These domains span all three pillars, serving acquisition, access, and sustainment simultaneously.
Sleep Neuroscience
Sleep serves consolidation in Pillar 1, restoration of access and regulation in Pillar 2, and long-term brain health in Pillar 3. Sleep architecture, the role of different sleep stages in different types of learning, the impact of sleep disruption on performance, and evidence-based optimization are all central to Performance Neurology. No other single factor touches every dimension of brain performance as profoundly as sleep.
The Neuroscience of Motivation and Drive
What makes someone persist through difficult phases of learning and what makes them give up. Dopaminergic reward systems, intrinsic versus extrinsic motivation, goal-directed behavior, and how motivational states interact with both acquisition and access. Understanding the neural basis of motivation transforms it from a character trait into a system that can be understood and influenced.
Brain Health as Performance Infrastructure
The foundation beneath everything else. Nutrition, exercise, metabolic health, inflammation, vascular health. You cannot optimize acquisition or access on a brain compromised by poor sleep, chronic stress, metabolic dysfunction, or neuroinflammation. This positions preventive neurology not as a separate concern but as a performance strategy. The health of the brain is the infrastructure on which all performance is built.
Cognitive Performance and Enhancement
The rapidly emerging landscape of tools, technologies, and interventions aimed at boosting cognitive function: nootropics, brain training, neurostimulation, biohacking. There is enormous interest in this space and a real need for scientific grounding. Performance Neurology provides a framework for evaluating what works, what does not, and what may cause harm, bringing clinical rigor to a space that has largely operated without it.