Metin Cayiroglu, MD — A comprehensive, one-on-one journey through your dark night of the soul, trauma, and shadow—guided by an integrative psychiatrist bridging Western Science, Depth Psychology, and the Direct Insight of Zen & Non-Duality.
Beyond the Coping Strategies.
Beyond the Diagnosis.
Reclaim the Coherence of Your True Being.
For those who have been disillusioned with the current system, and are looking to witness their suffering as the door to liberation, guided by one who has had the direct experience.
*Available via telehealth across New York and California.
YOU ARE NOT ALONE IN THIS
"I can't turn my brain off. Even when I'm lying still, the engine doesn't stop."
"I've done the therapy. The medication. The whole morning routine. I'm still exhausted. Nothing has touched it."
"It feels like I'm performing my life. Everything looks fine from the outside. Nothing feels real."
"I carry a weighted vest I can't take off. My jaw is always clenched. My neck hasn't relaxed in years."
This is not a you problem. It is a model problem.
Standard psychiatric care was not built for the modern mind, and current problems of living. It was built for volume — 15-minute medication checks, diagnostic labels applied in the first session, treatment protocols designed around the flawed foundation that your suffering is a problem, or disordered.
The people who walk into this practice are not treatment-resistant. They are model-resistant.
That framework exists. And it starts with understanding what is actually happening in your body.
What is actually happening
There is a neurobiological reason you are still exhausted. And it has nothing to do with how hard you are trying.
The alarm is still on. Here is why — and how we turn it off.
The Framework
Hardware first. Then Software.
No psychological map can be redrawn while the biological engine is running on empty. We address them in the right order.
PHASE 01
HARDWARE
Cool the Autonomic Nervous System
Your brain cannot afford vulnerability when its biological alarm system is permanently triggered. Before we ask you to feel anything, we restore the metabolic and neurological conditions that make real psychological work physiologically possible.
This is not symptom suppression. It is the necessary precondition for everything that follows.
PHASE 02
SOFTWARE
Dismantle the Intellectual Armor
Once your body can physically afford to sit still, we do the real work. Not building better coping strategies. Not adding more frameworks to an already overloaded intellect. We use deep analytical, attachment, and shadow work to methodically deconstruct the False Self.
The compulsion to achieve. The illusion of control. The terror of being ordinary. These are not character traits — they are survival mechanisms that have outlived their usefulness.
CLINICAL GATEWAYS
The specific reason you might book an appointment.
Every service below is a door into the same underlying methodology. Find yours.
01
Burnout & Metabolic Exhaustion
When the machine has been running redline for too long and the standard model has no explanation for why you can't recover.
02
Diagnostic Audit & Deconstruction
A two-hour forensic review of your full history — stripping away the accumulated labels and rebuilding an accurate picture from the ground up.
03
Somatic Integration
The Heavy Vest. The chronic tension in your jaw, your neck, your chest is not a metaphor. It is a biological holding pattern with a precise treatment protocol.
04
Care for Medical Professionals
For physicians and therapists who understand the system from the inside — and cannot find a single colleague willing to treat them like an actual patient.
05
Strategic Deprescribing
If years of SSRIs or sedatives have left you emotionally blunted, there is a medically supervised path off — with intensive support for what emerges underneath.
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The Physician
I have seen the system fail the people who need it most. Repeatedly.
I trained across the full architecture of psychiatric medicine — forensic wards, pediatric crisis units, eating disorder programs, and Mount Sinai's Consult-Liaison service, where the line between physical illness and psychological collapse disappears entirely.
That decade gave me a calibration most psychiatrists don't have. And a very clear picture of who the standard model was never designed to help.
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Furthermore, for a period of 10+ years was spent in practice of individuation and non-dual direct experience, culminating in the creation of this service, with a foundation of non-dual experience, mapped through western psychology.
MD · New York Medical College · SUNY Downstate · USD / Rady Children's Hospital · Mount Sinai Hospital · 6+ Years Zen Buddhism & Direct Inquiry
"I don't try to fix the inescapable tragedy of living. I act as a regulated biological anchor — and a map-breaker."
Metin Cayiroglu, MD
10+
Years of direct clinical experience with serious psychiatric illness.
4
Fellowships NYMC · SUNY Downstate · USD/Rady · Mount Sinai
6+
Years Zen practice
1000+
Patients treated across NY hospital systems
Patient Selection
This practice was built for a specific person.
This is for you if:
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You are high-functioning on the outside and running on empty on the inside
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You have already tried CBT, standard medications, and optimized routines — and are still exhausted
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You want the truth about what is happening in your nervous system, not a patronizing worksheet
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You are a physician or therapist who cannot find a colleague willing to actually treat you
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You are ready for something that requires your genuine participation
This is not for you if:
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You are looking for a passive fix or standard prescription management
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You need in-network insurance billing or a standard psychiatric referral
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You are in acute psychiatric crisis requiring immediate inpatient stabilization
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You want to suppress your symptoms without understanding what is driving them
What Happens Next
Three steps. No waiting rooms. No ambiguity.
STEP 01
Request a Consultation
A brief form — not a medical questionnaire. Used to understand your situation and assess fit. If this is the right environment for your work, you will hear back within 48 hours. Sessions conducted via telehealth.
STEP 02
The Diagnostic Audit
A two-hour initial session — your full psychiatric, medical, and personal history reconstructed from the beginning. Most patients say it is the first time they have actually been heard. That is not an accident. It is how this was designed.
STEP 03
The Architecture Begins
From there, we establish the cadence and structure your specific situation requires. Intensive, bespoke, entirely yours. The work is deep. The progress is real. And unlike a label, it cannot be taken away from you.
BEGIN
The noise can actually stop.
If you have read this far, your nervous system already knows that something different is possible. The first step is a conversation — not a commitment.
Private pay only · Out-of-network · New York & California · Telehealth