AI scribe for psychiatry · psychiatrists and PMHNPs

The AI scribe for psychiatry: MSE, medications and risk, documented natively.

Psychiatry AI documentation shouldn’t be a general medical scribe with a psych template bolted on. Psynopsis is an AI scribe for psychiatry built by a practicing PMHNP for psychiatrists and psychiatric NPs — MSE, polypharmacy, SI/HI and medication management, all native.

Workflow illustration · not an app screenshot

Mental status exam
Review the baseline. Record the exceptions.
Clinician-entered review
Baseline Review the current findings
Domains Record exceptions or limitations
Suicide risk Explicit clinician selection
Violence risk Explicit clinician selection
Save Confirm the reviewed examination
AI draft — clinician review required before signing.

Capabilities

Psychiatric documentation, not generic medical notes

Every feature designed for how psychiatric providers actually document.

Mental status exam integration

Review the current MSE baseline, record exceptions and limitations, and explicitly document suicide and violence risk.

Medication reference cards

Detect medication names from the transcript and search reference cards for warnings, counseling information, and source links. Verify doses and patient-specific risks against the clinical record.

Risk assessment documentation

Captures SI/HI assessment with clinical precision — passive vs active ideation, plan, intent, means, protective factors. The documentation that protects your license.

Assessment & plan by diagnosis

Each diagnosis gets: current status (improving / stable / worsening), clinical reasoning, medication changes and follow-up plan. Mirrors how you actually think.

Post-session dictation

Don’t want to record the session? Dictate a 2-minute summary after the patient leaves. Psynopsis structures it into a complete, diagnosis-organized note.

Multi-provider group support

Standardize documentation quality across your practice. Every provider gets psychiatric-specific templates, consistent MSE format and structured A&P — reducing variance without restricting clinical autonomy.

Subspecialties

Works across psychiatric practice types

Adult psychiatry

Depression, anxiety, ADHD, bipolar, schizophrenia — medication management and therapy documentation

Child & adolescent

Age-appropriate MSE, weight-based dosing documentation, school/family collateral notes

Addiction psychiatry

42 CFR Part 2 handling. Buprenorphine/naltrexone protocols, PDMP documentation, substance use screening

Geriatric psychiatry

Polypharmacy documentation, cognitive screening (MoCA/MMSE), Beers criteria awareness, capacity assessments

Telehealth

Built for virtual visits — works on any video platform. Post-session dictation for when recording isn’t appropriate.

Consultation-liaison

Structured consultation notes, medical comorbidity documentation, medication recommendations for referring providers

The next chapter of Psynopsis

Release planned for

See the work around the visit.

Choose a workflow, then step through it. See what Psynopsis brings into view and where your team makes the decisions.

Billing calculator

Understand the details behind your code.

Bring the details behind psychiatric coding into view. Review encounter context, medical decision making, visit time, and psychotherapy documentation alongside the patient chart. Optional AI suggestions require your acceptance.

  • Review problems, data, and management risk
  • Choose MDM or time before saving
  • Document psychotherapy time separately
Try a guided visit
How it worksIllustration · not an app screen
Medical decision makingProblems · data · risk
E/M timeDocumented separately
Clinician selectionChoose the E/M basis
MDMorTime

Psychotherapy time stays separate.
An add-on uses an MDM-based E/M code.

Review & saveYour code selection. Your confirmation.

Step 1 of 3

See what goes into the calculation.

Review encounter context, problems addressed, data, and management risk. AI input suggestions are optional and require individual acceptance.

Clinician reviews the inputs
See the actual calculator

Inside the test workspace

The actual billing calculator

October 26 release preview. Unsaved starting values; no billing code selected.

Actual test-workspace billing calculator with an unsaved-draft notice, optional Suggest billing inputs button, and sections for encounter context, problems, data, risk, time, psychotherapy, and claim review
View full calculator screenshot ↗

An explanation of the calculator, not a coding recommendation or a guarantee of payment.

See how it fits before you commit.

Preview a fictional visit without an account, or start with 5 free test hours.

October 26 release preview. The free allowance is for synthetic or de-identified examples. BAA included on paid plans.

Frequently asked about AI scribes for psychiatry

What makes Psynopsis different from general AI scribes?
General AI scribes like Freed and Heidi are designed for many medical specialties. They use generic templates and have no understanding of psychiatric-specific workflows like MSE documentation, diagnosis-organized notes, SI/HI nuance or 42 CFR Part 2 handling. Psynopsis was built exclusively for psychiatry by a practicing PMHNP.
What psychiatric documentation formats does Psynopsis support?
Psychiatric initial evaluations, medication management follow-ups, therapy progress notes (if applicable), MSE-integrated notes, treatment plans, prior authorization documentation and coordination of care letters. All templates follow psychiatric documentation best practices.
Is audio recorded and stored?
No. Audio is processed in real time and immediately discarded. Nothing is stored, nothing is used for training. You can also use post-session dictation mode where you summarize after the patient leaves — no session recording at all.
Is it built for psychiatrists or for PMHNPs?
Both. Psynopsis is built for prescribing psychiatric clinicians. Psychiatrists get E&M leveling support and subspecialty templates; PMHNPs get medication-management templates for high-volume follow-up days. The MSE, risk structure and diagnosis-organized plan are the same for everyone, which is what lets a group practice standardize its notes.
How much does it cost?
Try basic AI documentation with 5 free hours using synthetic or de-identified examples. Professional at $75/month includes advanced AI features, custom templates, MSE integration and treatment-plan documentation templates. Enterprise pricing for group practices. No credit card required to start.
5 free hours · no credit card

Psychiatric documentation, done the way you think.

MSE, medication changes, SI/HI — captured in a structured draft while you focus on the patient in front of you.

Test with synthetic or de-identified examples · BAA on paid plans