Cyclothymia in Entrepreneurs / founders
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | NE |
| Is it more common among entrepreneurs / founders? | Variable energy/risk-taking/productivity can appear adaptive in entrepreneurship |
| Are entrepreneurs / founders at higher risk? | No founder-specific epidemiology |
| How much higher is the risk? | NE |
| How often can it be missed? | Very High |
| Does it show up differently among entrepreneurs / founders? | Strong Yes |
| How might it look different? | Bursts of creativity/risk-taking/intense work followed by crashes can be romanticized as founder temperament; disorder requires persistent pathological cycling |
| What commonly occurs alongside it? | ADHD; substance use; anxiety; depression |
| What can it be confused with? | ADHD; normal entrepreneurial intensity; substance-induced mood changes; Bipolar II |
| Common screening tool | TEMPS-A — cyclothymic temperament subscale → clinical evaluation |
| Separate screening tool for entrepreneurs / founders | None |
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