Subscribe to our Insights newsletter

Our Insights provide informative, inspiring, surprising, and entertaining insights behind the scenes of finance and economics, as well as society or art. The monthly newsletter keeps you up to date.

 

Entrepreneurship

Lonely at the top - the high price of success

Managers aren't always strong and fulfilled by what they've achieved - success at the top can come at a cost. For many executives, the higher they climb, the lonelier it gets. With few people they can truly confide in, feelings of isolation can become overwhelming - and in some cases, devastating. To counter this, both individuals and organisations must develop strategies to deal with the "lonely at the top" problem.

  • from Sabina Sturzenegger, Guest author
  • Date
  • Reading time 5 minutes

Those at the very top often find themselves alone, and this applies to music and glamour stars just as much as it does to CEOs of major companies. © istock/Caiaimage/Mar1n Barraud

Summary

  • Loneliness among top managers is not a marginal phenomenon. In 2024, 55% of CEOs reported mental health issues such as anxiety, depression and burnout, which is a significant increase on the previous year.
  • Hierarchy and the constant pressure to make decisions promote isolation. Fewer peers, high external expectations and rare honest feedback make it difficult to openly discuss one's limitations.
  • Effective prevention requires systemic approaches. Trust-based networks, professional coaching, mental health programmes, and a culture that allows reflective communication about mistakes and feelings can substantially alleviate 'loneliness at the top'.
     

Mick Jagger sang about it. So did Randy Newman. More recently, the Nigerian artist Asake: picked up the theme. "Lonely at the top" may be an affliction suffered by musicians, but it can also resonate just as strongly in the boardroom. Behind the titles and bonuses, many CEOs and senior executives suffer in silence - isolated, under pressure, and at times, depressed.

In business, as in the seemingly always glamourous world of music, reaching the top can be a solitary experience. The prestige of becoming CEO of a major company goes hand in hand with immense responsibility, scrutiny and often a lack of honest feedback. The burden of constant decision-making coupled with social isolation due to corporate hierarchies can take a huge toll. 

Mick Jagger, singer and frontman of the rock band Rolling Stones
Even Mick Jagger, who is the epitome of energy, stage presence and passion for music, sang about feeling lonely at the top. © Lea Suzuki/Polaris/laif

Anxiety, burnout and isolation

The numbers are sobering. According to a 2024 survey 55 % of CEOs stated that they had experienced mental health issues in the previous year - a jump of 24 percentage points from 2023. The conditions cited range from anxiety and depression to loneliness, obsessive-compulsive disorder and burnout. Yet comprehensive data on loneliness among managers remains scarce. And that's hardly surprising - understandably, very few top managers are eager to reveal their vulnerabilities.

The consequences, however, can be severe. In the late 2000s and 2010s, a number of high-profile suicides shook the corporate world  from the CEO of Swisscom and the CFO of Zurich Insurance, to the CFO of US-backed mortgage provider Freddie Mac, the founder of the Merckle Group and the head of Swiss private bank Julius Baer. 

The danger of solitude

Norina Peier, Coach, Organisationsentwicklung Peier
"When you rise to a leadership role, you often find that your relationships change abruptly," says Norina Peier, a coach and organisational developer based in Zurich.

Senior leaders carry a lot of responsibility, and are often tasked with making difficult and unpopular decisions that can have far-reaching consequences. They are also under the scrutiny of boards, shareholders and the media. The higher they rise within the company, the fewer peers they have - and the more difficult it becomes to get honest feedback. At the same time, political manoeuvring and strategic power struggles tend to intensify at the top.

As an article by McKinsey points out, loneliness is an inherent part of an executive's life. The question is not whether that loneliness exists, but how it's managed. Norina Peier, a Zurich-based coach and organisational development expert, sees this regularly in her work. "When someone steps into a management role, their relationships often change abruptly", she explains. "Colleagues start to behave differently, are more reserved and think twice about providing critical feedback."

Self-management and relationship management

Peier stresses that many managers navigate the "lonely at the top" phenomenon very well - provided they've built strong, trusting relationships with their teams, peers and, above all, their own superiors. However, if those relationships fray or start to be marked by resentment or strongly diverging agendas, trust can begin to crumble and loneliness can become a burden.

According to Peier, managers should therefore work on building sustainable relationships from the outset. "This takes time and a willingness to prioritise a culture of collaboration", she says. The higher up a person is in the hierarchy, the more important self-management and relationship management become.

Acknowledging feelings

To support executives, many companies are increasingly investing in coaching, mental health programmes and mindfulness and resilience training for their managers. "Taking care of yourself and nurturing constructive relationships at work and in your private life is something that can be learned and cultivated", says Peier. This is crucial, she adds, because: "building genuine, trusting and sustainable relationships at C-level is not always easy."

To cope well with the challenges of senior management and avoid feeling isolated, it is important to establish strong working relationships early on. © mauri1us images/Westend61/Uwe Umstä<er

Equally important is the ability to talking about feelings - something that should no longer be taboo for managers. Simply acknowledging feelings of loneliness or isolation can be a great relief, says Thomas J. Saporito from the leadership consultancy RHR International. "CEOs should form a group of trusted advisors from day one, specifically for getting honest, unvarnished feedback", he says. Saporito also advises executives to actively stay in contact with the team and make space for emotions. It is time to "Recognise feelings and work proactively through them", he says.

Speaking up from the top

Lars Fruergaard Jorgensen, CEO, Novo Nordisk
Lars Fruergaard Jørgensen, the outgoing CEO of Novo Nordisk. © KEYSTONE/Ritzau Scanpix/Mads Claus Rasmussen

One high-profile leader who is already putting this into practice is Lars Fruergaard Jørgensen, outgoing CEO of the Danish pharmaceutical giant Novo Nordisk.

Jørgensen recently spoke publicly about his own self-doubt and how, for a long time, he had feelings of inadequacy. But he has done more than just talk about this issue - he has also taken action, calling on his company to reduce stress levels among employees. 

"I don't think you can run a company if more than 10 % of employees are suffering from stress", Jørgensen said last year, adding, "We make sure to educate leaders on what does it mean to mitigate stress." 

Comparing global leadership cultures

Erin Meyer, professor and author of The Culture Map: Breaking Through the Invisible Boundaries of Global Business, sees significant differences in management styles around the world. She categorises these styles along two axes: from top-down to consensus-based, and from authoritarian to egalitarian:

  • Consensus-based and egalitarian: Denmark, Netherlands, Norway, Sweden
  • Consensus-based and hierarchical: Belgium, Germany, Japan
  • Top-down and hierarchical: Brazil, China, France, India, Indonesia, Mexico, Russia, Saudi Arabia
  • Top-down and egalitarian: Australia, Great Britain, Canada, USA


Executives in different regions therefore face different challenges - from share price expectations in the US and pressure from stakeholders in Europe, to hierarchies and social expectations in Asia.



 

Tackling executive loneliness: Measures and recommendations

1. Foster strong executive networks: 

  • Internal peer groups: Create forums where managers can share experiences and support each other
  • External networks: Engage in industry and management associations to exchange ideas with like-minded people
  • Mentoring programmes: Pair seasoned leaders with younger or new CEOs to provide guidance and support
     

2. Provide professional mental health support:

  • Executive coaching: Regular discussions with leadership coaches or therapists
  • Mental health programmes: Confidential counselling to provide psychological support
  • Mindfulness and resilience training: Courses on stress management and self-awareness


Example: Companies such as Google and SAP offer mindfulness programmes for managers.
 

3. Promote a realistic work-life balance:

  • Flexible schedules: Managers should not be available around the clock
  • Delegation culture: Clearly define responsibilities in the management team to prevent burnout
  • Sabbaticals and breaks: Offer sabbaticals for CEOs and managers
     

Example: LinkedIn offers multiple-month sabbaticals for managers to prevent burnout.

 

4. Shift away from "hero" culture: 

  • Embrace  error-friendliness: CEOs and managers should be able to speak openly about challenges without fear of damaging their image
  • Set healthy performance standards: Companies should focus on long-term goals instead of creating pressure through short-term performance expectations
  • Lead by example: When CEOs speak openly about mental health, it encourages others to seek support
     

5. Conduct surveys and introduce warning mechanisms:

  • Mental health check-ins: Companies should conduct regular anonymous surveys to assess leadership's mental health
  • Introduce early warning systems: AI-supported analysis can help detect stress factors at an early stage

 

Example: Microsoft analyses work patterns to identify signs of overload.
 

 

Sabina Sturzenegger

Sabina has many years of experience working in journalism. She has worked for the Neue Zuercher Zeitung, Sonntagsblick and the Aargauer Zeitung's business section, as well as for Watson, where she was a news editor and a digital advertising specialist. She is now the founder and owner of Panda&Pinguin and works as a freelance author, among other things.

Billy Ocean, singer and songwriter
Entrepreneurship

Resilient optimism: the unsung secret of business success

Optimism is essential for business, but should never be confused with passive hope or overconfidence. The best approach is resilient optimism, also called "optimism with a safety net". And there's good news: it can be learnt.
In an autumnal, barren mountain landscape, a young woman is sitting on a block of wood in a depressed posture.
Entrepreneurship

How companies can support their employees' mental health

There's an alarming trend emerging in workplaces around the world: while the number of work-related accidents and illnesses has been in steady decline for a number of years now, mental health conditions are seeing a significant increase. This is due, among other things, to stress, time...
A middle-aged man with a bald head and a grey beard is sitting in an armchair
Lifestyle

Burn-on, not burn-out: When work gives you a high

The people who go to Bert te Wildt's psychosomatic clinic are constantly tense, constantly stressed out. Everything in their lives feels like work. But they soldier on. te Wildt's patients suffer from a new form of chronic stress-induced depression that he calls burn-on. In this interview, te...
Middle-aged man smiling on a dark stage with outstretched arms
Entrepreneurship

"Negotiation starts from the inside out"

William Ury has been at the centre of many of the world’s most intractable conflicts. In this interview, he shares his insights on how to defuse the toughest stand-offs.
In spring, a small castle with red and white shutters nestles among trees and meadows above a lake.
Entrepreneurship

"New forms of work are successful if employees have a say"

New work seems to be an omnipresent topic. Hans Rudolf Maag, Executive Head of the Liechtenstein Academy, explains what new forms of organisation are all about and how they can be successfully implemented.
Roland Berger
Entrepreneurship

Management consultant Roland Berger: "You can’t make it alone"

Mr. Berger, as a management consultant active all over the globe, you have insight into all kinds of companies in all kinds of cultural contexts. How important is loyalty to them today – and what does it actually mean? People used to say you should be loyal to your clients, your...