SPECIALTY · PSYCHIATRY

AI medical scribe for psychiatry

A psychiatric visit is almost entirely talk, and the note has to carry both what was said and how it was said. ScribeLive drafts the history, mental status exam and medication plan from the session, and the recording is deleted the moment you sign the note.

Sample psychiatry SOAP note

A 25-minute medication review for recurrent depression. ScribeLive drafted the exam and plan; the psychiatrist rewrote the closing paragraph in their own words.

ASSESSMENT & PLAN · BY PROBLEM

1. Major depressive disorder, recurrent, moderate (F33.1)

Four weeks on sertraline 100 mg. Reports mood improved, sleep restored to roughly seven hours, appetite returning. PHQ-9 down from 18 to 11.

2. Mental status examination

Alert, well-groomed, cooperative. Speech normal in rate and volume. Affect reactive and congruent. Thought linear and goal-directed. No perceptual disturbance. Insight and judgment intact.

3. Plan

Continue sertraline 100 mg. Review in four weeks, sooner if symptoms worsen. Clinic contact details and out-of-hours support reviewed with the patient.

ICD-10 F33.1PHQ-9 recorded · Protocol: Antidepressant review v2

Why psychiatrists use ScribeLive instead of a general-purpose scribe

The recording doesn't outlive the visit

Audio is deleted when you sign the note, and after 72 hours if you don't. For sessions a patient would never agree to have stored, that is the whole question.

It tracks the medication history

Which drug, at what dose, for how long, and why it stopped — carried forward so the next visit starts from the record rather than from memory.

The clinical judgment stays yours

ScribeLive drafts what was discussed. Anything involving risk or safety is written for you to replace with your own assessment before signing.

Psychiatry FAQ

Is it appropriate to record a psychiatric session?

That is your call and your patient's. What ScribeLive can tell you is that the recording exists only until you sign the note, and is deleted automatically after 72 hours if you don't. The security page sets out how recordings, transcripts and notes are stored and who can see them.

Can it write a mental status exam?

Yes, drafted from the session rather than from a fixed checklist. It is a draft: read it against what you actually observed before signing.

Does it suggest billing (CPT / E&M) codes?

Not today. ScribeLive suggests ICD-10 diagnosis codes; billing codes stay with your existing process.