AI Medical Scribe for
Reconstructing four analytic hours from memory at the end of the day is its own unpaid session. Medical Scribe drafts the clinical interview and treatment plan from the session itself, so the frame stays intact and the record still gets written.
A real example of the documentation Medical Scribe generates for psychoanalysts — ready before your patient leaves the room.
41F architect presenting for analytic consultation with recurrent depressive episodes and a repeating pattern of ruptured close relationships, most recently a marital separation 6 months ago. Third depressive episode; the first began in her twenties.
Predisposing: death of mother at age 9 with little family mourning. Precipitating: marital separation. Perpetuating: harsh self-criticism and pre-emptive withdrawal when closeness threatens loss. Protective: stable work, capacity for self-reflection, motivation for insight-oriented treatment.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Free association asks for your full, unfocused attention. The moment you reach for a pen or keyboard to preserve a detail, you've left the analytic stance — and the patient notices.
High-frequency work means seeing the same patients several times a week. Writing each session up from memory that evening blurs which associations, dreams, and enactments belonged to which hour.
Predisposing, precipitating, perpetuating, and protective factors have to be teased out of hours of material and written up coherently — the part of the record that takes longest to do well.
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.
Whether it’s an extended consultation or one of several weekly hours on the couch — in the consulting room or over telehealth — Medical Scribe records the session and drafts the clinical record afterward: presenting problems, current functioning, history, and mental state. You hold evenly hovering attention instead of holding a pen.
The built-in Psychoanalyst’s note template organizes the draft into Clinical Interview and Treatment Plan — presenting problems, history, risk assessment, mental state exam, clinical formulation, and DSM-5-TR diagnoses with goals and outcome measures. It sits among 280+ specialty templates, and a custom variant takes minutes to build.
An analytic record must separate what the patient said from what you concluded. Medical Scribe documents only what was actually spoken in the hour — associations, history, your stated formulation — and never generates interpretations or findings of its own. The clinical thinking stays where it belongs: with the analyst.
No — and they shouldn't. Your process notes on transference, countertransference, and technique remain yours. Medical Scribe drafts the clinical record: interview, mental state, formulation, and treatment plan. What goes in the chart is always yours to edit and sign.
That's a clinical judgment only you can make, and it belongs in the consent conversation. Many analysts record assessment and review hours rather than every session. The recording is discussed openly, and the patient consents just as with any scribe.
The built-in Psychoanalyst's note includes a clinical formulation section — predisposing, precipitating, perpetuating, and protective factors — populated only from what you actually voiced in the session. It never invents dynamics you didn't articulate.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest. Recordings are processed securely, and nothing enters the record until you have reviewed and signed it.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.