Resilience in a Cutthroat Industry: Mental Health Tools for Actors, Writers, and Crew
- Matthew Herrera
- May 30
- 3 min read

The Mental Health Cost of Creative Careers
While the industry thrives on passion and creativity, the psychological and emotional toll on entertainment workers is undeniable. A 2021 study by Creatives’ Union of Europe and UCLA’s Center for Scholars & Storytellers reported significantly higher levels of anxiety, depression, and substance misuse among entertainment workers compared to the general population. Contributing factors include:
Financial instability
Unpredictable schedules
Performance-based identity
High competition and limited job security
In Los Angeles and East LA, these realities are intensified by rising living costs and increased reliance on the unpredictable gig-based employment. In 2023, the Los Angeles Times claimed that widespread production delays and industry strikes have only widened the financially precarious situation for below-the-line workers and emerging artists, contributing to a “mental health crisis among entertainment professionals.”
CBT and DBT Tools to Build Creative Resilience
Actors, musicians, writers, and behind-the-scenes professionals may benefit from evidence-based practices from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to support emotional resilience. Here’s how those tools can help:
1. Reframe “All or Nothing” Thinking
Disastorous thoughts and distortions like “If I don’t get this role, I’m a failure” can be devastating. CBT helps clients identify cognitive distortions and replace them with more balanced, compassionate self-talk. For example: “This role would be amazing, but it’s not the only path to success.”
2. Daily Structure and Routine
When jobs are irregular, it's easy to fall into emotional drift. Creating a structured weekly plan that includes both mastery tasks (like writing or rehearsing) and pleasure activities (like hiking or connecting with friends) helps regulate mood and build momentum.
3. Distress Tolerance for Rejection and Uncertainty
DBT offers tools like TIPP (Temperature, Intense Exercise, Paced Breathing, Progressive Muscle Relaxation) to help manage overwhelming emotions in high-stakes situations. These techniques are especially helpful after an intense audition, receiving feedback, or dealing with financial stress.
4. Clarify Your Values
When your sense of self is wrapped up in external validation, it can be helpful to reorient around intrinsic values. “Why do I create?” “What does success actually mean to me?” Therapy can help you reconnect with your core purpose so that your identity isn't fully defined by bookings or reviews.
Private Pay Therapy in Los Angeles for Entertainment Professionals
Therapy works best when it’s tailored to your context. I have extensive experience helping actors, screenwriters, musicians, directors, and creatives in Los Angeles, East LA, Silver Lake, Echo Park, Highland Park, and surrounding neighborhoods. With private pay therapy, you gain the privacy, flexibility, and individualized support that’s often not possible through insurance-based models.
Whether you are facing burnout, stuck in perfectionism, or rebuilding your confidence after a career setback, therapy offers a space to slow down, feel seen, and move forward with clarity.
The Bottom Line: Your Mental Health Is Not a Luxury
Being creative for a living can be deeply fulfilling, but it can also be emotionally exhausting. If you’ve been feeling anxious, creatively blocked, or overwhelmed by the ups and downs of this industry, you’re not alone—and you don’t have to figure it out by yourself.
Reach out today to explore whether therapy might be the next right step in your creative journey.
References and Sources:
Los Angeles Times (2023) – “Mental Health Crisis Looms Over Striking Hollywood Workers,” https://www.latimes.com/entertainment-arts.
Creatives Unite / University of Loughborough (2021) – “Longstanding Health Crisis in Creative Industries Linked to Passion-Driven Work,” https://creativesunite.eu/article/longstanding-health-crisis-in-creative-industries-linked-to-passion-driven-work-research-finds.
Zinnia Health – “Coping Skills From DBT for Distress Tolerance”
https://zinniahealth.com/mental-health/therapies/dialectical-behavioral-therapy/coping-skills.
Compassion Recovery Centers – “Building Emotional Resilience: Tools From CBT and DBT,” https://compassionrecoverycenters.com/blogs/building-emotional-resilience-tools-from-cbt-and-dbt-in-recovery
UCLA Center for Scholars & Storytellers – “Mental Health and Storytellers: The Emotional Cost of a Career in Media,” https://www.scholarsandstorytellers.com/.


