Every decision we make is shaped by living inside a high-performance system.
High performance changes everything.
How we sleep.
How we love.
How we show up.
How we handle pressure—long after the work is done.
We are a married physician team.
We raise children inside high-performance systems filled with pressure, responsibility, and sacrifice.
Performance driven family ecosystems require different rules.
Support for Life Inside Elite Performance.
Elite performance shapes more than careers.
It shapes families.
It shapes identity.
It shapes the nervous system.
It shapes childhood.
Most systems work to make the performer better.
Very few work to protect the life around them.
That’s where we come in.
We build high performance support for Women living inside high-pressure systems.
Our work is limited, personal, and designed for environments where performance is not a choice.
This is not therapy.
This is not wellness culture.
This is support for families who want to do hard things and stay well.
We Understand High Performance—Because We Live Inside It.
In high-performance roles, we call it the golden handcuffs.
A life you understand.
A responsibility you earned.
A structure that looks successful from the outside—and feels hard to step away from on the inside.
It’s when performance controls your schedule, your time, and your energy.
When stress follows you home.
When injury, change, or public pressure affects the entire family.
It’s when normal advice doesn’t work—because your life is not normal.
Here, stability matters more than motivation.
Elite performance systems require different rules.
Most support is built for:
Predictable schedules
Extra emotional bandwidth
Low-risk decisions
Easy recovery from mistakes
That model breaks under sustained high performance.
We work with those living high-performance lives—where privacy, steadiness, and durable support matter.
Our Areas of Focus
Ali Novitsky MD
Co-Founder Support for Women in High-Performance Ecosystems
Dr. Ali Novitsky is a physician who studies how pressure changes the body and mind.
She understands how long-term stress affects the nervous system, hormones, thinking, identity, and health.
Her work focuses on women living inside high-pressure systems, including:
Medicine and healthcare leadership
Professional and college sports families
Business leaders and entrepreneurs
Military, first-responder, and public leadership roles
Ali focuses on what helps women last:
Staying steady under pressure
Knowing who you are beyond your role
Making clear decisions when things are uncertain
Understanding how stress shows up in the body
Protecting energy and strength over time
She doesn’t treat stress as a mindset problem.
She helps to support the ecosystems that help excellence continue without breaking the person and the family.
Support for families in High-Performance Ecosystems
Dr. Mark Novitsky is a psychiatrist who works with children, teens, and adults.
He helps families understand how stress builds over time.
His work supports families living inside high-performance systems, including:
Children growing up with high expectations
Partners carrying uneven emotional and family responsibility
Strong, capable people whose stress builds quietly
Mark understands that:
Genes and personality affect how people handle stress
Emotional patterns are learned and passed down
Families adjust to keep things working—even when it costs them
His work builds strong family support systems so people stay connected, steady, and well while living under pressure.
Co-Founder Mark Novitsky MD
Why We Work as a Team
High performance does not affect just one person.
It affects the whole ecosystem.
Our work connects the ecosystem:
Each person’s nervous system.
The family as a whole.
A strong sense of family identity.
Strength passed from one generation to the next.
This Is Not Typical Support
We are not:
Big programs made for everyone
Help that only shows up in a crisis
One-size-fits-all coaching
We are:
Led by doctors
Built around real systems
Private and careful
Intentionally selective
We work with people and families who:
Carry public responsibility
Live under constant pressure
Need steadiness, not slogans
Care about developing a long lasting structure for success
Think behind-the-scenes excellence.
Think precision, not scale.
Think the kind of team you trust when failure is not an option.
Where We Come In
When the usual rules don’t work.
When performance is not optional.
When pressure never really stops.
When the whole ecosystem needs support.
Who We Work With
We work with women and families whose lives are shaped by elite performance and public responsibility.
Our clients often include those connected to:
Professional, Olympic, and high-visibility collegiate athletics
Medicine and healthcare leadership
Executive, founder, and C-suite leadership
Public-facing roles operating under sustained scrutiny
This work frequently supports families navigating:
Injury, transition, relocation, or sudden visibility
High-stakes career inflection points
Children growing up inside performance-driven environments
Our work typically happens:
Behind the scenes
During transitions rather than crises
Before burnout or breakdown is visible
While performance is still being sustained
We are often engaged when:
The stakes are high and the margin for error is small
The family system must remain stable amid uncertainty
One person is carrying disproportionate emotional and logistical weight
Conventional support models no longer apply
Discretion is foundational to our work.
We do not market outcomes.
We do not publicize clients.
We are trusted because we understand the cost of exposure.
Why These High Performance Family Ecosystems Require Different Support.
Elite performance lives are different.
They create pressure that most support systems aren’t built for.
That pressure often looks like:
Not knowing what’s coming next
Feeling like you have little control
Stress at work spilling into home life
Big changes from injury, moves, or career shifts
Kids feeling stress they don’t have words for
Inside these families, women and caregivers are often:
The calm ones
The steady ones
The ones who keep things running when everything changes
The ones who bend so others can keep performing
Our work exists to support them—
without asking women or families to shrink, stay quiet, or lower their goals.
Next Steps
All inquiries, consults, and collaborations are coordinated through our Chief Strategy Officer:
Brooke Buckley, MD, MBA
Chief Strategy Officer, The FIT Collective®
Please contact Dr. Buckley to discuss opportunities, alignment, scope, and next steps.