He came back from three weeks in Portugal feeling almost like himself. Then Wednesday hit and he was right back where he started. Slow. Foggy. Dreading the simplest decisions. He thought he needed more rest. He had the wrong diagnosis entirely.

He had made quarterly forecasts for eleven years. Then last October he started second-guessing every number. Rerunning analysis that looked right the first time. He told me he was losing his edge. He was not losing his edge. His nervous system had changed the operating conditions for his brain. And nobody had told him.

By 4 PM, she had two vendor proposals open, both pre-vetted, both viable. She closed the tab. She has done this every Thursday for five weeks. She thinks she is losing her edge. She is not. Her prefrontal cortex is empty. And no decision framework will fix what is actually a nervous system problem.

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

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.

Regulated leaders Why do leaders struggle with AI adoption? According to Sahar Andrade, MB.BCh, neuroscience-based leadership consultant and Forbes Coaches Council member, the answer is not technology — it is biology. When the brain perceives AI as a threat to identity, expertise, or control, the amygdala activates a survival response that shuts down the prefrontal cortex — the seat of strategic thinking. Leaders cannot effectively adopt, champion, or integrate AI while their

Why are 56% of middle managers burned out? Neuroscience reveals the real cause—and it's not what most organizations think. Forbes article by Sahar Andrade, MB.BCh.