The Sigmund Assessment
Most psychiatric care starts from a blank page, and your first appointment gets spent catching the clinician up. The Sigmund Assessment fixes that. It's a structured digital evaluation your clinician reviews before your first appointment, so they arrive understanding your case and your plan starts further along.
- In-person · Manhattan
- Telehealth · New York
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- The Sigmund Assessment is a structured digital evaluation your clinician reviews before your first appointment, so intake is smoother and your plan starts further along.
- It maps your case across seven clinical domains, capturing far more than a symptom checklist.
- The resulting clinical profile drives your clinician match on clinical fit, not the next open slot.
- The Sigmund Assessment is re-administered during care, so progress is tracked with repeatable measurement rather than a single check-in.
- It’s Step 1 within the Integrative Method, our four-part model of integrated psychiatric care.
What the Sigmund Assessment Maps
The Sigmund Assessment captures the full clinical picture before you meet your clinician, across seven domains. Mental health rarely lives inside any single one, which is why an evaluation that covers only one or two consistently misses what's driving symptoms. The assessment covers all seven:
Symptom history: what you're experiencing now, in detail, and how long it's been going on.
What's worked and what hasn't: your full treatment history, including prior medication and therapy.
Biology: sleep, nutrition, relevant genetics, and how your physiology shapes how you feel.
Psychology: your history, thinking patterns, and the dynamics that have shaped you over time.
Environment: work pressure, living situation, financial stress, and the conditions you're navigating now.
Social and cultural context: relationships, support systems, identity, and family expectations.
Goals: what your life looks like when you're at your best, and where you want care to take you.
Each domain has measurement instruments behind it, so the profile your clinician reads is structured and specific, ready to act on in minutes rather than a free-form narrative to wade through.
How Matching Works
Getting the right clinician from the start is one of the highest-leverage decisions in psychiatric care, because the relationship between you and your clinician is among the strongest predictors of how well treatment goes.
The Sigmund Assessment follows your conversation with our patient care coordinator, who talks with you about what you're looking for while your profile shows which specialties, approaches, and styles fit best. The match comes together across four dimensions at once:
Clinical Specialty
Treatment Approach
Communication Style
Cultural and identity fit
A patient whose case spans several of the conditions we treat is matched to a clinician trained for that combination. If the fit isn't right after your first appointment or later in your treatment, we use the profile from the Sigmund Assessment to re-match rather than starting from zero.
Meet our clinicians to see each bio in detail.
Grounded in Research
The Integrative Method that the Sigmund Assessment anchors was not only observed in the clinic, but developed through academic research. Dr. Ryan Sultan, Professor of Clinical Psychiatry at Columbia University and Director of the Sultan Lab for Mental Health Informatics, has published peer-reviewed work on ADHD and cannabis use disorder that informs how we assess and treat. The practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital.
if you want to look deeper.
Peer-reviewed research on ADHD outcomes and assessment
Published work on cannabis use disorder
Director, Sultan Lab for Mental Health Informatics
What patients say
Frequently asked questions
What is the Sigmund Assessment?
The Sigmund Assessment is a structured digital evaluation your clinician reviews before your first appointment, so they understand your history and goals from day one and your care starts further along. It maps your case across seven clinical domains, then produces a clinical profile your clinician reviews before you meet, instead of spending your first appointment on intake questions.
How long does the Sigmund Assessment take?
The Sigmund Assessment happens online before your first appointment, and the evaluation runs about 60 to 90 minutes. Most patients finish in one sitting, though it can be paused and resumed. Your responses are reviewed by your clinician so your first appointment moves straight into substantive clinical work.
How does the Sigmund Assessment help match me with a clinician?
Your profile is reviewed alongside a conversation with your patient care coordinator about what you're looking for. The match comes together across four dimensions: clinical specialty, treatment approach, communication style, and cultural and identity fit. You have a say throughout, and if the fit isn't right after your first appointment, we use your profile to re-match rather than starting over.
Is the Sigmund Assessment used throughout treatment?
Yes. The Sigmund Assessment creates an objective baseline at the start of care. At regular intervals during care, the relevant validated instruments run again, so your clinician tracks mood, focus, anxiety, and functioning against that baseline. When progress stalls or something shifts, the data surfaces it early and your plan adjusts. Measurement-based care is the standard here, not a one-time intake step.
How is the Sigmund Assessment different from a standard intake form?
A standard intake form is a symptom checklist and a short history, often re-covered in your first appointment. The Sigmund Assessment is a structured evaluation across seven domains that produces a clinical profile your clinician reads before you meet, then re-runs to measure progress. It's digital, multidimensional, and built to start treatment with a full understanding of your case.
Start With a Complete Picture
If you've been through intake after intake and felt like none captured what's going on, the Sigmund Assessment is what's different here. Start with a consultation, and begin treatment with a clinician who already understands your case.
Available in person at our Manhattan office, or by telehealth anywhere in New York State.