New patient appointments available statewide in California.
Telehealth & In-Person Care
When Standard Medication Visits Aren’t Enough.
Precision care for complex or medication-sensitive cases—beyond wait-and-see prescribing.
Standard Psychiatry Care
Reactive
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Changes made after weeks of worsening symptoms.
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Generic Protocols
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Population-level guidelines applied to an individual biology.
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Fragmented Oversight​​​​
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Symptom changes and logistics are addressed only at scheduled visits.
The Precision Arc
Proactive
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Adjustments are guided by early response and tolerability—before problems escalate.
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Guided Optimization
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Intentional medication trials with earlier, response-informed adjustments.
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Integrated Coordination
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Ongoing feedback loops drive proactive decisions; Harmonia manages the clinical and logistical loop.
Our Clinical Approach
At Harmonia, integrative means approaching psychiatric care with an awareness of the full clinical picture—how symptoms, medications, physiology, and lived experience interact over time.
Many patients come to Harmonia after feeling stalled by fragmented care or medication strategies that were never fully refined for their individual response. Our approach emphasizes thoughtful medication design, guided by clinical reasoning and close attention to how treatments interact and evolve together.
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Our ultimate goal isn't to add more; it’s to reach the Minimum Effective Regimen: a clinical state in which treatment is as streamlined as possible while remaining fully effective.
Is Harmonia the Right Fit?
This practice may be a good fit if you:
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Feel over- or under-medicated, emotionally blunted, or not fully like yourself.
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Want a careful review of your diagnosis and a clear medication strategy.
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Appreciate collaborative, well-reasoned treatment decisions where your voice is actually heard.
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Are seeking a structured, thoughtful approach to medication trials, with the goal of achieving meaningful improvement efficiently.
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Have tried multiple psychiatric medications without the results you hoped for.​​​​
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Have relied on substances to manage mood or anxiety and want a deeper clinical understanding.
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Have pursued interventional treatments such as TMS, Spravato, or ketamine with limited or incomplete benefit and are seeking further clinical reassessment.​​
This practice is likely not the right fit if you:
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​Are seeking "refill-only" visits without periodic review or ongoing clinical oversight. ​
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Prefer rapid medication changes without discussion of rationale, safety, or long-term strategy.
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Rely exclusively on high-risk medications (such as daily benzodiazepines) without openness to discussing safety, tolerance, or alternatives.
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Are looking for a one-time prescription rather than a therapeutic relationship.
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Prefer brief, high-volume visits over a deliberate, personalized approach​.​
About Nuri Alberga, PMHNP-BC, MBA
Nuri Alberga is a Psychiatric Mental Health Nurse Practitioner with Advanced training in integrative psychiatry and extensive experience caring for high-acuity and complex psychiatric cases.
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Her approach has been shaped by years of working with medication-sensitive and treatment-resistant presentations—cases where standard approaches proved insufficient.
She brings a high level of clinical judgment to the Precision Arc, focusing on how individual biological variability influences medication response, with the goal of achieving stability for those who have reached a ceiling with traditional care.
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Harmonia provides expert psychiatric care for adults with depression, anxiety, ADHD, insomnia, bipolar-spectrum conditions, and co-occurring substance use, including Suboxone/MAT for opioid use, with a particular focus on complex, treatment-resistant, or diagnostically unclear presentations.
Practice Information
8880 Rio San Diego Drive, Ste 800
San Diego, CA 92108
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(858) 422-4791