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MIND FIRST

Library

Essays and clinical illustrations from the practice — on treatment resistance, measurement, sleep, and the craft of prescribing and un-prescribing. Written by Silvia A. Bernardi, M.D.

Clinical scenarios

Nine composite cases, each beginning with a sentence heard in the consulting room.

When medication hasn't worked

Every failed trial is data. How treatment resistance is re-read as mis-targeted treatment.

What is a Brain Map?

The instrument explained: receptor-level profiles from your own medication history.

Sleep and psychiatric medications

What months of wearable data reveal about what your medications do to your nights.

A second opinion that shows its work

The audit: your whole record re-read, with the reasoning visible.

Case: a complex postpartum course

Vigilance, collapse of sleep, a mis-read 'failed' SSRI — and measurement that called the turn.

Case: de-prescription

Five medications to two: the medicine of subtraction, one variable at a time.

Psichiatra italiana a New York

Visite in italiano, a Manhattan e in telemedicina. Firenze, Columbia, Milano.

Book a Foundation Evaluation