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Why Policymakers Must Address Mental Health for Entrepreneurs

The emotional intensity of building a business can be both a driving force and a hidden threat. Entrepreneurs often report higher satisfaction with life and work than traditional employees, but that same passion can tip into burnout and mental distress when boundaries blur and success feels uncertain. Autonomy, while rewarding, can lead to overwork, and the pressure to grow a business can compromise well-being. Passion alone is not enough—it must be paired with structure and support. Regular exercise, sufficient rest, and peer networks are not distractions from productivity, but tools to sustain it. As the OECD notes, “self-care is not selfish but is essential to sustain your business.”

For entrepreneurs to thrive long-term, systemic change must follow personal effort. Governments and investors have a role to play: by treating mental health expenses as legitimate business costs, expanding healthcare coverage to founders, and destigmatizing stress through public campaigns, they can shift the culture of entrepreneurship toward one that values sustainability. As SMEs account for over 99% of firms in OECD countries, supporting entrepreneurs’ well-being is an economic imperative. Initiatives like the Founder Mental Health Pledge and peer mentorship circles offer promising models, but need broader institutional backing. Entrepreneurs can’t carry the burden alone. Well-being should be built into the foundation of business, not left to chance.

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