Where Psychiatry Meets High Performance
If you're driven, ambitious, and running on empty, you're in the right place.
I'm Dr. Edgar Ortega, a board-certified psychiatrist. I work with founders, executives, physicians, and attorneys who are still performing at a high level and quietly paying for it.
Prescription to Perform is a 12 to 16 week coaching program built on clinical depth, not generic wellness advice.
High Output on a
Cracked Foundation
The calendar is optimized. The responsibilities are significant. The skill set is proven. But the system underneath, sleep, attention, stress regulation, mood, nutrition, recovery, is running hot. You're not burned out enough to stop. You're just no longer performing with the same ease, clarity, or resilience you used to.
Brain fog, decision fatigue, inconsistent focus.
Difficulty recovering between demands, or turning the mind off after work.
Perfectionism, overfunctioning, reactivity, trouble delegating.
The private question: I've achieved this much, so why do I still feel off?
Frustration with wellness advice that doesn't account for a high-pressure life.
Sustainable peak performance is not a product of willpower. It's the natural output of a well-regulated nervous system, a nourished brain, a clear sense of purpose, and behavioral architecture that holds under pressure.
Who This Is For
Executives, founders, physicians, attorneys, and professionals operating under sustained, high-stakes pressure.
Driven people who are still performing but sense the cost is getting too high.
Leaders who want deeper support than generic coaching, and aren't looking for therapy. Professionals ready for honest reflection, practical experimentation, and measurable change.
What This Is Not
This is not psychotherapy, psychiatric treatment, diagnosis, medication management, or crisis care.
It's not a supplement list. It's not a morning routine. It's a structured, personalized coaching and education experience built on clinical depth.
Three Foundations, One Method
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Board-Certified Psychiatrist
Clinical pattern recognition. The mental health dynamics that show up disguised as performance problems.
Why it matters: You're not working with someone guessing at burnout, focus loss, or emotional regulation. -
Integrative Psychiatry, 125+ Hours
Gut-brain medicine, nutritional psychiatry, metabolic regulation, sleep science, trauma tools, botanical medicine.
Why it matters: Your biology gets addressed, not just your mindset. -
Harvard Lifestyle & Wellness Coaching
Motivational interviewing, SMART goals, resilience architecture, evidence-based behavior change.
Why it matters: Insight becomes lasting action, through a methodology built for busy adults.
Every Topic Lives Under One of Five Systems
ENERGY
Sleep, recovery, nutrition, movement, inflammation, metabolic awareness.
FOCUS
Attention, technology, digital overload, cognitive clarity, deep work.
STRESS REGULATION
Nervous system awareness, emotional regulation, resilience, pressure response.
LEADERSHIP PRESENCE
Relationships, communication, attachment patterns, co-regulation.
PURPOSE & EXECUTION
Values, motivation, goals, accountability, behavior change.
The Structure
12 to 16 weeks. Each phase builds on the last.
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Phase 1 | Weeks 1 to 2 Assess the Performance System
Identify what's silently draining energy, focus, mood, and resilience.
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Phase 2 | Weeks 3 to 6 Rebuild the Biological Foundation
Sleep, nutrition, gut-brain health, metabolism, movement.
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Phase 3 | Weeks 7 to 10 Upgrade the Mental OPERATING SYSTEM
Cognitive patterns, stress responses, values, resilience.
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Weeks 11 to 16 Build Sustainable Excellence
Integrate the system into a maintainable long-term performance rhythm.
You Leave Phase 1 With Something in Writing
After the assessment, every client receives a written Performance Prescription: a prioritized map of your specific performance levers, in order of what will move first.
It directs the entire program. It gets updated at every phase transition.
Most people have never seen their own system laid out this way.
Investment
Prescription to Perform runs in three formats: private one-to-one, small group, and larger group. Same clinical methodology across all three. Programs range from $2,500 to $10,000 depending on format, length, and depth of access.
Format is determined on the fit call, based on what your situation actually calls for.
About Dr. Edgar Ortega
I built Prescription to Perform because I kept seeing the same pattern: extraordinary external results, and an internal system quietly falling apart underneath them.
I'm a board-certified psychiatrist with more than 125 hours of advanced integrative psychiatry training, covering gut-brain medicine, nutritional psychiatry, metabolic optimization, trauma tools, sleep science, and botanical medicine. I also hold a Lifestyle and Wellness Coaching Certificate from Harvard Executive Education.
My approach is collaborative and direct. I explain complex things simply without losing the depth.
Driven people deserve a coach who can think at the level they're actually operating.
FAQs
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No. This is coaching and education. It's not psychotherapy, psychiatric treatment, diagnosis, or medication management. If clinical care is what you need, I'll tell you that on the fit call and point you toward it.
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No, and many clients have both. This program works on performance systems, not clinical treatment. Any medical, psychiatric, or supplement decision should be reviewed with your own healthcare provider.
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A 90-minute assessment up front, coaching sessions on a biweekly rhythm, async check-ins between sessions, and protocol assignments designed to fit inside a demanding schedule rather than compete with it.
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The program is delivered remotely.
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You'll hear back to schedule a Performance Fit Call, a private conversation to determine whether this is right for your goals, schedule, and current season. If there's alignment, the program starts with the 90-minute Performance Assessment.
Apply for a Performance Fit Call
The first step is a conversation, not a commitment. The application below tells me whether this is the right fit before either of us spends time on a call.
Take five minutes with the last two questions. They're the ones that actually matter.
Disclaimer
Prescription to Perform is a coaching and educational program. It is not medical care, psychotherapy, psychiatric treatment, or diagnosis. In this program Dr. Ortega's role is as coach and educator, not as a treating physician. All medical, psychiatric, or supplement decisions should be reviewed with your personal healthcare provider.