African leaders operate under intense pressure shaped by economic volatility, cultural expectations, and historical context. In Performance Under Pressure, Rochelle Trow explores how many executives sustain success by relying on deeply ingrained “survival patterns” — often at the cost of long-term wellbeing and leadership effectiveness. Drawing on her experience across Africa and Europe, she argues that sustainable leadership requires unlearning habits such as tying identity to performance, projecting constant certainty, and mistaking endurance for strength. The article highlights why self-awareness, not just resilience, is critical for African leaders navigating complex, high-stakes environments.