking openly about depression, especially among highly creative and successful people. While the stigma around depression and other mental health issues in our society is still extremely significant, the leadership from an increasing number of visible people around their struggles is starting to make a dent in the stigma.
Mahendra’s goal is to publish a book that tells stories, anecdotes, triggers, advice, poetry, and support of all kinds from people who have struggled with depression. It’ll be aimed at, but not limited to, entrepreneurs who have struggled with depression. By compiling and sharing this writing, the journey can become easier and the stigma may continue to be diminished.
While I am not writing the book, I am supporting the concept and have agreed to write the foreword. I believe now is the time for us to accelerate our awareness of depression and continue to build support systems to help founders. We should not wait for yet another star to burn-out prematurely.
The data Mahendra is collecting on the Google form-based survey is anonymized. If you want to connect with Mahendra to go deeper on this topic, there’s an optional field at the end of the survey for your email address.
For anyone who is willing to participate in this project, thanks in advance.
Since I wrote about depression yesterday, I figured I’d highlight a long interview with Colorado Health & Wellness magazine on my history dynamics with depression titled Brad Feld’s Village.
I was interviewed by Sarah Protzman Howlett, who did a lot of research before the interview, and then spoke with a number of people close to me after we talked. She did a great job and the subsequent article captured a bunch of important things about depression. The only thing she got wrong was that I was wearing a Fitbit, not an Apple Watch.
There was a good summary of tactical things at the end of the article that a few people in my village (my wife Amy Batchelor and my close friends Dave Jilk and Jerry Colonna) suggested.
Call the doc. “Your primary-care doctor is a good place to start,” Batchelor says. “They have a much more public health component now, asking things like, ‘Are you safe at home?’ Take advantage of that access.”
Care for yourself. If you’re seeing your friend, loved one or spouse struggle, “It’s not selfish to take good care of yourself; you shouldn’t feel guilty if you need a break,” Batchelor says.
Give the gift of armor. By just showing up, you’re giving someone “an exoskeleton that they don’t themselves have or can’t create,” Colonna says.
Just be there. “You can’t really help actively,” Jilk says. “Consolation is kind of an error. It’s more about being there and listening.”
And don’t try to fix. “I see you’re struggling today” is a good jumping-off point, Colonna says, but don’t use it as a way to talk about your own experience (a common problem known as conversational hijacking).
Laugh. Or try to. “This is serious stuff, obviously,” Batchelor says, “but humor and laughter buoys the spirit and gives some relief in the moment.”
If you have a friend or colleague who is struggling with depression, I hope this is helpful.
While not a comfortable thing to talk about on Monday morning – or any morning for that matter – the suicides of Kate Spade and Anthony Bourdain last week generated much public discussion. And, while the suicides were tragic, some of what people said and wrote were powerful and helpful to me.
I’ve talked openly about my struggles over the years with depression. I’ve been fortunate that suicidal ideation has not been a part of this for me. I’m also fortunate that I have a partner – in Amy – who I have a set of rules with if I ever start to go down that path. Basically, I feel safe, even in my worst distress, that someone is watching and is there for me, even in my darkest moments.
The stigma around depression in our society continues to be a huge burden for people suffering from it. This is especially true for high profile and successful people. In addition to the internal loops that get created by depression, there is external judgment, as in “You are successful – what business do you have being depressed – just shake it off!” that weighs on the depressed person. And, anyone who has ever been depressed knows that when the black dog is barking at you, it’s hard to hear anyone, or anything, else.
Several people I know wrote great posts worth reading to get more context. Each post touches on a different aspect of depression, against the backdrop of the suicides, in a very personal way.
Christopher Schroeder – Anthony Bourdain and the “Impossible” Suicide
Laura Rich – Kate Spade and Depression After Business Exit
If you, like me, were rattled by the suicide of either Kate Spade or Anthony Bourdain, I encourage you to let yourself feel the emotions you are feeling. It’s a line Amy uses with me all the time: “Brad, feel your emotions.” Don’t suppress them. Just feel them. Process them. And then reflect on what you are feeling. Any, more importantly, explore why you felt them.
It’s probably uncomfortable. But it’s part of being human. And, while tragic, we can learn from it to help ourselves, and help others.
It’s a sunny morning in Toronto, so it’s time for a run. That always helps me clear my mind.
For the second year Amy and I are supporting the Open Weekend – a celebration of neurodiversity in the startup community – through the Anchor Point Foundation. If you or a loved one have a mental health condition or just want to learn more or help out, I encourage you to check out the event.
Friday, May 18th starts off with the Brain Crawl at Boulder Startup Week. My good friend Jerry Colonna and I spoke at this part of the weekend last year. Saturday, May 19th is the alternative hackathon being held at Techstars. You can RSVP here to attend, mentor as a behavioral health specialist or specialist in some other area like marketing, PR, or engineering, or just jump in to learn more. Sunday will wrap up the weekend with a social day of outdoor games, meditation, and more.
I woke up late this morning with a vivid dream in my head. I had shown up at my new house on the first morning of our occupancy. There were all kinds of people running around including a dozen schoolkids playing red devil on the patio. I didn’t have any clothes unpacked yet except some running shorts that I didn’t like and an old t-shirt. I went upstairs to go to the bathroom and take a shower. The bathroom floor was linoleum and the wallpaper was grandma’s English garden floral from the 1950s. I tried to figure out how to poop in the toilet but the toilet paper holder got tangled up in the seat cover and I couldn’t get the toilet open correctly, dunked the toilet paper in the water, and just gave up. I turned on the shower, which was a pink tub with yellow walls, miniature size, with a plastic shower curtain that only covered half the length of the tub. The shower nozzle was a wide-spray non-adjustable one so I ended up with water all over the bathroom, including the one towel that was hung on a metal rack in the direct line of the spray. The only soap that was available was a tiny petrified stub molded into the ridged indent in the wall. I gave up and went to brush my teeth but realized I had no toothbrush or toothpaste. I put my uncomfortable running shorts on and got in a friends car to drive up a windy hill to a potato restaurant shack like the one where I had my first job at Potatoes Etc., except it was in a wooden crab shack instead of a shiny new shopping mall. I struggled for a while to construct my order based on their extremely complex paper-based ordering system before giving up. A few more things like this happened on the way back to the house, including a short run through the woods, and then I woke up.
It’s a few hours later and the dream still lingers. The obvious analysis of it is that I’m feeling a lot of anxiety, but I’m not. We just had an awesome two-day partner offsite and we all showed up fully to the conversation. While I’m emotionally and physically tired, I realized my dream was a version of something I described – and then we talked about – for a while, which is the notion of absorbing and metabolizing stress and anxiety, especially when it is generated by other people.
Last year I wrote a post titled Do You Reduce Stress Or Increase Stress? after hearing a great quote by Mark Cuban at an event where I interviewed him. He said:
“I like to invest in people who reduce stress and avoid people who increase stress.”
This stuck with me because I view part of my role to absorb the stress in the system while working hard not to add stress to people who I work with. I’m not perfect, but I’ve come to understand the link between this activity and my depressive tendencies.
Specifically, I absorb a lot of stress and anxiety. I’ve become very good at metabolizing it (a word that I came up with in therapy to describe the activity that happens.) As a result, I can stay very calm in the face of enormous stress and anxiety of others. However, I do have to metabolize what I absorb (and expel the waste product in some way) or else it builds up. I also have to deal with my own stress and anxiety. If I reach my limit, I start reacting to the cumulative stress and anxiety in my system. If I don’t do something about that quickly (of which self-care: rest, running, meditating, eating right, spending time alone, not traveling, being with Amy, reading) and in a significant enough magnitude, a depressive episode of some duration starts to loom. In the extreme cases, I tip into depression.
I used to fight the idea of this. I foolishly thought “if I can just stop being stressed or anxious, I’ll be fine.” Rather than trying to prevent or avoid stress and anxiety, I’ve learned to embrace it, and all the signals around it.
The dream that I led this post off with is a signal that I’m metabolizing a large amount of stress and anxiety. While I can psychoanalyze the dream, I’ve had some version of this type of dream enough times in my 52 years on this planet to know what the inputs are. More importantly to me is the warning of a dream this vivid that I need to pay attention to me and to make sure I’ve got enough of a metabolism buffer. I’m good there as I’ve got four days at home in Boulder with Amy, working out of my house the next two days and then having a very quiet weekend.
For me, the metaphor of metabolizing stress and anxiety, which only emerged through my work in therapy last year, is a profound one that has been incredibly helpful to me. If it’s helpful to you, that’s great. If it’s not, I’d suggest a meta-insight, which is to search for a physical or biological metaphor for how you deal with stress and anxiety, in an effort to have a more constructive relationship with it.
As I was meditating this morning, the thought “this is a really good place to be right now” came to the front of my mind. As is my way when I meditate, I noted that I’d had the thought, placed it on a leaf, set it on the virtual river flowing in front of me, and let it drift away. Then, I brought my attention back to my breath.
I took a shower right after I meditated and the thought came back to me. This time I let it stay with me.
As I sit in our TARDIS at Foundry Group, listening to Let It Be, and catching up from a typically intense week, the thought came back to me again.
No matter how shitty, busy, or tense my day is, there are a few moments in the day where this is true. Sometimes it is long stretches or even the entire day. Other times it is only brief moments.
But we are alive, on this planet, even though we are 1 of 7.5 billion or so people, distributed across a surface area of 196.9 million miles squared, in a tiny corner of a galaxy that has a radius of 100,000 light-years, in a universe that has a diameter of 91 billion light-years (at least the observable universe.)
This is a really good place to be right now.
I will be discussing the challenges of entrepreneurs around mental health issues and how the stigma associated with it creates an additional layer of difficulty. I’ll also share my own story around mental health issues and talk about the power leaders have to influence culture, particularly as it pertains to mental health in the workplace.
There are a few tickets left so if you are interested please register and join us.
Ask yourself the following question: Why is there stigma associated with mental health but not with diabetes or cancer?
I felt no joy as I struggled with depression and the stigma that came with it. When I first had a major depressive episode in my 20s, I was ashamed, embarrassed, and incredibly secretive about my struggles. Over the years, the help and support I received inspired me to work to erase the stigma that comes with mental health issues, especially in the workplace.
As we move to change the image of mental health and educate people around it, I encourage leaders to engage in “Mental Fitness” – if you want to be a great leader you need to invest not only in your physical and intellectual fitness but also your mental fitness. This holds true for every member of the team and needs to start at the top of an organization.
AllHealth Network is a 62-year-old Englewood-based non-profit healthcare organization that provides a full spectrum of mental health and substance use services in 10 unique settings. AllHealth Network serves more than 17,000 clients annually, offering counseling for individuals and families, group therapy and substance abuse treatment in addition to a myriad of resources for leaders in business and their employees.
As part of its Like Minds movement, AllHealth Network launched a CEO/Leadership Pledge which calls on business leaders to support workplace mental health. They are also introducing “In My Mind…” – a campaign comprised of a collection of photo essays with insights expressed from the mind of a person personally touched by mental health challenges, whether direct or indirect. These faces and voices reflect a range of human diversities, acknowledging that no one is left untouched and this human experience can unite us.
Like Minds…Leaders Take Action will be held on Jan. 31 from 5 to 8 p.m. at History Colorado. To purchase tickets, please visit http://www.allhealthnetwork.org/like-minds-brad-feld.
There aren’t many similarities between the workplace of an NFL football player and that of a tech entrepreneur. My body doesn’t get pounded each week. Decisive critical thinking and typing speed are valued more than the last time I ran 40 yards in under five seconds. In both places, though, competitiveness and operating at peak performance are prized.
But what if someone falters? Or a friend or family member needs help? Over half of all humans will experience a major mental health challenge in their lifetime. This includes the VC listening to a pitch or the linebacker staring down a receiver.
Few of us show this in the workplace. Even though many of us struggle at one time or another, needing help is not part of our cultural norms as founders, entrepreneurs, and investors.
This is why I took notice when the NFL Players Association recently spoke up for mental health.
Last month, each player in the league received a “The World Needs You Here” bracelet as part of the NFLPA’s partnership with Active Minds around their Your Mind, Your Body, Your Health initiative. Some of the fittest men on the planet are now wearing it to acknowledge that everyone – their friends, family, even themselves – struggle with depression, anxiety, or another mental health issue.
I was recently introduced to Active Minds by my friend Jeremy Shure and then introduced to the Executive Director, Alison Malmon by another friend, Chris Schroeder. Alison recently moved to Boulder from the east coast, so we got together. Endorsements by Jeremy and Chris mean a lot so I wasn’t surprised when I had a spectacular first meeting with Alison. I’m delighted that she’s now living in Boulder.
Active Minds is a premier nonprofit working with young people to change the way mental health is talked about. The NFL players are sharing the message that mental fitness is just as important as physical fitness. And just like an NFL player who has an ACL injury that needs expert treatment and time to heal, the same is true for a mental health issue.
When people with a platform – celebrities, football players, me, you – are open about mental health, the stigma lessens. In the more than 500 high schools and colleges where Active Minds works, this has been happening for the last 15 years. Students with influence are changing the conversation about mental health among their peers and networks.
It takes only a few people, and then a few more people, to be open, authentic, and transparent. If you are interested in joining the #NeedYouHere movement, drop me an email and I’ll introduce you to Alison.