The clinical intelligence layer for modern psychiatry

Welcome to a new era
of psychiatry.

The state of psychiatry today

Clinicians are spending more time documenting than thinking.

Psychiatry is the most narrative specialty in medicine — and the one legacy EMRs serve worst. The result is a documentation tax that compounds with every encounter.

The documentation problem

Today's psychiatry workflow is built around chart compliance, not clinical reasoning. The cost shows up as burnout, missed follow-ups, and a slow erosion of the therapeutic alliance.

  • 2+ hours of after-hours charting per clinic day
  • Patient context scattered across notes, intake forms, and labs
  • Subtle signals lost between visits — PHQ trends, side effects, recurring themes
  • Keyboards instead of eye contact

The Psychera approach

An EMR that listens, remembers, and reasons. Documentation becomes a byproduct of the conversation, and the patient's full history informs every decision.

  • SOAP notes drafted in the background while you talk with the patient
  • Every prior encounter available as structured clinical memory
  • Live AI-Insight offers real-time guidance as the encounter unfolds
  • You stay present with the patient. Psychera handles the rest.
Product capabilities

Six capabilities. One clinical intelligence layer.

Each module works on its own. Together they form a continuous loop — capture, recall, reason, act, and train — across every patient and clinician in your practice.

01

AI Psychiatry EMR

Purpose-built for behavioral health. SOAP notes are drafted as you speak, and session summaries capture the clinical thread, not just the transcript.

  • Auto-generated SOAP notes from the live encounter
  • Session summarization with clinical structure preserved
EM
Elena M. · Follow-up · 30 min
Drafting
S

Patient reports improved mood since last session, ongoing midweek anxiety tied to work deadlines.

O

Affect brighter, congruent. Sleep onset improved to ~25 min. No new SE on sertraline 100mg.

A

MDD, moderate, improving. GAD residual. Tolerating TMS course well.

P

Continue current medication. Re-administer PHQ-9 in 2 weeks.

02

Clinical RAG Memory

Every prior note, lab, scale, and message becomes searchable context. Ask a question in plain language and get an answer cited from the patient's own chart.

  • Retrieves the relevant patient history
  • Connects past sessions to today's visit
When did Elena last mention work stress?
SESS 11 "deadline pressure, sleep slipping again before status review…"
SESS 13 "midweek panic before status meetings…"
03

Live AI-Insight

One concise nudge per speaker turn, delivered in under 250 ms — and silence when nothing is needed. Helpful, never distracting.

  • Flags missing history: medications, allergies, family history
  • Surfaces red flags before the patient leaves
Ask about insomnia onset & duration Sleep disturbance not yet characterized · may affect plan.
Current medications not yet discussed Missing intake element · document before visit ends.
04

TMS Analytics Integration

Native tracking for transcranial magnetic stimulation (TMS) protocols. Connect session adherence and motor thresholds to PHQ-9 trajectory, without a separate spreadsheet.

  • Tracks treatment response session by session
  • Visualizes progress across the full course
TMS course · 36 sessions Session 14 · on protocol
Sessions completed PHQ-9 response
05

Live AI-Guidance

Evidence-based prompts during the encounter — billing gaps, red-flag qualifiers, and clinical decision support — before the visit ends.

  • Flags billing and coding gaps before the encounter closes
  • You stay in control — the AI suggests, it never acts on its own
Live Guidance
Consider augmentation with bupropion XL — partial response to sertraline at 8 weeks.
Per APA MDD guidelines · 2023
06

NP Trainer & AI Digital Twin

Simulation built for psychiatric nurse practitioner training. Trainees practice encounters with an AI Digital Twin patient and get real-time coaching, scored feedback, and adaptive psychiatric scenarios.

  • Digital Twin patients with realistic psychiatric presentations
  • An AI coach scores therapeutic technique and clinical reasoning in real time
  • Adaptive cases, from intake through medication management
Digital Twin Active Session 03 · NP Trainee
DT
Digital Patient "I've been feeling really low lately — can't sleep, no motivation, just going through the motions."
AI Coach
Therapeutic rapport established early
Probe sleep onset — not just duration
Clinical Score 87/100
How Psychera works

Four steps. The clinician stays in the loop.

From the live encounter to the signed note, Psychera does the heavy lifting while the clinician makes every decision.

01

Capture the session

The encounter is captured live, bringing the conversation, notes, history, and context together in one place.

EM
Elena M. · Follow-up REC 04:32
Prior notes Scales Labs
02

Build clinical understanding

Psychera pulls the relevant parts of the patient's chart — prior sessions, scales, labs — into structured context.

SESS 11 Anxiety · sleep
SESS 13 Midweek panic
PHQ-9 Trend last 8w
03

Draft the note and insights

A structured SOAP note and longitudinal insights are drafted in real time — grounded in the chart, cited, and ready to review.

S

Improved mood, midweek anxiety persists.

O

Affect brighter. Sleep onset improved.

A

MDD moderate, improving.

P

Continue sertraline 100mg. Re-screen PHQ-9 in 2 weeks.

04

Review and approve

You read, edit, accept, or reject. Nothing reaches the chart without your sign-off — the final call is always yours.

Continue current dose sertraline 100mg. Re-screen PHQ-9 in 2 weeks.
Edit Approve & sign DR. M
Psychera never writes to the chart without clinician approval. Augmentation, never automation.
The next phase

The future of psychiatry is an agentic clinical intelligence layer.

Today, Psychera removes documentation friction. Next, it becomes a continuous intelligence layer — longitudinal, population-aware, integrated, and always in service of the clinician.

01

Longitudinal patient journeys

A continuous understanding of each patient across every session, scale, and message — not a stack of disconnected notes.

02

Patterns across populations

Anonymized signals across the network: which protocols work, where patients drop out, and which treatment sequences lead to response.

03

Live AI-Insight & Guidance

Real-time insights and practical guidance during the encounter — every suggestion cited, alternatives offered, and the clinician always in control.

04

Device & system integration

Native connections to TMS devices, lab systems, and primary EMRs — protocol data flows in, signed notes flow out.

05

Less cognitive load

Psychera keeps the whole chart in mind so the clinician doesn't have to, and can stay present with each patient.

06

AI-powered NP simulation

Digital Twin patients let the next generation of psychiatric NPs practice encounters safely, with scoring, coaching, and cases that adapt.

Security & compliance

Healthcare-grade by default. Auditable by design.

Patient data is the most sensitive information in medicine. Psychera is built on the controls your security and compliance teams already require, and every model interaction is logged, attributable, and reviewable.

HIPAA
BAAs on every workflow
SOC 2 Type II
Audit in progress, Q3
AES-256
At rest & in transit
Zero-retention LLM
No training on PHI, ever
US data residency
Single-tenant available
Full audit log
Every model + user action
Built for the full continuum

One platform. Four scales of practice.

Whether you see eight patients a day or train the next generation of NPs, Psychera adapts to your practice — not the other way around.

For

Individual psychiatrists

Replace the documentation tax with an assistant that drafts, retrieves, and reminds, so you can see a full panel without giving up your evenings.

  • Solo-practice pricing
  • 1-week onboarding
  • Your evenings back
For

Behavioral health clinics

Standardize clinical quality across providers with shared templates, shared memory, and shared outcomes dashboards — while each clinician keeps their own voice.

  • Multi-provider scheduling
  • Outcome benchmarking
  • TMS & Spravato workflows
For

Enterprise health systems

Deploy as the behavioral health layer on top of Epic, Athena, or Cerner, with single tenancy, SSO, full audit trails, and a population-level view of mental health outcomes.

  • SSO + role-based access
  • Single-tenant deployment
  • HL7 / FHIR bidirectional
For

NP training programs

Give psychiatric NP trainees a safe place to practice clinical encounters before they see their first real patient, with AI Digital Twin patients, real-time coaching, and psychiatry-specific case libraries.

  • Psychiatry-specific Digital Twin cases
  • Competency scoring per encounter
  • Program-level trainee dashboards
30-minute clinical demos · New cohorts every week

See Psychera with one of your own encounter recordings.

We'll run your audio through the Scribe live, walk you through the SOAP draft and Live AI-Insight, and answer the security questions your team will ask. No slides, no fluff.

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