Best AI Medical Scribe
for Psychiatry
The most trusted and loved AI scribe for generating accurate, compliant psychiatry notes.
- 4.8
- HIPAA Compliant
- BAA on every plan
- No audio stored
Patient reports reduced anxiety and improved concentration on sertraline 100 mg daily. Mild gastrointestinal upset is resolving. Sleep 6–7 hours nightly; appetite stable. Denies mania, psychosis, suicidal ideation or homicidal ideation. Adherence confirmed; no substance use reported.
Well groomed, cooperative and fully oriented. Normal speech, linear and goal-directed thought process. Mood: ‘less anxious’; affect congruent. No hallucinations or delusions. Insight and judgment intact. PHQ-9: 6; GAD-7: 8, improved from 14.
No current SI/HI, intent or plan. Protective factors include family support, treatment engagement and future orientation. Acute risk assessed as low. Crisis resources and safety plan reviewed.
Generalized anxiety disorder, DSM-5 300.02 / ICD-10 F41.1, improving with pharmacotherapy. Symptoms and functional impairment reviewed. Prescribing rationale and treatment response documented; E/M coding remains subject to clinician review.
Continue sertraline 100 mg daily. Discussed benefits, common adverse effects and alternatives; patient agrees. Continue psychotherapy and sleep hygiene. Monitor tolerability and GAD-7 at next visit. Follow up in 6 weeks, sooner for worsening symptoms.
Used by over 4,600 psychiatric prescribers from






How it works
Four ways to capture. One finished note.
Psychiatric intakes, med-management and therapy, in your own clinical voice.
Pick a specialty to see how Twofold adapts.
- 01Capture
Record the session live in the room.
- 02Structure
Twofold formats it into your specialty’s template.
- 03Sign & send
Review, edit if needed, push to your EHR.
Every detail, exactly where it belongs.
Every condition. Every detail.
MDD
F32.1 · F33.1
PHQ-9 · mood, sleep and response
Bipolar
F31.1 · F31.81
Mood episodes · adherence · safety
Anxiety & panic
F41.1 · F41.0
GAD-7 · triggers and functional impact
PTSD
F43.10
PCL-5 · trauma symptoms and safety
Schizophrenia
F20.9
Psychosis · MSE · medication monitoring
Adult ADHD
F90.0 · F90.2
ASRS · PDMP · prescribing rationale
DSM-5 aligned
Diagnostic formulation, psychiatric ROS and clinical criteria in a structured note.
Medication management
Doses, response, adverse effects and prescribing rationale captured together.
Mental status exam
A complete MSE in your preferred format, with no detail lost.
Risk assessment
SI/HI, protective factors and safety planning documented when discussed.
Outcome measures
PHQ-9, GAD-7, AIMS and PCL-5 scores in the context of the visit.
E/M & therapy add-ons
Structured documentation for 99213–99215 and 90833 / 90836 / 90838.
What psychiatry clinicians say

“@Twofold_Health Totally amazing. I am your number 1 fan”
“Med-management used to bleed into my evenings every single day. Now MSE, risk assessment, prescribing rationale come out structured the way i’d write them. I have evenings again. real ones.”
“heavy panel — twofold tracks meds, side effects, PHQ-9 trends visit-over-visit so i can actually look at the patient instead of the chart. that part shouldn’t be revolutionary but it kinda is”
“as a resident, getting clean H&Ps that my attending signs without re-writing? unreal. made my last inpatient month tolerable”
“Controlled-substance documentation is structured exactly the way my state board wants it — PDMP review, treatment agreement, risk-benefit. I stopped dreading audits.”
See more patients. Leave on time. Love your job again.
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$69/mo
Billed monthly
$69 $19 first month
then $49 billed annually · switch anytime
- Unlimited notes
- Clinical templates library
- Advanced AI
- CPT / ICD suggestions
- Reports
- Telehealth support
- In-person sessions
- Signed BAA included
- Works with any EHR
Groups
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Tailored volume pricing
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- Admin billing
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- Onboarding
- Shared templates
- Dedicated success manager