Web application
The full documentation workspace
- Encounter history, transcript, MSE panel, plan and billing calculator in one view
- Ambient recording or post-session dictation, chosen per visit
- Copy the finished note into any EHR as structured text
Features
Psynopsis features: everything a psychiatric note needs, native.
Psynopsis is psychiatric documentation software built by a PMHNP: medication reconciliation, MSE auto-population, post-session dictation, E&M leveling support, psychiatric templates, a web app and a Chrome extension, with HIPAA and 42 CFR Part 2 handling. Every feature on this page exists because a general scribe gets it wrong.
Medication management
Dosages that stay exactly what you said.
General scribes turn Lamictal 200 mg into 20 mg and Seroquel 25 mg into 250 mg. Psynopsis reconciles every medication against the psychiatric formulary and flags anything that doesn’t make clinical sense before you sign.
- Reconciliation with previous plan and titration history
- Formulation and PRN awareness (XR vs IR, qHS vs qAM)
- Dose-sanity checks against psychiatric ranges
Medication reconciliation
Follow-up · 3 active, 1 discontinued
Reconciled against prior plan
Sertraline 50 → 100 mg qAM verified
Lamotrigine 200 mg qHS preserved
Quetiapine 25 mg qHS PRN PRN
Hydroxyzine discontinued removed
Quality checks
3 verified1 discontinuedNo interaction flags
AI draft — clinician review required before signing.
Mental status exam
The MSE, auto-populated — edit only what’s abnormal.
Appearance, behavior, speech, mood, affect, thought process, thought content, cognition, insight, judgment. Captured from the encounter in the nomenclature you’d use, in the order you’d write it.
- Normal findings pre-filled; abnormal findings highlighted
- SI/HI with passive vs active, plan, intent, means, protective factors
- Consistent format across every provider in a practice
Mental status exam
Auto-populated · 3 abnormal findings
Findings flagged for review
Mood “Flat, tired”
Affect Constricted
Thought content Passive SI · no plan, intent or means
Protective factors Children, treatment engagement
Quality checks
Abnormal: 3SI/HI structured
AI draft — clinician review required before signing.
Post-session dictation
Don’t want to record the patient? Don’t.
Dictate a two-minute summary after the patient leaves. Psynopsis structures it into a complete, diagnosis-organized note — MSE, medications, A&P, follow-up — with no session recording at all.
- Ambient recording or dictation, your choice per visit
- Diagnosis-organized assessment and plan
- Nothing stored: audio is processed and discarded
Post-session dictation · 1:48
Dictated after the visit
Assessment and plan · by diagnosis
Assessment MDD, recurrent, moderate — improving
Plan ↑ sertraline 100 mg; f/u 4 wk
GAD stable; continue
Insomnia quetiapine PRN; sleep hygiene
Quality checks
Audio discardedNote ready 0:22
AI draft — clinician review required before signing.
E&M leveling support
The MDM your code needs, visible before you sign.
Problems addressed, data reviewed and risk are surfaced from the encounter, and psychotherapy time is documented when you provide it — so a 99214 with a 90833 add-on reads like one and a 90792 has every element present. You choose the code; Psynopsis organizes the documentation behind it.
- MDM elements summarized for 99213 / 99214 follow-ups
- Psychotherapy time captured for 90833 / 90836 add-ons
- Diagnostic evaluation elements for 90791 / 90792
E&M leveling · 99214 follow-up
Medical decision making summary
MDM elements from the encounter
Problems addressed 2 chronic, 1 worsening
Data reviewed PHQ-9, PDMP, prior note
Risk Prescription drug management
MDM Moderate → 99214 supported
Psychotherapy add-on 16 min → 90833 eligible
Quality checks
99214 supported90833 eligibleTime documented
AI draft — clinician review required before signing.
Psychiatric templates
Templates written for psychiatric visits, not adapted SOAP notes
Basic templates on the free plan; custom templates on Professional. Every one is diagnosis-organized, with the MSE, risk structure and MDM elements a psychiatric note needs.
90791 / 90792
Psychiatric initial evaluation
HPI, psychiatric and medical history, substance use, MSE, risk assessment, DSM-5-TR formulation and initial plan.
99213 / 99214 ± 90833
Medication management follow-up
Interval history by diagnosis, medication reconciliation with changes and rationale, MSE, SI/HI and the MDM elements.
90832 / 90834 / 90837
Therapy progress note
Session focus, interventions, response and plan, kept separate from the medical record where required.
Initial and updates
Treatment plan
Problems, measurable goals, interventions, medications and follow-up interval, revised as status changes.
Payer requests
Prior authorization documentation
Diagnosis, prior trials with doses and durations, and the rationale for the requested medication, in the order reviewers look for it.
Consults and referrals
Coordination-of-care letter
Letters to PCPs, therapists and referring providers with the current medication list, assessment and plan.
Want to see the format first? Free, clinician-written examples: mental status exam examples · all templates
Two ways to document
Web app or Chrome extension — same templates, same checks.
Psynopsis works beside the EHR you already have. Use the full web workspace, or keep it in a panel next to a browser-based chart — nothing to install on the EHR side.
Chrome extension
Psynopsis beside your browser-based EHR
- Runs alongside browser-based EHRs such as Athena, DrChrono and CharmHealth
- Transcript, MSE and quality checks in a side panel
- Included on every plan, including Free
Security and compliance
Built for psychiatric records, including the ones HIPAA alone doesn’t cover
What we store, what we never store and what you sign. The full detail is on the compliance page.
HIPAA + BAA
Administrative, physical and technical safeguards. A BAA is included with every paid plan and emailed for review before you subscribe.
Audio never stored
Processed in real time for transcription and discarded. Never backed up, never used for model training.
42 CFR Part 2 handling
Psychotherapy notes kept separate from progress notes, with access controls for each record type.
Encryption and hosting
AES-256 at rest, TLS 1.3 in transit, access controls and audit logging on HIPAA-compliant US-based infrastructure.
NPI verification
Every account is verified against NPPES, so only licensed providers get in.
Your data, your control
Export or delete your documentation at any time. Patient data is never used to train AI models.
Feature questions
How much does Psynopsis cost?
Basic is free forever and includes AI-assisted documentation, basic templates, Chrome extension access and community support. Professional is $75 per month and adds advanced AI features, custom templates, MSE integration, treatment planning tools, priority support and an analytics dashboard. Enterprise is custom-priced for practices and organizations, with multi-user access, an admin dashboard, custom integrations, dedicated support, a custom BAA and onboarding assistance. No credit card is required to start.
Does Psynopsis work with my EHR?
Yes. Psynopsis runs beside any EHR as a web app or Chrome extension, so there is nothing to install on the EHR side. Finished notes copy into your system as structured text, and the Chrome extension keeps Psynopsis open alongside browser-based EHRs such as Athena, DrChrono and CharmHealth. Direct integrations are in development; contact us if you would like to be notified when your EHR is supported.
Can I use it without recording the patient?
Yes. With post-session dictation you see the patient normally, then dictate a two-minute clinical summary after they leave. Psynopsis structures it into a complete note with MSE, diagnosis-organized assessment and plan, medication changes and the documentation to support your E&M level. You can choose ambient recording or dictation for each visit.
Is audio recorded or stored?
No. Audio is processed in real time for transcription and immediately discarded. Nothing is stored on our servers, backed up or used to train models. If you use post-session dictation, the session itself is never recorded; only your short summary is processed, and that audio is discarded the same way.
What happens if the AI makes a clinical error?
Every note is a draft that requires your review. You must verify all medication names, dosages, clinical assessments and treatment plans before finalizing any note. Psynopsis is a documentation assistance tool; all clinical responsibility remains with the licensed provider. We recommend reviewing each section before signing, particularly medication entries and risk assessments.
Should I use the web app or the Chrome extension?
Both run the same psychiatric templates and quality checks. The web app is the full workspace, with encounter history, transcript, MSE panel, plan and billing calculator, and suits telehealth or a dedicated documentation screen. The Chrome extension keeps Psynopsis in a panel beside a browser-based EHR so you can capture the encounter and paste the note without switching windows. Many providers use both.
No credit card required
Try every feature on a real visit.
Start on the free plan, document a follow-up and see whether the MSE, medications and plan come out the way you would have written them.
HIPAA compliant · BAA included · Audio never stored