Tag: mental health
Amy just walked in to our shared office (the “Library”) and said something about it being Tuesday.
It’s gloomy in Colorado today. For the past few years, the month of May has been more like Seattle weather than Colorado weather, so while spring is transitioning into summer, heavy clouds hang over us.
I seem to have two types of days right now.
Type 1 is what happens between Monday morning and Friday afternoon. Zoom call after Zoom call. Lots of exogenous stress and anxiety. By the end of each of these days, it’s hard to shrug it off as I’m absorbing so much from other people as I try to help them navigate through whatever they are working on or struggling with. There are momentary bright spots, smiles, and statements of appreciation, but they are fleeting as the 1 Minute To Next Call message appears at the top of the screen. At the end of the day, I try to run, but only feel like it a few days a week. Amy and I finish the day staring at the TV for an hour or two and then go to sleep.
Type 2 is the weekend. I stop doing meetings and email Friday night. I use Saturday to rest, recover, read, nap, and hang out with Amy. Sunday is similar, but I catch up on email, and read a bunch more.
I love to read but the only days I seem to have the energy to read are Type 2 days.
I’m going to finish out this week this way and then take a week off the grid and try to reset. As I expect we are in for a very long haul of stress and misery around the Covid crisis, it’s clear to me that Type 1 / Type 2 is not going to be a sustainable rhythm for me.
While I don’t know where I’ll land, I do know that the mental health crisis I talked about in my post The Three Crises is real. I see it and hear about it everywhere. I feel it. And I know how lucky and privileged I am, so I can only imagine how intense, pervasive, and challenging it is for others.
Over the past week, I’ve done a handful of podcasts to help entrepreneurs, leaders, and employees at startups to help think through how to respond in a crisis. I’ve requested that anything I do right now on this front is made public, so if anyone is interested, they can watch them.
The first, hosted by David Cohen, is with Scott Dorsey, Paul Berberian, and Berne Strom. Scott, Paul, Berne, and I are all “older entrepreneurs and investors” who have been through multiple crises dating back to 1987.
The next was a podcast I did with Greg Keller at JumpCloud on mental health in a crisis.
Last week I did two podcasts with Howard Lindzon on his series called Panic with Friends.
As a bonus, Fred Wilson also did a Panic with Friends with Howard which was excellent.
I’ve allocated a max one hour a day during the weekday for participating in creating content like this during the week as the Covid-19 crisis unfolds, but I’ll continue doing this as long as I feel like I have fresh things to contribute.
Yesterday, Josh Felser of Freestyle Ventures wrote a post titled For the Love of Founders and their mental health. In it, he discussed his own struggles with mental health as an entrepreneur.
“Like so many others I just sucked it up, grinded away and punted, hoping for relief down the road. That strategy of denial and repression worked until it didn’t. My founder stress and burnout couldn’t be contained despite my best efforts. In fact, my mental unhealthiness impacted my physical health, by causing debilitating sleep apnea, as diagnosed by UCSF and missed by Stanford (but that is another post). I sold my 2nd company, Crackle, and vowed to leave the high anxiety of being a founder for the relatively easy life of venture, not that it’s actually easy. I was lucky to have exited Crackle before my situation worsened and ultimately found the relief I desperately needed to feel whole again.“
More importantly, he talked about his fear of discussing it with his investors.
“Unsurprisingly, my investors, back then, never once inquired about my mental state and certainly didn’t offer any resources I could tap. In fact if I’d shared my actual state of mind, I would probably have been fired or at the very least encouraged ostensibly to take time off. Those were the times.“
Thankfully, this is changing, in part to leadership by firms like Freestyle. The partners, Josh, David Samuel, and Jenny Lefcourt have announced an initiative initially focused on their portfolio founders in an effort to break down the barriers to better mental health for all in our industry.
To begin, they are underwriting 100% of the cost for two programs – Meru Health and Hoffman Institute, for all of their founders.
- Meru Health is a three-month digital program for treating depression, anxiety, and burnout that leverages remote therapists/psychiatrists, CBT, meditation, and biofeedback.
- Hoffman Institute is a one-week intensive on-site program, leveraging therapy, meditation, experiential exercises and peer-to-peer community, designed to break the most formative negative patterns from our childhood.
I’m fortunate that I have a strong, long-term relationship with a psychologist who works with entrepreneurs. However, he, like many others in the field, is extremely busy so even though he is open to referrals from me, he is limited in who he can take on as a client. Part of the challenge here is the time delay that a referral takes, and Meru Health is an impressive approach to providing rapid response care in a specialized way with an economic model that can work in entrepreneurial contexts.
The Hoffman Institute was new to me, but after spending some time on the website, I went and signed up to attend one of the week-long retreats. While I feel like I’ve explored – in therapy – some of the things they talk about, I know that I’m still struggling with a bunch of this, especially as I shift into the next phase of my life.
As an LP in Freestyle, I’m extremely excited to see their leadership in this area. While they are not the first firm to announce an initiative like this – last year Felicis Ventures gifted Founders 1% Of Every Invested Dollar To Spend On Coaching And Mental Health – I’m hopeful that this is addition momentum in an area that needs a lot more attention, support, and help.
Josh, David, Jenny – thank you!
Recently, I read a well-written article in Fast Company by Jon Dishotsky titled We need to be more honest about what tech culture is doing to our mental health.
In it, he had a list of lessons he has learned over the years.
- Look out for your wake-up call
- Create routines that prioritize mental health
- Work in line with your body’s rhythm
- Make time for silence
- Find space to unplug
- Give your emotions credit
- Cultivate (and listen to) your inner circle
These mental health suggestions are all right on the money. I encourage you to go read the article if this is a topic that interests you.
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 been open about my journey with depression and the importance of addressing and destigmatizing issues around mental health. So I was excited that one of our Techstars programs – the MetLife Digital Accelerator powered by Techstars – is looking closely at mental health startups for their 2019 class. If you’re a founder innovating in the mental health market, I encourage you to apply for this program.
The MetLife Digital Accelerator powered by Techstars is focused on
Over half of all humans will experience a major mental health challenge in their lifetime. Yet, mental health still carries a stigma, and many people suffer silently including our coworkers, friends, and family. The startup journey is immensely difficult, so the quiet sufferers include many entrepreneurs. Mental health startups that take advantage of new technologies and data could have a huge positive impact by solving these problems.
The MetLife Digital Accelerator powered by Techstars recruits globally and is stage agnostic. Founders in this program have unique access to the resources of both Techstars and MetLife, a Fortune 50 company with over 100 million customers worldwide in nearly 50 countries and serving 90 of the Fortune 100 as their clients in the US.
If you’re a founder of a mental health startup, I encourage you to request office hours with managing director Mee-Jung Jang with this form and follow her on twitter to keep posted on her startup recruiting tour. Or, just apply now as applications are open until April 7th.
I’m excited to see which mental health companies get accepted into the MetLife Digital Accelerator powered by Techstars.
Aaron Edelheit recently came out with a great book titled The Hard Break: The Case for a 24/6 Lifestyle.
He interviewed me as he was writing it so I show up a few times, along with a few friends that I sent his way. The subtitle is a good hint – instead of a 24/7 life (where you are always on, especially in a work context), Aaron suggests 24/6, where there is a full 24 hour “hard break” each week.
Long-time readers and friends will know that I generally take a digital sabbath for 24 hours starting Friday night and ending Saturday night (and often Sunday morning.) I’m off my phone, email, text, vox, and other digital channels. I read hard copy books or on my Kindle, but try to stay completely off the web. I’m not religious, nor am I religious about doing this, but I’m pretty consistent. And I have a good enforcer encourager in Amy, who I’d rather spend Friday night and Saturday with instead of my computer.
Aaron does a great job challenging the conventional entrepreneurial mythology around how you have to work all the time, burn the midnight oil, grind it out, and be comfortable with the idea that great entrepreneurs work all the time. Is burnout really a right of passage as an entrepreneur? Do you actually have to push yourself to the absolute physical and emotional limit to be successful?
I believe the answer to this is no, as does Aaron. He asserts that each of us needs time away from work and technology and makes a compelling case that time away from work can actually make us more successful and productive in the long term.
Aaron weaves his own personal story into the book, which, rather than reading like a memoir, supports the points he’s making and reinforces the stories and examples of others. His own journey is one, like many, of a series of key moments of personal and professional success and failure that generates his current viewpoint. In addition to being a provocative book, it’s a personal book.
Aaron, thanks for putting your energy into advocating the benefits of taking some downtime on a regular basis. If you are an entrepreneur, feeling exhausted by the pressure of always being on, or feeling external pressure to never take a break, I recommend you grab this book, curl up on the couch tomorrow, and turn off your phone.
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.
I took Saturday off, slept a lot, and read What Made Maddy Run: The Secret Struggles and Tragic Death of an All-American Teen.
Kate Fagan has written a must-read book for every parent of a high school or college athlete.
The story of Madison Holleran is a heartbreaking one. Maddy was a star athlete in high school, in a big (five kids) happy family with two engaged parents. She played soccer and track and, after almost going to Lehigh for soccer, ended up going to Penn for track.
And, that’s when everything started to go wrong.
Maddy committed suicide a few days after returning for the second semester of her freshman year after trying, unsuccessfully, to quit the track team.
Maddy’s family gave the author, Kate Fagan, incredible access, which allowed Fagan to write a powerful book. Many different themes are explored, against the backdrop of Maddy’s development as a teenage athlete, the internal pressures of today’s teen, the struggle of entry into college and separation from home, and how depression can take hold of someone. While Maddy’s story is central to all of this, Fagan includes her own experience as a college athlete in areas, that make the writing incredibly relatable.
It’s not an easy book since you know the ending when you start it. It’s simple to fall in love with Maddy – she’s a delightful American kid. The joy in her friendships and experiences start off rich and light. You see the turn into darkness happen slowly. And, because it unfolds against the backdrop of Fagan’s analysis and intellectual exploration, it makes it more accessible.
On Sunday, I came across a full-page ad in the NY Times with Michael Phelps talking about his own depression for a new product called TalkSpace. I found a short video for it, which is below.
As a bonus, there’s a section in the book about Active Minds with some interviews with members. This is an organization for mental health in college students, which Amy and I support through our Anchor Point Foundation and that I wrote about in the post Mental Fitness, the NFL, Active Minds, and the Competitive Workplace.
If you are a parent of a teenage or college athlete, read this book. If you want to learn more about mental health and depression, read this book. And, if you want to get involved in organizations like Active Minds, just drop me an email.