Comparison · verified 28 August 2026

Psynopsis vs PMHScribe

PMHScribe is a psychiatry-and-counseling AI scribe founded by a PMHNP, with a Counseling plan at $79 and a Psychiatry plan at $99 a month. Psynopsis is also psychiatry-specific and PMHNP-built, which makes this the closest comparison on this site. The differences are in medication reconciliation, structured MSE and SI/HI, post-session dictation, documented compliance scope and price.

Choose Psynopsis if…

  • You want each dose reconciled against the previous plan, not only a medication-management note
  • You want the MSE auto-populated and SI/HI captured as structured fields rather than free text
  • You need post-session dictation for patients you would rather not record
  • You handle substance-use records and want 42 CFR Part 2 handling and audio policy stated on the vendor’s site
  • You want a free tier to test on real visits and $75 a month for the full product

Choose PMHScribe if…

  • You are a therapist, counselor or psychologist and want a plan built around psychotherapy, DAP and BIRP notes
  • You want letters, orders, prior-authorization and patient medication-education documents from the same tool
  • Your group wants coupon-code discounts and consistent branding across clinicians
  • You value a large base of published PMHNP reviews and want to support a PMHNP-founded company

Feature by feature

FeaturePsynopsisPMHScribe
Psychiatric documentation
Built for psychiatric cliniciansPrescribing psychiatrists and PMHNPsPsychiatrists, PMHNPs, therapists, PAs
Medication reconciliation with dose-sanity checksMedication-management notes; dose checks not stated
MSE auto-population with abnormal findings highlightedNot stated
SI/HI as structured fields (passive/active, plan, intent, means, protective factors)Not stated
Note formatsPsychiatric evaluation, medication management, follow-up with diagnosis-organized A&PSOAP, DAP, BIRP; initial psychiatric evaluation; psychotherapy add-ons
Coding supportMDM-structured documentation for E&MICD-10 and CPT codes in the note
Workflow
Post-session dictation (no recording)Not stated as a mode; dictation mentioned in user reviews
Ambient recording of the visitYes — unlimited session time
Getting the note into your EHRStructured text via Chrome extensionCopy and paste the finalized note
Telehealth visitsYes — browser-basedYes — dedicated telehealth page
Letters, prior authorization, patient medication educationLetters and orders on both plans; prior-auth and medication-education pages
Compliance
HIPAA + BAAHIPAA; BAA included on paid plansHIPAA compliant; BAA not stated
42 CFR Part 2 handlingNot stated (addiction-medicine page exists)
Audio never storedNot stated
NPI verification at signupNot stated
Export or delete your dataUser-controlled, any timeNot stated
Pricing
Free tierBasic plan, $0Free trial, no credit card
Prescriber plan$75 / mo Professional$99 / mo Psychiatry
Therapist planSame plan, $75 / mo$79 / mo Counseling
GroupsEnterprise — custom, multi-user, admin dashboardCoupon-code discounts; enterprise 50+ clinicians via sales
Built byPracticing PMHNPPMHNP-founded (per site)

PMHScribe facts from pmhscribe.com (home page and its pricing section; pmhscribe.com/pricing returned 404) and the use-case pages linked from its navigation, as captured on 28 August 2026. Psynopsis facts from psynopsis.ai/features, /pricing and /compliance on the same date. “Not stated” means we could not find the claim on their public site. PMHScribe is a trademark of its owner. Corrections: support@psynopsis.ai.

The difference in one visit

The dose flip a follow-up note has to catch.

We could not find a dose-reconciliation claim on pmhscribe.com, so we show what it looks like in Psynopsis. A follow-up that says “continue lamotrigine” is reconciled against the last plan; a draft reading 20 mg when the previous note said 200 mg is flagged before you sign.

See medication management
Medication reconciliation
Previous plan · 12 May
Sertraline 50 mg qAM
Lamotrigine 200 mg qHS
Today · draft
Sertraline 50 → 100 mg qAM verified
Lamotrigine 20 mg qHS was 200 mg on 5/12 — confirm?
AI draft — clinician review required before signing.

Bottom line

PMHScribe and Psynopsis are the two psychiatry-specific scribes in this series, and both were built by PMHNPs, so the decision comes down to what you need the note to do. If you are a therapist, or you want letters, prior authorizations and patient education from one tool, PMHScribe’s plans are built for that. If you prescribe and want the scribe to reconcile doses against the last plan, populate the MSE and structure SI/HI — and to document without recording when a patient prefers it — Psynopsis does that at $75 a month with a free tier to test it.

Try Psynopsis free
No credit card required

Keep your EHR. Upgrade your notes.

Psychiatric documentation that understands your workflow. MSE, medication changes, SI/HI — documented correctly while you focus on your patients.

HIPAA compliant · BAA included · Audio never stored