Used daily by three private psychiatry & psychotherapy groups in NYC

Clinical intelligence for mental-health practices

Sigmund runs the clinical workflow — voice-based intake before visit one, outcome measures scored automatically every session, notes drafted for review — and keeps a Lens on every patient: the complete clinical picture, last visit, and next-visit prep, updated from each session. Clinicians walk into every appointment already caught up.

79% → 82%
Patient retention
since launch, weighted across 4,500+ patient-months
+25.6%
Revenue per client
$3,386 → $4,252 · adjusted for clinician mix
0
Chart entries without review
every update is accepted, edited, or dismissed by the clinician

What Sigmund does

Not a scribe. Documentation is the byproduct — longitudinal clinical intelligence is the product.

Intake before visit one

Voice-based intake produces a full new-patient evaluation analysis — history, scored measures (PHQ-9, GAD-7, ASRS, CRAFFT, ACEs), risk flags — before the first appointment. It starts as a working session, not paperwork.

The Lens

Each patient's complete picture — what happened last visit, how their course is trending, prep for the next visit — kept current automatically from every session. Measures scored every time, without anyone handing out forms.

Clinician-verified record

After each session, suggested chart updates — medication changes, symptom course, life events — arrive as cards the clinician accepts, edits, or dismisses. Nothing enters the record without sign-off.

Patient data stays yours

All AI inference runs on Sigmund-controlled infrastructure — no patient data goes to third-party AI companies. Business Associate Agreement executed before any clinician is onboarded. NPI-verified accounts.

Founding Practice Program

For independent practices of 5–50 clinicians. White-glove onboarding, impact measured together against your own baseline, and founding practices shape the roadmap.

$250
per clinician / month · month to month
  • Full platform: intake intelligence, session intelligence, measures, the Lens, review workflow
  • BAA and onboarding included
  • Cancel anytime — it has to earn its keep every month
$2,500
per clinician / year · founding annual rate — two months free
  • Everything in monthly
  • Founding rate locked permanently
  • Priority on the roadmap

$1,000/month practice minimum. At typical insurance reimbursement, 2–3 completed sessions per clinician per month covers the subscription.

Built by the first user

Ryan Sultan, MD — Assistant Professor of Clinical Psychiatry at Columbia University Irving Medical Center, attending at NewYork-Presbyterian, and director of the Sultan Lab for Mental Health Informatics. Sigmund was designed inside his working Manhattan psychiatry practice, where he sees patients on it every week. Research published in JAMA, JAMA Psychiatry, and Pediatrics.

rsultan@psych-nyc.com · ryansultan.com