The clinical assistant for psychiatry
Sigmund
More time to understand. More capacity to care.
Sigmund is involved before, during, and after the session: intake, documentation, scales, journals, and billing in one clinical assistant across mental health.
- An intelligent scribe built for psychiatry: MSE, risk, scales, history, and plan, structured as you talk.
- Structured intake and longitudinal measures before you open the door.
- Billing with CPT and ICD-10 codes, invoices, superbills, and Square card payments.
This is great!
Psychiatrist & neuroscientist, Columbia University · co-author of the New York Times bestseller Attached
Engineered for Safety
Built-in Guardrails
Never trains on your patients
Your data is never used to train or improve our models. If you leave, export your notes to PDF or structured JSON at any time.
BAA before PHI
We sign a Business Associate Agreement before onboarding. Processing is AES-256 at rest, TLS 1.3 in transit, and audit-logged on every access.
You stay in charge
Adjunctive support only. Sigmund assists: the clinical decision is always yours.
Audit logs and encryption
AES-256 at rest, TLS 1.3 in transit, role-scoped access, and audit logging on every read and write.
Sigmund is investigational and intended to assist, not replace, clinical judgment.
The Gap
More patient data than any clinician can synthesize.
Clinicians juggle intake, session notes, and scales often in the minutes between visits.
Sigmund handles all those tasks and synthesizes them into one clinical narrative you can act on.
Sigmund's Lens
Synthesized clinical narrative
Session To-Do
Follow-up actions from the visit
Intake
Forms & scales
Note/Scribe
Record, transcribe & draft
Scales & Journals
Between-visit tracking
Sigmund's Lens
Synthesized clinical narrative
Session To-Do
Follow-up actions from the visit
A Glimpse of Sigmund at Work
The Clinical Assistant, Working.
John Doe · 34M · Follow-up · May 8, 2026
Illustrative patient — not real data
Clinical narrative
Sigmund's Lens
Subjective
Reports improved morning focus on methylphenidate XR but afternoon crash by 3 PM. Pre-meeting anxiety persists — racing thoughts the night before client presentations.
Objective
Alert, cooperative. Speech normal rate. Mood "okay." Thought process linear. No SI/HI.
Assessment
ADHD (inattentive) and GAD, stable at 4-week follow-up. PHQ-9 11 likely secondary to ADHD-related functional strain.
Plan
Continue methylphenidate XR 36 mg and escitalopram 10 mg. CBT homework: pre-meeting grounding exercise. Follow up in 4 weeks.
Narrative Graph
Auto-playing · sound effects · illustrative patient
Features
One Assistant, Five Capabilities
Clinical narrative
See the full clinical picture
Session recap in SOAP format, follow-up to-dos, medical history, and a narrative graph that connects patient story across visits.
- ·Session Recap with Subjective, Objective, Assessment, and Plan
- ·Session To-Do from the latest visit
- ·Medical history at a glance
- ·Narrative Graph linking clinical themes
John Doe · 34M · Follow-up · May 8, 2026
Illustrative patient — not real data
Clinical narrative
Sigmund's Lens
Subjective
Reports improved morning focus on methylphenidate XR but afternoon crash by 3 PM. Pre-meeting anxiety persists — racing thoughts the night before client presentations.
Objective
Alert, cooperative. Speech normal rate. Mood "okay." Thought process linear. No SI/HI.
Assessment
ADHD (inattentive) and GAD, stable at 4-week follow-up. PHQ-9 11 likely secondary to ADHD-related functional strain.
Plan
Continue methylphenidate XR 36 mg and escitalopram 10 mg. CBT homework: pre-meeting grounding exercise. Follow up in 4 weeks.
Narrative Graph
How It Works
From Session to Note Draft
In the note
Drafting a real case
As Sigmund drafts the note, SOAP sections populate from the session (HPI, mental status exam, assessment, and plan), ready for your review.
Illustrative example only.
Pediatric · 8 y · M · Visit · 2026-05-08
Illustrative example. Not a real patient.
History of Present Illness
Eight-year-old male presents with a nine-month history of inattention and academic decline. Mother reports difficulty completing schoolwork, frequent fidgeting, and new-onset evening anxiety with episodic refusal to attend school. No prior psychiatric treatment.
Mental Status Exam
Appearance: Well-groomed
Behavior: Cooperative; mild fidgeting
Mood / Affect: Euthymic, mildly anxious
Thought content: No SI / HI
Assessment
ADHD, combined presentation (F90.2) with comorbid generalized anxiety disorder (F41.1). Treatment-naive.
Plan
- Initiate behavioral parent training, weekly × 8 sessions
- Defer stimulant trial pending behavioral response
- Reassess at 4 weeks
Draft by Sigmund · ready for review
Review draftNote templates
Your structure, every time
Start from the built-in SOAP Note template or create custom templates. Paste your note structure or upload a file. Sigmund maps the session transcript into your sections.
- · System SOAP Note template included
- · Custom templates via paste or file upload
- · Template picker before note generation
Select template
New Template
Paste your note structure or upload a file
In Practice
What Changes When Sigmund Is in the Room
Walk in prepared
Review structured intake responses and clinical insights before the beginning of the appointment.
Leave with the note drafted
Session audio becomes a psychiatric note draft, editable through the templates system, ready for your review.
Track progress between visits
Review completed PHQ-9, GAD-7, and ASRS scores plus patient journal entries with mood trends before the appointment starts.
One chart, five views
Lens, Intake, Note/Scribe, Scales & Journals, and Billing all pull from the same patient chart, so your context stays with you across the visit.
About
A Clinician and an AI Scientist Built Sigmund
Founder
Dr. Ryan Sultan
- Assistant Professor of Clinical Psychiatry, Columbia University Irving Medical Center
- Attending Clinician, NewYork-Presbyterian
- Director, Sultan Lab for Mental Health Informatics
- Medical Director, Integrative Psychiatry of Manhattan
- Member, Columbia Data Science Institute
- FDA Consultant
Dr. Sultan is double board-certified in Adult and Child & Adolescent Psychiatry. After an NIMH T32 fellowship in pharmacoepidemiology, he is in the NIDA K12 program, training in clinical natural language processing and machine learning.
His research has shaped how clinicians practice in the real world, including work that informed changes to the U.S. clozapine REMS program and invited editorials in JAMA Psychiatry on ADHD medication and outcomes. His work on psychopharmacology has been cited across major national outlets.
At Columbia, Dr. Sultan directs the Sultan Lab for Mental Health Informatics and leads a ten-clinician outpatient practice. He sees patients there every week, and the same team uses what they learn in clinic to build and refine Sigmund. Their chart data spans more than a thousand patients followed over time.
Sigmund grew out of that clinic, built by the clinicians and researchers who use it in their own workflow every day.
Pricing
Simple, Honest Pricing
Early Access
CurrentFull access during Early Access. No credit card required.
- All five capabilities: Lens, Intake, Note/Scribe, Scales & Journals, and Billing
- No credit card required
- Direct onboarding with BAA setup
Clinical Assistant
Public releaseOne flat price for all clinicians.
- …-day free trial for new clinicians
- Loyalty discount for Early Access users
How is it free for now?
The everyday tools run on grant-funded research infrastructure at the Sultan Lab, work that's already paying for the engine. See the research program. When we reach public release, practices that want it will pay for that. Our Early Access users will benefit from loyalty discounts. Our mission is to make the clinical assistant space better, and the research side of Sultan Lab is what funds that today, not a loss leader with a catch.
How to get access
We are curating a waitlist at the moment. Sigmund is onboarding by hand, one clinician at a time, so we can sign a BAA and set you up properly. If you run an outpatient practice or you're a trainee who wants in, request access through the waitlist below and tell us about your setting. The founder reads every message.
How Sigmund Scales
From one clinic to a national system
Phase 1 · Local clinics
Independent and group mental-health clinics. Running today at Integrative Psychiatry Manhattan.
- Solo and group outpatient practices
- Live at Integrative Psychiatry Manhattan
Phase 2 · Statewide clinical systems
State-level clinical informatics and behavioral-health systems.
- State behavioral-health networks
- Shared informatics across regions
Phase 3 · University hospital systems
Academic medical centers and their affiliated outpatient networks.
- Academic medical centers
- Affiliated outpatient networks
Phase 4 · National & abroad
National health systems in the United States, and internationally.
- National US health systems
- International expansion
Sigmund uses clinic-scoped tenancy with role-based access and audit logging. Patient data stays within each clinic's workspace, built for HIPAA-conscious outpatient psychiatry, not a one-size-fits-all vendor cloud.
Request Access
Join the Waitlist
Research & Funding
Built on NIH-Funded Research
From clinical assistant through NIH validation to between-visit care
NowClinical assistant→In study & research foundation→Between-visit care
Academic & Clinical Partners
Built with
In collaboration with
Funded and recognized by
Relationships and collaborations with these partners vary in depth and scope.
