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Committing yourself to the very moment that you are in and blocking out everything else is the key. You must stay busy, engaged even if its cleaning out your sock drawer. Then you move to the next task immediately with no hesitation and the same dedication and attention that that moment deserves. Each moment that you complete in this mind set will start the building of your confidence. You must exercise immediately and make it a daily routine even if it is something as small as doing 5 push ups or doing imaginary arm curls for 60 seconds. You build on that as you go. All of the power of healing is in the “NOW” it does not live in the past or in the future. You have to realize that you only control the minute for which you are aware and nothing else. When you take a shower you should focus on the water hitting you and how wonderful it feels in place of that terrible thing that your mind has you spinning that may not happen. Tying your shoe should be done with the same focus. This is the way out of your despair. It also eliminates the meaning of life question that is not within your ability to answer.

As far as creating products and services that change the world they are built just as I have laid out above, one moment at a time. It is via this process that greatness is built and dreams are realized. Imagine if Michael Jordan had thought about his statue during any of his games or the moments that defined him. How long would he of lasted if he wasn’t intent on destroying the opponent in front of him or giving the moment his everything.

Get busy even if the task seems it has no meaning – you will find happiness and for the moment in hand you will find the purpose that you so desire.

Charles Lindbergh told a friend by the name of Jim Newton that when you commit yourself that “unforeseen forces” will come to you aid and that he had learned that with his flight over the Atlantic as he struggled to stay awake. Committing yourself is learned in small steps by committing to the moment in hand and if you need a place to start do so by focusing on breathing and start there.

I agree, and very well said. Thank you to the OP.

I have both managed and struggled with depression, anxiety and bipolar for years while starting up two businesses.

The one thing that has helped me the most has been Cognitive Behavioral Therapy (CBT) – I would recommend to anyone.

The issues OP writes about – predicting the future, “black + white thinking “(i.e. you can only be a Bill Gates or an abject failure) – all are very well addressed by CBT.

It’s a shame you didn’t read it, it’s something that I’m sure many founders can relate to, myself included.

Often times it’s hard to articulate what we feel and even harder to discuss it, kudos to the OP for doing both very well.