How Siggy works.
Here is how psychiatric treatment usually goes: a months-long wait, a prescription, then silence. A 15-minute follow-up call a quarter later, where your doctor asks how the last 90 days went and you answer from memory. Between those calls, you are on your own.
Siggy is built to close that gap. You get a dedicated licensed clinician who makes every medical decision, an AI that checks in with you every day, and for the first time, a number that shows whether treatment is working. Here's how it works, start to finish.
Start free and anonymous.
You begin with a conversation, not a clipboard. Chat with Siggy anonymously: no account, no card, no name required. Describe what you are dealing with in your own words, complete your intake at your own pace.
When you finish, you get a written summary of everything you shared: your history, organized and readable, yours to download and keep. Even if you never sign up, you walk away with something most people have never had: your own story, in one document, ready to hand to any clinician anywhere.
A clinician who already knows your story.
A licensed psychiatric provider from Siggy's own in-house medical team reviews your complete history: everything you shared, your assessment results, and your medication history. The same provider stays with you from visit to visit, so your care builds on what came before instead of starting over with someone new.
This is the part most telehealth gets backward. In a typical visit, most of the time goes to re-collecting your history. At Siggy, your clinician arrives already knowing it, independently reviewed in full, so the conversation is about your treatment, not your paperwork. Every diagnosis, every prescription, every treatment decision is made by that licensed clinician. Siggy's AI prepares and organizes; it never makes decisions about your care.
If medication is part of your plan, it is sent to your local pharmacy or straight to your door. Prescribing is careful by design: doses start low and increase only as needed. You check in with Siggy daily while your body adjusts, and you have a video visit with your clinician at 2 weeks to review how it is going.
Siggy's medical team is led by Chief Medical Officer Daniel Montville, MD, who trained at Mayo Clinic, with clinicians trained at Yale School of Medicine, the University of Chicago, and Mercy University.
Your baseline, your Score.
After your first visit, you and your provider set your treatment goals. Not the vague kind. Everyone's first answer is some version of "I want to be happy," so Siggy works it down with you: happy how? Maybe it means more time with your family, which becomes measurable, like dinner together once a week. Small, real, yours. Then the Siggy Score starts working.
The Siggy Score is a single number out of 100, like a readiness score for your mind. Each day it draws on 5 signals, weighted by clinical significance, measured against the baseline you set:
- Your clinical symptoms
- Treatment engagement and adherence
- Functional wellbeing
- Physiological signals like sleep, energy, and appetite
- How consistently you check in
The check-in itself is 4 questions and takes about a minute: how you slept, how your body feels, whether you took your medication, and how your mood is. Use chat or voice, whenever and wherever it's convenient.
What the Siggy Score is: a shared, real-time view of your progress that you and your care team both see, and the first way to answer "is this working?" with a trendline instead of a memory. What it is not: a diagnosis, a grade, or a decision-maker. It is directional. Your clinician makes every medical decision.
Wearables, coming soon.Today you tell Siggy how you slept and where your energy is. Integration with Apple Watch, Samsung Galaxy Watch, and Oura Ring is on the way, so your check-ins get shorter, and your clinician sees real sleep and activity trends.
Siggy Score
A directional trendline built from your check-ins and compared with your own baseline. It is not a diagnosis.
Care that happens every day, not every quarter.
Treatment succeeds or fails between appointments, and that's exactly where the system goes silent. Roughly 72% of patients drop off antidepressant treatment in the first 3 months, most of them in that silence. Siggy is built for the in-between.
Daily check-ins. A short conversation with Siggy each day: how you slept, how you are feeling, how the medication is treating you, whatever is on your mind. People are often more candid in these check-ins than in the room, and candor is clinical data.
Care that adjusts in real time. Your clinician sees your actual trajectory, not a quarterly recollection of it. Side effects are caught in week 1 rather than month 3. Your clinician adjusts your dose when your data says it's time. And when you want to talk to your provider, you ask.
Medication education that respects you. Plain-language education built from FDA labeling: how your titration works, which side effects are normal and passing, which indicate that you should contact your clinician now.
Progress you can see. The hardest stretch of treatment is the early weeks, when side effects have arrived, and benefits have not. Watching your Siggy Score move is what carries people through it, and it is the clearest answer to whether any of this is working.
And when you are ready, off-ramps too. The goal of treatment is to get better, not to refill forever. When you and your clinician decide the time is right, they guide a safe, gradual taper. Medication is a tool, essential for many people; the point is that someone is actually watching whether it is doing its job.
Built for safety, supervised by clinicians.
Siggy prepares and organizes. Licensed clinicians decide. When your daily check-ins move in the wrong direction, that goes to a person, not an algorithm acting alone: your clinician reviews it and reaches out during business hours, 8 am to 6 pm your local time. Messages sent after hours get a reply the next business day.
Siggy is not a crisis line. Safety escalations are hard-coded rather than left to a model's judgment: when certain words or patterns appear, the conversation stops, and you are directed to call 988 or 911.
Crisis support
If you are in crisis right now, call or text 988 or visit our crisis resources page.
AI-assisted care
For the full picture of what the AI does and never does, see AI-assisted care.
FAQs.
- Is the AI diagnosing me or choosing my medication?
- No. Every diagnosis, prescription, and treatment decision is made by a licensed clinician who independently reviews your full record. A clinician conversation follows every AI-prepared summary before any prescription is written.
- What exactly does the Siggy Score measure?
- 5 signals, weighted by clinical significance: your clinical symptoms, treatment engagement and adherence, functional wellbeing, physiological signals like sleep, energy, and appetite, and how consistently you check in. It is a directional trendline, not a diagnosis.
- Do people really check in every day?
- Yes, and often more candidly than in an office, where the urge to not disappoint your clinician gets in the way. Seeing your own progress is the reason people come back; psychiatry has never given patients that before.
- Is Siggy covered by my insurance?
- Siggy is covered by insurance in all 50 states, including Medicare Advantage, and is HSA/FSA eligible. You can check your specific coverage during the free anonymous intake, before you book anything.
- Can Siggy help me get off my medication eventually?
- If and when you are ready, yes: tapering is clinician-led, gradual, and based on your actual data. Siggy is not anti-medication; it is anti-guesswork, in both directions.
- Is Siggy a crisis service?
- No, Siggy is not a crisis service and does not contact emergency services or a clinician on your behalf. If you are in immediate danger, call 911. If you are in crisis now, call or text 988; our crisis resources page has the full list.
If you are having thoughts of suicide or self-harm,call or text 988 (Suicide & Crisis Lifeline) now.Veterans and service members can press 1.Siggy is not an emergency service.