Marisa Conway is an emergency-trained registered nurse and speaker who examines how judgment and decision-making change when a person’s integrity is under evaluation. Working in high-stakes clinical environments taught her to separate presentation from mechanism — recognizing that similar behavior can arise from very different underlying causes. After encountering situations where reputational scrutiny, rather than physical danger, became the primary stressor, she observed a paradox: capable individuals often lose clarity not from pressure itself, but from attempting to function while simultaneously being interpreted. This led her to develop a practical framework describing how cognition shifts under perceived social threat and how stability is restored.

Drawing from professional observation and lived experience navigating prolonged personal and legal adversity while maintaining clinical practice, Conway speaks without sensationalism or advocacy positioning. Her work focuses on recognizable behavioral patterns rather than individual events. Through the Presence & Persistence model, she explains why immediate explanation often worsens perception and how consistent behavior restores both clear thinking and credibility. Her talks equip professionals, organizations, and support communities to function with steadiness even when agreement or understanding is uncertain.