Monica Urru

Voluntary

Physician - Neurophysiology of Adaptation, Bioelectric Modulation & Clinical Thinking in Medicine


Profile

Medical doctor working at the intersection of neurophysiology, bioelectric regulation, and clinical reasoning. Her work focuses on identifying and modifying maladaptive adaptive patterns through direct observation of anxiety regulation, defensive processes, and affect integration, combining REAC neuromodulation with Intensive Short-Term Dynamic Psychotherapy (ISTDP).

She develops a structured model of clinical thinking as an observable and trainable process, transforming implicit intuition into explicit, reproducible clinical reasoning. Her approach integrates neurophysiological adaptation mechanisms, bioelectric modulation, real-time diagnostic listening, and coherence analysis between internal experience and its biological and behavioral expression — with the aim of producing measurable changes in patient functioning.

She further contributes to an emerging epistemological framework aligned with Expression Technology (ET) and the Theory of Ordinative Sets (TOS), translating clinical processes into structured models of coherence, regulation, and meaning.

Current Role

Founder and Clinical Director — Integrated Medical Practice (Rome). Designs and delivers intensive treatment programs integrating REAC neuromodulation, ISTDP-based diagnosis, functional and process-based diagnostic assessment, and coherence-based clinical formulation. Her work emphasizes high-frequency intervention formats and supervision-based clinical training, focused on precision in observation, formulation, and intervention.

Core Expertise

  • Clinical thinking and ordinative diagnostics: development of explicit, teachable models of clinical reasoning; integration of declarative, procedural, and metacognitive knowledge; real-time tracking of patient and clinician processes

  • Bioelectricity and informational regulation: endogenous bioelectric fields in adaptive and maladaptive processes; REAC neuromodulation in functional and psychiatric disorders; neuromodulation as informational updating of biological systems

  • Regenerative and functional medicine: restoration of adaptive physiological processes; integration of neuromodulation with systemic and functional approaches; organism-level regulation and recovery

  • Motor and neurodegenerative disorders: Parkinson’s disease, neurovegetative dystonias, dementias — restoration of adaptive motor and autonomic regulation

  • ISTDP clinical practice: identification of unconscious processes in real time; active work with resistance, anxiety pathways, and transference dynamics; facilitation of restructuring processes

  • Trauma and neurobiology: neurobiological underpinnings of trauma response; integration of ISTDP with physiological regulation models

  • Medical education: structured curricula in clinical thinking; cognitively compatible learning environments; transformation of learning into structured meaning construction

Academic Collaborations

Clinical training, conferences, and development of applied models of clinical reasoning with Medical University of Gdansk; advanced ISTDP training and curriculum development with Sentio Institute (Gdansk); advanced clinical exchange and supervision with Washington School of Psychiatry; integration of psychotherapy and clinical training models with Ersta Sköndal Bräcke University College (Sweden); collaboration with Rinaldi Fontani Research Institute — Neurophysiopathology and Social Development (Florence).

Professional Background

Medical doctor with a clinical focus on complex anxiety disorders, psychosomatic conditions, dissociative processes, adaptive dysregulation, and motor and neurodegenerative disorders. Active in international supervision and advanced clinical training within the ISTDP community across Europe, the Middle East, and the United States.

Education and Publication

Medical Degree (MD). Advanced training in REAC neuromodulation, Intensive Short-Term Dynamic Psychotherapy (ISTDP), and clinical reasoning and medical education. Co-author of Clinical Thinking in Medicine (Elsevier, in production).