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How to Make Sharp Decisions as an Executive When You’re Not Sleeping

It’s 3 a.m. and you’re wide awake again. You’ve got a critical budget meeting at 9 a.m. and a strategic decision to make before noon.

You know sleep matters. But right now, during perimenopause, consistently good sleep feels like something that happens to other people. And the advice you keep getting, better sleep hygiene, a new tracker, a lavender pillow spray, isn’t touching what’s actually happening in your body.

This isn’t a discipline problem. It’s a biology problem. And it requires a completely different approach.


What’s Actually Happening to Your Brain

A comprehensive study from the Sleep Research Society measured the sleep patterns of thousands of women during perimenopause and found a 40-60% reduction in slow wave deep sleep. That’s the exact phase your prefrontal cortex needs to restore itself overnight.

The brain functions most disrupted by poor sleep are the exact ones your role depends on. Your ability to assess risk. Your emotional regulation under pressure. Your capacity to hold multiple complex factors in mind at once while you’re making a call that affects your organization.

This isn’t just about being tired. It’s about the quality of your judgment on the days it matters most.


The Problem With “Just Get More Sleep”

The women I work with aren’t struggling because they haven’t tried. They’ve tried everything. What they don’t have is a concrete plan to protect their decision quality on the days when sleep didn’t cooperate.

That’s a solvable problem. And it doesn’t start with your pillow.

I’ve spent twenty years working with business executives on exactly this. What I know, from two decades of research and from being in the room with these women, is that you don’t need to sleep perfectly to lead effectively. You need a system that accounts for the days when sleep isn’t perfect and protects your judgment anyway.

A CFO I work with discovered her peak clarity window occurs consistently between 10 and 11 a.m., regardless of how she slept the night before. She restructured her decision-making around that window. Fewer regrets. Better outcomes. Same woman, same role, different system.

In this video I walk you through the full protocol, three specific parts, each one building on the last. It’s something you can start using this week.


You Don’t Have to White-Knuckle This

This transition doesn’t diminish your capacity. It asks you to adapt. The women who come out of this period stronger aren’t the ones who pushed harder. They’re the ones who got smarter about how they protect their best thinking.

If you want to go deeper on which aspects of perimenopause are affecting your leadership most right now, I created a free executive perimenopause performance assessment designed specifically for leaders like you. The link is in the video description.

And if you’re ready to lead from your full capacity, not just survive the hard seasons, the 40-Day Power and Presence Program was built for exactly where you are.