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April 11, 2025 107 mins

"We are aiming for a place where we can decouple the scorecard from our worthiness. It’s of course the case that in trying to optimise the good, we will always be falling short. The question is how much, and in what ways are we not there yet? And if we then extrapolate that to how much and in what ways am I not enough, that’s where we run into trouble." —Hannah Boettcher

What happens when your desire to do good starts to undermine your own wellbeing?

Over the years, we’ve heard from therapists, charity directors, researchers, psychologists, and career advisors — all wrestling with how to do good without falling apart. Today’s episode brings together insights from 16 past guests on the emotional and psychological costs of pursuing a high-impact career to improve the world — and how to best navigate the all-too-common guilt, burnout, perfectionism, and imposter syndrome along the way.

Check out the full transcript and links to learn more: https://80k.info/mh

If you’re dealing with your own mental health concerns, here are some resources that might help:

Chapters:

  • Cold open (00:00:00)
  • Luisa's intro (00:01:32)
  • 80,000 Hours’ former CEO Howie on what his anxiety and self-doubt feels like (00:03:47)
  • Evolutionary psychiatrist Randy Nesse on what emotions are for (00:07:35)
  • Therapist Hannah Boettcher on how striving for impact can affect our self-worth (00:13:45)
  • Luisa Rodriguez on grieving the gap between who you are and who you wish you were (00:16:57)
  • Charity director Cameron Meyer Shorb on managing work-related guilt and shame (00:24:01)
  • Therapist Tim LeBon on aiming for excellence rather than perfection (00:29:18)
  • Author Cal Newport on making time to be alone with our thoughts (00:36:03)
  • 80,000 Hours career advisors Michelle Hutchinson and Habiba Islam on prioritising mental health over career impact (00:40:28)
  • Charity founder Sarah Eustis-Guthrie on the ups and downs of founding an organisation (00:45:52)
  • Our World in Data researcher Hannah Ritchie on feeling like an imposter as a generalist (00:51:28)
  • Moral philosopher Will MacAskill on being proactive about mental health and preventing burnout (01:00:46)
  • Grantmaker Ajeya Cotra on the psychological toll of big open-ended research questions (01:11:00)
  • Researcher and grantmak
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