A burned-out executive stares at glowing screens in a dark office Sahar Andrade, MB.BCh, neuroleadership coach and Forbes Coaches Council member, explains: heavy AI use at work breaks the brain's confidence loop. The prefrontal cortex stops getting reps. Decisions migrate to the tool. Leaders feel foggier, slower, less certain. This is not imagination. It is neurological. Naming the mechanism is the first step to getting your judgment back. Why Is Using AI at Work Making Me F

Middle managers are not underperforming. Their nervous systems are overwhelmed. With 47% reporting severe stress and 14 concurrent changes hitting their teams, the prefrontal cortex is breaking down under bidirectional pressure. This is not a training problem. It is a brain problem. And the science tells us exactly what to do about it.

92% of executives feel unprepared to lead change. A record 2,221 CEOs left their roles in 2024. We keep calling it a people problem. What if the body is the problem? Chronic stress physically erodes the prefrontal cortex. That is where your judgment, instinct, and decision-making live. This is the conversation no one is having.