Integrative physician support
1–1 • 360° Method

Physician-led integrative care for founders and executives under sustained load

Designed for leaders who still perform, but pay with sleep disruption, anxiety spikes, and decision fatigue.
In a 10–12 week physician-led protocol, we stabilize sleep, autonomic load, and decision quality through diagnostics, implementation, and measurable follow-up.

1-1 with MD, PhD. In-person or online. RU / EN. Strict confidentiality.

MD, PhD • 20 years clinical practice • 100+ peer-reviewed papers • evidence-based protocols • strict confidentiality • RU/EN

Mission

Building a culture of conscious, grounded leaders — people who see clearly yet act with compassion, hold power without arrogance, and stay intelligent through embodied presence. Depth over display, essence over appearance. Modern guardians of balance in a transforming world.

Who this is for

High stakes and public roles require resilience without paying the price of burnout. We work toward clarity, energy, and harmony with life’s rhythms.

Founders / Investors

  • Burnout, cognitive noise (too many contexts), procrastination on key decisions
  • Disrupted sleep, sharp anxiety spikes
  • Relationship tension at home → no emotional foundation

C-level / Top management

  • Attention fragmentation, decision fatigue, micromanagement
  • Difficulty with delegation and boundaries
  • Ethical stress and “heavy” decisions

Serial entrepreneurs / Public leaders

  • Reputation crises and legal risks → chronic tension and insomnia
  • Loss of meaning and “emotional drying” after major wins
  • Fear of error when stakes are high → avoiding key decisions

Common reasons
leaders reach out

Frequent requests and states among leaders and entrepreneurs. Concrete tasks addressed in a confidential format.

  • Chronic anxiety & hyperarousal — tension, irritability, mental “grinding,” decision paralysis.
  • Burnout — exhaustion + cynicism + lower effectiveness; “I’m pulling, but not living.”
  • Sleep disruption — insomnia, early awakening, jet lag/late calls → attention lapses.
  • High-functioning depression — you perform, but "nothing brings joy"; drive and motivation drop.
  • Perfectionism & impostor syndrome — procrastination, micromanagement, fear of delegating.
  • Attention fragmentation / decision fatigue — endless notifications, context switching, no “deep work.”
  • Addictive patterns — caffeine/nicotine/alcohol “to take the edge off,” sleeping pills/benzos; sometimes stimulants.
  • Somatic stress — headaches/neck-back, IBS, skin, palpitations.
  • Leaders’ isolation, relationship strain — loneliness, conflicts at home, lower closeness/libido.
  • Existential emptiness — “I achieved a lot — what’s next?”
  • Ethical stress & guilt — layoffs, reputation risks → intrusive ruminations.
  • PTSD-like reactions to business traumas — hypervigilance, outbursts, avoidance.
  • Neurodiversity — ADHD/autistic spectrum: strengths × friction with routine/communication.
  • Metabolic risks — weight gain, high blood pressure, baseline inflammation (stress + flights + chaotic diet).
  • Over-control and responsibility — “it’s all on me,” fear of letting go → bottlenecks in the org system.

If this sounds like you — let’s discuss goals in a short call.

Request a confidential consult

Is this program a fit?

If you recognize even one of the signals below, you're likely in the "quiet burnout / wired-tired" zone — when you still function, but the system is overloaded.

Mind & meaning

  • Thinking becomes rigid: decisions feel heavier, solutions require extra internal effort, focus doesn't "grab" like it used to.
  • A subtle value conflict appears: daily actions stop matching inner priorities — an ongoing sense that "something is off," hard to articulate.

Body speaks first

  • Heaviness, as if it's difficult to breathe fully.
  • Compression / inner tightness.
  • A sense that "something inside has stopped moving."
  • Living on autopilot.

Social signal

  • Partner/family say: "You're not with us even when you're here."

Available Tests

Self-assessment tools to track your progress and mental health.

360° methodology: Five domains

From the body and nervous system to psyche, relationships, and meaning. A mismatch at one level affects others — we find the root and restore wholeness.

Body

Sleep, biorhythms, nutrition, physical health. Rebuilding the energy base.

Nervous system

Stress balance, skills to downshift into calm.

Psyche

Emotions, thinking, beliefs. Cognitive schemas, trauma work, inner critic.

Relationships

Family, partnership, circle. Healthy boundaries and constructive dialogue.

Meaning

Values and “why”. Bringing back a sense of purpose.

Ready for systematic work across the five domains?

Request a confidential consult

Tools & modules

Only validated practices; the plan adapts to you and follows measurement-based care.

Sleep optimization

CBT-I (6 weeks), sleep architecture, light hygiene, caffeine timing.

Anxiety management

Short behavioral loops, exposures, grounding skills.

Mindfulness (MBSR/MBCT)

Stress resilience and relapse prevention for depression.

Breathwork & HRV biofeedback

Quick shifts into calm.

Personal between-session support

Short personal check-ins (as agreed) in secure channels.

Progress trackers

PHQ-9, GAD-7, sleep/energy/HRV. We track trends and calibrate/adjust the plan.

About the author

I’m Alexander Lebedev, MD, PhD — physician, neuroscientist, entrepreneur. I combine private practice and entrepreneurship with cutting-edge research in mental health and wellbeing.

Scientific expertise

  • 100+ peer-reviewed publications in neuroscience, psychiatry, and data science.
  • Research on neuroplasticity, cognition, and transformational states; a series of foundational and clinical studies on novel therapeutic approaches.
  • Scientific Director of Open Dialogue — a digital platform for mental health and peer support.

Entrepreneurship & products

  • Author and lead of medically supported retreats; programs ranked among Europe's top transformational retreats.
  • Founder of Once Resilience Center (the Netherlands), focused on evidence-informed resilience and integrative recovery practices.
  • Co-founder; Scientific & Creative Director of Dreamseer.
  • Invited expert and C-level advisor on MedTech, WellTech and Medical AI.

Professional path

  • 20 years of therapeutic practice — individual and group work.
  • Certifications: existential-humanistic (2007), Ericksonian hypnosis (2007–2008), integration of non-ordinary states (Fluence, 2019).
  • Personal therapy & supervision (CBT, hypnotherapy, psychodynamic); leadership roles at leading European universities.
  • PhD in medical data science & applied AI (University of Bergen, Norway).

Approach & mission

  • Evidence-based, interdisciplinary: integrating science and spirituality for durable personal change.
  • Interest in traditions that weave dreams and transformational states into community life.
  • Lifelong martial artist. Brown belt in Brazilian Jiu-Jitsu.

Programs & Pricing

Two pathways depending on your needs. Transparent, measurement‑based, confidential.

1) Integrative Reset — Diagnostic + Operating Code v1.5 + 2-week monitoring

€1,000 • ~3 weeks

For founders/executives who are tired of "trying harder" and want a physician-led reset of sleep, energy, and mental clarity — with a plan you can actually implement.

  • Session 1: Diagnostic (90–120 min; can be split)
    360° intake across five domains + timeline/matrix. We define the real constraints of your system and the few highest-leverage moves.
  • Session 2: Install your plan (60 min)
    You receive your individual protocol + Operating Code v1.5 (your personal playbook). We pick 2–3 "quick wins" for week one.
  • Session 3: Calibration (45 min)
    Adjustments based on your data and lived feedback. You leave with a maintenance plan.

Between sessions (included): 2-week weekly monitoring
Short check-ins in a secure messenger + trackers (sleep/energy/HRV, PHQ-9/GAD-7 trends). Micro-adjustments, not endless chatting.

Optional: targeted labs + interpretation; wearable data integration.

Outcome: less internal noise, better sleep foundation, and a realistic operating rhythm — so you stop living like a robot and start feeling "alive" again.

Prefer to talk first? Request a confidential consult

Continuation: Monthly Check-ins (Maintenance & Calibration)

€400/month

For people who want to keep momentum without turning this into "therapy forever".

  • 1 monthly session (45 min)
  • Short messenger access for protocol questions (as agreed, non-urgent)
  • Ongoing tracking + calibration + relapse prevention
  • Cancel anytime
Executive Tier • Comprehensive

Executive Deep: Monthly

€5,000/month • Cancel anytime

High-access monthly care with physician-led coordination and rapid calibration of your plan.

  • Priority access and rapid response
  • 360° intake: medical history, individualized timeline & matrix, five-domain audit
  • Indicated advanced labs + interpretation
  • Personalized protocols
  • HRV/sleep dashboards
  • Care coordination
  • Family/partner sessions when beneficial

Expected outcomes: measurable reduction in anxiety/sleep burden and more stable decision quality, tracked with validated scales and wearable trends where available.

Prefer to talk first? Request a confidential consult

3-Month Intensive

Executive Deep: 3-Month Prepay

€12,000 for 3 months

Full Executive Deep access for 3 months. Ideal for intensive transformation.

  • Priority chat/calls
  • 360° intake
  • Indicated advanced labs + interpretation
  • Protocols
  • HRV/sleep dashboards
  • Care coordination
  • Family sessions as needed

Limited availability (by application, 5 clients max concurrently).

Prefer to talk first? Request a confidential consult

Selected publications

Key works; links point to PubMed.

How the engagement works

Transparent and personal: you work directly with me, no intermediaries.

1

Diagnostics

90–120 min (can be split). Questionnaires + interview + 360° map across five domains.

2

Individual plan

You receive your Operating Code v1.5: a precise protocol with metrics and agreements.

3

Implementation sessions

Two sessions (install + calibration) focused on making the plan real in your schedule.

4

Between-session support

Short check-ins (as agreed) in secure channels + weekly monitoring during the Reset.

5

Maintenance

Optional monthly check-ins to keep the gains stable under real life pressure.

Client results

Real cases, anonymized.

IT company founder, 40+

Point A (before)

  • “Deconstructed” state, emotional exhaustion.
  • Disappointment at work and at home; no support.
  • Low energy, “nothing brings joy.”

Point B (after)

  • Return of vital tone; energy for key decisions.
  • More clarity and stability in the relationship at home.
  • Sleep/rest routine restored; less internal noise.
Client quote “I came in a very broken state… almost without strength or energy. I didn’t expect how much inner power would open in therapy. Your grasp of physiology plus refined psyche work creates a rare synergy.”

Serial entrepreneur, founder, 32

Point A (before)

  • Uncertainty about the company’s and family’s future.
  • Many parallel tasks, no focus on the main thing.
  • Decisions feel heavy, confidence is low.

Point B (after)

  • “Big” decisions made; steps to implement are aligned.
  • More confidence and aligned priorities as a couple.
  • Anchor in values and a long-term horizon of action.
Client quote “Under his guidance we resolved issues critical for the future. We gained confidence and clarity on where we want to go. Alexander is incredibly professional and reliable.”

Entrepreneur facing a major decision, 30+

Point A (before)

  • “Dead end”: any decision feels wrong.
  • Confusion, fear of error, endless mental grinding.
  • Stuckness — no movement forward.

Point B (after)

  • Defined criteria for an authentic decision and clear boundaries.
  • Clarity and inner compass emerged; anxiety decreased.
  • A deliberate choice made; feels right.
Client quotes “I was in an absolute dead end — any decision felt wrong.”
“With Alexander I saw a path that seemed impossible before — and made a deliberate choice that’s right for me.”

Entrepreneur couple, 30+

Point A (before)

  • Conflict escalation, circular conversations.
  • Loss of “we”, low closeness.
  • Considering separation as a real scenario.

Point B (after)

  • Communication and boundaries restored; dialogue rules agreed.
  • Deeper reasons for conflicts understood; steps for change laid out.
  • Marriage preserved; shared plan and support regained.
Client quotes “When our relationship hit a wall, working with Alexander became a turning point. He helped us see what’s behind the conflicts and why communication fails — and which steps actually drive change.”
“It’s not just talk — a real instrument that delivers results. We’re very grateful for the care, support and precise direction to what truly matters.”

Similar situation? Share the context — I’ll come back with a proposed format.

Request a confidential consult

Peer reviews

What colleagues in science, medicine and business say.

Alexander is one of the most inspiring and outstanding specialists I’ve met. His empathy and innovative approach change lives.

— Jonathan Dekle, entrepreneur

A brilliant psychiatrist, scientist and leader. The ability to listen, analyze and mentor with deep understanding of work processes is rare.

— Tatiana Santini, psychotherapist, clinical psychologist

Alexander skillfully combines science, psychology and behavioral economics to create highly effective and inspiring environments.

— Luigi Espasiano, physician, coach

His expertise was crucial in a number of significant projects at our University.

— Christoph Abé, PhD, researcher, analyst

What impresses me most is his open and positive personality — and that genuine "nothing is impossible" attitude.

— Ivan Dimoski, entrepreneur, founder

An excellent researcher and developer with warmth, empathy and exceptional productivity.

— Pierre de Boer, investor, entrepreneur

Alexander Lebedev is a conscientious researcher who approaches scientific problems creatively, and a competent clinician skilled in both psychiatry and psychotherapy.

— E. Yu. Abritalin, psychiatrist, MD, professor

Frequently asked questions

Clear answers to common concerns from leaders considering this work.

Questions or curious which path fits best?

Request a confidential consult

Request a confidential consult

Describe context and goals. I’ll reply within a business day and suggest a short intro call.