Mental Illness, Creativity & Entrepreneurship

A Review of Research on Mental Illness & Creatorship

Mental illness has long been linked to the creative and entrepreneurial mind. Naturally, this begs the question: Why does this connection exist?

As it turns out, the high rates of mental illnesses among creators, like depression, ADHD, substance abuse, and bipolar aren’t an accident. New research reveals that these diagnoses may actually facilitate creative thinking and confer adaptive advantages in the entrepreneurial context.

Let’s explore the link between creativity and:

  • Depression

  • ADHD

  • Substance abuse

  • Bipolar


Depression

Depression is a mental illness that affects a person's mood, thoughts, and behavior. It's characterized by feelings of sadness, low energy, changes in sleeping and eating patterns, difficulty concentrating and making decisions, and a loss of interest or pleasure in life.

Research has shown that entrepreneurs are two-times more likely to suffer from depression than non-entrepreneurs (1), and a variety of studies have linked creativity and depression (2).

Some evolutionary psychologists believe that depression hasn't been weeded out in our gene pool because it can be adaptive for creative problem solving: It helps people identify a problem, conserve their energy, and think deeply about that problem until a solution arises (3).

It’s believed that depression can support creativity through:

  • Energy conservation (3)

  • Enhanced problem solving (3)

  • Realistic thinking (16)

Creators with depression include: Vincent van Gogh, Virginia Woolf, Ernest Hemingway, Sylvia Plath, Robin Williams, Lady Gaga, Demi Lovato, and J.K. Rowling.


ADHD

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, impulsivity, difficulty planning, disorganization, forgetfulness, impatience, and more.

Research has shown that entrepreneurs are nearly 6x more likely to struggle with ADHD than non-entrepreneurs (1), and clinically elevated levels of ADHD symptomatology are correlated with creativity (4).

Some researchers believe that the unique neurobiology of ADHD contributes to thought and behavioral patterns that support creative and entrepreneurial work.

This includes:

  • Hyperfocus (5)

  • Divergent Thinking (6)

  • Novelty-Seeking (7)

  • Impulsive Creativity (7)

  • Risk tolerance (8)

  • Productive compensation strategies, like support, reminders, etc. (9)

Creators with ADHD include: Simone Biles, Richard Branson, Albert Einstein, Justin Timberlake, Michael Phelps, and Emma Watson,


Substance Abuse

Substance abuse is the excessive and harmful use of drugs or alcohol, resulting in negative consequences on a person's physical health, well-being, relationships, and overall functioning.

Research has shown that entrepreneurs are 4x more likely to struggle with substance abuse than non-entrepreneurs (1), and many scholars have noted the connection between creative careers and substance abuse (10).

While substance abuse itself is undeniably harmful, the genetics that underlie addictive patterns — specifically, dopamine gene variants (11) — are strongly linked with creative and entrepreneurial patterns like:

  • Novelty-seeking (11)

  • Excitement, energy & exhilaration (11)

  • Sensation-seeking (12)

  • Risk tolerance (12)

  • Hyper-focus on rewards (13)

Creators with addiction include: Johnny Depp, Edgar Allen Poe, Demi Lovato, Eminem, Ernest Hemingway, Russel Brand, and Judy Garland.


Bipolar

Bipolar disorder is a mental illness characterized by extreme mood swings, alternating between periods of intense emotional highs (mania or hypomania) and lows (depression).

Research has shown that entrepreneurs are 11x more likely to struggle with substance abuse than non-entrepreneurs (1), and there's a natural co-occurrence of creativity and bipolar disorder (14).

Some researchers believe that the rate of bipolar among creative and entrepreneurial minds is so high due to the unique creative power of the hypo/manic 'upsides' combined with the depressive 'upsides.'

  • Manic/hypomanic phase is characterized by energy, excitement, optimism, sociability, curiosity, and more (15).

  • Depressive phase is characterized by energy conservation, enhanced problem solving, reflectiveness, and more (3).

Creators with bipolar include: Catherine Zeta-Jones, Jean-Michel Basquiat, Virginia Woolf, Halsey, Vincent van Gogh, and Stephen Fry.


Citations

  1. Freeman, M. A., Staudenmaier, P. J., Zisser, M. R., & Andresen, L. A. (2019). The prevalence and co-occurrence of psychiatric conditions among entrepreneurs and their families.Small Business Economics,53, 323-342.

  2. Akinola, M., & Mendes, W. B. (2008). The dark side of creativity: Biological vulnerability and negative emotions lead to greater artistic creativity.Personality and social psychology bulletin,34(12), 1677-1686.

  3. Nettle, D. (2004). Evolutionary origins of depression: a review and reformulation.Journal of affective disorders,81(2), 91-102.

  4. Healey, D., & Rucklidge, J. J. (2006). An investigation into the relationship among ADHD symptomatology, creativity, and neuropsychological functioning in children.Child Neuropsychology,12(6), 421-438.

  5. Hupfeld, K. E., Abagis, T. R., & Shah, P. (2019). Living “in the zone”: hyperfocus in adult ADHD.ADHD Attention Deficit and Hyperactivity Disorders,11, 191-208.

  6. White, H. A., & Shah, P. (2016). Scope of semantic activation and innovative thinking in college students with ADHD.Creativity Research Journal,28(3), 275-282.

  7. Donfrancesco, R., Di Trani, M., Porfirio, M. C., Giana, G., Miano, S., & Andriola, E. (2015). Might the temperament be a bias in clinical study on attention-deficit hyperactivity disorder (ADHD)?: Novelty Seeking dimension as a core feature of ADHD.Psychiatry research,227(2-3), 333-338.

  8. Karlsson Linnér, R., Biroli, P., Kong, E., Meddens, S. F. W., Wedow, R., Fontana, M. A., ... & Beauchamp, J. P. (2019). Genome-wide association analyses of risk tolerance and risky behaviors in over 1 million individuals identify hundreds of loci and shared genetic influences.Nature genetics,51(2), 245-257.

  9. Kysow, K., Park, J., & Johnston, C. (2017). The use of compensatory strategies in adults with ADHD symptoms.ADHD Attention Deficit and Hyperactivity Disorders,9, 73-88.

  10. Tolson, G. H. J., & Cuyjet, M. J. (2007). Jazz and substance abuse: Road to creative genius or pathway to premature death.International Journal of Law and Psychiatry,30(6), 530-538.

  11. Uhl, G. R., Vandenbergh, D. J., Rodriguez, L. A., Miner, L., & Takahashi, N. (1997). Dopaminergic genes and substance abuse.Advances in Pharmacology,42, 1024-1032.

  12. Norbury, A., & Husain, M. (2015). Sensation-seeking: Dopaminergic modulation and risk for psychopathology.Behavioural brain research,288, 79-93.

  13. Brenhouse, H. C., Lukkes, J. L., & Andersen, S. L. (2013). Early life adversity alters the developmental profiles of addiction-related prefrontal cortex circuitry.Brain sciences,3(1), 143-158.

  14. Murray, G., & Johnson, S. L. (2010). The clinical significance of creativity in bipolar disorder.Clinical psychology review,30(6), 721-732.

  15. Ruiter, M., & Johnson, S. L. (2015). Mania risk and creativity: A multi-method study of the role of motivation.Journal of affective disorders,170, 52-58.

  16. Moore, M. T., & Fresco, D. M. (2012). Depressive realism: A meta-analytic review.Clinical psychology review,32(6), 496-509.

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