Mental Health High Up with Andy Dunn

27 May 2025 · 52 min

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TruthWorks Podcast Episode Notes: Mental Health High Up with Andy Dunn

Episode Overview Podcast Title: TruthWorks Episode Title: Mental Health High Up with Andy Dunn Hosts: Jessica Neal and Patty McCord Guest: Andy Dunn, Co-founder of Bonobos Inc. Air Date: Reshared during Mental Health Awareness Month

Episode Summary In this episode, hosts Jessica Neal and Patty McCord engage with Andy Dunn, a prominent entrepreneur and mental health advocate, who discusses his personal experiences with bipolar disorder and its impact on his journey as a CEO. The conversation emphasizes the importance of vulnerability in leadership, the stigma surrounding mental health in the workplace, and the need for systemic changes to support mental health for all employees.

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Key Concepts and Discussions

Personal Journey and Disclosure

  • Andy Dunn's Background: Co-founder of Bonobos, a men's retail giant, and author of "Burn Rate," where he candidly addresses his struggles with bipolar disorder.
  • Decision to Share His Story: Dunn felt empowered to disclose his mental health issues after selling his company, thus reducing fears of career repercussions. His wife played a crucial role in encouraging him to share his story.
  • Shame and Stigma: Dunn discusses the shame associated with mental illness and the importance of normalizing conversations around it—advocating for the perspective that individuals have conditions rather than being defined by them.

Intersection of Entrepreneurship and Mental Health

  • Highs and Lows of Entrepreneurship: Dunn describes the intense emotional rollercoaster associated with being an entrepreneur, often mirroring the experiences of those with bipolar disorder.
  • Neurodiversity in Entrepreneurship: Dunn mentions that certain mental health conditions, including bipolar disorder, are more prevalent among entrepreneurs, suggesting a link between neurodiversity and creative problem-solving.

Leadership and Vulnerability

  • The Power of Vulnerability: Dunn asserts that vulnerability in leadership can build trust and foster a supportive workplace culture. He encourages leaders to disclose their struggles to create a safer environment for others.
  • Investment in Mental Health: Organizations should view mental health support as a profit center rather than a cost, as good mental health leads to increased productivity.

Structural Changes Needed

  • Top-Down Disclosure: For organizations to support mental health effectively, leaders need to lead by example by sharing their experiences and promoting an open dialogue about mental health.
  • Policy Limitations: The episode discusses the inadequacies of current mental health policies and the need for comprehensive strategies that recognize the complexity of mental health issues.

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Advice for Individuals and Organizations

For Individuals

  • Seeking Help: Dunn emphasizes the importance of reaching out for help and recognizing when you need support.
  • Navigating Disclosure: Understand that disclosing mental health struggles can be a privilege and comes with risks, especially for those in lower organizational positions.

For Organizations

  • Creating Supportive Environments: Companies should not only implement policies but also foster a culture that encourages open discussions about mental health.
  • Flexible Policies: Mental health policies should be tailored to acknowledge the diverse experiences of employees rather than applying a one-size-fits-all approach.

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Conclusion The episode concludes with a reminder of the significance of empathy in leadership and the ongoing challenges faced by individuals with mental health issues within the workplace. Dunn encourages listeners to embrace vulnerability and advocates for systemic changes that prioritize mental health in a corporate environment.

Call to Action Listeners are encouraged to share their experiences and seek guidance on mental health-related issues in the workplace, highlighting the community aspect of the discussions presented in the podcast.

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Production Credits

  • Producers: Megan Hayward, Mick Finnegan
  • Production Manager: Kathleen Speckert
  • Production Company: Edit Audio

Resources

  • For more information or to share your story, listeners can reach out to the producers through the provided link.

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By summarizing the key points and discussions from this episode, we aim to shed light on the critical intersections of mental health, leadership, and workplace culture while promoting a more understanding and supportive environment for all employees.

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Transcript

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0:00And I said, Oh no. And I've learned this thing as a husband, which is, I know my wife is going to be right later. Later she's right. Yeah, right. But in the present, I want to fight and be defensive and be defensive and be defensive and defensive. day I had enough time.

0:27What would happen if we just told the truth? Welcome to TruthWorks, where we dig into the nitty gritty of leadership and work. And what needs to change? I'm Jessica Neal. And I'm Patti McCord. Our journey together started in HR, but trust us, it's evolved into something wild, honest, and well, a bit rebellious. So throw out the handbook. We're here to redefine rules to work for us, not against us. Let's dive into another episode.

1:03We are so excited to bring you this great conversation today, but we also want to give you a heads up that in this episode, we discuss hard topics surrounding mental health and mentions of suicidal ideation. Please do whatever you need to do to take care of yourself. Today, we are joined by the wonderful Andy Dunn. So excited to have you here today, Andy. Andy is the founder and CEO of Bonobos, a men's retail giant that was acquired by Walmart. And he's also the author of the book Burn Rate, which came out a few months ago. And Andy, we met, I don't know if you remember, I think you do. I tried to recruit you and you said no.

1:47And you took me to some weird Mexican restaurant somewhere in this Bay Area. I don't know where. Mountain View. Yeah, Mountain View. Mountain View. And we repeated that cycle every two years and you kept saying no. One day we're going to get to work together. I hope so too. So Andy, is there anything that I missed in your intro? I mean, you've accomplished so much. There's one modification, which is you said co-founder and CEO of Bonobos. And I'm so excited to say just co-founder of Bonobos. I got to retire from that post. You were CEO for a long time. For 10 years, yes. I was the founding CEO.

2:25Maybe that was what you meant. But what's cool now is I'm back as an advisor, which is sort of a newish thing. In fact, I was just at Nordstrom two days ago rebooting the Bonobos relationship with Nordstrom, with the new owner, and with the CEO. And I thought a couple of things. First, I thought it's so cool to be doing this again. And the second thing I thought was, it's so great to be doing this again, not as someone doing it full time, but having it be just, you know. Yeah. I mean, you were so raw and honest about your experience as a CEO. It's like, whew, I don't know how many people would be able to do that.

3:08Just really say, I fucked up. I was wrong. I should have rethought it. because it's such a scary, thrilling journey. I mean, that's what I got from reading, listening to you. It was like, and then you're high and then you're low and then you're high and then you're low. And then to have that happen, I love the juxtaposition between entrepreneur bipolar. Is it the same? Is it different? What are those incredible threads that weave in and out? And I know Jessica and I have talked about all the CEOs we've worked with over our time. And there's no two people are alike. No two situations are the same.

3:56But that fluctuation between really high and really low is really common. Yeah, it is. Well, before we get into that, Andy, I want to back up a little bit and just tell the listeners a little bit about your journey. You wrote this amazing book called Burn Rate, where, as Patty describes, you get incredibly raw and vulnerable and talk about your experiences, not only being an entrepreneur and a CEO, but in having bipolar one. I want to maybe take a step back and talk about the process you went through to decide to tell this story. How scared were you? I was not that scared. a little scared maybe the right emotion would be i was anxious just at like how at how it would be received but the privilege of putting the story out without fear of career retribution because i had sold my company i had money so it was sort of okay i can now tell this and if everything goes poorly in my career from here, I'm okay, which I didn't feel coming up.

5:19I didn't feel I could raise venture capital if I was on the record as having bipolar. I didn't feel like people would want to work for me if I was on the record. Turns out that when they found out, there were a lot of conversations like, oh, you have a mood disorder? Oh, of course, everyone knew. There are forms of diversity that are hidden and forms that are not. And neurodiversity tends to not be hidden because we experience it when we interact. So the decision to write the book was driven by the courage of my wife who said, yeah, of course, let's put this out there. My intrinsic motivations were twofold.

5:58One was selfish and one was altruistic. As sometimes the human species, we have those two possibilities. The selfish part was I was just tired of being ashamed. And I was angry that I had imputed some type of human stain from having bipolar. Even this idea that someone is bipolar versus has it. Yeah, you have it. It's like, no, no one is bipolar, just like no one is cancer. We shall not conflate the identity in the illness. It's hard enough to have the illness, let alone to be it, which sounds nonsensical when you compare it to a physical ailment. And so I was tired of being ashamed and I wanted to get the shame out of my body.

6:47I wanted it out. And what is shame? And I did some work on this. Shame is what is unspeakable. Right. And so to speak it is to say it's not shameful. If I can talk about it, then there's nothing that I'm ashamed of. Otherwise I would have to hide it or we would have to bury it. And I think it's such a powerful emotion. I mean, I really, really do. I've been thinking about it a lot since I wrote my book. So I talk a lot about moving on and being fired, right? And I say, look, there's no weapons involved. There's nobody dying. but you give the, you, you, you create this emotion shame, which for all of us, I think, as humans is like the worst, right?

7:36Because you experienced first with your parents and then, and on the career shame part, you remember every one of those incidents as if that happened yesterday. Oh, it, the, the scars don't go away. They're, they're there forever, which is kind of unbelievable. So what you did that was so incredible was you brought that into the open and said, it may not be a curse. Yeah. And it has two sides. It's the strings have shadows thing. Yeah. I was going to bring that up. Can you elaborate on that for the listeners? Yeah. It's interesting. I was at a dinner recently with a bunch of folks talking about the intersection of mental health and leadership.

8:27And there is a thing which is the hardest thing that we face in our lives. Let's call it in this case, like the shadow has strengths too. And I was using this phrase, strengths have shadows. and there were two women at the dinner and one said, oh, the gift is in the wound. And I thought, whoa, I might even like that better. And then another one said, the beauty is in the brokenness. And so I can remember going to a fortune teller on Broadway in New York one day. I don't know why. Wandered up. It wasn't a common thing. You're just like walking down the street? I just walked down the street and I saw it and I said, you know what?

9:13I want to go in. okay and she looked at me and she said and maybe this is just her standard line she goes you know that you're broken right oh wow you know you know that you're split in two and it just it sort of it it resonated in a way because i had this formative life-changing experience of going through a psychotic episode delusions of grandeur all the things that come with a manic break. And I received this diagnosis coming out of it that was pretty directionally clear. And then I developed this really, really difficult depressive episodes that I explained away as job stress. And so colloquially bipolar one is known as manic depressive illness.

10:06And it was so clear. It was clear that this diagnosis that I'd received when I was 20 was accurate and yet it was hidden. It was even hidden from me because I buried it deep such that only once in a while would I even remember that it happened, which sounds ridiculous that I've now learned is the nature of a traumatic memory. One may not have access to a traumatic memory in the frontal cortex all the time. It can rise and fall and that creates a brokenness, right? It creates problems. And so to integrate and say, I can embrace my life, including that this happened, including that I have this. I don't want to say it necessitates seeing it as something with two sides.

11:05but wow does it really help when we change the narrative and say this thing that i processed as horrible at the time maybe there is beauty in that maybe there is a gift in that maybe there are strengths in that and then by the way you go to the data which i know patty will appreciate the balance of art and science you go to the data and what does the data say the data says that bipolar is 2 % of the American adult population experiences bipolar, 11 % of the entrepreneurial population. So it's five to one, ADHD, three to one, OCD, three to one, unipolar depression, two to one, substance use, X to one, suicide, Y to one.

11:49All of these stripes of neurodiversity for better and for worse over index and high performing creative people. And so now when an entrepreneur comes to me and says, hey, I have bipolar, should I even do this? Should I raise money? I say, of course you should. You're five times more likely to be successful at this. And so let's stop denying that it's here. Let's actually recognize that maybe there are some superpowers in it. But let's not let those superpowers be an excuse to have the shadows and the brokenness. And the ghosts. and the wound run them up unchecked, which by the way, is part of our modern ethos on great entrepreneurs is they're allowed to just be as, just let, just let a rip.

12:39And that's also not okay because it does harm. We can harm other people. I'm thinking that you're a fortune teller. Even if that was their shtick, according to the data, she's right most of the time. She's right most of the time. That's true. Andy, so you're 20 when sort of your first episode happens, right? And then, you know, you go to business school, graduate, you start, you know, tinkering around and being an entrepreneur with ideas and things. And then, you know, as your company gets going and you're hiring employees and you have your co-founder and there's a story behind that, like you knew that this happened.

13:23and, but you pushed it deep down, right? And to your point, maybe couldn't even access the trauma. When you were feeling in those states depressed or sort of like, as you were saying, it was an excuse from maybe stress of work. Did you feel like, hey, maybe I should think back to what happened when I was 20? Did that feeling come up? Yeah. I had some moments. I had some moments where I felt so low, so lonely, so sad, so confused, you know, to be someone who has a hypomanic side where I felt there were times where I had so much energy, so much magnetism. people were coming to work for me raised over 100 million times where i felt so high on life and having so much fun it's hard to recognize i found it was hard to recognize myself when i couldn't get out of bed because it was sort of well who is this person and i internalize that as i have to hide this I have to hide this because this is not the mask I wear for the world.

14:50And at some point, obviously, that's not a terribly healthy way to approach things. And of course, you can't get better. You know, if you're I couldn't get better if I wasn't dealing with the depression. And so at some point I thought, I don't want to be here anymore, which is a first step on the suicidal ideation journey. It's kind of the top of the funnel for that. and that was a foreign feeling. And so I did get, I was afraid and I went to see a therapist and unfortunately what happened, she was a great therapist on interpersonal dynamics. She helped coach me through my co-founder divorce. I remember her asking me, Andy, are you in touch with anger?

15:30And I was like, anger, what's that? I was like, I've seen people get angry. I've seen my mother angry. And she's like, no, but what about you? Are you in touch with anger? And I said, I don't get angry, which is what a very unaware person says in therapy. And she said, I actually think you do get angry. I think you're furious with your co-founder. The reason why I think you get angry is that every human who's ever lived has been angry. And I think that sublimated anger can lead to depression. And that was both a brilliant insight and it helped me and it enabled me to express that anger in unhealthy ways towards my co-founder and to ultimately take action that led to the co-founder divorce.

16:09but it also provided a life raft for me to paddle away from the bipolar diagnosis that I knew was lurking because there was now an explanation for my depression. It was not this lingering bipolar. It was that I was angry at my co-founder. And then one day I pulled a doctor and my family aside, one of my aunts, and I said, I haven't been able to get out of bed all weekend, which I had told no one that. No one in my life knew that I spent the weekends in bed for months at a time. And she said, Andy, you have a really hard job. You're probably just exhausted on the weekends, which is such an Indian doctor thing to say to their Indian nephew.

16:46It's like such an immigrant thing. And so it was a, it was a two sided thing where I knew on some level that this thing had happened. And somehow when I did make a cry for help or I did extend a bid, it just so happened that folks thought, no, this isn't you. This is your job. This is the role. And it turns out that both can be true. It turns out that one can have a job that is a roller coaster and that one can also have a mood disorder that amplifies those highs and lows. Those things can both be true. And gosh, is it so much more helpful when we're in touch with both of those and trying to deal with it rather than in denial or using one to explain away the other.

17:41Absolutely. So now you've launched the book, you've done a TED talk and tell us how you feel now. I feel amazing. Is the shame gone? There are moments, you know, there are weird moments where like I'll meet someone, I'll learn that they have bipolar and I'll think, well this dude's crazy like i'll have the story that society told me will happen in my own brain right and then i'll feel shamed of that and so there are moments but i i will say i'm a changed human because to have a secret and then to kind of to invert it where it's not just a secret but it's something you shout on a megaphone it's not like i just got in touch with family and friends and dealt with this.

18:31It was, hey, hello world. Here's the truth about my story. And to be so accepted and even celebrated, it's so wild. This was the thing I thought I most had to hide from the world. And it turns out it was the thing I most needed to share to be fully known. Do you think that's what drives your empathy for investing in people who also have secrets? I think it's part of it. And I also know that the lows are bad no matter what. I think it's important. Let's never underestimate when we're talking about bipolar, the degree to which everyone has an undiagnosed mood disorder. I don't mean that seriously.

19:23there is a difference but the lows are bad for every human there are just bad lows life does not the buddha was on to something when he said that life is suffering and it may not be ongoing but we all have moments of crisis the loss of a loved one the loss of our parents breakups, financial stress, substance issues, the mental health issue of a family member becomes a mental health crisis for the family. There's no way to make it to 40 without having been absolutely thrown on your ass by something, getting fired from a job. There's so many of these things. And so I do like to say to entrepreneurs when I get to back them, I'm not going to be that useful to you over time because I have too much stuff going on.

20:19But I do want you to call me on your darkest days when you want to quit, when you need to sell your company, when you're ready to give up, when you are having that co-founder divorce. I want to be the person that you feel like you can't talk to anyone, certainly not in your shareholder group. Yeah, I love that. I'm your darkest day. You know, I want to be the best. I have a group of women CEOs that I'm friends with forever. We call it Patty's posse. And somebody is like, we should get T-shirts to say Patty's posse. I'm like, you know, I'm not really sure. But I am that same person in your darkest day.

21:01Right. Just call me up and go. Yeah. I can't believe they're treating me like this. I'm ashamed. I'm afraid. What do I do? How do I deal with this? And so the reason I asked that was the people that, for whom empathy is as much of the equation as the data and the return on investment. Yeah, you know, my wife and my sister are both entrepreneurs and they both are more accomplished at the stage of their businesses than most male founders that I know that get funded. And they have to work so hard to raise money. Yeah. And then the data shows, right, 3 % of venture capital goes to founding female CEOs.

21:51we skew the data up by speaking about female co-founders but female ceos and you know i was with my wife last night and she's grinding through it and it's just hard this stuff is hard she's like mad that she has to be better to get the same thing it's every conversation i have with my posse is this exact same conversation. Yeah, I had this amazing experience with my wife vis-a-vis this issue of how to talk about gender in the workplace. I got invited to do something really special, which is to give a talk at International Women's Day at Walmart to 5 ,000 people. And I thought, great, I'm going to be a man talking on International Women's Day.

22:37I'm so effed. Just the setup is not going to go well. And so I really worked on it. rush the stage. Yeah, right. Yeah, really. I really worked on it. And I wrote a speech about my grandmother. My grandmother on my mom's side was a child bride. And she was promised to be married at 11, married at 13, two miscarriages at 15 and 17, then seven kids, the middle of whom was my mom who was born on the refugee trail. And it was this whole thing about her life story. and I shared it with my, and how far we've come and how, you know, I shared it. My mom was like, this is great. My sister, my mother-in-law, who's one of the leading feminist anthropologists, reproductive rights advocate from back in the sixties.

23:24And I finally got to Manuela at 11 PM, my wife. And she's like, I think this is terrible. and I said oh no and I've learned this thing as a husband which is I know my wife is going to be right later later she's right yeah right right but in the present I want to fight and be defensive and all that so the question becomes how do I try to process later now right and that day I didn't have time because the speech was at 8 a.m. and I was in a hotel in Bentonville at 11 p.m. And I said, well, what's the problem with it? And she said, your mom, your grandmother's story is beautiful, but I don't care.

24:08I don't care how far we've come from child brides to 2020. I want what you have. I want male privilege. I want to be able to suck at what I do and still get promoted. So let's talk about the gap between where we are now and where men are, not the progress because I don't care. And it just blew my mind. So I said, what do I do? And she said, well, why don't you just talk about all the times you've gotten it wrong in our relationship? And so I went back and wrote a top five. That's only like one or two things. No, it ended up at 17 things. It ended up at 17 things and it was four in the morning and I didn't have time to clear it with Walmart PR and comms because there was some vulnerable stuff in there.

24:55So I just sent it straight to the CEO of Walmart, Doug McMillan. And I said, can I share this at the speech tomorrow? And five minutes later, he was like, go for it. Oh, great. Go for it. And so that's, Patty, that's what motivates me is trying to close that gap. Yeah. Reed Hastings. Yeah. The CEO of Netflix said to me one time, you know I mean I get it but you were never really discriminated against I mean like really you know give me give me an actual example in your life and I said they always got the promotion and I was clearly better everyone knew yeah they knew right they would apologize we're sorry but you know you don't have what it takes like the third rail i would call it it's like yeah you could have said you could have said read right now right now that's what i was thinking right now you're doing what my reality is rather than me oh no we we totally got there i mean we had lots and lots of conversations about that but the fact that yeah you know and this is probably 20 years ago, 25 years ago, that he would even honestly, innocently say, yeah, but you're you.

26:13And so that didn't happen to you. Do you two feel like that gap was closed at Netflix? Can you be incompetent in Netflix and get promoted the way that as a woman, the way that men sometimes do? I mean, I know it's a great talent entity. Listen, I think Netflix is not immune. I mean, you know, like the world is not immune to these things. Do I think we did a better job at trying to recognize that, own that, you know, peel the layers back to keep ourselves honest in decision making? I think we did. I think we tried. But, you know, I mean, bias and the way that we were taught to do things is just, it's so inherent.

27:02So Jessica and I were just talking about this the other day about, I said one of the things that I was ashamed of in my, looking back in my career was that I coached women for years to say, nut up, be aggressive, take your stand, you know, that's how you're going to get ahead. And Jessica goes, I think I was one of those people. I was. and look and i i i don't you know regret you telling me those things because they were kind of worked right in the moment in the time and i and it worked and i did so what's the shame what's the shame about patty that i didn't try and work on the men that i worked with to say hey you know jessica has a different way of influencing people and it's as effective as nutting up, right?

27:58So if you advise now with your wisdom, what would you tell people, Andy? Well, I am inspired by your reframing of it's an issue for men more so than for women, right? The whole point of here's how you have to do better puts the onus back on the woman. to be the one that has to show up in a different way in the conversation. And so I think that resonates for me. And I also find it challenging because I think it's not, there's not a mindset of male allyship naturally from what I can tell in the circles that I've traveled in. it's more the exception not the rule and let's focus on the exception i recently met one of the best people in the technology ecosystem here in chicago where i now live which by the way is a short list this ecosystem is challenged it reminds me of when we got to new york in 07 and it was it was not impressive yeah new york came along yeah i remember that I think we can make a lot of progress in Chicago.

29:15I do. But what I really loved about him is he said, basically, if you have an above-threshold idea, he will write a check sight unseen for between$100 ,000 and$250 ,000 to a woman or a person of color that's building a business because those checks are so hard to come by. and when people know that his name is on the cap table, he knows without saying it this way, he knows that everything is going to be easier from there because he's on the cap table and he knew he had that power and he's worth probably a hundred or$200 million. And so 10 quarter of a million dollar checks a year is a rounding error for him and this, and this, he's going to make a lot of money on one or two of those deals.

30:08Of course. Right. Right. Right. Because the distance traveled is longer, right? To get to the same place, you have to be better, which means that if you do get the opportunity, he's going to do great. It's like, don't do it because it's the right thing to do. Do it because you're greedy. Yeah. And maybe we need a whole new vocabulary around, you know, just do it because you're greedy. Yeah. I want to bring us back to, and speaking of influencing, I want to bring us back to mental illness for a second because we could talk about women issues. For a long time. I'm sorry, Jess. I don't know. For like our entire lives eternity of the show, we could talk about women issues.

30:51However, I want to talk a little bit about, Andy, like the impact that you, well, I know you've had, but I want to talk about the impact that you think you've had on mental illness at work? And what do you see in terms of companies changing their processes, policies to support folks in a different way? I think that movement had started to happen in some parts of the world for work. But do you think you've Given that a kind of shot up in terms of momentum? Look, I think it's one of the great things in the zeitgeist when you can feel it changing right in front of you. I remember when I got to New York, I hadn't really been immersed in LGBTQ communities before until I worked in fashion.

31:55And only when I became very close to people who I worked with that it strike me as, wow, these folks on my team can't get married. That law didn't change until 2015, I think, in New York State. And I remember being at a gay show tunes piano bar called Marie's Crisis in the West Village the day that the law passed. And just the sound of human liberation. You know, it might have been like being there for women's suffrage or when the Civil Rights Act of 1965 got passed. It was like being there a block from Stonewall. And so we saw that change. And there are really cool charts that show the rate at which the states adopted freedom of marriage.

32:37You can see similar charts for other civil rights movements, like how from when they started, when the movement started to when it became the law of the land. Interesting. And through our country, as we know, that moves through states. Yeah, yeah, yeah. And sometimes, by the way, it goes backwards, right, as it has with reproductive rights. I feel like we're living through that right now with mental health and mental illness in the workplace, that it's changing right in front of us. And part of the reason for that is it's a bipartisan issue. There's not a debate really about mental health between the parties.

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33:19There might be a debate about what to do about it. But North Carolina and New York both had bills on the table for a billion dollar investment in mental health. They both did, right? Meanwhile, we have so many people influencing a change in the conversation. we have it through music and the arts right we've had it with athletes we had a woman say i'm not going to perform at the olympics simone biles because i'm not well right now and there was a lot of noise and then come back at the most recent world championships and be like okay i'm back on and the way she showed up was yeah i'm just not i'm not well right now.

34:06So we've seen it in sports. We've seen it in the arts. I like to say we love our entertainers crazy because what's the difference between an entertainer and a CEO? They're there to entertain, not to shepherd capital. And capitalism is driven, it turns out, by capitalism, but of motivation for capital. And so the interesting thing with what the conversation in the business community is, well, can I entrust this person if they have this mental health issue or God forbid, a mental illness or God forbid, what's classified as a severe mental illness, bipolar one. Like, just think about the question.

34:47Would you give$128 million to a person with a severe mental illness? Just sounds like no, right? But that's exactly what already happened. Right. Because that was me. Yeah. I was like, I would give it. Yes. I would give it to you all day. Well, and that's the thing. We already do. We already do. We just don't know we do. Yeah. We just don't know we do. There are so many social issues that are like that. Like, well, we already do that. And you know what I'm thinking as you're talking is one of the things that Jessica and I rail against is, well, policy's not going to fix this one. Right? You're going to have something in the employee handbook that says, if you have a mental illness, check A.

35:28Totally. It's about really understanding the complexity of the situation. Yeah. Yeah, for you and me, Jess. I mean, for us, like some of the solutions to things in the workplace are so simplistic and general that this is a complex issue. Right. And takes empathy and understanding. And not every illness is the same. Andy, what's your advice on two dimensions? One for companies, right? But one for individuals who aren't an entrepreneur. They just work somewhere in the world and they're struggling with mental health. And they're ashamed to come forward and say anything about it for fear of losing their job or being discriminated against in some way.

36:23What's your advice for companies to support them, but also individuals who are struggling, who just don't know what to do? Exactly the right question. And I think the first thing to internalize is that it's a privilege to disclose.

36:42So Elon Musk now, Saturday Night Live, hey, I've got autism. in the Walter Isaacson book speculation hey I have bipolar no one cares because a fair amount of economic value has already been created right he's probably okay and I'm not Elon and I'm also in a privileged position with a win on the board right to say I can share this it's almost expected of entrepreneurial populations it's almost like the entertainers but it's not you can't do it before the win right right like you're already yes you're already proven you're yes you can't do it before the win because you don't know right and then to your point what if you're further down in the organization what if you're a rising senior manager and you have a manic episode and you're on a work travel trip as i recently heard from someone.

37:45He was on a work travel trip in New York and he had a manic episode and he was off running around town and giving away his computer and wasn't fully clothed. What about his career? And can he talk about what happened? And I think for us to get to a point where that can be the case for someone like him, that rather than everyone finding out when the episode happens, but being able to disclose before, it has to be top-down disclosure, which is where the second argument for self-interest is important. And I tell this to CEOs who I meet, not founding CEOs, promoted CEOs who are very different animals.

38:29I say, don't disclose because it's the right thing to do. Disclose because vulnerability will earn you more followers than fear. I love that. You will be a more. I love that. You think that's true for the senior manager? No, it's definitely not true for the senior manager, which is why if you want your company to start to embrace what's happening with mental health disclosure, it's not possible if it's not the norm from the top down. Yeah. Right. Because the people who have already amassed organizational power who've already, there's nowhere else to get promoted as a CEO. You're done. You might get fired, but you're not getting promoted.

39:12So you have power to disclose. And so why would you do it? You already got there by trying to hide it or whatever Jedi jiu-jitsu shit you had to do to become the CEO to win the world's hardest promotion tournaments. Well, now you have to realize there's nowhere further for you to go. And therefore you are the person who is most vested with the power of disclosure. And what will happen when you disclose your stuff is people will love you more or begin to love you. And what do leaders most want? They want to be loved and respected and admired. But Jess, it's our through line for this podcast, right?

39:57The honesty will get you more than the manipulation. And I think for CEOs, at some point, you're like, okay, do I want to become a master manipulator of every situation? Or can I train myself to tell the truth? And both of them are really hard things to do. They're hard. And I can still remember being 22, a Bain analyst, consulting firm. And there was this guy and he was tall and he was handsome and he was named Peter, not John, but he was already three for three on leadership at work. And he was also funny and smart and he was on a rocket ship trajectory. And he at some point took me into a room and said, Hey, what's going on with this thing?

40:48Why are you so performative when you're giving a presentation. It's very car salesman, used car salesman. That's not your job. You're an analyst. Your job is to be data-driven and fact-based. You're not raising money, right? But I was already raising money. And he said, let me tell you about my career. I almost got fired here during my first year. And I just remember leaning in. I wanted to work for Peter more. I respected him more because he was telling me something I didn't expect to hear. And I thought, I remember the moment where we were, the office, because I was so surprised that this paragon of success to me, who I idolized as the manager on my project, was telling me something so real, so raw.

41:39He was telling me about how insecure he was still. And for him, it was, am I going to make partner or not? And that's the good stuff is the recognition that we can get more done if we are selectively vulnerable. And what I mean by that is it doesn't mean with everyone. It doesn't mean right away. And it doesn't mean you have to go all the way. Right. And so where do we start? It might be, we start in a conference room with one of our peers or with that person that works for us. It doesn't start at the fireside chat in front of the whole company. but for the ceo of the company it only takes a minute to change the whole company that's right all you have to say is my daughter is going through a really hard time right now she's in with her permission right here's what's going on or i'm having a hard time with this it just takes a minute yeah and the whole culture changes or you're with your staff and you say like Like, look, look, everyone, I just want you to know right now I'm struggling with something.

42:46I'm having a hard time in my marriage and we're working through it. So if I seem a little off this week and all of a sudden what's just happened, the water has changed. It's become a little warmer and it's made a safe space for, you know what, maybe I can talk to that person about what I'm dealing with. Yeah. Maybe it is okay. And we need that. And then we need CEOs to realize investing in employee mental health is not a cost center. It's a profit center. Yes. Because we're information workers for the most part and the circles that we travel in. And therefore, better mental health leads to increased productivity.

43:29Right. So it comes back to do it because you're greedy and do it because you want people to follow you and do it because you want power and influence and do it for all those reasons that are in your self-interest. Yes. And if you don't, you're missing an opportunity to go further in your own career. And your own life, right? And your own learning, right? Yeah. Yeah. And I think like the motto of this show is gonna be do it because you're greedy. And I love that. And it's, I think Andy, you're so right. You can, and I coach CEOs, founders on this all the time is that, you know, the art of vulnerability, right?

44:10And to your point, it's not like you're vulnerable 100 % of the time. It's a brief moment that builds amazing trust and where these people who are coming in every day working for you, you know, like not spending time with their families. they see you as a human being, right? The amount of support and love and example that you can set. And to your point, you have a privilege and you have a power. And so I do think leaders recognizing when to flex that is incredibly important. Now we're going to dive into conditions. If you've got one you'd like to share, there's a link in the show notes. But Patty, why don't you kick us off with today's?

44:57To what extent should a company support mental health issues? I'm trying to develop a fair mental health leave policy for the company, and we don't have long-term disability benefits, and I'm wondering if that's putting us in some tough situations. We do, however, have paid sick leave, which can be used for mental health days. An employee has had to use both their vacation and their sick leave due to mental health reasons. The question is, how do we address mental health in our company via mental health leave policies and the leave policies that are for physical health issues? And do we develop a policy for it?

45:38And how do we make it accessible for our employees? Absolutely. And I think it's a great question. How far should a company go to support their employee on this dimension? I think you go to your point, Andy, as far as you can go, right? Because it is a profit center. It's, you know, what you're going to invest in this will get more productivity with your employees, not less. But I'm also weary of policy per se, because these struggles are not one size fits all and they come in in different shapes and sizes and timeframes and but but i do think it's an important thing for companies to to discuss it brings to mind a friend of mine uh recently got engaged and in between the engagement and the wedding day he learned that his bride-to-be who was in her early 40s had stage for metastatic liver cancer and through the grace of God and good medical care, she's getting there.

46:46She's having a difficult year. Chemo, surgery. She's going to be out for a while. And I was asking him just the other day, what's her comp like? And she works at a very profitable software company. and he said 66 % at this point of her base, but her base is low because she works in sales, which is a really intriguing issue because her actual comp, if she was working, would be like three, 400, but instead the base is low. So she's making like 60 on a 100K base, which is sort of to our points. So look first, I think it should be no less than what the benefit would be for a physical, a chronic physical issue.

47:39And then to your points, it's nuanced. If I can't work for six months due to depression, but I'm not taking antidepressants and not in care, I don't know. If one isn't taking accountability, I may have bipolar and I'm working my butt off to get better. And I had a manic episode and it was a challenge, or I maybe have six weeks of mania because I'm not taking my medication. You know, these are different situations. And so with mental health in particular, it's challenging to know whether people are taking care of themselves and whether or not they can afford the care that they need. And so it actually becomes an insurance policy issue as well, because the insurance reimbursement rates for mental health care are so low that sometimes we can't afford the quality of care that we need.

48:36And the example I give is my own psychiatrist. He charges$1 ,100 an hour for 45 minutes, and I need to see him twice a week because I have an issue that I have to stay on top of, and he's fabulous and also who can afford$100 ,000 of out-of-pocket expenses. And the reimbursement rate is 9%. So this one is intersectional as a challenge because there's a lot wrapped up in here. And I also think to the point of knowing whether someone is getting care and if they're taking their medicine. I think employers really struggle with asking those questions as well and knowing from a compliance or legal perspective what they can and cannot ask.

49:28And so it's a super tricky place. I got a note yesterday from a woman who was disclosing her journey with bipolar and she said, and anonymous of course, you have built a family. You have proven yourself as an entrepreneur. you enjoyed the fanciest mental health care available. And you can now stand on this platform and talk to the hearts of people like me, making us feel relevant as entrepreneurs and giving us strength to carry on. And that was a very nice compliment. But what I took away from it was we need everyone to have the fanciest mental health care to be able to get to these kinds of outcomes.

50:06And it's not like we don't have this issue on the physical health side, but mental health is particularly bad because it's also hard to get access to care when you're in a mental health crisis. You are not in a position to find the right care. So this is going to take a 360 approach for a company. What a good quote though. That's such a great close for us. Fancy. I do. It's like I have a Gucci psychiatrist. To your point, Andy, there's a lot work to be done and mental illness is sort of far behind where we are in some of the physical illness dimensions. And with your contribution of being so vulnerable and honest and open about your own personal struggles, I know and will be watching it have a massive impact on this issue.

50:58So thank you so much for sharing with us and talking with us today. And thank you for being so vulnerable and writing that book. It was tremendous. Thank you. Thank you, Jessica, for years of friendship and job offer rejection. It's not you, Andy. It's me. It's not you. No, I've done the therapy. I've done the work. And Patty, thank you for, from afar, you and your work and your insights and ideas inspired me a great deal on how to try to build a great culture and a great company. And so it's a beautiful moment to be here together talking about this. You're welcome. Thanks for listening to TruthWorks.

51:42This episode was produced and edited by Megan Hayward and Mick Finnegan. Thank you to Kathleen Speckert and the whole Edit Audio team.

51:54Thank you.

From the publisher

For Mental Health Awareness Month, we thought we’d reshare an episode from last year- Join hosts Patty McCord and Jessica Neal as they welcome co-founder of Bonobos Inc. Andy Dunn. Andy, a thought leader in entrepreneurship and mental health advocacy. Listen in as he shares insights from his journey and personal experiences as a CEO with bipolar disorder.

Do you have an ongoing work issue you need guidance solving? Or maybe you want to know how Patty and Jess would have dealt with a past problem. Share your stories and questions with our producers here.

TruthWorks is hosted by Jessica Neal and Patty McCord. The show is edited, mixed and produced by Megan Hayward. Our Production Manager is Kathleen Speckert. TruthWorks is an editaudio production.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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