Why high-achieving CEOs struggle to rest: balancing downtime and mental health for sustainable business success

Why is it that the same individuals who conquer high-stakes challenges find rest so challenging? For many CEOs and high-performing professionals, the relentless pursuit of goals and productivity becomes not only a defining feature but also a source of internal conflict. CEOs, for instance, are often expected to balance a superhuman array of responsibilities, a pressure that frequently results in considerable stress, fatigue, and anxiety (1).

In fact, a recent study by Horton International highlighted that C-suite executives experience greater mental health challenges than their employees, with fatigue and stress being primary contributors to these issues (2). This paradox of success – where those most in need of rest are often the least able to embrace it – sets the stage for a unique set of mental health struggles in high-pressure careers.

For many high achievers, the notion of taking a break or resting can be tinged with guilt or seen as a mark of unproductiveness. This relentless cycle of productivity without pause may seem admirable but can lead to significant mental health repercussions over time. As we explore further, it’s essential to consider both the costs of this lifestyle and the benefits of reframing rest as a vital component of sustained success.

The uncomfortable reality of rest

For high achievers and those in high-stakes roles, downtime often feels foreign, if not entirely uncomfortable. Society’s obsession with achievement and productivity starts young, as children are often rewarded for external successes – a top grade on a test, an athletic win, or other milestones (3). These early rewards can cultivate an emotional dependency on achievement, with each success triggering a fleeting “good feeling” of dopamine release (4). Dopamine, as nature’s reward, creates a cycle of seeking further achievement, particularly if genuine praise and recognition are otherwise scarce. This dynamic can unintentionally foster a mindset where self-worth is directly tied to productivity (3).

This association can evolve into adulthood, where the pressure to excel can manifest in relentless work habits. As reported by Forbes, many entrepreneurs and leaders struggle with low self-esteem, compensating through overwork and, at times, ego (5). For high achievers, self-worth and accomplishment become nearly inseparable, which leads to a significant discomfort in moments of rest and recovery.

This discomfort may also stem from a desire to set a “lead-by-example” model, particularly in leadership. There is a prevalent notion that CEOs or executives can’t afford to truly rest, with an estimated 90% of them reporting sleep loss due to the fear of failure (1). However, it raises an important question: given the pressures and expectations placed on them, can individuals in these roles realistically rest as others do? Or is true rest an unattainable goal for those whose responsibilities impact global business operations and employee welfare?

The psychological impact of constant ‘on’ mode

For high-achieving individuals, the inability to balance work and rest can have serious mental health implications. Studies reveal that prolonged periods of high pressure can lead to anxiety, insomnia, and eventually burnout (6). In the UK alone, one in five working adults had to take time off in the past year due to stress or pressure-related mental health struggles (6). For leaders in top roles, these factors are intensified by high workloads, extended hours, and the isolating nature of decision-making at the top (6).

The relentless pace impacts more than wellbeing; it also affects performance. Chronic stress makes it increasingly difficult to maintain resilience and sound judgment. Studies show that sustained anxiety can alter brain chemistry, impacting cognitive function and decision-making abilities (7-8). In states of unmitigated stress, blood and oxygen flow are diverted from the brain, reducing access to logical reasoning and sending the brain into a “chaotic” state that undermines effective decision-making (7,9).

Redefining rest as a vital aspect of resilience

For high-achieving individuals, rest isn’t a luxury; it’s an essential tool for resilience and peak performance. The idea that rest equates to laziness is outdated, especially for leaders and professionals in high-stakes roles. To sustain productivity and avoid burnout, prioritising wellbeing is essential for long-term success (1).

Recent research has demonstrated that regular downtime is not only restorative but also boosts cognitive abilities. Studies show that strategic breaks replenish the brain’s attention reserves, enhance motivation, and foster creativity – key traits for thriving in demanding environments (10). Engaging in periodic rest allows leaders to maintain focus, prevent burnout, and ultimately contribute to the success and growth of their organisations.

In practice, this philosophy is evident among high performers across various fields. From athletes and musicians to office professionals and executives, intentional breaks interspersed with periods of focused work have proven invaluable (10). Some of the world’s most exceptional individuals incorporate deliberate rest into their routines, knowing that resilience is a byproduct of balance, not relentless drive (10).

Practical strategies for balancing high performance with recovery

Acknowledging the demanding nature of high-pressure roles is essential in crafting a balanced approach to wellbeing. While the external pressures in these roles are unlikely to change, there are achievable methods to incorporate rest and prevent the impact of chronic stress (1).

Implementable Steps for Embracing Rest:

1. Micro-breaks: short, structured breaks throughout the day can alleviate mental fatigue and boost focus without halting productivity.
2. Active rest: embrace activities that rejuvenate without feeling idle – such as a brisk walk or mindful breathing exercises. Active rest can help prevent burnout while keeping the mind engaged.
3. Digital boundaries: limiting screen time outside of working hours and setting clear digital boundaries can ease mental strain. Disconnecting from digital demands encourages a healthier balance.
4. Structured reflection: setting aside time to reflect, whether through journaling or brief mindfulness sessions, promotes resilience and a stronger emotional foundation.

Each of these strategies can be tailored to accommodate professional responsibilities while fostering sustainable mental and emotional wellbeing.

Achieving true success goes beyond constant productivity; it requires a foundation of mental health resilience and self-compassion. Rest is not a luxury but an essential investment in both personal and professional endurance. For high achievers, learning to prioritise recovery is a crucial step in maintaining the resilience and clarity needed to meet life’s demands. By embracing rest as part of the journey, we create space for sustained achievement, fostering a healthier balance that ultimately supports long-term success.

In the pursuit of high performance, let’s recognise that rest is not a retreat from productivity but a vital component of it.

If you or someone under your care is struggling with prioritising rest and recovery, get in touch with our team today.

References

1. https://www.business-reporter.co.uk/management/ceo-wellbeing-and-the-value-of-a-healthy-work-life-balance
2. https://hortoninternational.com/is-there-mental-health-support-for-your-ceos/
3. https://medium.com/personal-growth/the-dangers-of-basing-self-worth-on-achievement-54d125633b33
4. https://thewholeu.uw.edu/2016/02/01/dare-to-praise/
5. https://www.forbes.com/sites/martinzwilling/2014/01/23/how-to-increase-self-esteem-and-success-in-business/#289c7f8e5607
6. https://mentalhealth-uk.org/blog/burnout-report-one-in-five-needed-to-take-time-off-work-due-to-stress-in-the-past-year/
7. https://www.waldenu.edu/online-masters-programs/ms-in-clinical-mental-health-counseling/resource/how-stress-impacts-decision-making#:~:text=Just%20as%20stress%20affects%20our,as%20great%20as%20the%20rewards.
8. https://thedecisionlab.com/insights/health/stress-redesigns-decision-making
9. https://www.wellandgood.com/anxiety-stress-decision-making/
10. https://www.scientificamerican.com/article/mental-downtime/#:~:text=Downtime%20replenishes%20the%20brain’s%20stores,stable%20memories%20in%20everyday%20life