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Things I wish I knew before founding my mental health startup

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Re: Things I wish I knew before founding my mental health startup

#41
post #2

Points 1 through 3 are off. Point 4 is bang on though. You don't need 250k to 300k, and if you had it you'd wish you had 500k or 750k anyway. A longer runway puts off the scary point where you have to launch something. You can bootstrap a startup with very little capital if you have the skills to do the work yourself, or you have co-founders with those skills, or most importantly you're happy for things to take longe…

> A longer runway puts off the scary point where you have to launch something.

Amen. It's such a common problem. And one I totally get. The first possible MVP is so far from a founder's vision that it's very easy to say, "Well, let's just add X". And then repeat and repeat and repeat.

More than a decade ago I was the technical cofounder for a former colleague. He had an idea that was really compelling at the time, one for whom the key engine of growth would be Facebook sharing. He quickly raised $1.2m from some name-brand VCs as a seed. We both had strong backgrounds in user testing, so we looked vigorously for ways to find out if our approach made sense to users.

He hit upon the idea of getting people off Craigslist under the guise of market research. Before we had built anything, he'd bring people in and have them try out a few different sites and give opinions. One of them was Facebook, which they'd log into using their own account. But what they didn't know until after was that we used Greasemonkey to generate fake newsfeed entries supposedly from their real friends.

One of our key assumptions was around viral growth, so we wanted them to react positively and possibly try to sign up for our site. What actually happened is that most people hated it. We tried a bunch of variations and they still mostly hated it. So we went to our first board meeting on Sand Hill Road and told them that the thing we all thought brilliant 6 weeks before was actually a bad idea and we had data to prove it. They were... nonplussed. Happily by then we had our next idea ready to pitch so they didn't murder us or anything, but I did worry.

The thing that we didn't learn until later was that two other companies had pitched and gotten funded for basically the same idea at about the same time. Between them they raised something like $12 million. And I forget the details now, but each of them persisted for something like 12-18 months longer than we did before they gave up.

I'm convinced that raising less made us more aggressive in our testing and more willing to pivot. And even if it didn't, I still take pride in wasting way less money on dry holes.

Re: Things I wish I knew before founding my mental health startup

#42
The 300k thing is interesting because it speaks to how the concept of a "startup" has evolved. Everything he says is correct in the sense that qualified developers aren't going to come to your startup for below market wages or equity, and if you're going out into the market to hire, you have to pay. This is from personal experience.

Otoh, going into the labor market and trying to buy a team is not really a traditional early stage startup activity, in the sense that you'd normally expect the founding team to take this on and pay themselves a minimum living wage. At least in the startup bubble, the concept seems to have shifted from bootstrap in the garage to get money and buy everything, while also producing job security and career growth and the other stuff generic labor market participants want.

I do agree, the worst idea is to try and underpay or use (truly) unqualified people

Re: Things I wish I knew before founding my mental health startup

#43

I'm not sure this article has much insight, rather appears to be content for the sake of content. "Right now, $300,000 is not enough to create a prototype and show traction on the global market. It’s a simple math. Let’s say you need three developers." That's not simple math - that's faulty assumptions. While there are always exceptions, you don't typically need to hire 3 developers to build a prototype! The biggest…

$300000 is not enough. It depends. If you’re a dev and planning to build something with another dev, then that’s plenty. If you’re just a guy with no idea how software works, then it may be less. If you’re a dev and your startup has nothing to do with software then also, that money is less. If you’re hiring exclusively from Bay Area devs it is less, if you’re open to contracting people from elsewhere, it is sufficien…

"If you’re just a guy with no idea how software works"

...then you shouldn't start a software-based business.

Re: Things I wish I knew before founding my mental health startup

#44
post #24

Earlier quoted context omitted.

"You don't need 250k to 300k, and if you had it you'd wish you had 500k or 750k anyway." Spending a quarter mill on a prototype seems like a horrible decision, TBH...

In every other industry you have to invest money upfront so you actually have a product to sell, and as the software industry matures the table stakes will continue to rise. People are only willing to use half-baked prototypes when they have no choice, but in more and more domains customers will have choice and expectations go up as a result

"People are only willing to use half-baked prototypes when they have no choice, but in more and more domains customers will have choice and expectations go up as a result"

But how long are they actually using the half baked prototype?

I thought the purpose of the half baked prototype was to validate the idea, get good user feedback and get as much information as possible before dedicating resources and making more permanent design/architecture choices.

If you are spending massive time and resources before this is achieved, you are doing it wrong IMO...

Re: Things I wish I knew before founding my mental health startup

#45
post #17

Earlier quoted context omitted.

"You don't need 250k to 300k, and if you had it you'd wish you had 500k or 750k anyway." Spending a quarter mill on a prototype seems like a horrible decision, TBH...

For a mental health app, it does seem a bit on the pricy side, although if you're sourcing content from accredited professionals things do get expensive fast. You have to make good decisions about what's critical and what can wait until v2.

"although if you're sourcing content from accredited professionals things do get expensive fast."

Well, if you're spending significant resources upfront on content from accredited professionals for a mental health app...you're probably doing it wrong.

The problem in the mental health space isn't the lack of information, or access to information...

Re: Things I wish I knew before founding my mental health startup

#46

I'm not sure this article has much insight, rather appears to be content for the sake of content. "Right now, $300,000 is not enough to create a prototype and show traction on the global market. It’s a simple math. Let’s say you need three developers." That's not simple math - that's faulty assumptions. While there are always exceptions, you don't typically need to hire 3 developers to build a prototype! The biggest…

$300000 is not enough. It depends. If you’re a dev and planning to build something with another dev, then that’s plenty. If you’re just a guy with no idea how software works, then it may be less. If you’re a dev and your startup has nothing to do with software then also, that money is less. If you’re hiring exclusively from Bay Area devs it is less, if you’re open to contracting people from elsewhere, it is sufficien…

I note at no point did you mention customers, or revenue.

It's trivial to spending essentially unlimited sums of money building products no-one wants - I've seen it done with tends of dollars and millions of dollars.

However, that has very little do to with building a successful startup - where at the end of the day what matters is customers and revenue, not lines of code.

Re: Things I wish I knew before founding my mental health startup

#47

I'm not sure this article has much insight, rather appears to be content for the sake of content. "Right now, $300,000 is not enough to create a prototype and show traction on the global market. It’s a simple math. Let’s say you need three developers." That's not simple math - that's faulty assumptions. While there are always exceptions, you don't typically need to hire 3 developers to build a prototype! The biggest…

"While there are always exceptions, you typically don't need to hire three developers to build a prototype.”

However, prototypes often don't show any traction. In addition to developers, you need marketing, design, and other people. Thus, three developers is just a simplification.

My main point is that the current market is highly competitive, and products are becoming increasingly complex, so more money is needed to reach our first customers.

Re: Things I wish I knew before founding my mental health startup

#48

Fifth thing you should have known: Trying to improve mental health using an app is like trying to cure alcoholism with vodka. Societal addiction to devices is the reason why we've had an explosion in mental illness.

There are two views on the point. One is that we should stick to traditional in-person therapy, use pen and paper, and be strict. The other is that we should help people wherever they are. If they use mobile devices, let's try to help them there.

Re: Things I wish I knew before founding my mental health startup

#49

Ivan should built this with no-code tools (assuming he is not an engineer). I'm about to try Uizard for some of our graphic design. UX can be iterated on when you're working on something tiny and (I assume) simple as this app. In the coming months, someone will build the same capabilities (possibly more) backed by chatGPT or other chatbot.

I'm more like a crafter, so no code tools have provided me with the UX quality I was aiming for. But I was naive, thinking that experience would be enough. If I were to start now, I would definitely choose a simpler stack.

AI is pretty helpful right now (I'm proofreading my comments with Notion AI as we speak), but I think it will take a couple of years to really deliver quality output. I'm eagerly awaiting this moment.

Re: Things I wish I knew before founding my mental health startup

#50

> I’ve been a product manager/CEO in fintech You talk about hiring developers, all kinds of marketing strategy... do you know anything about mental health? What makes you qualified to run a mental health company? Where do you discuss bringing in doctors, or mental health specialists, instead of FAANG devs? Is the "health" part just an afterthought? > investors may not be impressed by the quality of your product yea,…

It took me four years, starting with personal therapy and continuing with education in psychology and CBT, to switch from fintech to health tech. So no, it's not something you can do immediately. I also have an experienced psychologist on board.
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