Surf Your Life · Zürich

Metabolic
Psychiatry &
Systemic Longevity.

A Swiss medical practice treating the mind through biological systems — and extending healthspan through the environments and rhythms a life is built on.

For patients who have outgrown standard care

Most psychiatry treats symptoms.
We treat the system they emerge from.

Two clinical disciplines under one roof — connected by the principle of rhythm. Diagnostics that map the biology, the regulation system, and the life around them. Programmes that re-architect each layer until the system holds.

Book a Consultation
The Approach

Two disciplines.
One rhythm.

VitaReBa operates at the intersection of two clinical disciplines — both rooted in the same conviction: that the mind, the body, and the environment are one system, and healing comes from restoring rhythm between them.

Discipline 01

Metabolic Psychiatry

Treating the mind through biological systems. Neuroinflammation, mitochondrial function, gut–brain axis, hormones, micronutrients, sleep architecture — measured, not assumed.

  • Adult ADHD & high-performance profiles
  • Depression · anxiety · burnout
  • Addiction & self-medication
  • Psychedelic-assisted preparation & integration
rhythm
Discipline 02

Systemic Longevity

Extending healthspan through the environments and life-systems people actually live inside. The seven rhythms of a human life — sleep, light, food, movement, social, work, recovery — as the operating layer of long-term health.

  • Biomarker & biological-age tracking
  • Home Harmony · environment redesign
  • Performance & recovery architecture
  • Petvity · companion-animal longevity

Start with the Rhythm Check.

A 5-minute clinical triage. Twenty-six questions across five hidden dimensions — sleep, energy, focus, regulation, meaning. The result tells you which programme actually fits, before you book anything.

26   QUESTIONS 5   DIMENSIONS 5 MIN

Five possible patterns. One conversation that actually starts where you are.

Diagnostics

The software.
And the hardware.

Most clinics measure one layer. We measure both — and treat the gap between them.

Layer 01

Software

The regulation system. The motivational architecture.
  • Rhythm Check — universal 5-minute triage (5 dimensions)
  • Inflection Clock — 15-minute readiness assessment for transformation work
  • PSI Theory (Julius Kuhl) — four functional systems mapped: Object Recognition, Intention Memory, Intuitive Behaviour, Extension Memory
  • Polyvagal autonomic profile
  • ADHD & comorbidity diagnostics (DSM-5 / ICD-11)
Layer 02

Hardware

The biology. The body the mind lives in.
  • Comprehensive blood panel · neuroinflammation · metabolic markers
  • HRV & continuous wearable monitoring · sleep architecture
  • Cardiology & MRI / ECG partners where indicated
  • Vitae breath-performance diagnostics
  • Movement · nutrition · integrative-medicine partners
"Software without hardware is wishful thinking. Hardware without software is reductionism. Clinical truth lives in the integration."
Programmes

Three clinical pillars.
Two extensions.

Each programme uses the same diagnostic spine. What changes is the clinical focus, the protocol layer, and the population served.

PILLAR 01

Metabolic Psychiatry Diagnostic

Map the biology behind the symptoms.

The entry diagnostic. Neuroinflammation, mitochondrial function, gut–brain axis, hormones, micronutrients, sleep, HRV — the biological substrate of every psychiatric complaint, made measurable.

Learn more
PILLAR 02

ADHD High-Performance Programme

For brains built differently.

Founders, executives, creatives, athletes, late-diagnosis adults. The full Surf Your Life architecture: biology, regulation, environment. Three tiers — Edge Diagnostic, Riding the Wave, Full Ocean.

Learn more
PILLAR 03

Psychedelic Readiness Programme

The Threshold Protocol.

Three-month structured preparation and integration for psychedelic-assisted therapy. Under Swiss regulatory framework including Art. 8 BetmG. Screened via the Inflection Clock — our 15-minute readiness assessment.

Take the Inflection Clock
Extension · Systemic Longevity

Home Harmony

Workspace, schedule, light, food, sleep, social rhythm — the environment redesigned around how the patient's nervous system actually works. Behavior change happens in environment, not effort.

Extension · Systemic Longevity

Petvity

Companion-animal longevity. The household is a shared rhythm system; the dog's biology and the owner's biology entrain each other. We work with both.

The Clinical Journey

Five stages. Measured exits.

Every stage has an entry and an exit criterion. Phases without exit criteria become indefinite coaching — we move the patient through them.

01 RHYTHM CHECK 5 min · online 02 CONSULTATION 90 min · in-person/online 03 DIAGNOSTICS labs · HRV · PSI · imaging 04 PROGRAMME protocols · integration 05 LONG GAME concierge · quarterly
Partner Network

A clinical conductor —
not a solo act.

We integrate with specialists across Switzerland and internationally. VitaReBa holds the clinical thread; each partner contributes the depth their domain requires.

Medical & Diagnostic

Clinical foundations
  • Internal medicine GPs
  • Cardiology & sleep medicine
  • Functional & orthomolecular medicine
  • Swiss diagnostic laboratories
  • Imaging partners (MRI, ECG)

Movement & Body

The body as the regulation system
  • Physiotherapy & MTT
  • Sports medicine
  • Osteopathy & Atlas correction
  • Vitae · breath-performance diagnostics

Integrative & Lifestyle

The seven rhythms in practice
  • Orthomolecular nutrition
  • Traditional Chinese Medicine
  • Ayurveda
  • Wearable & data partners
  • Coach & therapist training network
The Team

Built for the three layers
we work in.

A Swiss-registered medical entity — not a coaching brand wearing medical clothes. Biology, psychiatry, and the integrative work all under the same clinical roof.

Manuel

Founder · Medical Director

Architect of the VitaReBa programme system. Author of the Surf Your Life methodology, the Threshold Protocol, the Rhythm Check and the Inflection Clock. Clinical lead for the integration of metabolic psychiatry, PSI Theory, and systemic behaviour change.

Dr. Montagna

Clinical Psychiatry

Psychiatric depth — formal diagnostics, comorbidity mapping, medication strategy, complex cases. Co-lead on the metabolic psychiatry framework and the deeper psychiatric work across all programmes.

Dr. Kondratiuk

Longevity & Functional Medicine

Biology lead. Metabolic workup interpretation, mitochondrial protocols, longevity-medicine integration. The clinician behind the biological stabilisation work and the H₂ / IHHT technology stack.

FAQ

Questions, answered.

How is VitaReBa different from a standard psychiatric practice?
Standard psychiatry treats symptoms with medication. We diagnose the biology, the regulation system, and the environment around the symptom — and treat all three. Most patients arrive after years in conventional care.
What does a first consultation involve?
Ninety minutes. We map your history, your current pattern, and the diagnostic question worth pursuing. By the end you understand the architecture of your own situation. No prescriptions on day one.
Do you treat international patients?
Yes. We work with patients across Europe and the Middle East, in English, German and French. Initial work can be done remotely; full programmes typically include time in Zürich.
Are programmes reimbursed by Swiss health insurance?
Diagnostic and psychiatric work that falls within standard medical care follows the usual KVG / supplementary insurance pathways. The full programme architecture — coaching, environment, longevity work — is largely private.
How is psychedelic-assisted therapy handled?
The Threshold Protocol operates strictly within Swiss regulatory frameworks including Art. 8 BetmG. We work only with patients meeting clinical criteria, screened via the Inflection Clock, and prepared over a structured three-month programme.
Is the Rhythm Check a diagnosis?
No. It is a clinical triage — a five-minute pattern recognition that tells us where to focus the actual diagnostic conversation. The Rhythm Check produces a hypothesis. The consultation tests it.
What is the SYL Clock?
The Surf Your Life Clock maps four life dimensions — Health, Mindset, Relationships, Career — independently. It makes the gap between symptom and life-impact visible, and it is re-scored across the programme to track real change.
Do I have to commit to a full programme?
No. Most patients begin with the diagnostic phase only. Continuing into a programme is a separate decision made together, based on what the diagnostic actually shows.
How long does a programme take?
The flagship programme is ninety days across four phases — diagnostic, biological stabilisation, focus and energy system, behaviour and structure integration. The concierge tier continues annually for ongoing biomarker tracking and long-game architecture.
How do I begin?
Start with the Rhythm Check, or write to us directly. We will route you to the consultation that actually fits — not to a programme by default.
Contact & Booking

Two ways to begin.

Switzerland

In-person & online

Consultations · diagnostics · full programmes.
VitaReBa GmbH
Zollikerstrasse 183
8008 Zürich · Switzerland
Phone   [+41 XX XXX XX XX — to be added]
Languages   EN · DE · FR
International

Remote & visiting patients

Europe · Middle East · case by case beyond.
Initial consultation by video. Diagnostic kits shipped where compliant. In-clinic blocks scheduled in Zürich for the protocol-intensive phases.
Please write in EN, DE or FR. Outline your situation briefly — we respond within two working days with a routing recommendation.

Legal & Medical Disclaimer

VitaReBa GmbH is a Swiss-registered medical entity (Zürich). All clinical work is delivered by licensed medical professionals under Swiss medical law. Content on this site is for informational purposes only and does not constitute medical advice, diagnosis or treatment. Always consult a qualified clinician before changing medication, beginning a protocol, or acting on health information.

In a Medical Emergency

Switzerland · 144   emergency medical services
Europe · 112   general emergency
Switzerland · 143   Die Dargebotene Hand · suicide & crisis support

If you or someone you know is in immediate danger, call emergency services. VitaReBa is not an emergency service and does not provide crisis intervention outside scheduled clinical care.

Regulated Treatments

Psychedelic-assisted therapy is delivered strictly within Swiss regulatory frameworks including Art. 8 BetmG. All such treatment requires formal clinical eligibility, medical screening, and informed consent. We do not provide substances or treatment outside this framework.

Data & Privacy

Patient communication uses HIN-secured email (vitareba@hin.ch) and Swiss-compliant infrastructure. Full Impressum, privacy policy, terms and cookie policy are available in the footer below.

Rhythm Check · Layer 01

A 5-minute look at your system.

26   QUESTIONS 5   DIMENSIONS ~5   MINUTES

Answer honestly — there are no right answers. The result is a clinical triage, not a diagnosis. It tells us which consultation actually fits where you are right now.

QUESTION 1 OF 26
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RHYTHM CHECK · v1.0
Your Rhythm Profile

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THIS IS A CLINICAL TRIAGE — NOT A DIAGNOSIS.