Dr. Sara A. Hosn, PsyD, P.A.

Dr. Sara A. Hosn, PsyD, P.A.Dr. Sara A. Hosn, PsyD, P.A.Dr. Sara A. Hosn, PsyD, P.A.

Dr. Sara A. Hosn, PsyD, P.A.

Dr. Sara A. Hosn, PsyD, P.A.Dr. Sara A. Hosn, PsyD, P.A.Dr. Sara A. Hosn, PsyD, P.A.
  • Home
  • About Dr. Sara Hosn
  • Trauma Treatment
  • Peak Performance
  • DBT
  • DBT Services
  • Resources
  • Location
  • More
    • Home
    • About Dr. Sara Hosn
    • Trauma Treatment
    • Peak Performance
    • DBT
    • DBT Services
    • Resources
    • Location

  • Home
  • About Dr. Sara Hosn
  • Trauma Treatment
  • Peak Performance
  • DBT
  • DBT Services
  • Resources
  • Location

PEAK "Happiness is when what you think, what you say, and what you do are in harmony"


Mahatma Gandhi

Peak Performance and Nervous System Regulation

Peak performance is not about pushing harder. It is about access.

My early career focused on survivors of war and emergency settings, and later expanded to include Veterans and individuals exposed to severe and prolonged adversity. This work centered on understanding how the nervous system adapts under sustained threat, and how cognitive, emotional, and physiological systems reorganize in response to overwhelming load.

What has become increasingly clear to me since the global pandemic is that trauma is not defined solely by the event, but by the capacity of the system to process, integrate, and recover from exposure.

Today, the nature of exposure has changed.


We live in a world of continuous threat signaling, information saturation, and unrelenting stimulation. Human suffering, crisis, and instability are now transmitted in real time through digital media, far exceeding what the nervous system evolved to metabolize. While the sources differ from war or emergency environments, the underlying physiological burden is strikingly similar.


Over the past 18 years, my work has evolved into a singular focus, how to help modern humans function, perform, and remain regulated under conditions of chronic, cumulative stress.

My approach integrates psychology, neurobiology, physiology, and systems biology to restore balance in nervous systems operating under sustained load.

A Systems View of Performance

Human performance is state dependent.

Access to clarity, confidence, learning, emotional regulation, and physical output depends on the condition of the nervous system, not willpower alone (Thayer & Lane, 2000).


Humans function as integrated systems rather than isolated cognitive processes, with continuous bidirectional communication between neural, metabolic, and cardiovascular networks (Porges, 2011).


A stress burdened system reflects a nervous system operating in override, compensating, surviving, and slowly burning through its reserves.

A thriving system reflects a nervous system in balance, responsive rather than reactive, able to meet demand and return to baseline.

Clinical Approaches Integrated

Nervous System Regulation

Lifestyle and Stress Physiology Modifiers

Bottom Up and Experiential Approaches

The work centers on restoring regulatory capacity within the autonomic nervous system. Attention is given to patterns of activation, recovery, and flexibility, with the goal of improving access to cognitive, emotional, and physical resources under demand.

Bottom Up and Experiential Approaches

Lifestyle and Stress Physiology Modifiers

Bottom Up and Experiential Approaches

Interventions emphasize bottom up regulation through experiential and body based processes that support safety, integration, and stress completion. These approaches target physiological states directly, rather than relying solely on top down cognitive strategies.

Lifestyle and Stress Physiology Modifiers

Lifestyle and Stress Physiology Modifiers

Lifestyle and Stress Physiology Modifiers

Lifestyle factors that influence stress physiology are carefully considered, including sleep, recovery rhythms, load management, and daily stress exposure. These variables are addressed as core components of nervous system regulation rather than adjunctive wellness practices.

Working With Stress, Performance, and Adaptation

How I Help

I work with individuals whose roles require sustained performance under high responsibility and constant demand, including


• Legal professionals

• Emergency and frontline workers

• Executives and organizational leaders

• Elite athletes and high performing individuals

• Mothers carrying significant cognitive and emotional load


These individuals are often highly capable and externally successful, yet physiologically operating in chronic stress states associated with reduced regulatory flexibility and incomplete recovery (McEwen, 2007).

Using a nervous system informed, systems based model, I help clients


• Reduce chronic stress driven adaptation

• Restore regulatory capacity and recovery

• Improve cognitive clarity, emotional stability, and responsiveness

• Build sustainable performance and wellbeing across demanding seasons of life


This work bridges psychology, physiology, and biology, without reducing humans to diagnoses or protocols.

The Work

Our work together would begin with a comprehensive clinical evaluation of the individual and their stress physiology, consistent with ethical psychological practice and scope.


When appropriate, I collaborate with functional or integrative physicians to assess relevant biomarkers related to stress response, energy regulation, and recovery capacity. These data are used to inform clinical understanding rather than replace psychological assessment or judgment.


I then conduct an in depth psychological and neurophysiological evaluation of how an individual experiences stress, adapts to demand, and recovers. Central to this work is not only the presence of stress, but the individual’s relationship with stress, including patterns of appraisal, anticipation, reactivity, recovery, and meaning making, which are known to shape physiological stress responses (Lazarus & Folkman, 1984).


Intervention targets are identified through this integrated lens, with the goal of restoring regulatory capacity, supporting adaptive functioning, and promoting sustainable performance over time.

Beyond Pathology

Chronic stress is not a personal failure.


It is a predictable response to a world that never fully powers down.


Thriving is not about doing more.

It is about restoring balance, rhythm, and responsiveness.


Peak performance, in this model, is not perfection.

It is integration.


The capacity to meet demand, recover fully, and remain available for life.

Individuals interested in this work may request an initial consultation to determine appropriateness and fit.

Copyright © 2018 Dr. Sara A Hosn  - All Rights Reserved.


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