Exhaustion isn’t weakness.

It’s your body asking for help.

sila \see-lah\ — energy; strength
recovery for modern burnout
Built around your life and data by experts in metabolism and peak performance

Support for where you aretoday

I need help with...
Feeling better at work
Recovery that fits into your schedule.
If you still need more space to feel your best, we'll help you navigate medical leave.
Taking a Leave of Absence
All the logistics and the care.
If you need time away, we help with the whole process and support your recovery.
My Leave of Absence
A recovery plan while you're out today.
We'll give you the roadmap and support so you're not alone in getting better
Returning to work
Come back stronger and stay that way.
We help you rebuild and maintain capacity, even as work demands grow.
Protection for your
Privacy
Income
Career

Burnout isn’t just mental. 

It’s metabolic.

Mood

Cynicism, irritability, hopelessness, numbness, Sunday scaries

01 / 03

Energy

Brain fog, exhaustion, low motivation, procrastination, isolation, missing libido

01 / 03

Hormones

Cortisol overload, stuck in fight or flight, mood rollercoasters

01 / 03

Nerves

Anxiety, wired and tired, racing mind, inability to relax

01 / 03

Inflammation

Gut issues, autoimmune flare-ups, frequent illness, chronic pain

01 / 03

Just pushing through isn't enough.

We've been there and won't dismiss your symptoms

59%

US adults are seriously burned out

Aflac WorkForces Report, "Workplace Benefits Trends Mental Health + Employee Well‑being" (2024-25)

32%

Greater risk faced by women

Gallup Report, "What Women Really Want at Work" (2023)

Parents lying on the floor playfully lifting a smiling child and a girl in an indoor living room.

Get yourself back in 12 weeks,

for everyone who needs the real you.

What's Included

1:1 Support
You’re not alone. A specialized coach will tailor your plan and answer your questions.
  • Weekly calls
  • Async messaging
  • Your preferred coaching style
Optional private community included.
Personalized Protocols
Find immediate relief and build skills for long-term resilience.
  • Digital/IRL tools for your schedule
  • Custom supplement stacks
  • Adapted to your progress
Wake up refreshed, sustain your focus, wind down, and sleep soundly.
Guided Program
Get step-by-step support through your renewal.
  • Learn to regulate body and mind
  • Bite-sized interactive modules
  • Never guess what to do next
It’s your complete guide to feeling your best again on your own terms.
Whole Picture
Finally turn your body’s signals into clarity and action.
  • Insights from wearables and labs
  • Guidance on breakthrough options
  • A critical eye for what's worth trying
Explore what you're curious about, find what works, and skip the rest.

Who takes care of you?

There's too much on my plate.
I just need to get through this quarter.
There are different stages to burnout?
Everyone is counting on me.
When is it my turn?
Other people have it worse.
Why do I keep snapping?
I don't recognize myself.
I don’t have burnout, right?
Is it just in my head?

Guided by experts who get it.

Young man with brown hair and glasses wearing a dark blazer and white shirt with arms crossed.
Hassan Aleem, Ph.D

Neuroscientist and behavioral scientist

Young man with brown hair and glasses wearing a dark blazer and white shirt with arms crossed.
Hassan Aleem, Ph.D

Neuroscientist and behavioral scientist

Matt Bernstein, MD

Metabolic Psychiatry

Sarah-Nicole Bostan, PhD

Metabolism & Stress Psychology

Hillary Lin, MD

Longevity MD

Hassan Aleem, PhD

Behavioral Science

Alec Singleton

Health Product & Wearables

Glen Trachtenberg

High Performance/Recovery Expert

Only what works for you,

working together.

Learn your rhythms,

trust your progress

Your Body’s Data
Stylized letter O with a macron accent in white on a blue square background.White stylized arrow pointing to the right on a dark purple background.
Insights for Action
Follow care plans that adapt to your patterns
Get answers and early alerts through your metrics
Make changes and track their real impact
Build your mind-body intuition beyond the apps
Without feedback, recovery can be months of trial and error.
When you know what helps or hurts, you can act on metrics and course-correct in hours.

Learn your rhythms,

trust your progress

Your Body’s Data
Stylized letter O with a macron accent in white on a blue square background.White stylized arrow pointing to the right on a dark purple background.
Insights for Action
Follow care plans that adapt to your patterns
Get answers and early alerts through your metrics
Make changes and track their real impact
Build your mind-body intuition beyond the apps
Without feedback, recovery can be months of trial and error.
When you know what helps or hurts, you can act on metrics and course-correct in hours.

Think clearly,

 feel capable

Metabolic Mental Health
Nutrition for Mood and Mind
Uncover foods to keep you alert and help you sleep
Get tailored meal plans that keep you full longer
Navigate cravings, oopsies, and social pressures
Improve weight and cardiometabolic markers
Brain fog, low motivation, stress, or anxiety? Glucose swings affect your whole body.
Mastering your metabolism is how you feel sharp, in control, and on top of your stress.

Think clearly,

 feel capable

Metabolic Mental Health
Nutrition for Mood and Mind
Uncover foods to keep you alert and help you sleep
Get tailored meal plans that keep you full longer
Navigate cravings, oopsies, and social pressures
Improve weight and cardiometabolic markers
Brain fog, low motivation, stress, or anxiety? Glucose swings affect your whole body.
Mastering your metabolism is how you feel sharp, in control, and on top of your stress.

Calm your nerves,

build your energy

Sports Science
Tools for Drive and Rest
Switch smoothly between deep work and real rest
Restore your nervous system at your pace
Feel sturdy, even during a stress spike
Do all-the-things again on evenings and weekends
Stuck between pushing through or giving up? There's a third way: performance and recovery.
Find the strength for today and resilience for tomorrow with methods that save the pros.

Calm your nerves,

build your energy

Sports Science
Tools for Drive and Rest
Switch smoothly between deep work and real rest
Restore your nervous system at your pace
Feel sturdy, even during a stress spike
Do all-the-things again on evenings and weekends
Stuck between pushing through or giving up? There's a third way: performance and recovery.
Find the strength for today and resilience for tomorrow with methods that save the pros.

Take small steps,

see big changes

Behavioral Science
Habits for Real Life
Renew your self-reliance with right-sized goals
Redesign your schedule around your peaks and lulls
Rebuild your confidence from any setbacks
Rediscover your hobbies (with energy!)
Forget forcing new habits when you're tired.
The changes that matter start where you are today. As you get your energy back, you'll feel your capacity naturally grow.

Take small steps,

see big changes

Behavioral Science
Habits for Real Life
Renew your self-reliance with right-sized goals
Redesign your schedule around your peaks and lulls
Rebuild your confidence from any setbacks
Rediscover your hobbies (with energy!)
Forget forcing new habits when you're tired.
The changes that matter start where you are today. As you get your energy back, you'll feel your capacity naturally grow.
Stylized logo with the word 'sila' in green lowercase letters inside a yellow circle with three horizontal lines to the left.

Feel sila in 12 weeks

We hold your hand till you hold your own

Vision

Day 01
Meet your coach to map where you are, where you are going, and what matters most.
Bring your own labs and wearables or get access through sila.

Relief

Weeks 1-2
Stop the overwhelm with simple, targeted steps that work in days.
You’ll remember what it’s like to have energy again.

Foundations

Weeks 3-6
Learn what’s happening in your body, why, and how you can fix it. Always with quick feedback loops.
You’ll find what works for you today and fits your lifestyle tomorrow.

Momentum

Weeks 7-10
Discover more back-to-back days where you are confidently in control.
You’re rebuilding trust in yourself and resilience in your life.

Onward

Weeks 11-12
You’ll have energy for everyone counting on you and the skills to face any flare-ups.
This is the person you knew you could be, and sila is here for your next chapter.

What You’ve Tried

(And What Was Missing)

You didn’t do it wrong and you’re not hopeless.
Without metabolic health, even the right tools can only focus on the symptoms.
Therapy

Learning to process and reframe problems is key to managing stress.

But even breakthrough sessions can’t give you the energy to act on your insights.

What if you could act on commitments to yourself?
Career Coaching

Coaches help you uncover the right strategy for a career that doesn’t feel draining.

You need to be able to show up fully to follow through on the blueprint you built together.

What if you knew you weren’t too tired to execute?
Medications

These tools can support stability or focus but have metabolic health side effects.

Insulin resistance and weight gain compound your exhaustion, growing the cycle you hope to break.

What if you didn’t have to choose between a clear mind and your long-term metabolic health?
Job Hopping

Toxic workplaces drain everyone.

Burnout follows you job to job, each time hitting harder and fading slower. That doesn’t mean you made the wrong choice to switch.

What if you were confident you could thrive in your new dream role?
Retreats

Pampered breaks give us the rest and perspective we need.

But bliss on a trip doesn’t change our daily lives.

What if you felt restored in your daily life and didn’t daydream about the next escape?
HRT

Replacing hormones can do wonderful things for energy, mood, and libido.

Even with real relief, the underlying metabolic dysfunction still remains.

What if you could feel the same vigor while not fighting your body?
Meditation

Mindfulness can help manage stress, which is crucial for recovery.

When glucose instability make stillness tough, you might think it’s you or your willpower.

What if your nervous system could actually settle?
Psychedelics

Medicine such as ketamine can quickly and profoundly change how you feel.

Each session only helps temporarily, depending on your metabolic health between doses.

What if you could build on your transformation instead of sliding backward?
Productivity Tools

Tool addiction represents a particularly insidious response to burnout. Rather than rest, workers seek increasingly complex productivity systems, each promising to finally unlock sustainable performance.

This creates cycles where "experience burnout symptoms → seek productivity solutions → become overwhelmed by new systems → increase stress and burnout → seek more advanced productivity solutions.

Built for your

renewal
zest
verve
renewal
zest
verve
renewal
zest
verve
It's about biology, not willpower.
Now, you can track and trust your recovery.
White box with a yellow sun graphic and the text 'sila built for your renewal' on the lid.

Frequently Asked Questions

Do I need to go on leave to join sila?

Nope!

sila is designed for four different stages: building capacity while you keep working, getting ready to take leave if that becomes the right move, support through your time on leave, and finding your footing on the way back.

Most people who come to sila are already carrying something heavy, and the last thing they need is a program that demands a chunk of their day. sila is built to fit into your life as it actually is, with weekly support, async check-ins between sessions, and protocols that adjust to your schedule rather than the other way around.

Some members start sila while taking time off.

Others fit it into their working life and home schedule. If leave starts to feel like the right move later, we will be there for that as well.

Isn't going on leave enough?

On its own, usually not.

Leave gives you time. But a lot of unstructured time can become its own kind of overwhelming. You have to figure out what to actually do with it all while you're out..while still juggling everything else you already have on your plate.

It's tough to know whether what you are trying is helping, what better is supposed to feel like, or whether you can trust it once it does start showing up.

That ambiguity is why a lot of people return to work too early, struggle once they are back, and end up out again later.

sila gives you the structure, the roadmap, and the support to walk through this with you. We help you figure out what actually works for your body and your life, fine-tune it as we go, and take things off your plate while you rebuild capacity.

By the time you are ready for whatever comes next, whether that is returning to your role, switching jobs, or going somewhere else entirely, you have something solid underneath you. You can start to trust your body again, with more good days than bad.

Will sila replace my therapist or psychiatrist?

No. sila was built to complement what you already have, not replace it.

Most members come to sila because therapy and medication helped them but not enough. Those can only address part of what is going on.

The rest of what shapes how you feel day to day, such as your sleep, your blood sugar, your nutrition, your nervous system, and all the moments between sessions, often doesn't come up in a therapy visit or a medication check.

sila works alongside your existing care team rather than in their lane. We do not diagnose, treat, or second-guess your providers.

We help you build the self-knowledge and the practical techniques to work with your body throughout the day, so the support you already have has more room to land.

How does sila work?

sila is a 12-week program built around weekly support, async check-ins between sessions, education modules, and personalized protocols based on your data.

Rather than asking you to overhaul your life, we work methodically alongside your day, finding what fits your specific situation and adjusting from there.

Your support team reads what your body is telling you so you do not have to figure it out alone. You get specific things to try, see whether they help, and refine together.

Based on your patterns, you receive support and protocols timed to your circadian rhythms and your actual schedule.

We help you anticipate what is coming, whether it's the afternoon crash, the bad sleep stretch, or the 3 a.m. wake-up. You'll have a way to work with your biology rather than against it. Over time, you start to feel familiar with your body again, with more good hours and fewer bad ones.

What makes sila different?

Most mental health advice stops at meditation, boundaries, and stress reduction, without telling you how to actually do those things or whether any of it is working.

sila gives you measurable insight you can act on, and feedback that helps you know whether something is making a difference.

If recovery has felt impossible no matter what you've tried, that is often because mental health is physiological, not just mindset.

Most approaches don't focus at the overlap of your sleep, blood sugar, nutrition, mitochondrial health, and nervous system.

sila also takes the thinking and guesswork off your plate. You don't get a dashboard to interpret on your own or with Claude's help.  You work directly with a team who reads your data, adjusts your protocol, and guides you through every phase, so you can spend the energy you have on getting better instead of figuring out what to try next.

Is sila virtual or in-person?

Fully virtual.

Whether you travel for work, work hybrid, or are doing this from your couch during a rough stretch, the program works the same way and fits into your real schedule wherever you happen to be.

Can I sign up for sila with a +1?

Yes, and you'll find that joining with a partner, family member, or close friend makes a real difference.

Your symptoms don't just stay at work. They show up at home, where they sap your energy, patience, and presence from your closest ones.  

When someone in your life goes through sila with you, two things happen. First, they understand what you are working on without needing an update every time you have a hard day. Second, the protocols that help one of you ripple out to the whole household. Better sleep, more steady energy, and more stable blood sugar travel well between people who share a kitchen and a calendar.

Your support system is in it with you, and, together, you are getting back to each other.

We are happy to share resources that work for both of you.

What can I expect after the program?

After 12 weeks of guided support based on your data, you will have more good days than bad ones.

You will feel like yourself again, with the capacity and clarity you thought you had lost, and you will actually understand why, so you can trust it.

Beyond the 12 weeks, you can continue with a maintenance program to keep momentum, or step away and come back for a booster program when life throws you a tougher stretch.

Recovery is not a single event. Life keeps happening, and we'll keep helping you show up.

Does sila help with burnout?

Yup, and it is one of the most common reasons people come to sila.

We can mistake burnout symptoms for depression or anxiety. The overlap is real, because many of the same physiological drivers are at play across all three.

However, other services for burnout focus only on the mental and behavioral side and overlook the part of you that does most of the work: your body. The way you sleep, the way your blood sugar moves through the day, your stress hormone patterns, and your nutrition all shape how depleted you feel and how quickly you can come back.

sila treats burnout as the physiological state that it actually is. We help you rebuild from the foundation up, with the structure and accountability that turn recovery into something you can feel and trust.

As your resilience returns, the stressors that hit you start to land less hard and pass through more cleanly, instead of stacking up the way they have been.

Does sila help during divorce or separation?

Yes. Going through a divorce or separation is one of the most demanding experiences a person can have, even when it is the right decision.

The sleep disruption, the appetite changes, the constant decision fatigue, the context switching between practical and emotional matters, the way grief and stress show up in your body: all of that is real.

It's a lot to task of talk therapy to give you what you need to move through it all.

sila focuses on the day-to-day mechanics that keep you steady, and we take some of the planning and figuring-out off your plate, so you have a clearer sense of what to do while you are dealing with everything else.

Over the course of the program, you start to rebuild the kind of resilience that lets the stressors of this period land less hard, take less out of you, and pass through more cleanly than they have been.

We're not couples therapists or family lawyers. We're the support that helps you stay in your body and keep showing up for yourself while everything else is in motion.

Does sila help during fertility treatment or IVF?

Yes. Fertility treatment is one of the most demanding things a person can go through. Having extra help

Between the hormonal shifts, the cycle-by-cycle hope and disappointment, and the way IVF can take over your calendar and your sense of self, it can add up to a level of strain most people aren't prepared for.

Many people also feel isolated during this stretch, since the kind of extra support that would actually help is not something most clinics are set up to provide.

sila is not here to replace your fertility team or your therapist. We are here to add a steady, compassionate layer alongside what you already have, focused on you. If you need to step back from work during a particularly intense stretch and want some structure to lean on, we can help with that.

We can help you find the time and use it to support your well-being, putting your energy where it needs to go without losing yourself in the process.

Does sila help with caregiver overwhelm?

Yes. Caring for an aging parent, a child with complex needs, or a partner with a serious illness is one of the most demanding things a person can do.

The toll tends to compound quietly until you find yourself running on fumes and notice that nobody has been checking in on you.

sila gives you something that is actually for you.

We can't make the stress of caregiving go away, but we can help you rebuild the kind of physiological resilience that lets it land a little less hard.

We focus on the basics that caregivers tend to drop first, like sleep, nutrition, and steady energy through the day, in a way that fits into a schedule that is already overwhelming.

While you are caring for someone else, our focus in on how you're doing.

Does sila help with ADHD or executive function struggles?

Yes, especially when you're experiencing ADHD burnout.

ADHD on its own is not usually what brings people to sila.

The most common pattern is someone whose ADHD has been manageable for years until burnout pushes everything too far. That's when when work feels impossible, getting out of bed is a project, and weekends are barely enough.

If you already have ADHD care, sila works alongside it on the parts that affect how your symptoms show up day to day, like sleep quality, blood sugar stability, protein and meal timing, and exercise patterns. It's the kind of support that makes attention and emotional regulation easier.

If you don't have dedicated ADHD care, we can still help with the burnout and physiological pieces that often amplify executive function struggles in the first place. We help you rebuild the resilience that keeps you from getting pulled back into the same place again.

Is sila covered by my insurance?

Not yet. Today, sila is available through a direct-to-consumer membership.

Expect HSA/FSA eligibility later this year.

If you are going on leave or already on one, ask us about leave navigation support. We can help you understand what your employer's plan covers and how sila fits in alongside it.

Email us: info at feelsila dot com

Will my employer or coworkers know why I'm out?

No. The specific reason for your leave is protected health information, and only the people who need it to process your claim ever see it.

From your manager's and coworkers' perspective, you are simply out on a medical leave. They are not entitled to more information.

The people inside your company who do see anything beyond that, typically a member of HR or a leave administrator, are working under privacy rules that limit what they can share, including with each other.

If anyone outside that loop is accessing your medical details, that is a privacy violation rather than standard practice.

Is my job protected?

In most cases, yes, through a federal law called FMLA.

If you have worked at your company for at least 12 months, worked at least 1,250 hours during the 12 months before leave, and your employer has at least 50 employees, you qualify for up to 12 weeks of job-protected leave each year.

Your employer must return you to the same position when you come back, or to one that is essentially identical in pay, schedule, duties, and benefits. Your group health coverage continues during FMLA leave on the same terms as if you had been continuously employed during the entire leave period. You cannot be targeted for a layoff because you took leave, which is illegal retaliation.

Group layoffs and legitimate workforce reductions are a separate situation, which are cover in other questions below.

If you do not meet the FMLA criteria, because your employer is smaller than 50 employees or you have been there less than a year, you may still have job protection through your state, your employer's policy, or both. Reach out and we can help you figure out what applies.

Email us: info at feelsila dot com

Is my salary protected?

Partially, and through a different program than the one that protects your job.

- FMLA protects your role, but it is unpaid.

- Short-term disability insurance replaces your income while you are on leave. It is offered through your employer, your state, and/or a private policy.

- Short-term disability typically replaces 50 to 70 percent of your base salary, with most employer plans lasting 3 to 6 months.

Plans usually have a weekly cap, so as an example, a plan might pay 70 percent of your salary up to a maximum of 3,000 dollars per week. The exact percentage and cap vary by plan and by state.

Reach out and we can help you understand what your specific coverage looks like and what to expect to receive.

Email us: info at feelsila dot com

What if I'm part of a layoff while on leave?

Being on leave does not make you immune to a workforce reduction that would have happened regardless of your leave.

If your role is eliminated as part of a legitimate, broader layoff that has nothing to do with your absence, employers in most states are within their rights to include you.

If that happens, your employer's obligation to maintain your group health coverage ends when employment ends, at which point you are typically eligible for COBRA continuation, which lets you keep your health plan by paying the full premium yourself.

If you find yourself in this situation, get the termination date, the stated reason, and any details on severance and benefits in writing, and consider speaking with an employment attorney if anything feels off.

There is one important state-level exception in Washington, which we cover in the next question.

In Washington, am I protected from layoffs while on leave?

Washington recently enacted what is often called its Mini-WARN Act, codified in RCW chapter 49.45, which sets requirements for mass layoffs and business closings and includes a protection for employees currently on Paid Family and Medical Leave.

Under this law, effective July 27, 2025, employers may not consider employees on PFML as layoff candidates, subject to certain narrow exceptions, including for unforeseen business circumstances and natural disasters.

Active PFML status restricts whether an employer can include you in a mass layoff, even if the broader layoff is otherwise legitimate. The protection is meaningful but the timing of when you went on leave matters.

If you live and work in Washington and a layoff is announced or pending, reach out and we can help you understand where you stand.

Email us: info at feelsila dot com

Who actually sees my medical information?

A small set of people, all bound by privacy rules:

- Your medical provider documents your condition.

- Your employer's third-party administrator or leave management team processes the claim.

- Your disability insurance carrier reviews the documentation and decides on payment.

- HR or your leave coordinator typically sees only that you are out, not the underlying diagnosis.

sila is your partner during this process, not an employer-facing entity. What you share with us stays between you and your sila support team. The clinicians involved in your paperwork are HIPAA-compliant, and your data is not shared with your employer, your insurance carrier, or anyone else without your explicit consent.

Over the course of your leave, your disability carrier may ask for additional documentation for follow-up reviews, and we can help you obtain and submit what is needed without leaving you to navigate it alone.

What's the difference between FMLA, short-term disability, PFML, and a leave of absence?

These get used interchangeably, but they are different programs solving different problems. The shortest version is that short-term disability pays you, FMLA protects your job, PFML does both in some states, and the rest depends on your employers and where you live.

FMLA is a federal law that gives you up to 12 weeks of unpaid, job-protected leave per year if you and your employer qualify, and it requires your group health insurance to continue during that time on the same terms as before. It covers your job, not your income.

Short-term disability (STD) is insurance that replaces a portion of your income when a medical or mental health condition prevents you from working. It is not job protection, and unlike workers' compensation, it covers non-work-related conditions including illnesses, injuries, surgeries, pregnancy, and mental health conditions. Most plans cover three to six months and pay 50 to 70 percent of your salary, with a 7 to 14 day waiting period before payments start. STD is offered through your employer, through a state program in five states, or through a private policy you bought yourself.

PFML, or paid family and medical leave, is a state-run program that combines both pieces, providing wage replacement and job protection at the same time. Thirteen states plus DC currently offer paid leave programs that replace a portion of your wages while you are off work, with coverage typically running 50 to 90 percent of your salary depending on the state.

A leave of absence is the broader umbrella term for any approved time away from work, paid or unpaid, depending on what your employer offers and what laws apply. For most people on mental health leave, multiple programs run at the same time: FMLA protects your job, STD or PFML pays you, and your employer's specific policies layer on top.

Do I qualify for FMLA?

FMLA has three eligibility requirements, and you need to meet all of them.

You must...

- have worked for your employer for at least 12 months

- have worked at least 1,250 hours during the 12 months before your FMLA leave starts

- work at a location where your employer has at least 50 employees within 75 miles. This is more flexible with remote work.

If you do not meet all three, FMLA does not apply, but that does not mean you have no options.

Many states have their own leave laws with broader coverage, and employers often offer their own leave programs even when FMLA does not apply.

We can help you figure out what is available in your specific situation.

Email us: info at feelsila dot com

How long can mental health leave last?

It depends on the policy and the state.

Most short-term disability plans cover three to six months, with state programs varying significantly, and California's State Disability Insurance lasting up to 52 weeks.

FMLA caps job protection at 12 weeks per year, separately from how long STD pays. The two often run concurrently for the first 12 weeks, after which STD or state disability can keep paying past the point where FMLA's job protection ends.

You also do not have to take all 12 weeks. Some people take a shorter leave, for example 4-8 weeks, depending on their situation.

sila's program is built to fit inside a 12-week window, which lines up with the most common mental health leave duration, and the structure adapts to a shorter window based on your needs.

Can I schedule when my short-term disability leave starts?

In many cases, yes.

Short-term disability is meant to support you when a condition prevents you from working. For non-emergency situations, like a planned procedure or a thoughtfully timed mental health leave, you can usually coordinate the start date with your provider, your employer, and your insurance carrier.

Folks sometimes time the start of their leave around an upcoming work deadline, the end of a billing cycle, or simply a moment when stepping away will be cleanest for their team.

We can help you walk through those details so the timing supports both your recovery and the practical reality of your job.

Email us: info at feelsila dot com

Will I still get paid while I'm on leave?

Usually yes, but partially, and the specifics depend on your plan.

Short-term disability typically replaces 50 to 70 percent of your salary, often with a weekly cap. Benefits do not start on Day One because most plans have a 7 to 14 day waiting period before payments begin.

State PFML programs vary, with some replacing up to 90 percent of wages depending on the state and the program. To get the full picture for your situation, you would want to look at your employer's STD plan and check whether your state has a paid leave program.

Reach out and we can help you walk through both. Email us: info at feelsila dot com

Do I have to use my PTO or vacation before I can take a Leave?

That depends on your employer.

Some plans require you to use accrued PTO before disability payments start. Others let you save it for later.

Many people choose to use PTO during the unpaid waiting period before STD benefits begin, since it is a way to keep income coming during that initial gap.

Your HR team or sila's leave navigation support can clarify what your specific plan requires.

Does leave affect my health insurance, 401(k), or other benefits?

For your health insurance, your employer must continue your group health coverage during FMLA leave on the same terms as if you were still working.

You keep paying your normal share of the premium, and your employer is required to give at least 15 days of notice before canceling coverage if a payment is missed.

For 401(k) and retirement, contributions usually pause during unpaid leave because they typically come out of your paycheck, but they resume when you return. Vesting generally continues during leave.

Other benefits like life insurance and disability insurance usually continue during FMLA leave, though the specifics depend on your employer's policy. Outside of FMLA, benefit continuation depends on what your employer's broader leave policy.

How do I file for leave?

The process has a few moving pieces, but it becomes manageable once you know the order.

The first step is to notify your employer or HR department, who will direct you to the appropriate insurance carrier or state program and provide any forms you need from their side.

From there, you request the claim forms from your employer's STD carrier, which might be a company like MetLife, Guardian, or Hartford, or from your state's disability agency, or your private policy.

The most important part of the process is the medical certification, where your provider documents your diagnosis, explains how your condition prevents you from doing your job duties, outlines your treatment plan, and provides an expected return-to-work date. Once everything is submitted, processing usually takes 1 to 3 weeks for employer plans and 2 to 4 weeks for state programs, with payments starting after the elimination period.

sila can help you navigate all of this so you do not have to figure out the paperwork or any of the other steps alone.

What happens if my claim gets denied?

Denials happen, and they are often preventable.

The four most common reasons claims fail are missing or late paperwork, pre-existing condition exclusions, insufficient medical documentation, and a determination that your condition does not meet your plan's specific definition of disability.

If your claim is denied, the first step is to request the denial in writing. You have the right to know the specific reason rather than getting a generic letter.

You can file a formal appeal, typically within 180 days for ERISA-governed plans or within 20-30 days for state programs.

Strengthening the appeal usually means gathering additional medical documentation, like updated treatment notes, functional capacity evaluations, and test results, and getting a supplemental statement from your provider that directly addresses the specific reason for denial.

sila cannot guarantee approval, and we do not make promises about outcomes. What we do is help you understand why the claim was denied, work alongside our partners to support a stronger appeal, and stay with you through the process so you are not navigating it alone.

Does mental health leave work the same way in every state?

No. Leave laws and pay programs vary significantly by state, and several common assumptions about who qualifies turn out to be wrong. A few worth knowing:

- "My company is too small." FMLA requires 50 or more employees, but most state paid leave programs cover all employers regardless of size, and in California, even a one-person company's employees are covered.

- "I haven't been here long enough." Many states have shorter tenure requirements than FMLA's 12-month rule, and New Jersey is dropping its requirement to just three months in July 2026.

- "My condition isn't serious enough." Anxiety, depression, chronic pain, migraines, and pregnancy complications all qualify, and you do not need to have been hospitalized.

- "I'm part-time." Most state programs cover part-time workers as long as you meet the minimum earnings threshold.

- "I'm self-employed." A handful of states, including California, New York, Colorado, and Oregon, let self-employed people opt into their programs.

If you are not sure what applies in your state and your situation, we can help you figure out where you stand. Email us: info at feelsila dot com

What am I supposed to do while I'm on leave?

Recover. Leave isn't about one long vacation, nor something to fill with errands or productivity.

Your one job during this time is to take care of yourself so you can come back to the people who count on you and to the parts of your life that matter.

The hard part is that without a roadmap, leave often turns into weeks of unstructured time that does not move you forward. You may find yourself counting down whether your benefits will run out before you feel any better.

sila is built specifically for this window. The program gives you a clear roadmap, weekly support, and a way to track how you are actually feeling so you do not have to guess whether anything (or nothing) is working.

Whatever you decide to do next, whether that is returning to your role, switching jobs, or starting a new chapter entirely, you can use this time to recover, plan, and take the first steps.

By the end, you will rebuild your relationship with your body, have a clearer sense of what you need to stay steady, what to watch for, and how to prepare for the situations that pulled you under in the first place.