• Depression, anxiety disorders, and mood dysregulation - and their direct impact on biological ageing, immune function, and cardiovascular risk

• Burnout, chronic stress, and executive mental health - addressing the HPA axis dysregulation and cortisol burden that accelerate systemic ageing

• Cognitive performance and attention - including adult ADHD assessment and strategies for sustained mental clarity and executive function

• Sleep disorders with a psychiatric or neurological component - recognising sleep as the brain’s primary maintenance period and a cornerstone of longevity

• Trauma, PTSD, and psychological responses to significant life events - including the chronic inflammatory burden that unresolved trauma places on the body

• Obsessive-compulsive and related disorders

• Personality and interpersonal functioning concerns

• Psychosomatic presentations - where psychological and physical health intersect, including chronic fatigue, pain syndromes, and medically unexplained symptoms

• Psychiatric medication review and pharmacology optimisation - including pharmacogenomic assessment of drug metabolism

• Psychological aspects of ageing, early cognitive decline, and dementia risk reduction

• Mental health in the context of chronic physical illness, hormonal transitions, and metabolic disease

• Second opinions on existing psychiatric diagnoses or treatment plans

• Individuals experiencing significant mental health symptoms who want specialist assessment that goes beyond GP-level care - and who want those symptoms understood in their full biological context

• Those who have tried treatments without adequate response and want an expert review of both diagnosis and the underlying biological drivers that may be perpetuating the condition

• High-functioning professionals experiencing burnout, performance anxiety, or executive stress - particularly those who recognise that chronic psychological stress is not merely uncomfortable, but biologically damaging

• Clients on a longevity programme for whom psychological wellbeing, cognitive resilience, and stress biology are integral to their health goals - and who want these addressed with the same precision as their physical biomarkers

• Individuals seeking proactive cognitive health assessment and early intervention strategies to reduce neurodegeneration risk

• Those whose physical health concerns have a significant psychological dimension - including chronic pain, fatigue syndromes, inflammatory conditions, and hormonal transitions

• People seeking specialist psychiatric care in a private, discreet, and genuinely unhurried clinical environment, integrated with world-class medical and longevity medicine

The mind and body are not separate systems - they are deeply, bidirectionally connected. Chronic psychological stress drives cortisol dysregulation, systemic inflammation, telomere shortening, immune suppression, and cardiovascular risk. Depression is associated with accelerated biological ageing. Poor sleep - often a psychiatric issue - impairs the glymphatic clearance of amyloid beta from the brain, directly increasing dementia risk. At Reborne, we address these connections explicitly rather than treating the mind and body as belonging to different clinical specialities.

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Psychiatric care here is integrated with our full clinical capability. Hormonal imbalances that drive mood dysregulation, thyroid dysfunction presenting as depression, HPA axis disruption underlying chronic anxiety, pharmacogenomic variants affecting medication response, and gut-brain axis dysfunction influencing psychological health are all identified and addressed across disciplines. Where biological interventions are indicated - whether HBOT for neuroinflammation, IV NAD+ for cognitive restoration, or hormonal optimisation for mood - they are available as part of a coherent, physician-led plan.

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Appointments are substantive and unhurried. The written report and treatment plan that follows every consultation provides a clear, actionable, and clinically precise roadmap - one that accounts for your biology, not just your symptoms.

• Prepare a brief timeline of your mental health history - when symptoms began, any previous diagnoses, treatments tried, and their outcomes

• Bring a full list of current and recent medications, including dosages and how long you have been taking them

• Note any relevant family psychiatric history

• Bring any previous psychiatric reports, psychological assessments, or blood results you consider relevant

• There is no need to prepare extensively - Your clinician will guide the consultation. The more openly you are able to speak, the more useful the assessment will be

• Follow-up appointments are available in-person or via secure video call

• Prescriptions are charged separately

• Is what I discuss in my consultation confidential?
  Yes. All information shared is held in absolute clinical confidence. Medical records are stored in encrypted, UK-hosted systems and are never shared with employers, insurers, or third parties without your explicit written consent. Reborne operates under the full framework of GMC professional standards and UK data protection legislation.

• Can our psychiatrist prescribe medication?
  Yes. Our consultant psychiatrist can assess, diagnose, and prescribe medication where clinically indicated. Prescriptions are charged separately. Where pharmacogenomic testing is relevant to medication selection - for example, optimising antidepressant choice based on CYP2D6 and CYP2C19 metaboliser status - this can be arranged through Reborne’s diagnostics team.

• Can I be seen if I am already under psychiatric care?
  Yes. A private consultation at Reborne can complement your existing care - whether you are seeking a second opinion, a more in-depth assessment, or want to integrate a psychiatric perspective with your wider Reborne longevity programme. Our psychiatrist will always be transparent about their clinical opinion and will not simply validate an existing approach if an alternative is considered more appropriate.

• How does psychiatry fit within the Reborne longevity model?
  Psychological wellbeing is not separate from longevity - it is one of its most powerful determinants. Chronic stress shortens telomeres, accelerates immune ageing, elevates cardiovascular risk, impairs sleep architecture, and suppresses the regenerative processes that underpin healthspan. Depression is associated with measurable biological age acceleration. Anxiety disorders alter cortisol patterns in ways that affect metabolism, hormonal balance, and systemic inflammation for years. At Reborne, we treat mental health as a core pillar of biological longevity, not an afterthought. Our psychiatric consultation sits within the same P4 medicine framework - predictive, preventive, personalised, and participatory - as every other intervention we offer.

• What is the link between stress and biological ageing?
  Chronic psychological stress is one of the most well-documented accelerants of biological ageing. It activates the HPA axis, sustaining elevated cortisol that drives inflammation, disrupts hormonal signalling, impairs immune surveillance, and damages the cardiovascular system. At the cellular level, chronic stress is associated with shortened telomeres - the molecular caps that protect chromosomes and shorten with each cell division. Elevated psychological stress has been shown to produce telomere shortening equivalent to a decade of additional biological ageing in some studies. Addressing the psychological and neurobiological drivers of stress is therefore not simply a quality-of-life intervention - it is a direct longevity intervention.