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Psychiatry & Behavioral Health

General AI Scribes Miss 13 Critical Psychiatric Components

Sessions end at 3 PM. Typing thought content, perceptual disturbances, and safety assessments continues past 6 PM. Save 2+ hours daily on psychotherapy notes.

Tools like Abridge and Nuance DAX were built for medical encounters. They don't understand Mental Status Exams, psychiatric ROS, or behavioral health billing requirements.

2+ hours

Saved daily on psychotherapy notes

13

Psychiatric symptom categories captured

$5K-$15K

BHI billing opportunity annually

60 seconds

Complete note ready post-session

13 Psych Components
General AI scribes miss these
Complete MSE
Full Mental Status Exam capture
BHI Billing Ready
G0323, 99484 auto-documentation

Why General AI Scribes Fail in Psychiatry

Tools like Abridge, Nuance DAX, Freed, and NovoNote were built for medical encounters. They're missing critical psychiatric documentation components required for complete behavioral health notes.

What Competitors Miss (13 Critical Categories)

Thought content and process documentation

Perceptual disturbances (hallucinations, delusions)

Mood and affect differentiation

Insight and judgment assessment

Suicidal/homicidal ideation tracking

Memory and cognitive function

Impulse control assessment

Sleep and appetite patterns

Social functioning evaluation

Substance use details

Medication side effects

Safety planning documentation

Crisis intervention notes

Why Psychiatrists Choose OrbDoc

Complete Mental Status Exam

Automatically capture all 13 psychiatric symptom categories that general AI scribes miss. Save 2+ hours daily on lengthy psychotherapy notes.

Psychiatric ROS

Specialized review of systems designed for behavioral health, not adapted from medical templates

Treatment Plan Documentation

Structured documentation for therapy notes, medication management, and progress tracking.

BHI Billing Optimization

PHQ-9, GAD-7, BHI coding automatically captured. $5K-$15K annual opportunity for integrated behavioral health practices.

Psychiatric-Specific Features

13-category Mental Status Examination

Psychiatric-specific Review of Systems

Therapy session note templates

Medication management documentation

PHQ-9 & GAD-7 scoring integration

Behavioral Health Integration (BHI) billing ($36 per session)

PHQ-9 automation (auto-triggers BHI workflow when score >10)

Crisis assessment documentation

Treatment plan generation

Suicide risk assessment capture

Substance use screening (SBIRT billing)

Your Patients Need Your Presence, Not Your Typing.

PHQ-9 auto-triggers BHI workflows. SBIRT billing for substance use screening. So you can focus on the therapeutic relationship, not the keyboard.

Handles Your Most Common Diagnoses

Depression & Anxiety

PHQ-9/GAD-7 tracking, medication adjustments, therapy progress notes

Bipolar Disorder

Mood tracking, medication compliance, episode documentation

ADHD Management

Symptom monitoring, medication titration, functional impairment tracking

Substance Use Disorders

SBIRT documentation, relapse prevention, MAT management

Psychotic Disorders

Thought content, perceptual disturbances, medication side effects

PTSD & Trauma

Trauma history, flashback documentation, exposure therapy progress

Psychiatry & Behavioral Health Sub-Specialties Supported

General Psychiatry

Adult outpatient medication management and therapy

Child & Adolescent Psychiatry

Developmental assessments, family dynamics, school functioning

Substance Use Disorders

Addiction medicine, MAT programs, recovery support

Integrated Behavioral Health

Primary care collaboration, brief interventions, population health

Telepsychiatry

Virtual care documentation, remote crisis assessment

Geriatric Psychiatry

Cognitive assessments, dementia care, polypharmacy management

Revenue Opportunity for Integrated Behavioral Health

$36

Per BHI Session

Behavioral Health Integration billing code

$5K-$15K

Annual BHI Revenue

For 100-200 BH visits/month in primary care

Auto-Triggered

PHQ-9 Workflow

BHI billing when score >10, zero manual tracking

Plus: SBIRT billing for substance use screening, time-based E/M codes with confidence

Integrated behavioral health practices with 100-200 BH visits/month

Success Patterns from Behavioral Health Providers

Integrated Behavioral Health Practices

Practices with 100-200 BH visits monthly embedded in primary care report:

  • $5K-$15K annual BHI billing opportunity captured
  • PHQ-9 scores auto-trigger BHI workflows
  • 15-20 minute BH visits with complete documentation

Rural Psychiatric Practices

Rural psychiatric practices with limited EHR support report:

  • 2+ hours daily saved on psychotherapy notes
  • Complete Mental Status Exams captured automatically
  • Documentation completed during business hours

Primary Care Adding BH Services

Primary care practices adding behavioral health services report:

  • Reduced after-hours documentation burden
  • Consistent 6pm office departure times
  • SBIRT documentation for substance use screening

Designed for Behavioral Health Workflow

Pre-Session

Review previous Mental Status Exams and treatment progress automatically loaded

During Session

Natural therapeutic conversation while AI captures psychiatric symptoms and treatment response

Post-Session

Complete note with Mental Status Exam, treatment plan, and billing codes ready in 60 seconds

Perfect for Every Behavioral Health Setting

Private Practice Psychiatry

Medication management visits, diagnostic evaluations, and therapy sessions

  • 15-30 minute med checks with complete documentation
  • Initial psychiatric evaluations (90 minutes → perfect notes)
  • Treatment-resistant case documentation

Therapy & Counseling

Psychologists, LCSWs, LPCs, and therapists providing evidence-based therapy

  • CBT, DBT, and ACT session notes
  • Progress toward treatment goals
  • Crisis intervention documentation

Integrated Behavioral Health

Behavioral health providers embedded in primary care settings

  • Brief BHI visits (15-20 minutes) with complete documentation
  • PHQ-9/GAD-7 tracking and trending
  • Warm handoff notes and care coordination

Addiction Medicine

Substance use disorder treatment and MAT programs

  • SBIRT documentation and billing
  • Medication-assisted treatment monitoring
  • Relapse prevention and crisis planning

"Therapy notes extended past 9pm nightly. Weekends were spent catching up on Mental Status Exams. Now documentation finishes by 6pm. Weekends are free. All 13 psychiatric symptom categories captured automatically. 2+ hours saved daily."

Psychiatrist, Private Practice

3-provider rural psychiatric practice

Works With Your EHR

Integrates with behavioral health EHR systems including TherapyNotes, SimplePractice, ICANotes, Valant, Athena, Epic, and more. Learn more about our evidence-linking technology for audit defense.

Leave Work on Time

See how OrbDoc captures the Mental Status Exam and psychiatric details that general AI scribes miss. Save 2+ hours daily and capture $5K-$15K in BHI billing opportunities.

Special pricing for solo practitioners, group practices, and integrated behavioral health programs. Learn more about integrated behavioral health and rural mental health solutions.