Dictate. Generate. Go home.
Built in direct collaboration with practicing psychiatrists, ExamScribe handles the nuanced documentation of psychiatric medicine — complete mental status examinations, risk assessments, medication management rationale, and psychotherapy progress notes. Notes that capture the complexity of psychiatric care without hours of documentation.
Credit card required. Cancel anytime.
"32-year-old female with major depressive disorder, here for medication management follow-up. She's been on sertraline 150mg for 4 months. PHQ-9 today is 11, down from 18 at our last visit. She reports improved sleep, better energy, but still has low mood and anhedonia most days. No suicidal ideation, no homicidal ideation. She denies any manic symptoms. Mental status exam: alert, cooperative, appropriate affect, thought process linear and goal-directed, no psychosis. I'm going to increase sertraline to 200mg and add a referral for CBT."
Not a generic scribe with "Psychiatry" added. Every template, every prompt, and every output was purpose-built for psychiatry workflows.
Generates structured MSE documentation covering all required domains — appearance, behavior, speech, mood, affect, thought process, thought content, perceptions, cognition, and insight/judgment. The documentation psychiatry billing requires.
Suicidal ideation, homicidal ideation, self-harm, and safety planning are documented with the specificity that protects both your patients and your practice. Risk level, protective factors, and safety plan elements captured in every relevant encounter.
The "why" behind psychiatric medication decisions is what separates defensible documentation from liability. ExamScribe captures your clinical reasoning — why you chose this medication, why you're adjusting the dose, what you're monitoring for.
AI can hear your words but cannot see your exam. These structured builders push real clinical findings to the AI in one click — eliminating hallucination and ensuring every note reflects what you actually did.
PHQ-9 score, symptom review, medication response, side effects, CBT referral, safety assessment
Current episode, mood chart, medication levels (lithium/valproate), cycling frequency, safety
GAD-7 score, panic frequency, avoidance behaviors, medication, therapy progress
PCL-5 score, trauma history, hyperarousal/avoidance/intrusion symptoms, EMDR/CPT progress
ADHD-RS score, functional impairment, stimulant response, side effects, diversion risk assessment
PANSS items, positive/negative symptoms, antipsychotic response, metabolic monitoring, insight
Y-BOCS score, obsession/compulsion themes, ERP progress, medication augmentation
AUDIT/DAST score, substance use history, MOUD (buprenorphine/naltrexone), recovery support
ISI score, sleep hygiene, CBT-I progress, medication management, sleep study indication
BMI trend, restriction/purging behaviors, medical stability, level of care assessment
Psychiatry faces specific compliance challenges — psychotherapy add-on codes, medication management vs psychotherapy billing, and risk assessment documentation. ExamScribe's compliance engine ensures your notes meet the requirements for the services you're delivering.
When billing psychotherapy add-on codes (90833, 90836, 90838) with E/M, the note must document both the medical decision-making and the psychotherapy time separately. The engine verifies both elements are present.
Inadequate risk assessment documentation is one of the most common sources of psychiatric liability. The engine checks that every encounter with a patient at risk includes documented suicidal/homicidal ideation assessment, risk level, and safety plan.
Psychiatric medication management visits must document sufficient MDM complexity to support the billed E/M level. The engine verifies your note captures the complexity of psychiatric pharmacotherapy decisions.
Stimulants, benzodiazepines, and buprenorphine require documented clinical indication, risk assessment, and monitoring plan. The engine checks that your note contains the elements required for controlled substance prescribing defensibility.
PHQ-9, GAD-7, PCL-5, and other validated tools require documented scores and clinical interpretation. The engine verifies scores are present and clinically correlated — not just listed.
Every note is analyzed for coding accuracy, documentation sufficiency, and payer-specific requirements. You receive a detailed gap report — reviewed and attested by you before any changes are made.
Start generating notes in under a minute.
Click record and speak naturally about the encounter — during the visit, after the visit, or just key findings. No special commands.
ExamScribe transcribes your recording and generates a complete, properly structured psychiatry note with accurate specialty terminology in seconds.
Review the note, make any quick edits, and copy it into your EHR or export as PDF. Done.
One plan. Everything included. No per-note fees.
billed annually ($1,068/yr)
Credit card required. Cancel anytime.
Built with the same standard of care you bring to your patients.
Yes. ExamScribe is designed with psychiatric documentation in mind — capturing clinical information accurately while maintaining the professional tone appropriate for mental health records. PHI is handled with the same HIPAA protections as all other specialties.
Yes. When billing psychotherapy add-on codes with E/M, ExamScribe documents both the medical decision-making and the psychotherapy content separately — meeting the documentation requirements for combined billing.
The risk assessment is built into every relevant psychiatric template. ExamScribe documents suicidal ideation, homicidal ideation, self-harm, risk level, protective factors, and safety plan elements — providing the documentation that protects both patients and providers.
Yes. PHQ-9, GAD-7, PCL-5, Y-BOCS, PANSS, ADHD-RS, and other validated tools are built into their respective templates. You enter the scores and ExamScribe incorporates them with clinical interpretation.
Never. Your transcripts and patient data are never used to train AI models. All data is processed on HIPAA-compliant Azure servers in the US and auto-deleted on your schedule.
Join psychiatry physicians who are spending less time on documentation and more time with patients.
Start Your 30-Day Free Trial →Credit card required. Cancel anytime.