Patient Overview

Chronic stressT3 · 63MOD
Vitality reserve44MOD
Stress burden58MOD
Stress-age+4 yrMOD
Risk check · not at riskC-SSRSAllergies · Penicillin, NSAIDsMEDIContraindications · Caffeine after 14:00GUARDIA
MD

Marie Dubois

AmberT3· Elevated
35F · DOB 1990-04-18
Meridian Technologies · Engineering Leadership · Apex
Executive Burnout + Dopamine DepletionEnrolled 62dLast contact 2d ago
Clinical impression

Executive burnout with dopaminergic depletion — recovering.

Chronic-stress biology is rebuilding after a low point — sleep and headaches improving, therapeutic alliance strengthening. The lever now is protecting recovery, not adding load. Panic history means relaxation-based techniques stay contraindicated.

Chronic stressT3 · 63↓ 68
Vitality reserve44↑ 38
Stress burden58↓ 63
Stress-age+4 yr=
Data confidenceModerate
Needs a decision today
1Skipped meals worsening — afternoon energy dips, likely feeding the evening-caffeine loop.
2A pathway suggestion is waiting for your review.
AI-generated synthesis — pending your verification
Not released — nothing has been shared with the patient

Releasing shares the validated interpretation, the care plan and its explanation with the patient in the Sorcova App. Engine internals, scores and tiers are never shared.

Verify the synthesis above before releasing.

Every synthesis is clinician-verified before it informs care — who, what, when and why are written to the audit trail (DRLOOP). The system proposes; the clinician decides. Session log shown for the demo; in production the trail is immutable.

Working toward: sustainable energy · consistent sleep · lower caffeine reliance
What changed since last review · 08 Mar
↑Sleep onset↑HRV +4 ms↑Alliance↓Movement −15%＋Skipped meals (new)=PHQ-9 stable

Key scores

The signals that drive triage — open for the full set

Bio-stress
63/100
Elevated
VRES · Vitality Reserve
44
PHQ-9
11
Moderate
Nocturnal HRV
42ms

Alerts & next actions

1 open · 2 to validate

CLIN·AI
P2 · Elevated
Care gap — pathway fidelity
Evening wind-down missed 3/7 days.
< 24h
Advance Sleep pathway to Consolidate
Sleep score 48→55, fidelity 78% sustained 3 wks.
72%
Add midday light exposure protocol
Circadian phase delay pattern (fragmented sleep).
64%

Running symptoms

6 active · 14 tracked

All symptoms
Movement adherenceEnergy·This week· 3 missed sessions this weekWorsening
Panic episodes· none since intakeStress & Recovery·EarlierMonitored
Skipped mealsEnergy·This week· Irregular eating windows · gut-brain linkedNew
Evening screen exposureSleep & Rhythms·EarlierPersisting
Irritability· mildStress & Recovery·EarlierPersisting
High work pressureWork-Life·EarlierPersisting

Latest results

5 out of range · 6 markers

Results & labs
Cortisol (AM)
Ref 6–18.4 µg/dL · HPA axis
signal
24.1µg/dL
DHEA-S
Ref 84–378 µg/dL · HPA axis
68µg/dL
Dopamine
Ref 30–85 pg/mL · Catecholamines
18pg/mL
Serotonin
Ref 101–283 ng/mL · Neurotransmitters
96ng/mL
GABA
Ref 0.4–0.9 µmol/L · Neurotransmitters
0.31µmol/L

Current care

Active PAP & pathways

Treatment
Executive ResetPAP · Optimization
Sleep & RecoveryBuild
62%
Breathing & DownregulationEstablish
45%
Cognitive LoadExplore
30%
3 activities·4 supplementsInterventions →
Caffeine after 14:00High-dose stimulant adaptogensNo SSRI interaction (none active)

History

Active conditions & key past events

Full history
BurnoutSep 25
BAT-12 elevated · executive load
Active
Dopaminergic depletionFeb 26
On biomarker panel
Active
Anxiety with panic episodes2019
First onset · recurrent since
Monitored
Tension headachesrecurrent
Recurrent · moderate intensity
Improving
Sleep disorderNov 25
Onset latency, efficiency
Improving
Menarche~2004
Women's-health milestone · ~age 13

Care goals & team

7h sleep, 5 nights/weekin 3 weeks
60%
Reduce evening screen timeongoing
40%
LFPhysicianSOWellness Coach
Directives to the team
To · Psychologist

Explore trauma history and work on self-confidence — her high self-expectation is feeding the burnout loop. Gentle, given the panic history.

To · Mindfulness

Focus on body-scan & labelling — interoceptive, grounding work she tolerates well.

Do NOT use meditation or breathing exercises — history of anxiety & panic (relaxation-induced panic risk). System-flagged contraindication.
Personalised Adaptive Protocol · Executive ResetOptimization · phase 2 of 3
Stabilisation
Optimization
Consolidation

Who they are

How to meet this person

Analytic, with high expectations of herself as much as of her care. She wants the reasoning and the evidence — not reassurance, which she reads as dismissive. Acknowledge progress plainly and factually, then redirect. Meet her as a peer.

AnalyticHigh expectationsWants evidenceValues autonomy

Single mother · manager at DGOS · Toulouse. Full context →

Coco, her dog — a reliable way in on hard days.

HPI · health literacy72
High — comfortable with clinical detail and mechanism.
HPP · turns knowledge into action54
Moderate — knows what to do; single-parent load makes sustaining it hard.

"How was your week" — draft for Marie

System-drafted · you enhance & send · nothing goes out until you approve

Hi Marie — a quick note on your week. Your sleep is clearly settling: you're falling asleep faster and your overnight recovery is up. The body-scan work is landing too. The one thing to watch is lunch on busy days — when it slips, the afternoon dips follow. A concrete win to aim for: one protein-anchored lunch on your two heaviest days. The data says you're moving in the right direction. — Dr Ionita

Drafted from this week's data and tuned to her preference — evidence and reasoning, not reassurance. A monthly version is also available. Nothing sends until you approve it.

Health trajectory

Where this is heading — twin forecast with a confidence band

CSBI · stress signature · observed & digital-twin forecastlower = better ↓
observeddigital-twin forecast · band = confidence

68 → 61 observed · the twin projects 54 ±8 at 1 month, 45 ±12 at 3 months if recovery holds.

Δ 68→61 exceeds the reference-change value — a real decline, not noise.

Forecast band ← MCONF 0.72 · widens with the horizon.

T3· Elevated·Executive Burnout + Dopamine Depletion·Last contact 2d ago·Engagement 74%