Precision Care.
Personalized Your Biology.

Peak Body & Mind was founded on the belief that exceptional care begins by understanding the biology behind how people think, feel, and perform. Rather than following standardized treatment pathways, we use advanced diagnostics, neurochemical assessment, biomarker analysis, and individualized treatment strategies to create care plans tailored to each person.

Our Philosophy

Restoring Biology Before Expecting Change

01

Principle
The brain cannot outperform its biology

02

Foundation
Symptoms are signals, not just labels

03

Core Concept
Change becomes possible when capacity returns

04

Clinical Principle
Biological improvement comes before motivation not the other way around.

Most people are told they need more discipline, more motivation, or better coping skills.

But when the brain is inflamed, sleep is disrupted, hormones are dysregulated, mitochondria are underperforming, or the nervous system is stuck in threat mode, change becomes harder than it should be.

At Peak Body and Mind, we start by identifying and restoring the biological systems that support mood, cognition, resilience, and performance.

Our Mission

Helping People Restore, Recover, and Perform at Their Best

Every treatment strategy is personalized to support each individual's unique goals and biology.

Our Approach

A Personalized Clinical Experience

Rather than applying generic protocols, every treatment plan is carefully designed around objective findings and individual needs.

Precision Care Designed
Around Your Biology

Precision Care Designed Around Your Biology

Every individual possesses a unique biological profile shaped by genetics, biomarkers, medical history, lifestyle, and environment. Rather than applying standardized treatment protocols, we build personalized therapeutic strategies from first principles. Every recommendation is tailored to your specific neurochemistry and health goals, ensuring care that adapts to your biology, evolves with your progress, and maximizes long-term outcomes.

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Josh Swigart, APRN, PMHNP-BC, founder of Peak Body & Mind
Josh Swigart, APRN, PMHNP-BC, founder of Peak Body & Mind

Josh SWIGART

APRN, PMHNP-BC

Lifestyle change is important, but it's rarely where I begin. For many people, motivation isn't the starting point — restoring the underlying biology is, particularly when someone hasn't felt like themselves in a long time. When sleep, stress physiology, and cellular energy are depleted, willpower alone isn't enough. I start by helping the body recover its capacity to function, and from there, meaningful change becomes possible.

KRI Fellow, Ketamine Research Institute · A4M ABAAHP Fellow-in-Training · Triple Certified Peptide Therapy · Advanced IVNT Certified · Double Certified Neural Therapy · Double Certified Ozone Therapy · Koniver Method Clinician · Ketamine, Integrative Psychiatry Institute (IPI) · Integrative Psychiatry, Integrative Psychiatry Institute (IPI)

Built In High-Acuity Medicine

Josh Swigart's clinical foundation was built across some of medicine's most demanding environments

where precision, composure, and sound judgment were essential. From ICU, neurology, PACU, and nephrology nursing to psychiatric practice in the emergency department at Renown Regional Medical Center, that background shapes a practice that treats mental illness as a biological problem to be understood and corrected - not merely managed.

CREDENTIALS
APRN
Advanced Practice Registered Nurse
PMHNP-BC
Board-Certified Psychiatric-Mental Health Nurse Practitioner
Nurse Practitioner Swigart has been trained and certified in several advanced medicinal signaling therapies by nationally renowned physicians that include Craig Koniver, MD, Brenden Cochran, ND, and Gerald Grass, MD.
FELLOWSHIPS AND ADVANCED CERTIFICATIONS
  • Ketamine Infusion Therapy
  • Functional Medicine
  • Oligopeptides and Polypeptides
  • Integrative Psychiatry
  • Advanced Intravenous 
Nutrient Delivery Systems
  • Performance Medicine
  • EBOO & Ozone Therapy
  • Neural Therapy

Frequently Asked Questions about Custom Tools for Your Biology Needs

I don’t have depression, PTSD, or a formal psychiatric diagnosis, can you still work with me?

Yes. Peak Body and Mind has two pathways into care. Some patients come in with active psychiatric conditions such as treatment-resistant depression, PTSD, postpartum mood disorders, anxiety, ADHD, or related concerns. Others come in before symptoms become severe — seeking proactive neurocognitive assessment, psychiatric risk reduction, cognitive performance support, or a deeper biological evaluation. Both pathways rely on objective clinical data. The difference is the entry point, not the rigor.

Objective findings may include:

  • Brain Gauge cortical assessment - cortical processing measured across eight domains on a 0–100 scale.

  • WAVi EEG - objective electrophysiological data including P300 latency, peak alpha frequency, brain-age index, and brainwave pattern analysis.

  • HRV patterns - autonomic regulation, recovery capacity, and stress-resilience markers.

  • Advanced laboratory findings - hormone patterns, inflammatory markers, nutrient status, metabolic dysfunction, mitochondrial strain, methylation patterns, and related biological data.

  • Genetic risk markers - variants that may meaningfully change prevention strategy, risk interpretation, or clinical decision-making.

Track summary:

  • Proactive Track: for patients seeking early measurement, neurocognitive risk reduction, psychiatric resilience, and performance optimization before major dysfunction appears.

  • Reactive Track: for patients with active psychiatric symptoms or formal psychiatric diagnoses, where biological workup informs protocol selection and treatment sequencing.

What is the Dual-Track Care Model?

The Dual-Track Care Model is how Peak Body and Mind organizes care for two different types of patients: those already experiencing psychiatric symptoms, and those seeking proactive measurement, prevention-oriented care, or cognitive optimization before symptoms become severe. Both tracks are clinical. Both use objective biological measurements. Both are protocol-based.

Track

Proactive Track:

Reactive Track:

Who It Serves

Neurocognitive & Psychiatric Optimization Patients seeking cognitive performance, psychiatric resilience, early-risk detection, neurocognitive protection, or prevention-oriented care.

Patients with active psychiatric diagnoses: TRD, PTSD, MDD, ADHD, PPD, anxiety, SUD

Clinical Basis

Documented Objective findings from WAVi EEG, Brain Gauge, HRV, advanced labs, biomarkers, clinical history, and relevant genetic risk markers

DSM-5 diagnosis anchors the treatment plan. Biological workup still required; diagnosis informs protocol selection.

What is the Reactive Track?

The Reactive Track is for patients already experiencing psychiatric symptoms or a formal psychiatric condition, such as treatment-resistant depression, PTSD, anxiety, ADHD, postpartum mood symptoms, substance-use concerns, or related mood and cognitive symptoms.

Care begins with psychiatric evaluation and biological assessment. The diagnosis helps define the clinical problem, but treatment is not based on diagnosis alone. We evaluate the systems that may be driving or sustaining symptoms — sleep architecture, inflammation, HPA-axis dysregulation, mitochondrial strain, hormones, nutrients, autonomic imbalance, and neuroplasticity markers.

How is this different from standard psychiatric medication management?

Standard psychiatric care often focuses on symptom clusters and medication response. At Peak Body and Mind, medication may be part of your picture, but it is not the whole model.

The Reactive Track looks for biological barriers that may explain why symptoms persist: inflammation, hormone disruption, poor sleep architecture, autonomic hyperarousal, mitochondrial dysfunction, nutrient depletion, impaired neuroplasticity, or metabolic strain. Treatment is protocol-based and centered on the mechanisms most likely to limit recovery.

Do you treat treatment-resistant depression, postpartum depression, anxiety, and PTSD?

Yes. These and more are core conditions within the Reactive Track.

For these patients, we use psychiatric evaluation, advanced labs, Brain Gauge, WAVi EEG, HRV patterns, and clinical history to identify biological drivers that may sustain symptoms. Depending on the case, treatment may involve ketamine, IVNT, peptide therapy, neural therapy such as SGB or CGB, hormone optimization, sleep restoration, and targeted medication or supplement strategy — always within a protocol, not as isolated services.

Can I continue working with my therapist or psychiatric clinician?

Yes. Peak Body and Mind can work alongside an existing therapist, physician, or psychiatric clinician when appropriate and with patient consent.

We do not replace psychotherapy. For many patients — especially those receiving ketamine, SGB, CGB, or trauma-focused care — psychotherapy becomes even more important. Our role is to address the biological and psychiatric factors that may be limiting recovery, while existing therapeutic relationships can continue.

Do you offer standalone ketamine, IV therapy, peptides, or neural therapy?

Generally, no. These are clinical tools, not menu-based services.

Ketamine, IVNT, peptides, SGB, CGB, hormones, supplements, and medication strategies are used only when they fit the clinical picture, safety profile, objective findings, and treatment sequence. Each intervention must serve a defined role within a broader protocol.

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