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Abstract Brain Design

Medication Optimization.
Not Just Management.

For individuals who have tried multiple medications without clear or lasting relief.

INTEGRATIVE PSYCHIATRY & MEDICATION OPTIMIZATION | SAN DIEGO, CA

New patient appointments available statewide in California.
 Telehealth & In-Person Care

The Precision Arc 

90-Day Medication Recalibration​

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For complex medication histories that require greater continuity than standard visit-based care.

 

Best For:

  • Multiple medication trials with limited benefit

  • Pronounced mood, sleep, or functional changes with dose adjustments

  • Periods requiring closer clinical guidance

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Includes:

  • High-continuity monitoring within a defined 90-day phase

  • Secure direct clinical messaging during optimization

  • Thoughtfully paced adjustments guided by response patterns

Insurance-Based Care

Standard Medication Management

 

For established or straightforward medication needs managed through routine, scheduled visits.​

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Best for:

  • Stable medication regimens that are effective and well tolerated

  • Single-diagnosis or maintenance-phase treatment

  • Ongoing care that does not require between-visit clinical guidance

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Includes:

  • Scheduled, visit-based appointments

  • Administrative communication for scheduling and logistics 

  • Evidence-based medication adjustments at standard intervals (typically 4–12 weeks)

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Is Harmonia the Right Fit?

Our Clinical Approach

By integrative, we mean approaching psychiatric care with a systems-based perspective—considering the full clinical context rather than treating symptoms in isolation.

 

Many patients come to Harmonia after feeling stalled by unrefined medication strategies or fragmented care. Our approach supports thoughtful medication design, guided by clinical reasoning and informed by how treatments interact over time, with an emphasis on achieving the simplest regimen that remains clinically effective.

This practice may be a good fit if you:

  • Feel over- or under-medicated, emotionally blunted, or not fully like yourself.

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  • Want a careful review of your diagnosis and a clear medication strategy.

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  • Appreciate collaborative, well-reasoned treatment decisions where your voice is actually heard.

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  • Are seeking a structured, thoughtful approach to medication trials, with the goal of achieving meaningful improvement efficiently.

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  • Have tried multiple psychiatric medications without the results you hoped for.​​​​

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  • Have relied on substances to manage mood or anxiety and want to better understand what may be influencing these symptoms.

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  • Have pursued interventional treatments such as TMS, Spravato, or ketamine with limited or incomplete benefit and are seeking further clinical reassessment.​​

This practice is likely not the right fit if you:

  • ​Are seeking "refill-only" appointments without the safety of periodic reviews or ongoing care.​

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  • Prefer rapid medication changes without discussing the clinical rationale or long-term strategy.

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  • Rely exclusively on high-risk medications (such as daily benzodiazepines) without a willingness to discuss safety, tolerance, or tapering when appropriate.

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  • Are looking for a one-time prescription rather than a therapeutic relationship.

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  • Expect a "checkbox" style of care (quick, high-volume visits) rather than a deliberate, personalized investigation.​​

Harmonia provides expert psychiatric care for adults with depression, anxiety, ADHD, insomnia, bipolar-spectrum conditions, and co-occurring substance use, including Suboxone/MAT for opioid use, with a particular focus on complex, treatment-resistant, or diagnostically unclear presentations.

About Nuri Alberga, PMHNP-BC, MBA

Nuri Alberga is a  Psychiatric Mental Health Nurse Practitioner with Advanced training in integrative and precision-based psychiatric care. 

Her work focuses on complex cases, medication sensitivity, and treatment-resistant patterns - approaching care with clinical depth and respect for individual variability. 

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Care Modalities & Access
  • In-office visits (San Diego)

  • Telehealth appointments across California

  • Psychotherapeutic care integrated into treatment when appropriate

  • Evidence-informed nutraceutical and supplement guidance as adjunctive support​​

  • We are in-network with select insurance plans. Coverage and eligibility vary by plan and will be confirmed prior to scheduling.

Contact us

CONTACT US

8880 Rio San Diego Drive, 8th Floor

San Diego, CA 92108

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(858) 422-4791

Book Your Initial Consultation Today
 

Phone/Fax

P: (858) 648-5756

F: (858) 422-4791

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Address

8880 Rio San Diego Drive, Suite 800,
San Diego, CA 92108

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© 2025 Harmonia Precision Mental Health, A Professional Nursing Corp

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