Some career shifts start not with dissatisfaction, but with a deeper awareness of what constant pressure is doing inside. On this episode of Leaders Creating Rukus, we’re joined by Dr. Sahana Sharan, a nervous system–based leadership strategist who helps high-performing leaders expand their internal capacity so they can lead with calm, clarity, and impact in high-pressure environments.A former physician and Fortune 5 corporate executive, Sahana spent over 15 years building and scaling national healthcare programs, leading teams across multiple states, and generating more than $1 billion in healthcare savings. On paper, her career looked extraordinary. Inside, she was quietly waking up each day with anxiety, relentless pressure, and the belief that this was simply the cost of success.That breaking point became her turning point.Through her own lived experience, Sahana discovered science-backed mind–body tools never taught in medical school. She found tools that helped her regulate stress at the nervous system level, shift out of reactivity, and fundamentally change how she showed up as a leader. Today, she blends neuroscience, emotional regulation, and executive strategy through her E.L.I.T.E. Integrated Leadership System, guiding leaders to move from over-functioning to grounded, embodied leadership others can feel.In this episode, Dr. Sahana shares:

🔸 Why mindset and strategy alone break down under sustained pressure
🔸 How an overwhelmed nervous system quietly fuels self-doubt and burnout
🔸 The moment she realized anxiety wasn’t weakness, but information
🔸 What it truly means to lead from the inside out when it matters most

💬 “What holds most leaders back isn’t a lack of skill or ambition. It’s a nervous system that never learned how to feel safe under pressure.”