Tiredness that does not lift
Low energy, poor sleep, waking unrefreshed — when the usual explanations have not settled it.
Integrative health for high-performing people
A clear picture of your health, and a plan you can actually follow
One-to-one consultations and ongoing support with Alexander Lebedev, MD, PhD — a physician and neuroscientist. For people who carry a lot — demanding work, a family, high standards — and whose sleep, energy or mood have started to pay for it. We look at your medical history, diagnoses and test results together with your relationships, habits and what matters to you, and agree on the few steps most worth taking.
- MD, PhD · 100+ scientific publications
- Two decades in medicine and research
- Online, in English or Russian
Consultative support, not a medical service. It works alongside your own doctors and does not replace formal diagnosis or treatment.
Who this is for
Capable adults who want to understand what is going on and what to do about it — whether they arrive with a diagnosis, a folder of test results, or only a sense that something is off.
Stress, anxiety and low mood
Tension that does not switch off, a heavy or flat mood, burnout, the feeling of running on autopilot.
Midlife and hormonal change
Perimenopause, shifts in energy and mood — and the questions worth bringing to your own doctor.
A diagnosis, or results nobody has put together
Living with a diagnosis, or holding lab results, reports and advice from several doctors that you would like read together as one story.
Performing, at a cost
Still delivering, but on willpower: broken sleep, wired-and-tired evenings, caffeine or alcohol to take the edge off, decisions that cost more than they used to.
Relationships and meaning
Strain at home, loss, a transition, or a quiet question about what all the effort is for.
Many people I see carry a great deal — founders, executives, physicians, parents, athletes — and are already under a doctor’s care. This work sits alongside that care and does not replace it. The underlying pattern is usually the same: a capable system that has been running past its limits.
Health does not come in compartments
Symptoms rarely stay in one place. Poor sleep feeds anxiety, strain in a relationship shows up in the body, a long stretch without meaning drains energy that no supplement restores. I look at five threads together.
Body
History, sleep, nutrition, hormones, digestion, test results.
Emotional life
Mood, anxiety, stress, and how you cope with them.
Behaviour
Habits and routines — what is realistic in your life.
Relationships
The people who support or exhaust you, at home and at work.
Meaning
What matters to you, and whether your days reflect it.
The aim is not to address everything at once, but to see which thread, pulled first, loosens the others.
How we work
Four steps, adapted to the person. There is no fixed programme length.
Understand your situation
Usually before we meet you complete a short written questionnaire and send what you already have: records, results, a list of your medicines and supplements. Then we go through your history, your days and what you have already tried.
Clinical picture and priorities
I read your history, symptoms, diagnoses and results as a whole: what fits together, what does not, what is likely driving the picture and what is worth clarifying — with your own doctors where needed. Then we decide what matters most, what can wait, and whether further testing would change a decision.
Build an individual plan
A small number of steps, ordered by likely impact and fitted to your schedule, written down so you can return to it. What belongs with your own doctor, we say so plainly.
Review and adjust
We look at what worked, what did not and why, and change the plan accordingly.
Formats and fees
Three ways to work together. Sessions are held online; fees are in euros.
Single consultation
€400
60 minutes
One focused hour to make sense of a situation — a set of results, a pattern of symptoms, a decision about what to do next. The aim is to leave with clear priorities and next steps.
Request this formatMonthly support
€1,000
three sessions per month
For working through a situation step by step: time to try a plan, see what happens and adjust it.
Request this formatTen-session package
€3,000
ten sessions
For longer work on more than one thread, with room to review progress and revise the plan as your situation changes.
Request this formatNot sure which fits? Describe your situation in the request and I will reply personally and suggest a format. Laboratory tests, if any are worthwhile, are arranged through you or your own doctor and are not part of these fees. Scheduling and payment are agreed personally before a first paid session — there is no online checkout.
About Alexander Lebedev
I am a physician and neuroscientist. I trained in medicine, completed a PhD at the University of Bergen, and spent many years in clinical neuroscience research in Norway and at Karolinska Institutet in Sweden. Today I also work in medical AI, and I see people privately for individual consultations.
I have seen how much gets lost between specialties and short appointments. My work is to put the pieces back together — the body, the mind and the life around them — and to be straightforward about what the evidence supports and what it does not.
Research
- 100+ scientific publications in international journals on the brain, mood and cognition.
- Invited expert at the EMCDDA technical meeting on drug policy, Lisbon, 2023.
Training and path
- MD; PhD in medical data science and applied AI, University of Bergen (Norway).
- Research and academic positions at Karolinska Institutet, Stockholm.
Current projects
- Co-founder and Scientific Director of ONCE, a centre for mental well-being in Amsterdam.
- Co-founder of Dreamseer, an app for working with dreams.
- Advisor to teams building medical AI (Lebedev Labs).
Away from the desk
- Black belt in Brazilian jiu-jitsu; martial arts since the age of five.
Selected publications
- Large-scale societal dynamics are reflected in human mood and brain — Scientific Reports, 2022
- Psychedelic drug use and schizotypy in young adults — Scientific Reports, 2021
- Effects of daily L-dopa administration on learning and brain structure in older adults undergoing cognitive training — Scientific Reports, 2020
- Working memory and reasoning benefit from different modes of large-scale brain dynamics in healthy older adults — Journal of Cognitive Neuroscience, 2018
- Cortical changes associated with depression and antidepressant use in Alzheimer and Lewy body dementia — American Journal of Geriatric Psychiatry, 2014
Research, teaching and media
In their words
Extracts from feedback by clients and colleagues.
Clients
“Your grasp of physiology plus refined work with the psyche creates a rare synergy.”
“We gained confidence and clarity on where we want to go. Alexander is incredibly professional and reliable.”
“With Alexander I saw a path that seemed impossible before — and made a deliberate choice that’s right for me.”
Colleagues
“A brilliant psychiatrist, scientist and leader. The ability to listen, analyze and mentor with deep understanding of work processes is rare.”
“A conscientious researcher who approaches scientific problems creatively, and a competent clinician skilled in both psychiatry and psychotherapy.”
Questions
Is this a medical service?
It is a consultation with a physician, not a medical service in the sense of regulated care. It runs alongside the care of your own doctors and does not replace formal diagnosis, treatment, prescribing or emergency care. What it does offer is a physician’s reading of your situation: what connects with what, what is likely, what is worth clarifying, and what to take to your treating doctor.
Can I come with a diagnosis?
Yes, and many people do. We look at the diagnosis together with your history and results: what it may mean for your daily life, what could be sustaining it, what is worth clarifying, and what to discuss with the doctor who treats it.
Do I need a diagnosis, or to see a doctor first?
No diagnosis is needed. If a symptom is new, severe or worrying, please see a doctor first, or at the same time. If I think something needs medical attention, I will say so.
What happens in a consultation?
We talk through your situation, your history and what you have already tried, and look at any records or results you have. By the end we aim to have a short list of priorities and agreed next steps, which I put in writing.
What if I take medication or already see specialists?
Keep taking your medication as prescribed. I do not change or stop prescriptions made by other doctors. If a question touches on a medicine, I help you formulate it for the doctor who prescribes it.
Will I need lab tests?
Not necessarily. We start with what you already have. If more testing could change a decision, we discuss it, and it is arranged through you or your own doctor.
Which format should I choose?
A single consultation suits a clear question. If your situation has several layers, monthly support or the ten-session package give time to try a plan and adjust it. Describe your situation in the request and I will suggest one.
How quickly will I see results?
I cannot promise results or a timeline; people differ, and some changes take weeks or months. What I can offer is a clear picture, a short list of priorities, and a way to judge for yourself whether they are working.
How is this different from therapy or coaching?
It is neither. It is not psychotherapy and not life coaching. It is a consultation that starts from the body and your medical history and keeps the rest in view. If you need psychotherapy or psychiatric care, I will tell you so.
Is it confidential? Are sessions recorded?
What you share is treated as confidential and used only for your consultation, as described in the Privacy Policy. A session is recorded or transcribed for my notes only with your agreement, and you may decline.
Which languages and countries?
I work online in English and Russian with people in many countries.
What if it is an emergency?
This is not an emergency service, and I am not available for urgent situations. If you are in danger or may harm yourself, contact local emergency services at once (112 in the EU, 911 in the US) or a crisis line in your country.
Self-reflection tools
Optional questionnaires you can try on your own. They are not diagnostic tests, and a score is a starting point for reflection or for a conversation with a doctor.
PHQ-9
A nine-question screening scale for low mood.
Take PHQ-9GAD-7
A seven-question screening scale for anxiety.
Take GAD-7Burnout check
A two-minute self-assessment of exhaustion and work strain.
Take the checkValues sort
A card-sorting exercise to clarify what matters most to you.
Start sortingRequest a consultation
Tell me briefly what brings you here. I read every request and reply personally.