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Personal Development 6 min readApril 6, 2025

The Mental Health Crisis Nobody Talks About in Entrepreneurship

Building a company is one of the highest-stress undertakings a human can attempt. Pierre Subeh talks openly about the mental health realities of entrepreneurship and the practices that helped him stay functional during the hardest periods of X Network's growth.

Mental Health Entrepreneurship Personal Development Pierre Subeh
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Pierre Subeh

Forbes 30 Under 30 · CEO, X Network · TEDx Speaker

The Gap Between the Narrative and the Reality

The entrepreneurship content ecosystem has a mental health problem.

Not in the sense that entrepreneurs don't have mental health struggles — they do, at disproportionate rates. The problem is that the content ecosystem is built almost entirely around the highlight reel: the fundraise, the client win, the revenue milestone, the Forbes feature. The difficult parts — the 3am anxiety, the extended periods of deep uncertainty, the loneliness of being the person who has to hold everything together — get almost no coverage.

This creates a situation where founders who are struggling look at the content landscape and see an unbroken sequence of wins, and conclude that their difficulty is either unusual or a personal failure. It's neither.

I want to be honest about what building X Network actually felt like in the periods that didn't make it into any press release.

What Actually Happens

There's a specific experience that I've compared notes on with enough other founders to believe it's nearly universal: the early stage of a business feels less like "building something exciting" and more like "managing a constant low-grade crisis while trying to project confidence."

Every day has decisions that matter. Client relationships that could go either way. Financial situations that require careful management. Team dynamics that need attention. And underneath all of it, the awareness that you are personally the primary reason this works or doesn't.

The psychological weight of that position is not something that resolves. You get better at managing it. You build more resilience. You develop better systems. But it doesn't go away, and most honest founders will tell you it intensifies rather than eases as the stakes get higher.

There were stretches at X Network — particularly in year two, when we had made enough commitments that the business had genuine obligations but hadn't yet built the stability to feel secure about meeting them — when the background anxiety was almost constant. I was sleeping less than I should have. My decision quality was suffering. I was less patient than I wanted to be in client communications.

None of this appeared in any content I published at the time. I was doing what most founders do: projecting forward momentum.

The Specific Stressors

Loneliness of decision. Being the founder means being the final decision-maker on everything that matters. There's no one to diffuse the responsibility. Every significant call is yours. This is what you wanted — and it's also isolating in a way that's hard to explain to people who haven't experienced it.

Identity merger. When your business is something you built from nothing, the line between the business's performance and your self-worth becomes extremely porous. A bad month isn't just a bad month — it can feel like a verdict on whether you're good enough. This is probably the most corrosive mental health dynamic in entrepreneurship.

The visibility gap. Everyone around you, including employees and clients, is looking for confidence signals. You're managing their confidence in the venture while often having significant private uncertainty. Sustaining that performance is exhausting.

The scarcity of genuine peer relationships. Most of your relationships in business contexts are asymmetric — you're someone's founder, employer, or service provider. Finding people who are genuinely at the same stage, who you can be fully honest with about what it actually feels like, is harder than it should be.

What Actually Helps

I'm going to share what helped me, not as a prescription, but as one specific data point.

Physical activity as a non-negotiable. Not as fitness optimization — as a deliberate mechanism for interrupting the cognitive loop. When the background anxiety is running constantly, the body needs something to do that isn't thinking. Hard physical activity — running, weightlifting, anything that requires full physical attention — provides genuine cognitive relief in a way that doesn't require a therapist or a vacation.

Genuine peer relationships with other founders. Not masterminds built around networking. Not formal advisory structures. Relationships with one or two people who are also building companies, who you can be completely honest with, who have no stake in your project. These relationships are worth almost any investment to develop.

Clear separation between identity and performance. This is easier said than done, but the specific practice that helped me was noticing when I was treating a business outcome as evidence about my worth as a person, and deliberately interrupting that equation. The business can have a bad month without me being a failure. These are different things. Maintaining the distinction actively, rather than passively, helps.

Reducing cognitive load through systems. A large portion of entrepreneurial anxiety comes from keeping everything in your head. A system that externalizes the tracking — for decisions, for commitments, for what needs attention — removes the low-grade cognitive burden of trying to remember everything. Even simple systems produce meaningful anxiety reduction.

Honest communication with people you trust about how things actually are. The performance of confidence is necessary in many business contexts. It's corrosive as a permanent mode. Having relationships where you can say "this is actually really hard right now" without worrying about the professional implications is psychologically necessary.

The Bigger Point

I'm writing this because I think the silence around entrepreneurship's mental health realities produces real harm. Founders who are struggling conclude that they're uniquely unequipped for this, rather than recognizing that the experience they're having is both common and manageable.

If you're building something and the internal experience is harder than the external presentation suggests — that's normal. It's not evidence that you're wrong to be building. It's the reality of what it takes.

And the practices that help — movement, honest relationships, identity separation, reducing cognitive load — are worth investing in as seriously as any business strategy. You're the founder. Your functioning is the business's most important asset.

Key Takeaways

  • The entrepreneurship content ecosystem systematically underrepresents the hard parts — the gap between narrative and reality is real and harmful
  • Common stressors: loneliness of decision, identity merger with business performance, the visibility gap, scarcity of genuine peer relationships
  • What actually helps: physical activity as a deliberate cognitive loop interrupt, genuine peer relationships with other founders (not masterminds), identity/performance separation
  • Systems reduce cognitive load — externalizing tracking removes the background anxiety of keeping everything in your head
  • The performance of confidence is necessary in business contexts but corrosive as a permanent mode — invest in spaces where honesty is safe
  • Your functioning is the business's most important asset — mental health practices deserve the same seriousness as business strategy

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Written by Pierre Subeh

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