In this episode, psychiatrist Dr. Matt Bernstein (founder of ACCORD) explains why metabolic therapies—ketogenic nutrition, circadian alignment, exercise, and mind-body work—often improve energy, mood, sleep, focus, and even psychosis, while enabling safer deprescribing. We dig into why standard care so often fails to restore function; what ketogenic diets can do in severe illness; why incentives from Big Food, Big Pharma, and insurers sideline foundational lifestyle care; and what families can start doing right now—because real change is likely to be grassroots.