The science
The neuroscience of leadership, under pressure
What happens to your attention, thinking and behaviour when you are challenged, evaluated, uncertain, visible, or holding a line.
A reference for high-performing women who are already competent, and want to understand what changes in the moments that count.
Matilda Martins-Ojo · Brain-based coach for high-performing women · Registered nurse
How to use this
One mechanism, one application, one source
This is a reference, not an article. Each entry describes one mechanism, gives one way to use it in a leadership situation, and names one source. Dip in where it is relevant. You are not meant to read it in order.
Neuroscience does not tell women they need fixing. It is one lens among several, alongside organisational psychology, gender research and leadership science, for understanding behaviour under pressure. Where a claim rests on a specific study, it is cited. Where it rests on a body of work rather than one paper, that is said plainly. The brain science page covers the mechanisms in more depth.
1 · The pressure response
The brain under pressure
Why you can be composed outside a meeting and lose your footing the moment you walk in.
Pressure changes the conditions your brain is working under. When a situation feels important, uncertain, or socially significant, your body starts preparing for action: heart rate rises, attention narrows, thoughts speed up. This is not a malfunction. It is a response to demand.
The difficulty is that the same activation that helps you mobilise can, past a certain point, interfere with the exact functions leadership depends on. The research on how acute stress affects decision-making is genuinely mixed, and the effect depends on timing, intensity and context rather than following one rule.
So if your mind has ever gone blank the moment someone challenged you, your competence did not disappear. The conditions for reaching it changed.
In practice. Replace “how do I stop feeling nervous” with “how do I stay effective while some nervousness is present”.
Sarmiento, Lopes da Cunha and Tabares, 2024, Brain, Behavior, & Immunity – Health
Stress and the prefrontal cortex
Why the skills you need most under pressure are the ones that get harder to reach.
The prefrontal cortex handles planning, working memory, holding a goal in mind, overriding an automatic response, flexible thinking and judgement. It is also unusually sensitive to the chemical changes that happen under stress.
Under significant, uncontrollable pressure, that chemistry weakens the connections the prefrontal cortex relies on, within minutes. Your brain does not shut down. But the abilities you lean on hardest in a high-stakes moment can become harder to access at exactly the moment you need them. A senior executive walks in, your arousal rises, and part of your attention moves to what she thinks of you while you are also trying to listen, hold your point and form an answer. Thinking gets harder because the load has multiplied, not because you are less capable.
In practice. Ask “what can I take off my mind and put on paper?” Preparing your key message and evidence in advance is not weakness. It is building better conditions for the brain you actually have on the day.
Arnsten, 2009, Nature Reviews Neuroscience; Arnsten, 2015, Nature Neuroscience
Cognitive load and working memory
Why you do not need to memorise the whole presentation, and why trying to usually backfires.
Working memory, the system that holds and manipulates information while you use it, is small. The best estimate is around four meaningful chunks at once, not the much larger number people assume.
In a meeting you are often tracking several things at the same time: what is being said, what you plan to say, how your manager is reacting, whether your last comment landed, whether you have forgotten something. Every one of those draws on the same narrow resource. A memorised script adds to the load rather than reducing it, and if the conversation moves, you can lose your place and your composure together.
In practice. Do not memorise. Know the problem, the evidence, your recommendation and the decision you need. Speak around those four anchors, and put the rest on paper so your working memory is free to listen.
Cowan, 2001, Behavioral and Brain Sciences; on load more broadly, Sweller, Ayres and Kalyuga, 2011, Cognitive Load Theory
Attention under pressure
Why one frown in a room of nodding heads can take over your whole presentation.
Attention is selective, and information that feels personally significant tends to capture it first. That is why one expression from a senior colleague can become louder than everything else in the room. Anxiety makes this worse: it pulls attention toward whatever feels threatening and away from the task.
The skill is not clearing your mind. It is noticing when your attention has moved, and deliberately bringing it back to what the moment actually needs.
In practice. When you catch your focus locked on one person’s face, name it silently, “that is one reaction, not the room”, and return to the speaker. This is attentional control, and it is trainable.
Eysenck, Derakshan, Santos and Calvo, 2007, Emotion

2 · Being evaluated
Social threat and social evaluation
Why feedback can feel far bigger than the words in it.
Leadership is intensely social. You are constantly being read for competence, trustworthiness, status and belonging. The brain treats socially evaluative information as highly significant, and situations that combine being watched with the possibility of negative judgement are among the most reliable triggers of a physical stress response that researchers have found.
This is the gap between “it was only feedback” and how feedback actually lands. Your brain is processing more than the content of the sentence.
In practice. Ask what the real stake is: a genuine performance concern, or a threat to how you believe you are seen. Naming which one it is takes some of the heat out.
Eisenberger, 2012, Nature Reviews Neuroscience; Dickerson and Kemeny, 2004, Psychological Bulletin
The amygdala and what captures attention
Why “can we talk tomorrow” can take up your whole evening.
The amygdala is often called the fear centre, which is too small a description. It helps the brain learn what is emotionally significant and decide what deserves attention, including what might predict something important. It is not where fear is stored, and it is not the only region involved.
A vague message contains almost no information. Your brain fills the gap, and under stress it tends to fill it with the worst plausible reading.
In practice. Separate what you actually know from what you are predicting. They are two different categories, and only one of them is evidence.
LeDoux and Pine, 2016, American Journal of Psychiatry
Feedback and criticism
Why one critical sentence can outweigh ten positive ones.
Feedback is rarely only data. It can carry implied information about competence, standing and future opportunity, which is part of why it can feel out of proportion to what was said. The largest review of feedback effects found that feedback does not reliably improve performance, and sometimes worsens it, particularly when it is experienced as a judgement of the person rather than the work.
In practice. Split the data from the story. “The report needed more detail” is data. “They think I am not up to this” is story. Respond to the first. Examine the second.
Kluger and DeNisi, 1996, Psychological Bulletin
Psychological safety
Why a team that never disagrees with you is not necessarily well led.
Psychological safety is not the absence of discomfort. It is whether people believe they can take an interpersonal risk, asking a question, admitting uncertainty, disagreeing, without expecting humiliation or punishment. A meta-analysis drawing on 136 samples and more than 22,000 people found it meaningfully related to performance and other outcomes.
In practice. Ask what happens in your team when someone disagrees with you. That answer says more about your leadership than how friendly the room feels.
Frazier, Fainshmidt, Klinger, Pezeshkan and Vracheva, 2017, Personnel Psychology
Belonging at work
Why “do I fit here” is not always a confidence problem.
Whether people feel respected and included shapes whether they speak, ask questions or take risks. For women who are underrepresented in senior rooms, doubts about belonging can be a reasonable read of real signals in the environment, not only personal insecurity. The need to belong is a basic human motivation, and uncertainty about it draws heavily on attention.
In practice. As a leader, ask not only how you steady yourself, but what environment you are creating. Are the people around you braced, or free to think?
Walton and Cohen, 2007, Journal of Personality and Social Psychology; Baumeister and Leary, 1995, Psychological Bulletin
3 · Status and the double bind
Status and the double bind
Why the same behaviour reads as confident in one leader and aggressive in another.
Workplaces run on status hierarchies, and people are sensitive to their position in them. For women this is complicated further, because leadership has historically been defined in stereotypically masculine terms such as dominance and agency. The research describes contradictory expectations: be confident but not too dominant, warm but still authoritative, decisive but liked. Women who negotiate assertively can face real backlash for it.
These are not individual confidence problems. They are features of the environment leadership happens in.
In practice. Do not treat every instance of the double bind as a personal failing. Understanding the bias lets you respond to it strategically rather than absorb it as a flaw.
Heilman, Caleo and Manzi, 2024, Annual Review of Organizational Psychology and Organizational Behavior; Paustian-Underdahl, Smith Sockbeson, Hall and Halliday, 2024, The Leadership Quarterly
Bias, prediction and interpretation
Why “can we talk later” can become a full story before your manager says anything else.
Your brain uses past experience to interpret ambiguous situations quickly. The same shortcut can turn thin information into a confident, and often wrong, conclusion. It works in both directions: you read others through your assumptions, and others read you through theirs, including gender stereotypes that shape how competence and warmth are perceived.
In practice. Separate what happened, what you are predicting, and what you are concluding. And hold open the possibility that the problem is genuinely external, not a thinking error on your part.
Ryan and Morgenroth, 2024, Annual Review of Psychology
4 · Body and emotion
Interoception and self-awareness
Why your body often knows your capacity before your mouth agrees to anything.
Leadership self-awareness is usually taught as knowing your strengths, weaknesses and style. It should also include noticing what is happening in your body while you lead. Interoception is the processing of internal signals: heartbeat, breath, muscle tension, gut sensation.
A tightening stomach when someone asks you to take on another project is information, before you have consciously decided how you feel about the request.
In practice. Notice the bodily signal before you answer. That pause is the point of choice between an automatic yes and an intentional response.
Barrett and Simmons, 2015, Nature Reviews Neuroscience; Craig, 2009, Nature Reviews Neuroscience
Emotion regulation under pressure
Why the goal was never to stop feeling nervous, angry or embarrassed.
Leadership does not require becoming emotionless. Emotions carry information. The skill is experiencing one without automatically converting it into behaviour: feeling angry and choosing not to attack, feeling nervous and speaking anyway. A 2026 systematic review of 103 studies on emotion regulation in leadership found growing evidence linking regulation strategies, reappraisal in particular, to leadership processes and outcomes.
In practice. When emotion rises, name it before you act on it. Naming opens a small gap between the feeling and the behaviour.
Nadifi, Zenjari and Cherkaoui, 2026, SAGE Open; on regulation strategy, Gross, 2015, Psychological Inquiry
Confidence under pressure
Why confidence was never the absence of nerves.
Confidence does not require a calm body. You can have a fast heartbeat, a dry mouth and anxious thoughts and still act competently. A more useful definition is trusting your ability to respond even when you cannot control the outcome. That overlaps with self-efficacy, and self-efficacy is built mainly from the experience of handling things, not from being told you can.
In practice. Define confidence as action taken alongside uncertainty, not the removal of it. Then look for the experience, not the feeling.
Bandura, 1997, Self-Efficacy: The Exercise of Control

5 · Deciding
Deciding under stress and uncertainty
Why more information rarely gives you the certainty you are looking for.
Leaders decide with incomplete information, time pressure and competing priorities. A 2024 systematic review found that the fast, physical stress response, the adrenaline path, tends to impair decision-making by affecting the prefrontal cortex, while the slower hormonal response shifts decisions toward more emotional weighting. Neither reliably improves judgement.
Separately, many high performers believe that enough information will eventually produce full confidence. It usually will not. Repeated information-seeking, one more email, one more opinion, one more night, tends to delay a decision rather than improve it, and chasing certainty lowers your tolerance for not having it.
In practice. When activation is high, ask whether the decision genuinely has to be made now. If not, pause and return when the load has dropped. And ask what information would actually change your decision. If the honest answer is nothing significant, you already have enough.
van Herk, Schilder, de Weijer, Bruinsma and Geuze, 2024, Neurobiology of Stress; Sarmiento et al., 2024, Brain, Behavior, & Immunity – Health; on intolerance of uncertainty, Carleton, 2016, Journal of Anxiety Disorders
Overthinking and looping
Why feeling busy in your head is not the same as making progress.
Overthinking feels productive because it keeps you occupied. But replaying, predicting and rehearsing without new information is looping, not thinking. Thinking reduces the uncertainty. Looping manages the feeling of it, and the research on rumination finds it tends to make mood and decision-making worse rather than better.
In practice. Ask whether the next round of consideration will produce genuinely new information. If not, you are looping, and it is time to decide.
Nolen-Hoeksema, Wisco and Lyubomirsky, 2008, Perspectives on Psychological Science
6 · Mistakes and standards
Error monitoring, mistakes and learning
Why a presentation can go ninety per cent well and you only remember the bad moment.
The brain has a monitoring system, centred on the anterior cingulate cortex working within larger networks, that flags mismatches between what you expected and what happened. A small error can capture disproportionate attention because of how that system works. The outcome depends on the question you ask next. “What happened, and what will I change” supports learning. “What does this say about me” produces shame without improving performance.
Flexible thinking matters here too: you made a mistake, and you are still competent. Both can be true.
In practice. Ask what happened, what contributed, what you will change, and what system needs strengthening. Then use the answer, rather than the verdict.
Holroyd and Coles, 2002, Psychological Review; on flexible thinking, Diamond, 2013, Annual Review of Psychology
Perfectionism and fear of mistakes
Why two extra hours on a presentation sometimes has nothing to do with quality.
Perfectionism can involve very high standards, heavy checking, difficulty calling work finished, and fear of being exposed. High standards are not the problem. The cost appears when the standard becomes rigid and self-evaluation becomes severe. A 2026 review examines how perfectionism plays out at the individual, leadership, team and organisational levels.
In practice. Ask whether the extra effort is genuinely improving the work, or reducing your anxiety about being judged. Different motives, different value. The personal pattern behind this is worked through in the Perfectionist Exit Plan.
Wu, Zheng and Yang, 2026, Annual Review of Organizational Psychology and Organizational Behavior
7 · Hard interactions
Hard conversations and conflict
Why disagreement can feel like rejection even when nothing has been threatened.
A difficult conversation puts working memory, emotion regulation, social evaluation, prediction and perspective-taking under load at the same time. And many people have learned to read disagreement as rejection or loss of approval, especially if keeping everyone content has always been the strategy. Research on team conflict finds that disagreement about the task is not inherently harmful, but it turns costly when it becomes personal.
In practice. Prepare the issue, the outcome you want, the evidence that matters, the line that is not negotiable, and what you are open to discussing. Then stay present enough to respond to the actual conversation, not the rehearsed one. And practise the distinction between disagreement and disrespect.
De Dreu and Weingart, 2003, Journal of Applied Psychology; Eisenberger, 2012, Nature Reviews Neuroscience
People-pleasing and boundaries
Why you already know the words, and it still does not get easier.
Most high-performing women already know the sentence, “I cannot take that on right now”. The difficulty is what follows: the silence, the disappointment, the pushback, someone thinking less of you. The pattern is learned. A request creates discomfort, saying yes removes the discomfort, and the relief reinforces the same response next time. This is a relationship with discomfort, not a lack of assertiveness. Women may also face genuine consequences for behaviour that breaks expectations of warmth, so it is not purely an internal skill.
In practice. The deeper work is not a better sentence. It is building tolerance for the discomfort that follows not immediately pleasing someone. Ask, “if nobody was disappointed by this boundary, would it still be a boundary?” The full pattern is covered in the Leadership Boundary Toolkit.
On experiential avoidance, Hayes, Wilson, Gifford, Follette and Strosahl, 1996, Journal of Consulting and Clinical Psychology; on backlash, Amanatullah and Morris, 2010, Journal of Personality and Social Psychology
8 · Habits and change
Habitual leadership behaviours
Why the instinct that made you successful early can now be holding you back.
A surprising amount of leadership behaviour is automatic rather than chosen: taking over, rescuing, filling silence, saying yes, working late. Habits reduce effort, and some of yours were built for an earlier role. Doing everything yourself may once have demonstrated competence. As a senior leader it prevents delegation.
In practice. Ask what leadership behaviour you keep repeating because it is familiar, not because it still serves you.
Wood and Rünger, 2016, Annual Review of Psychology
The habit engine, and why relief keeps patterns going
Why the same trigger keeps producing the same response, even when you know better.
The striatum and connected circuits handle action selection and habit learning. Behaviour that started deliberate becomes automatic with repetition in familiar situations. A request triggers an automatic yes. A notification triggers an automatic check. And the reward that maintains these is often not pleasure, it is relief: avoiding a hard conversation, saying yes, checking the email again all produce immediate relief, and the relief reinforces the behaviour regardless of its longer cost.
In practice. You cannot simply delete an old habit. You need a new sequence to run in its place: request, pause, check capacity, respond. Name the reward too, “relief from discomfort”, because that makes the loop easier to interrupt.
Yin and Knowlton, 2006, Nature Reviews Neuroscience
Dopamine, prediction and learning
Why one good hard conversation will not undo years of expecting the worst, and why it still counts.
Dopamine is often reduced to a pleasure chemical, which understates its role in motivation and learning. One relevant idea is reward prediction error: the gap between what you expected and what actually happened, which is the information your brain learns from. If you expect disagreement to be punished and instead it is received calmly, that gap is new data. Repetition is what makes the new expectation hold.
In practice. Do not expect one positive experience to erase a learned expectation. Look for repeated evidence, not a single moment of proof.
Schultz, 2016, Nature Reviews Neuroscience
Neuroplasticity and leadership development
Why knowing how to set a boundary is not the same as having set one.
The adult brain stays capable of experience-dependent change. This is neuroplasticity, and it is routinely oversold as instant transformation through positive thinking. The evidence is more modest. Real change takes experience, practice, feedback, repetition and time.
In practice. Treat insight as the start, not the finish. The brain needs the actual experience of setting the boundary, delegating, or receiving the feedback, not just knowing how.
Lövdén, Bäckman, Lindenberger, Schaefer and Schmiedek, 2010, Psychological Bulletin
Resilience and recovery
Why enduring more is not the same as becoming more resilient.
High performance is often mistaken for a high tolerance for exhaustion. Resilience includes recovery, not only endurance. If your operating model is pressure, work harder, sleep less, repeat, the issue is not a personal shortage of resilience. It is an unsustainable system, and the research warns specifically against interventions that just teach women to keep adapting to unequal conditions.
In practice. Instead of asking how to tolerate more, ask what needs to change: workload, delegation, expectations, support.
Ryan and Morgenroth, 2024, Annual Review of Psychology
9 · Putting it together
Visibility and speaking up
Why someone else so often says the answer you already had.
Knowing the answer and being willing to say it out loud are two different risks. Speaking creates exposure: you could be wrong, challenged, or simply noticed. That psychological risk, not a gap in knowledge, is usually what causes the thirty-second delay that lets someone else make the point. It is worth adding that people notice and remember your contributions, and your mistakes, far less than you assume.
In practice. The goal is not to wait until the risk is zero. It is to decide whether this is a reasonable risk worth taking, and then speak while some uncertainty is still there. The personal pattern is worked through in the Visibility Experiment.
Gilovich, Medvec and Savitsky, 2000, Journal of Personality and Social Psychology
From automatic reaction to intentional response
The sequence every other entry is building toward.
Something happens. Your brain judges its significance. Your body responds. Attention shifts. Predictions appear. Old behavioural patterns become available. Then, if you have built the capacity, you notice, make space, weigh your options, and choose your response before acting.
The goal was never to remove the automatic reaction. It is to build the awareness and flexibility to decide whether to follow it.
In practice. After any charged moment, walk back through the sequence and find the point where you had a choice you did not take. That is where the next repetition of practice belongs.
A synthesis of the entries above.
Building mental fitness for leadership
Why leadership capacity is built on ordinary Tuesdays, not only in crises.
Every ordinary workday offers a chance to practise: noticing when attention drifts toward fear of being judged, catching physical activation earlier, naming an emotion accurately, questioning a first interpretation, tolerating the discomfort of not saying yes straight away, deciding what enough information looks like, speaking while still slightly nervous, separating feedback from identity, and treating recovery as part of performance.
In practice. Pick one of these to train each week rather than all of them at once. Like physical fitness, this builds through repeated, specific practice. The daily version is on the Mental Fitness page.
A synthesis of the entries above.
The bigger message
You may already be highly competent. The next level of leadership rarely requires another qualification or longer hours. It requires understanding what happens to your attention, thinking and behaviour when you are challenged, evaluated, uncertain, visible, or holding a line, and building the capacity to stay connected to your judgement while all of that is happening.
Neuroscience does not tell women they need fixing. It is one lens among several, alongside organisational psychology, gender research and leadership science. Together they replace “how do I become less emotional or more confident” with a better question:
How do I lead effectively even when pressure, emotion, uncertainty and social evaluation are present?
References
Every source, verified
- Amanatullah, E. T. & Morris, M. W. (2010). Negotiating gender roles: gender differences in assertive negotiating are mediated by women’s fear of backlash. Journal of Personality and Social Psychology, 98(2), 256–267.
- Arnsten, A. F. T. (2009). Stress signalling pathways that impair prefrontal cortex structure and function. Nature Reviews Neuroscience, 10, 410–422.
- Arnsten, A. F. T. (2015). Stress weakens prefrontal networks: molecular insults to higher cognition. Nature Neuroscience, 18, 1376–1385.
- Bandura, A. (1997). Self-Efficacy: The Exercise of Control. W. H. Freeman.
- Barrett, L. F. & Simmons, W. K. (2015). Interoceptive predictions in the brain. Nature Reviews Neuroscience, 16(7), 419–429.
- Baumeister, R. F. & Leary, M. R. (1995). The need to belong. Psychological Bulletin, 117(3), 497–529.
- Carleton, R. N. (2016). Into the unknown: a review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30–43.
- Cowan, N. (2001). The magical number 4 in short-term memory. Behavioral and Brain Sciences, 24(1), 87–114.
- Craig, A. D. (2009). How do you feel – now? The anterior insula and human awareness. Nature Reviews Neuroscience, 10(1), 59–70.
- De Dreu, C. K. W. & Weingart, L. R. (2003). Task versus relationship conflict, team performance, and team member satisfaction: a meta-analysis. Journal of Applied Psychology, 88(4), 741–749.
- Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168.
- Dickerson, S. S. & Kemeny, M. E. (2004). Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130(3), 355–391.
- Eisenberger, N. I. (2012). The pain of social disconnection. Nature Reviews Neuroscience, 13, 421–434.
- Eysenck, M. W., Derakshan, N., Santos, R. & Calvo, M. G. (2007). Anxiety and cognitive performance: attentional control theory. Emotion, 7(2), 336–353.
- Frazier, M. L., Fainshmidt, S., Klinger, R. L., Pezeshkan, A. & Vracheva, V. (2017). Psychological safety: a meta-analytic review and extension. Personnel Psychology, 70(1), 113–165.
- Gilovich, T., Medvec, V. H. & Savitsky, K. (2000). The spotlight effect in social judgment. Journal of Personality and Social Psychology, 78(2), 211–222.
- Gross, J. J. (2015). Emotion regulation: current status and future prospects. Psychological Inquiry, 26(1), 1–26.
- Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M. & Strosahl, K. (1996). Experiential avoidance and behavioral disorders. Journal of Consulting and Clinical Psychology, 64(6), 1152–1168.
- Heilman, M. E., Caleo, S. & Manzi, F. (2024). Women at work: pathways from gender stereotypes to gender bias and discrimination. Annual Review of Organizational Psychology and Organizational Behavior, 11, 165–192.
- Holroyd, C. B. & Coles, M. G. H. (2002). The neural basis of human error processing. Psychological Review, 109(4), 679–709.
- Kluger, A. N. & DeNisi, A. (1996). The effects of feedback interventions on performance. Psychological Bulletin, 119(2), 254–284.
- LeDoux, J. E. & Pine, D. S. (2016). Using neuroscience to help understand fear and anxiety: a two-system framework. American Journal of Psychiatry, 173(11), 1083–1093.
- Lövdén, M., Bäckman, L., Lindenberger, U., Schaefer, S. & Schmiedek, F. (2010). A theoretical framework for the study of adult cognitive plasticity. Psychological Bulletin, 136(4), 659–676.
- Nadifi, M., Zenjari, A. & Cherkaoui, A. (2026). Emotion regulation in leadership: a systematic review of strategies, styles, and outcomes. SAGE Open.
- Nolen-Hoeksema, S., Wisco, B. E. & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.
- Paustian-Underdahl, S. C., Smith Sockbeson, C. E., Hall, A. V. & Halliday, C. S. (2024). Gender and evaluations of leadership behaviors: a meta-analytic review of 50 years of research. The Leadership Quarterly, 35(6), 101822.
- Ryan, M. K. & Morgenroth, T. (2024). Why we should stop trying to fix women. Annual Review of Psychology, 75, 555–572.
- Sarmiento, L. F., Lopes da Cunha, P. & Tabares, S. (2024). Decision-making under stress: a psychological and neurobiological integrative model. Brain, Behavior, & Immunity – Health, 38, 100766.
- Schultz, W. (2016). Dopamine reward prediction-error signalling: a two-component response. Nature Reviews Neuroscience, 17, 183–195.
- Sweller, J., Ayres, P. & Kalyuga, S. (2011). Cognitive Load Theory. Springer.
- van Herk, L., Schilder, F. P. M., de Weijer, A. D., Bruinsma, B. & Geuze, E. (2024). Heightened SAM- and HPA-axis activity during acute stress impairs decision-making. Neurobiology of Stress, 31, 100659.
- Walton, G. M. & Cohen, G. L. (2007). A question of belonging: race, social fit, and achievement. Journal of Personality and Social Psychology, 92(1), 82–96.
- Wood, W. & Rünger, D. (2016). Psychology of habit. Annual Review of Psychology, 67, 289–314.
- Wu, C. H., Zheng, Y. & Yang, W. N. (2026). Perfectionism at work. Annual Review of Organizational Psychology and Organizational Behavior, 13, 465–488.
- Yin, H. H. & Knowlton, B. J. (2006). The role of the basal ganglia in habit formation. Nature Reviews Neuroscience, 7(6), 464–476.
Work with me
This is the lens. The work is applying it to your situation
I coach high-performing women privately, on exactly the situations in this library: being challenged, evaluated, uncertain, visible, or holding a boundary, and staying connected to your judgement while it is happening. We start with a free thirty-minute clarity call.
Book a free clarity callThirty minutes, no charge. No pitch.

About Matilda
I am a brain-based coach and a registered nurse. For more than ten years I led teams in the NHS, where acting well under pressure and on incomplete information is part of the job.
I trained in brain-based coaching with the NeuroLeadership Institute and in mental fitness through Positive Intelligence, and I coach high-performing women privately to lead well while pressure, emotion and evaluation are present.
Registered Nurse · NHS Leadership Academy · NeuroLeadership Institute · MSc