The intelligence scribe for psychiatry
A scribe that knows psychiatry.
Sigmund writes the note. Captures the MSE. Cites the evidence. Built for psychiatrists. Validated at 87.4% accuracy.
Built at
The gap
12.9%
of U.S. children with ADHD receive any medication. The AAP, AACAP, and FDA publish concordant treatment guidelines. 60–70% of pediatric ADHD cases in community settings are managed off-guideline — not because the evidence doesn't exist, but because no system delivers it to the right decision at the right moment.
Generic AI sounds clinical, but it can't tell a methylphenidate trial in adults from one in preschoolers. Sigmund can.
A glimpse of Sigmund at work
An auto-playing demonstration of how Sigmund reasons about a real patient case. The voice is character-driven; the clinical content is real.
How Sigmund works for you
Abridge captures the conversation. Sigmund captures the conversation, the MSE, and the risk assessment.
Every recommendation arrives with the PMIDs. Click any line. See the studies behind it.
The signature line stays empty. The MSE stays editable. The clinician closes the loop.
Freed users report 30 minutes saved per clinic day. Sigmund matches that — with the citations.
Validation
Generation 1 of Sigmund (the CEBA-ADHD engine) has been operating at Integrative Psychiatry Manhattan, a high-volume outpatient child psychiatry practice in New York City.
87.4%
Diagnostic accuracy across five condition categories
100%
Clinical staff endorsement of improved work quality
400%
Increase in documentation volume per encounter
0
Patient safety complaints across the deployment
N = 124 charts · Integrative Psychiatry Manhattan · effect sizes r = 0.81–0.88 versus generic AI baselines.
In the note
An 8-year-old boy. ADHD with anxiety comorbidity. No prior treatment. As Sigmund drafts the note, it ranks the treatment options the clinician will document — by what the evidence supports:
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. No family history of stimulant use or substance use disorder.¹
ADHD, combined presentation (F90.2) with comorbid generalized anxiety disorder (F41.1). Treatment-naive. Acuity: routine.
The note arrives as a draft. The MSE, the differential, the citation chain — all surfaced by Sigmund. The clinician edits, signs, and finalizes.
How it works
Generic clinical AI collapses every paper into a single fuzzy "topic match." Sigmund splits each paper into five section-level vectors — and ranks treatments against the patient profile across every dimension at once.
Combined with evidence-tier weighting (RCT > meta-analysis > cohort), recency boosts, and effect-size aggregation, the result is a citation-traceable treatment ranking. No black box.
Traceable, always
Click any recommendation. The PMIDs unfold. Study design, sample size, effect size, year. The full evidence trail behind every ranking.
Atomoxetine · score 0.935 · rank #2 for this profile
Where the work happens
Sigmund lives where clinicians already work. Voice-activated. Chart-embedded. Background-operating. The system adapts to the clinician, not the other way around.
Built to integrate with
Epic·Athena·Practice Fusion·ICANotes·Tebra
Integration active for design-partner clinics. Broader EHR rollout follows the private beta.
In your day
Concrete daily wins. No more pajamas-and-charting at midnight.
Sigmund drafts as you talk. The note arrives in your inbox when the door closes behind the patient — not at 11 PM.
Not a checkbox list. A real mental status exam, in your clinical voice, ready to sign.
Every clinical claim arrives with the citation that justifies it. Notes that go to payers read like the textbook.
No keyboard. No screen. Sigmund listens so you don't have to type.
Backed by NIH-funded research at the Sultan Lab · Columbia · NYSPI.
The roadmap
Sigmund's multi-vector architecture is condition-agnostic. ADHD is the index condition because the longitudinal evidence infrastructure exists today. The rest follow the same architecture.
Generation 1 deployed at Integrative Psychiatry Manhattan. Validated. R21 pending.
Next engine. Largest pediatric and adult literature base. Natural extension of multi-vector architecture.
Builds on the population-derived risk framework from the R01.
ASD-ADHD, anxiety-depression. The architecture was built for this from day one.
About
Assistant Professor of Clinical Psychiatry, Columbia University Irving Medical Center · Attending Psychiatrist, NewYork-Presbyterian · Director, Sultan Lab for Mental Health Informatics.
Double board-certified in Adult and Child/Adolescent Psychiatry. NIH NIDA K12 awardee. Forty-plus peer-reviewed publications including landmark work in JAMA Psychiatry, JAMA Network Open (440+ citations), and Pediatrics. The 2019 JAMA Network Open study on antipsychotic prescribing in youth is taught in psychiatry residency programs nationally. The 2025 JAMA Psychiatry analysis showed ADHD medication reduces criminal convictions, substance-related ED visits, and motor vehicle crashes by 30–42%.
Sigmund is built from a deeply held conviction: the gap between what the evidence supports and what reaches the patient is a solvable problem.
Engineered for safety
Patient privacy is a structure. Sigmund is engineered like one — four layers, each reinforcing the next.
Built from day one to the HIPAA Privacy and Security Rules. Business Associate Agreement signed with every clinic.
Compute, storage, and inference inside US borders. Patient data never leaves the country.
AES-256 at rest. TLS 1.3 in transit. Audit-logged on every access. No exceptions.
Not OpenAI. Not Anthropic. Not us. Your charts power your clinic — and only your clinic.
Sigmund is investigational and intended to assist — not replace — clinical judgment. Patient data handling reviewed by the Sultan Lab for Mental Health Informatics at Columbia University Irving Medical Center.
Common questions
What does it cost?
Sigmund is in private beta with founding clinicians. Pricing is being finalized for the public launch in Q3 2026 — expect a per-clinician monthly subscription competitive with leading psychiatric AI tools. Founding clinicians receive a permanent discount.
Will it work with my EHR?
Yes. Sigmund is built to read from and write to Epic, Athena, Practice Fusion, ICANotes, and Tebra. Integration is active for design-partner clinics; broader EHR rollout follows the private beta. If your EHR isn't listed, tell us in the waitlist form and we'll prioritize.
What if I leave Sigmund?
Your notes are yours. Export to PDF or structured JSON at any time, in bulk. We don't lock data; we keep it portable by design.
Does it handle telehealth visits?
Yes. Sigmund captures the visit whether the patient is across the room or across the country. Same MSE precision, same citation chain, same auditability.
Who is responsible for the clinical content of the note?
You. Sigmund drafts; the clinician signs. The signature line stays empty until you complete it. Sigmund is decision support — never a decision-maker.
We're rolling out access to a small group of psychiatrists this quarter. Tell us about your practice — we'll be in touch within a week. Public pricing announced Q3 2026.
We'll be in touch. In the meantime, take a look at the science.