THEME: "Future Directions: Pioneering Mental Health and Well-being Initiatives"
23-24 Nov 2026
Holiday Inn Express Bangkok, Thailand
TGR The Green Room, Germany
Title: Giftedness Under Pressure: Mental Health, Identity and Sustainable High Performance
Heather
O’Donnell is a psychologist (M.Sc.), certified artistic-systemic therapist
(DGSF), and former international concert pianist. She is the founding director
of TGR The Green Room, a Cologne-based organization supporting the psychosocial
and professional wellbeing of performing artists. Her work focuses on mental
health, giftedness, high performance, artistic identity, and sustainable
careers in the arts. Following an injury that redirected her own performing
career, she studied psychology at the Free University of Berlin and Prevention
and Health Psychology at SRH University, and later trained in musicians’ health
and mindfulness. O’Donnell has presented internationally and taught at
institutions including Columbia University, the New England Conservatory,
Eastman School of Music, UNESCO in Bonn, University College London, and Weill
Medical Center in New York. Her forthcoming book, On Being a Musician
(Routledge, 2027), explores failure, identity, renewal, and the psychological
conditions that shape sustainable artistic lives.
High-performance environments often reward outstanding ability, discipline and persistence. Yet the same conditions that support exceptional achievement can also shape identity, self-worth and psychological vulnerability in ways that persist long after training has ended. Professional musicians offer a particularly revealing case study: talent is often identified early, training is intensive, and evaluation becomes a continuous part of development.
Drawing on psychological theory, clinical experience with professional musicians, and reflections developed in On Being a Musician (Routledge, forthcoming 2027), this keynote examines how giftedness can become both a resource and a psychological burden. It asks three questions: How does exceptional ability shape identity? What happens when high performers encounter failure or limitation? And what supports sustainable excellence over time?
The keynote examines recurring vulnerabilities associated with high-performance development, including self-worth becoming contingent on achievement, perfectionism, severe self-criticism, chronic comparison, fear of failure, and difficulty separating professional setbacks from personal worth. In musicians, these patterns may be intensified by early specialization, public evaluation and the unusually close relationship between artistic work and personal identity.
The final focus is sustainability. Long-term psychological health cannot be understood solely in terms of individual resilience, coping skills or the ability to perform under pressure. It is also shaped by the environments in which gifted people develop and work. Mentorship, institutional culture, workload, economic security, access to psychological support, patterns of evaluation, power relationships and the degree to which failure can be tolerated all influence whether high achievement remains psychologically sustainable.
The keynote therefore considers both internal and external conditions for well-being: the development of a more flexible sense of self and a healthier relationship to failure, but also the responsibility of institutions to create environments in which excellence does not depend on chronic psychological strain. Psychological sustainability is approached not simply as an individual capacity, but as an outcome that is co-created by people, relationships and systems.