Joshua Swigart, PMHNP-BC, APRN

Peak Body and Mind
530 Hammill Ln , Reno,
NV 89511, US
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Description

Peak Body and Mind is a cash-pay, brick-and-mortar precision psychiatric and functional medicine practice in Reno, Nevada. The practice operates at the intersection of treatment-resistant psychiatry, functional medicine, peptide therapy, neuroendocrinology, and performance medicine — deploying a sequenced, biology-first clinical framework that addresses the root biological failure modes underlying mental health disorders, cognitive decline, and suboptimal performance.

The practice was founded on a single clinical premise: most patients who have not responded to standard treatment are not failing because the right diagnosis or medication has not been found. They are failing because the underlying biology that makes any treatment work — mitochondrial function, HPA axis regulation, neuroinflammatory burden, hormonal architecture, autonomic tone, gut-brain signaling — has never been systematically evaluated or corrected. Peak Body and Mind was built to close that gap.

The practice serves four primary patient populations:

Treatment-Resistant Psychiatric Conditions — treatment-resistant depression (TRD), PTSD with complex trauma, major depressive disorder (MDD), and ADHD with significant functional impairment. These patients have typically failed multiple standard medication trials and present with identifiable biological failure modes driving their non-response.

Postpartum Psychiatric Prevention — high-risk postpartum patients enrolled under the P4 Protocol (see below), initiated at the neurobiological trigger point rather than after symptom onset.

Cognitive Enhancement and Neurocognitive Prevention — executive function optimization, processing speed restoration, early cognitive decline prevention, and APOE4-stratified neuroprotection protocols. This population includes both high-performing individuals seeking to optimize brain function and patients in the 40–65 range with early subjective cognitive complaints or identified genetic risk.

High-Performance Optimization — executives, operators, and professionals with declining HRV, cognitive sharpness, recovery capacity, or physical output seeking a data-driven 90-day biological restoration protocol.

Services
  • Adrenal Fatigue
  • Advanced Nutrient Testing and Treatment
  • Alternative Therapies
  • Anti-Aging Medicine
  • Behavioral Health
  • Behavioral Modification
  • Bio-Identical Hormone Replacement Therapy/ BHRT
  • CBD
  • Cognition
  • Corporate Wellness
  • Executive Health
  • Exosomes
  • Functional Medicine
  • Functional Medicine Lab Tests
  • Glutathione and Vitamin C
  • Health Optimization
  • Healthy Aging
  • Holistic Mental Health
  • Holistic Psychiatry
  • Intravenous Nutrition
  • Intravenous Therapy
  • IV Nutritional Therapy
  • IV Therapy
  • Longevity Medicine
  • Low Dose Naltrexone
  • Mental Health
  • Mitochondrial Medicine
  • Myer's Cocktail
  • Natural Medicine
  • Neural Therapy
  • Neurotransmitter regulation
  • Neurotransmitter Testing
  • Nutraceuticals
  • Ozone Therapy
  • Peptide Nasal Therapies
  • Peptide Therapy
  • Peptides
  • Professional-grade vitamins and supplements
  • Psychiatry
  • Red Light
  • Sleep Medicine
  • Sleep Restoration Insomnia
  • Stress and Sleep Medicine
  • Stress Management
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