RefinedSelf
Concierge Psychiatric Medicine
Your brain runs the business.
Invest in it.
Your own concierge psychiatrist. We find what’s capping your output and build a protocol around your biology, one-on-one or through the course.
Step one: a free 5-minute audit shows where you stand.
- Board-CertifiedPsychiatrist (DO)
- Medical Director & CMOLarge Psychiatric Hospital, FL
- Former Chief of StaffLargest Psychiatric State Hospital, FL
- OversightLargest Forensic Psychiatric Facility in FL
- BackgroundCapital Markets
The numbers are fine.
But you can't predict which version of you shows up.
It's not how you are. It's friction. And friction can be reduced.
The Invisible Cost
You optimized everything external. You feel worse than five years ago.
- 3 AMSleep is a negotiationMind racing. You usually lose.
- 10 AMYour fuse is goneShort with your team.
- 6 PMDepleted decisionsThe calls that shape your life.
- 8 PMBehind glassAt dinner. Not really there.
This isn't stress. It's a loop that runs all the time.
Why Nothing Has Worked
Each one sees a piece. None of them see the whole picture.
TherapyOpen-ended. No timeline.
CoachingNever touches the biology.
MeditationNot for minds that won't stop.
ExerciseAlready doing it. Still here.
Time offThe pattern comes on vacation.
PCP medsA prescription in 12 minutes.
RefinedSelf
One physician. Biology, psychology, environment, and behavior, together.
You've been treating symptoms. The pattern stayed.
The System Behind The Behavior
Four pillars, optimized in order. They compound.
- 01BiologyThe hardware
- 02PsychologyThe operator
- 03EnvironmentThe field
- 04BehaviorThe consistency layer
Optimize in order
When biology stabilizes, psychology trains faster. Environment and behavior make it stick.
The Presence Protocol
11 modules · About 5 hours · Lifetime access
00Course Introduction
01What Is Presence?
02Neurobiology of Performance
03Lab Work & Biomarkers
04Supplements
05Stress & Nervous System
06Sleep Optimization
07Mindfulness & Clarity
08Lifestyle Engineering
09Implementation System
AdvancedB1Peptides for Performance
AdvancedB2Relationships & Purpose
Who I Am
Dr. Andrew Amicarelli, DO
“I've sat in the rooms high-functioning people sit in.”
- Capital marketsBefore medicine
- Board-certified psychiatristDoctor of Osteopathic Medicine
- Chief of StaffLargest psychiatric state hospital in Florida
- Medical Director & CMOLarge psychiatric hospital, Florida
What Changes
When the system is working.
- Output
- Mind
- Decisions
- Sleep
- Patience
- Presence
Two Ways In
Your health shouldn't depend on insurance.
Concierge · 1:1
Private Physician
The concierge-medicine model, applied to your mind. Ten weeks one-on-one with Dr. Amicarelli and a protocol built around your biology.
10 private weekly sessions
One-on-one with Dr. Amicarelli
Direct physician access
Secure messaging between sessions
Targeted lab review
Your labs, read and interpreted for you
A protocol built for you
Supplements and interventions, sequenced for your biology
Ongoing calibration
Adjusted as your body responds
Full course included
All 11 modules, a $997 value
Priced after your consultation · Limited quarterly intake
Self-Directed Course
The Presence Protocol
The complete framework on your own schedule. Watch, apply, and keep it for life.
11 video modules
9 core + 2 advanced
Pattern-mapping worksheet
Pinpoint what’s driving you
Implementation guides
Step-by-step for all 4 pillars
Audio versions
For the commute and travel
Lifetime access
Plus every future update
Or 3 payments of $347
- Private video sessions
- No insurance, no records
- Completely confidential
Understand your pattern, or full refund.
Complete Modules 1 to 3 and the baseline assessment within 30 days. If you don't understand your biological drivers better than ever, email me for a full refund.
Dr. Andrew Amicarelli, DO
Life is short?
Yes. So quality of life matters.
Dr. Andrew Amicarelli, DO
Founder, RefinedSelf