AI Medical Scribe for
CBT-E sessions move fast — food records, behavioral experiments, risk checks. Medical Scribe drafts a structured mental health note with MSE and risk assessment so your attention stays on the client, not the chart.
A real example of the documentation Medical Scribe generates for eating disorder specialist psychologists — ready before your patient leaves the room.
22F with bulimia nervosa, session 9 of CBT-E. Reports 2 binge-purge episodes this week, down from 5 at intake. Completed food monitoring records 6 of 7 days.
Denies suicidal ideation, intent, or plan. No self-harm since intake. Purging frequency decreasing; no syncope, haematemesis, or chest pain reported. Medical monitoring with GP current.
Bulimia nervosa, moderate (DSM-5). EDE-Q global score 3.2, down from 4.4 at intake.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Medical compromise, suicidality, and purging severity have to be recorded precisely every session — they justify level of care and protect the client and you.
Dietitian, GP, and psychiatrist coordinate around your documentation. A thin session note leaves the team guessing about symptom trajectory.
A full therapy day leaves no time to document behavioral experiments, food record reviews, and formulation updates — so it all waits until evening.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
CBT-E and related treatments are protocol-driven: weekly food record review, in-session weighing discussions, behavioral experiments, relapse planning. Medical Scribe records the session — in person or telehealth — and drafts the note so the protocol work gets your whole attention. You review, edit, and sign between clients or at day’s end.
The generated note draws on the built-in Mental Health Note template: chief complaint and symptom trajectory, Mental Status Examination, Risk Assessment covering suicidality and medical risk indicators, DSM-5 diagnosis with scale scores like the EDE-Q, Treatment Plan, and Safety Plan where applicable. The Mental Health Care Plan template supports GP-coordinated care and reviews.
In eating disorder treatment, your risk documentation may one day justify a hospital admission — or defend a decision not to admit. Medical Scribe records exactly what the client said about behaviors, ideation, and physical symptoms, never inventing or softening a clinical statement, so your notes stand behind your judgment.
Yes. The built-in Mental Health Note template includes Mental Status Examination, Risk Assessment, DSM-5 diagnosis with scale scores, Treatment Plan, and Safety Plan sections — populated only from what was actually said and observed in session.
Yes. Alongside session notes, Medical Scribe includes a Mental Health Care Plan template covering problem/diagnosis, formulation, patient education, emergency care, and review — useful when coordinating with referring GPs.
Medical Scribe drafts the progress note for the record. Your private psychotherapy process notes stay separate and yours. You review and edit every draft before signing, so nothing enters the chart without your judgment.
Clients are informed and consent as with any scribe. Medical Scribe is HIPAA compliant, encrypted in transit and at rest, and works for in-person and telehealth sessions across iOS, Android, Web, Apple Watch, and Mac.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.