Bringing agency to families navigating complex mental illness

An accountable clinical team coordinates care, anticipates instability, and gives your family a clear path forward.

Arrange a private consultation
About Cendera

Family-focused accountable framework for complex care

An elite, multidisciplinary clinical pod engineered for one family

One clinical circle in place of a fragmented network of providers. The Cendera team fuses advanced psychiatry with real-world, daily behavioral support and coordinates every aspect of care, taking the burden of navigation off your family.

One plan, one purpose

A single medical and behavioral roadmap in place of competing opinions and disjointed treatments, every part of care working in synchronization.

Clinical risk underwritten

Cendera carries the clinical and financial downside: every level of acuity up to inpatient / residential is our cost, inside one outpatient subscription.

Ambient real time clinical intelligence

Complex illness requires continuous vigilance, not just business hours. Our AI-native technology passively captures subtle digital biomarkers and behavioral shifts, allowing our clinical team to intercept risks days before a crisis surfaces.

complex cases

The complex cases come at every age

Examples of situations we are built for

  • Treatment-resistant depression
  • Bipolar I and II
  • Severe depression
  • OCD and severe anxiety
  • Eating disorders
  • Trauma and C-PTSD
  • Suicidality
  • First-episode psychosis
  • Schizophrenia spectrum
  • Severe personality disorders
  • Self-Injurious behavior
  • Co-occurring substance use
Bipolar DisorderPartner

A spouse whose volatility keeps the entire family walking on eggshells.

Treatment-resistant depression or traumaParent

A parent sinking into a profound depression where traditional treatments have failed to break through.

Borderline personality disorder or suicidalityChild

A child experiencing unexplainable behavioral shifts, cycling through acute hospital stays.

OCD or eating disorderTeenager

A teenager whose world has narrowed as school and community slip away.

Addiction or bipolar disorderExecutive

A CEO whose struggles have been carefully masked, preventing them from receiving proper care.

Emerging psychosisEmerging Adult

A young adult withdrawing into isolation, increasingly suspicious of family, and losing their grip on reality.

Technology

A clinical intelligence that was once beyond reach

Cendera is developing the clinical intelligence that continuously watches what no person could track alone.

Heart rate
Mood
Daily rhythms
Activity
Appetite
Energy
Sleep
Medication Response
Bloodwork
Cross-Disciplinary Coordination Hub

One source of truth

Metabolic health, sleep and neurochemistry, managed concurrently by one team: in-home nurses, world-class psychopharmacologists, doctors, psychologists and social workers, all working from a single shared record.

Predictive Signal Monitoring

Proactive relapse prevention

Continuous signals, read against your family member's own baseline, surface a change days before an episode and the team is already adjusting treatment, or already at the door.

Collaborative Family Interface

Clarity for the family

Families deserve transparency without technical burden. A dedicated, secure interface tailored to the household shows meaningful stability trends, while clinical triaging and high-stakes risk management remain entirely on our shoulders.

We have stood alongside families in these exact situations for decades, and there is a clear, structured path through every one of them.

In the last 20 years our clinical leadership has

500+
complex cases treated
NYC Health+ Hospitals, Metropolitan
and Private Practice
5,000+
simple cases treated
Resilience Lab, Cerebral
and Private Practice
80%
reduction in inpatient days with ACT methodologyAssertive Community Treatment reduces psychiatric hospitalisations by 58–78% versus standard case management, and becomes more cost-efficient than traditional case management by the third year of implementation. Latimer 1999; Vanderlip et al. 2020.
Published research on ACT outcomes
by Latimer and Vanderlip
Restore agency for your family
Privacy

Absolute discretion

Guaranteed Anonymity

Everything about your family stays with your clinical team, the data included.

No Clinic to Visit

Care comes and goes on your terms, without disrupting the life you've built.

In-Home Diagnostics

Full-spectrum genetic testing, clinical biomarkers, and toxicology panels are collected in the privacy of your home

Team

The people behind the care

Cendera was built by senior clinicians who have treated the most serious mental illness together for years, and trained hundreds of others to do the same.

Christine Carville

LCSW-R, Co-Founder & Chief Clinical Officer

On the faculty of Columbia's School of Social Work, she built the method that has trained more than 700 clinicians.

Marina Sisakian

MD, Medical Director

A board-certified psychiatrist who has spent 21 years and treated more than 500 patients in the most complex mental illness.

Carl Marci

MD, Chief Medical Officer

A psychiatrist at Harvard Medical School and Massachusetts General Hospital, and a pioneer in digital health.

Toye Honeyman

Executive Coach

An executive coach with PhD in Clinical Psychology to senior leaders, working with our families on the return to work, structure and daily life.

Amanda Lefkowitz

DNP, PMHNP, Psychiatric Nurse Practitioner

Board-certified, with a doctorate from Columbia, specializing in medication management, addiction and mood disorders.

Kara Nygaard

MPH, Director of Development

A public health leader from Princeton, with a master's from Johns Hopkins, who has spent two decades building health programs in some of the hardest places in the world.

Restore agency to your family

Coordinate an initial assessment with our executive clinical leadership team to evaluate diagnostic history, immediate risks, and current care gaps.

Arrange a private consultation

you will meet with

Christine Carville
Co-Founder & Chief Clinical Officer
Marina Sisakian
Medical Director
Kara Nygaard
Director of Development

If Cendera is the right fit, we initiate care immediately.

If not, our clinical leadership will directly refer you to the specialists or institutions best equipped to help.