The toll BTSD is taking on today’s business leaders is undeniable
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Over the years, many business leaders have experienced significant breakdowns from the stress of running a business or organization. The symptoms they exhibit often resemble those associated with post-traumatic stress disorder (PTSD). However, a psychiatrist or psychologist would be unlikely to diagnose a business owner with PTSD, which is generally reserved for those exposed to traumatic events involving violence or life-threatening situations.
Despite this, business owners and leaders navigating chronic, high-pressure environments experience similar symptoms. There remains no formal diagnosis for what could be termed Business Traumatic Stress Disorder (BTSD), but its toll on today’s leaders is undeniable, especially in the post-pandemic era, where challenges have multiplied.
PTSD symptoms, as defined by the American Psychiatric Association, include intrusive thoughts, avoidance behaviours, negative feelings, and heightened reactivity. These are strikingly similar to the experiences of many business leaders. Intrusive symptoms, such as nightmares, flashbacks, or unwanted thoughts, are common among entrepreneurs dealing with financial difficulties. Many report waking up in a cold sweat or being unable to sleep due to replaying difficult conversations with creditors, suppliers, or landlords. The financial instability of recent years, driven by inflation, supply chain disruptions, and labour shortages, has only amplified these experiences.
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Avoidance behaviours are also prevalent. Business leaders often steer clear of their workplace or business-related conversations to escape reminders of their struggles. This is particularly challenging in small communities, where casual interactions with neighbours or acquaintances may bring unwanted questions about the state of their business. While well-meaning, these inquiries can feel overwhelming and intrusive for leaders already under immense pressure.
Negative thoughts and feelings, such as shame, guilt, or fear, frequently accompany business struggles. Many entrepreneurs feel they have failed to meet expectations, whether their own or those of others. Layoffs, missed targets, or even the closure of a business can evoke profound guilt and self-blame. The pandemic exacerbated these emotions, as thousands of businesses were forced to close during 2020. Despite economic recovery efforts, many industries – particularly retail and hospitality – continue to face significant challenges.
Heightened reactivity – including irritability, angry outbursts, difficulty concentrating, and trouble sleeping – is another hallmark symptom. Family members and staff often bear the brunt of these reactions, as ongoing uncertainty and operational dysfunction strain personal and professional relationships.
BTSD deserves recognition as a real and pressing issue. The constant pressures of running a business, particularly during periods of economic turbulence, can severely impact mental health and well-being. Yet, there remains little formal acknowledgment or support expressly tailored to these challenges.
The pandemic brought mental health issues to the forefront of societal discussions, but the unique pressures faced by business leaders have not been adequately addressed. Rising inflation, labour shortages, and shifting consumer expectations have created an environment of constant stress for many entrepreneurs. Recognizing that businesses don’t always succeed and that seeking support – whether financial, operational, or emotional – is not a sign of failure is critical to reducing stigma.
Recognizing signs of chronic stress or avoidance is vital for families, friends, and colleagues. Encouraging a struggling business leader to seek help can make a significant difference. Addressing the root causes of business challenges and providing emotional support is essential for recovery.
Without intervention, BTSD symptoms can spiral out of control, leading to burnout, damaged relationships, or worse. Recognizing and addressing the mental health challenges business leaders face is necessary in fostering healthier workplaces and communities.
In a world that increasingly values mental health and resilience, it is time to bring the struggles of business leaders into the open. Acknowledging and addressing these challenges can help leaders navigate their burdens and create a culture where seeking help is a sign of strength, not weakness.
BTSD is real, and it is time to take it seriously.
David Fuller is a Commercial and Business Realtor with a strong reputation as an award-winning business coach and author. He has extensive experience helping businesses grow and succeed, providing guidance on various aspects of business management, strategy, and development. His work as a business coach and author has earned him recognition in the industry, making him a respected figure in both real estate and business coaching.
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