Theres the almost constant upheaval at Twitter where, after he bought the social media platform last year for $44 billion, he rolled out a raft of cuts from staff to offices to data centers.
That doesnt take into account his other day job running Teslawhich comes with its fair share of challenges, including court cases. And then of course theres SpaceX, the spacecraft manufacturer and satellite company he founded in 2002, which now partners with NASA.
So its no surprise hes strung out a little more than most people.
In an impromptu interview with British broadcasters the BBCwhich was shared on Twitter Spaces and reportedly had 3.3 million listeners at one point the member of the so-called PayPal Mafia revealed he had a number or regrets about the Twitter takeover.
Musk, the second richest man on the planet, has been vocal about the strains running three businesses has taken on him. In February, he admitted he was worried about his mental wellbeing, and a search for a new CEO at Twitter has been hampered by finding someone foolish enough to take on the complex role.
In his sit-down with the BBCs James Clayton, Musk revealed his long daysnot all of which are spent at Twitterfrequently force him to sleep in the social media giants San Francisco headquarters.
He revealed: I sometimes sleep in the office, adding that he has a spot on a couch in a library on the buildings seventh floor that nobody goes to.
Musk is no stranger to sofa-surfing. Earlier this week, a fan on Twitter posted a photo of an empty-looking room with a mattress on the floor, claiming it was the bedroom of Musk.
The man worth $189.1 billion, according to Forbes, responded that the theory isnt totally wrong, adding: Slept on a friends couch last weekend.
3 a.m. rule
At least when he is asleep hes not getting himself into trouble, with Musk telling the BBC that perhaps he shouldnt post on Twitter after 3 a.m.
Such antics online have got him into hot water with Tesla investors, after the boss was taken to court over posts that boosted and then sank the stock price of the EV manufacturer.
Have I shot myself in the foot with tweets multiple times? Yes. I need bulletproof shoes at this point, Musk said. I think I should not tweet after 3 a.mmaybe 2 a.m.
Good twitter rules for users, he agreed, include not tweeting when angry or having had a drink.
If youre going to tweet something that maybe is controversial, save it as a draft and look at it the next day if you still want to tweet it, he added. That has been a good rule of thumb.
Theres a bunch of things in my drafts that Im glad I didnt send.
Twitters toll
In the BBC interview, Musk speaks candidly about how painful the process of taking Twitter on and transforming it has been, adding he didnt have a heart of stone.
Such vulnerability isnt unheard of from the CEO, who said in February the pressure he was under is a pain he wouldnt wish on anyone.
Concern for Musk has been ramping up since November, when it was revealed his schedule consisted of waking up, working nonstop, then sleeping, seven days a week. This meant his usual work week of between 70 and 80 hours now sits at around 120prompting a fan to tweet, Please be safe and take care.
Musk responded: Im worried about me, too.
Then in January the CEO apologized during a trial for squirming around on the witness stand, ascribing it to quite severe back pain and difficulty sleeping the night before.
As well as bad sleep on office sofas, Musk has also admitted his diet isnt the best, as he eats a donut for breakfast every day.
Peter Diamandis, one of the founding partners of health care business Fountain Life, tweeted earlier this week that sugar is poison.
Musk responded: I eat a donut every morning. Still alive.
