Psychiatric care that meets the standard your clients expect

AI-native psychiatry for the most complex cases, in collaboration with the professionals these families trust.

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our approach

Serious mental illness is never one person's. The family is where we begin

Care depends on the family

The person who is ill rarely believes they are. A patient who has refused treatment will not be reached by a clinician they never agreed to see: the way in is through the people they still trust.

Each relapse pulls everyone in

A crisis keeps no schedule. The whole household bends around the illness, and the client you advise is usually in the middle of it, handling the emergency between meetings.

The family is the care team

By the time a case reaches you, the family has spent years chasing emergency rooms and discharge calls, carrying clinical weight with no training for it. We take that off them.

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 the 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.

this is what we are built for

The complex cases come at every age

Examples of situations we are built for

  • Treatment-resistant depression
  • Severe depression
  • Bipolar I and II
  • 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 patient's 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 these families for decades, and there is a clear, structured path through every one of their situations.

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
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partners

Where these families reach us

Hospital networks

After a two-to-four-week intensive, the patient is stable but the case is not over.

We take the handoff and hold the continuity, so they do not come back through your doors.

Family offices & private banks

You often read a family's distress in the numbers before it reaches a clinic.

When you act on it, we are a discreet place to send them, with the principal and the household protected.

Legal & trust advisory

Questions of capacity and conservatorship rest on a clinical picture that has to hold up.

We provide one that is precise, documented, and kept entirely private.

Interventional psychiatry

When a case carries more than a course of treatment can hold, it needs a team that can take the whole of it.

That is what we are built for.

how we work together

We take the hardest part off your hands and leave you standing with the client intact

We treat the illness, nothing else

Our work is the clinical case and stops there. Your client's affairs, and the trust you have built around them, are not ours to touch.

As involved as you want to be

Stay in every decision, or hand it over and step back. You tell us where you want to sit, and we keep you exactly there.

The calls stop coming to you

When a crisis hits, your client turns to you first, and you are left finding an answer. Once we hold the case, that weight is ours.

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 is built by senior entrepreneurs that have been active in healthcare for the last 10 years, building solutions to solve the US mental health crisis

Marc Goldberg

Co-Founder, Chief Executive Officer

Co-founded and led a behavioral-health company through to acquisition, and has spent twenty years building and investing in health technology.

Stephen O'Beirne

LCSW, Chief Operating Officer

Led intensive community psychiatry teams and programs for five years, then built the operational infrastructure behind a behavioral-health platform at national scale.

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.

Kara Nygaard

MD, Medical Director

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.

Carl Marci

MD, Chief Medical Officer

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

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.

Satwik Seshasai

Chief Product and Technology Officer

Founding CTO of a New York preventive-medicine practice, with a doctorate and three degrees from MIT. He builds the platform behind the care.

Restore your client family agency

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

Arrange a partnership discussion

you will meet with

Marc Goldberg
Co-Founder, Chief Executive Officer
Kara Nygaard
MPH, 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.