Zürich · 8008 · International Patients Welcome

Metabolic
Psychiatry &
Systemic Longevity.

We go beyond diagnosis. We decode the biology behind your mind — and the environment around it — to design a personalised path to sustained high performance, longevity and wellbeing.

ADHDLongevityAddictionBurnoutHigh PerformancePsychedelic Therapy
Our Flagship Programme
ADHD & the
High-Performing Mind

A world-first integrated programme combining formal ADHD diagnostics, metabolic medicine, longevity technologies, psychedelic-state therapies and personalised Surf Your Life performance coaching.

The ADHD brain is not a broken lake that needs calming. It is a powerful ocean — and you were never taught to surf it.
The Numbers No One Talks About

ADHD is not just a performance issue.
It's a longevity issue.

13 yrs
Reduced life expectancy for adults with persistent ADHD
Barkley & Fischer, 2019
Higher risk of accidental injury, substance abuse and metabolic disease
Journal of Attention Disorders
40%
Of ADHD adults have clinically significant sleep disorders affecting cellular recovery
Barkley, 2015
#1
ADHD presents a greater mortality risk than poor diet, inactivity, obesity and smoking — combined
Barkley, CHADD 2018

These are not just cognitive challenges. Untreated ADHD drives metabolic dysfunction, accelerated cellular aging, chronic inflammation, and poor self-regulation of the exact health behaviours that determine how long and how well you live. This is why metabolic psychiatry and longevity medicine must work together — and why VitaReBa exists.

Our Three Pillars

Three programmes. One integrated approach.

Each programme addresses a different entry point — but all share the same metabolic foundation, the same clinical rigour, and the same commitment to treating root causes, not symptoms.

🧬
Metabolic Psychiatry

The overarching framework. We assess psychiatric conditions through metabolic, biological and physiological root causes — neuroinflammation, mitochondrial health, gut-brain axis, circadian rhythmics, and stress markers. Because mental health and longevity share the same biological foundation. Advanced diagnostics delivered via clinic sessions and home test kits.

NeuroinflammationGut-Brain AxisMitochondrialLongevityHome Test Kits
🍄
Psychedelic Readiness

A three-month structured preparation protocol combining physical diagnostics, metabolic optimisation and psychological readiness assessment. Emerging research shows psychedelics don't just support neuroplasticity — they may extend cellular lifespan, preserve telomeres, and promote healthier aging.

3-Month ProtocolPhysical ReadinessNeuroplasticityLongevitySwiss Framework

Our Approach

We diagnose
and design.

Standard psychiatry diagnoses and prescribes. We map the full biological picture and build a personalised architecture for your mind and body.

01
Metabolic Psychiatry

We assess the biological substrate of your mental performance — the body systems that directly regulate attention, arousal, mood and energy. No other clinic in Switzerland combines these layers in a single diagnostic protocol.

02
ADHD as a Performance System

ADHD is not a deficit. It is an asymmetric performance profile — with extraordinary peaks, real costs, and specific conditions under which it excels. We map your profile precisely and build the architecture that turns asymmetry into advantage.

03
Psychedelic-Assisted Therapy

Ketamine-assisted therapy and structured breathwork protocols within Swiss regulatory frameworks. We create windows of heightened neuroplasticity — and our three-month readiness programme ensures you enter these experiences from the strongest possible foundation.

04
International Patients

We receive patients from across Europe, the Middle East and beyond. Full concierge coordination for travel, accommodation and scheduling — complete discretion from first contact to final session.


Clinical Pathway

Six layers. One integrated protocol.

1
Entry Point
Inflection Edge Assessment

Our proprietary 30-question, 5-dimension performance instrument. Produces your Neurotype Blueprint and frames the entire diagnostic conversation.

Online · Free5 DimensionsPerformance Blueprint
2
Clinical Diagnosis
Formal ADHD Diagnostic

Comprehensive psychiatric assessment by our metabolic psychiatrist. Beyond checklists — we assess ADHD type, comorbidities, rejection sensitivity, executive function, and your specific performance phenotype.

DSM-5 / ICD-11Comorbidity MappingMedication Review
3
Biological Layer
Full Metabolic Workup

The assessment that sets VitaReBa apart. We examine the biological systems driving your presentation — gut-brain axis, neurotransmitters, mitochondrial function, hormones, micronutrients, toxins, HRV, circadian rhythm and more.

Gut · Brain AxisMitochondrialHRV · CircadianToxins
4
Neuroplasticity & Longevity
Psychedelic-State Therapy

Ketamine-assisted therapy and structured breathwork protocols inducing non-ordinary states — creating windows of heightened neuroplasticity. Research now shows psychedelics also preserve telomere length, upregulate longevity genes (SIRT1), and reduce oxidative stress at the cellular level.

Ketamine-AssistedBreathworkNeuroplasticityLongevitySwiss Law
5
Longevity Medicine
VitaReBa Technology Protocol

ADHD reduces life expectancy by up to 13 years. Our longevity medicine technologies directly address this — mitochondrial health, nervous system recovery, cellular longevity, and the biological foundations of sustained cognitive performance.

H₂ TherapyIHHTPEMFInfraredHRV Biofeedback
6
Performance Architecture
Surf Your Life + Home Harmony

The coaching layer that converts clinical insights into daily architecture. You redesign how you work, lead, decide and recover — based on your specific neurotype. Includes a full audit of your personal and professional environments.

Surf Your LifeHome Harmony90-Day Programme

Diagnostic Depth

The most complete
biological picture
available.

Our metabolic workup examines six biological systems that directly influence cognitive performance, mood and energy. Available in-clinic and via home test kits for international patients.

Gut · Brain Axis
Complete microbiome analysis
Intestinal permeability markers
Neurotransmitter precursor status
Inflammatory cascade mapping
Mitochondrial Health
Cellular energy production capacity
Oxidative stress burden
Mitochondrial efficiency markers
Energy metabolism pathways
Hormones
Full cortisol rhythm & stress axis
Thyroid comprehensive panel
Sex hormones & adrenal function
Insulin & metabolic regulators
Micronutrients & Toxins
Key mineral & vitamin status
Omega fatty acid profile
Heavy metal & environmental toxin load
Inflammatory & oxidative markers
HRV · Circadian · Sleep
Heart rate variability baseline
Circadian rhythm mapping
Sleep architecture assessment
Autonomic nervous system regulation
Stress & Serotonin Markers
Serotonin & dopamine metabolism
Cortisol awakening response
GABA & glutamate balance
Adrenal reserve capacity

Proprietary Instrument

The SYL Clock.
Four dimensions. One picture.

The Surf Your Life Clock maps your ADHD symptoms across the four dimensions that matter most. Not just how your brain works — but how it shows up in every area of your life. The result is the most actionable performance map available.

💚
Health
Energy, sleep, nutrition, exercise, substance use — the biological foundation everything else rests on.
🧠
Mindset
Focus patterns, emotional regulation, inner narrative, decision quality and cognitive performance under pressure.
🤝
Relationships
Communication patterns, rejection sensitivity, trust, intimacy and how your neurotype shapes your connections.
🚀
Career
Leadership style, productivity architecture, team dynamics, strategic thinking and professional trajectory.
Psychedelic Readiness Programme

Three months.
Complete preparation.

A structured protocol for anyone considering psychedelic-assisted therapy — whether with us or with a referral partner clinic. We ensure your body, metabolism and mind are optimally prepared.

Beyond neuroplasticity: the longevity dimension
A 2025 study published in Nature's npj Aging found that psilocybin extended human cellular lifespan by up to 57%, preserved telomere length, and increased survival of aged mice by 30%. The compound upregulates SIRT1 — a key gene in longevity and DNA repair — and reduces oxidative stress at the cellular level. These findings suggest psychedelics may be potent geroprotective agents, making metabolic preparation even more critical.
Kato et al., npj Aging, 2025 · Emory University / Baylor College of Medicine
1
Physical Diagnostics
Full metabolic workup, cardiovascular assessment, medication review, and contraindication screening. We identify and address any biological factors that could affect your experience and its longevity benefits.
2
Metabolic Optimisation
Targeted supplementation, gut health protocol, sleep architecture improvement, and nervous system regulation. Building the biological foundation for both neuroplasticity and the cellular longevity effects of psychedelic therapy.
3
Psychological Readiness
Intention setting, breathwork training, mindfulness practice, and integration framework preparation. Ensuring you have the tools to process and sustain the insights that emerge — for lasting change.

Available for individual clients and referral partners — psychedelic clinics, retreat centres, and medical practitioners seeking thorough pre-treatment preparation for their patients.


Addiction Treatment

Where ADHD ends
and addiction begins
is rarely obvious.

ADHD and addiction are among the most frequently co-occurring conditions in high-performing adults. For many, substance use — alcohol, stimulants, prescription medications — begins as self-medication for an undiagnosed or undertreated ADHD brain.

We offer exclusive, fully private addiction treatment in Switzerland — integrated with the complete metabolic and psychiatric picture. Not a clinic setting. Not an institutional programme. A discreet, evidence-based, deeply personal process.

Fully Private
No clinical setting. No institutional record. Complete discretion from first contact to final session.
Dual Diagnosis
ADHD and addiction treated together — not sequentially. The metabolic root causes of both are addressed simultaneously.
Switzerland-Based
Access to world-class Swiss medical infrastructure, legal therapeutic frameworks, and an environment of absolute safety.
International Clients
Full concierge coordination. We receive clients from across Europe, the Middle East and beyond.
Enquire Confidentially

Programme Architecture

Three entry points. One destination.

Edge Diagnostic
CHF 2,400
One-time · 2 sessions

The most complete ADHD biological picture available in Switzerland. Formal diagnosis, full metabolic workup, and your personalised Neurotype Blueprint.

Inflection Edge assessment
Formal ADHD diagnostic
Full metabolic workup
Neurotype Blueprint session
Medication & supplement protocol
Enquire
Full Ocean
CHF 18,000
Annual · Fully concierge

The comprehensive annual architecture — ongoing biological monitoring, regular consultations, psychedelic therapy, and continuous performance optimisation.

Everything in Riding the Wave
Psychedelic-assisted therapy
Quarterly metabolic retesting
Monthly consultations
Annual Inflection instruments retake
Enquire

Clinical Team

Built around precision.

M
Manuel
Founder · Surf Your Life

The architect behind VitaReBa's integrated approach. Combining performance coaching with metabolic psychiatry to build the life architecture high-performing minds need.

DM
Dr. Montagna
Metabolic Psychiatrist

Specialist in metabolic psychiatry with deep expertise in ADHD, addiction and the biological substrates of cognitive performance.

Begin Here
Your ocean.
Precisely mapped.

Start with the Inflection Edge — our free ADHD performance assessment. In 8 minutes you will have the most precise picture of your neurotype you have ever seen. Your results are your Epoch — the beginning of a new chapter.

VitaReBa GmbH · Zollikerstrasse 183 · 8008 Zürich · manuel@surfyourlife.org