When Did Marketing Therapists Become a Thing? - By Sacha Awwa
I was sitting across the screen from a client who burst into tears and asked me if she was crazy for what she’s doing with her business.
It got me thinking. When did marketing therapists become a thing?
I already overextend myself as a person, which granted is definitely something I’ve been therapizing myself on. Generational trauma, or whatever you want to call it. But now I’m effectively doing the work of a therapist without the credentials for it, and without getting paid for it either. I love my clients. But what is this?
I just published my book, and coincidentally, or maybe not so coincidentally, chapter one is the Entrepreneurial Paradox. It’s where I quoted Socrates. “Know thyself.” The whole chapter is about how, as founders and entrepreneurs, what makes and breaks every single inch of your business is YOU. Yes, you. It asks you to understand where you’re standing in your own way.
I had no idea I wrote that chapter for myself. Three years after writing it, and after publishing it, I sat down to read it for the first time and discovered I had indeed written it for me.
I don’t think founders and entrepreneurs set out to start a business knowing that every inch of it is going to mirror who they are. Or the traumas you didn’t know were hiding in the back corner of a very dark room, tucked away on shelves and in drawers you haven’t opened in years and honestly forgot about, because you were too young when you shut them anyway.
No one, and I mean no one in your inner circle, will ever tell you what it’s like to embark on this journey. Funny enough, it’s a lot like all my friends who have given birth and gone through their own journey, only to wake up and say why didn’t anyone tell me about this? There’s a whole world of people giving birth every minute, not one of them thought to share the details? Same boat for entrepreneurship. Hello? Why did no one talk about this? What is happening to me and why is it happening?
And no one talks about it. Startup Snapshot surveyed more than 400 founders and found that 81 percent aren’t open about their stress, their fears, or their challenges. Only 10 percent will say any of it to their investors.
In the early days it was The Ed Mylett Show Ed Mylett. A podcast that kept me going through tears and 5am drives to the gym. I survived most of my days and the years to come because I heard his voice in my head on repeat, along with the hardship he faced and the hardship of everyone he brought into his studio. And yes, I never spoke to anyone about what I was going through either. I acted like my world was in tip top shape when it was in fact a carnival that had taken a wrong turn.
It’s insane to me that we glorify the photo at the summit, whatever peak you set out to climb, and never talk about the lead up. We don’t even think to take pictures of it. Why? Because those images are gruesome. Not pretty. Not shiny in any aspect. Doesn’t Hollywood make bank on movies that are all guts, with the glory saved for the end?
And the climb is doing real damage. Sifted surveyed founders in 2025 and found that more than half had burned out in the past year. Two thirds had considered walking away from the company entirely.
My point is this. It’s crazy that I sit in a seat as a marketing strategist of over 23 years and spend my time convincing founders to stay on track. You’ve got this. Keep moving. And it happens more often than not. I’ve been on Zooms where clients have thrown things across the room. Stood up and yelled. Walked away from the call and come back mere minutes later. Maybe they took a sanity walk around the block, who knows. I’ve seen it all. I’ve seen the characteristics of people fighting their own battles mentally, and I can clearly see what needs to happen for them to push past their barriers and break through walls that seem simple from the outside but on the uphill trek feel like you’ll never make it.
So I keep asking. When did marketing actually become therapy? Has it always been? Are we always digging into the middle of why are you doing what you’re doing, and why should the marketing even care?
I remember working with a client who brought me in to update their entire brand system and how they put themselves out there after 15 years. I spent almost two months digging in, running stakeholder interviews, structuring the build. Then I presented, and got yelled at by the co-founder, the wife in the pair, who told me I had no right to share what I was sharing, that after less than a year with them I had no business suggesting we touch their brand.
But ma’am, you hired me to do this exact job you’re yelling at me for.
Also, major trauma healing needed there.
As marketers, I’m telling you, we walk through battlefields and collect wounds. I don’t know how we survive it. Diplomatic on the outside, yes, in so many ways. Quietly stabilizing our own nervous systems after the last call.
I often wonder if entrepreneurs are a certain breed psychologically. We step out on our own because something in us already wants more out of life, so maybe unconsciously we’re also looking to uncover why we can’t sit still on the safer track. The most successful people fail so many times. But they get back up. So what is it about us and this thick skin? I’m still asking myself why I ever veered off the yellow brick road and away from the golden shackles.
The line between a marketer and a founder is thin, and it’s crucial. They’re placing trust in you to support their growth and get them where they dream to be. Never within reasonable timelines, I might add.
Here’s the part that stays with me. In that same Startup Snapshot report, only 23 percent of founders see a psychologist or a coach. The other 77 percent don’t get professional help at all. So the person holding the strategy ends up holding everything else too.
This may be a rant. But marketers and brand owners have always been therapists without the degree. Maybe that’s why in the fifties they all drank during meetings at ad agencies. Might need to bring that back.
Or, better idea. Do the ayahuasca journey before you sign on the dotted line. Both of you. It’s a rough course to take on, and definitely not one for the faint of heart. You won’t make it past month two.
I never knew what this journey was going to be. I had no idea. But I’m blessed to experience something out of the ordinary every day, and to uncover so much about myself and about others, as we all grow on this battlefield together and make it out the other side alive. Because we’ll have stories to tell. And they’ll be glorious ones.
Maybe that’s the one thing worth taking from the silver screen. The guts are the movie. The glory is just the last four minutes. Hollywood has known that forever. We’re the only ones still trying to release the highlight reel and skip the film.
So when did marketing therapists become a thing?
Probably the moment the work stopped being about the business and started being about the person running it. A business is a mirror of its founder. I wrote a whole chapter on that three years ago and didn’t understand a word of it until I sat down and read it back to myself.
For now, I guess I remain a marketing strategist slash therapist. Still climbing. Still asking my clients the question I had to answer first.
Sources
Startup Snapshot, “The Untold Toll: The Impact of Stress on the Well-being of Startup Founders and CEOs” (April 2023). Survey of 400+ early-stage startup founders, produced in partnership with Intel Ignite, Econa, Arnon-Tadmor Levy, and The Zell Entrepreneurship Program. Findings cited: 81 percent of founders do not openly share their stress, fears, and challenges; only 10 percent discuss it with their investors; only 23 percent seek help from a psychologist or coach. https://www.startupsnapshot.com/research/the-untold-toll-the-impact-of-stress-on-the-well-being-of-startup-founders-and-ceos/
Sifted, “More than half of founders experienced burnout last year” (February 2025). Survey of 138 founders. Findings cited: 54 percent experienced burnout in the past 12 months; two thirds had considered leaving their startup. https://sifted.eu/articles/founders-mental-health-2025