How we built this psychiatrist‑only list
Between July 2024 and 2026, we scraped every post and comment that mentioned an AI scribe inside r/Psychiatry, r/medicine, r/Residency, and r/therapists. Marketing promos were tossed; only first‑hand, psychiatry‑specific reviews survived. Every quote below links back to its original Reddit thread, so you can verify the context before you demo a product.
1. Twofold Health — Built for the Mental‑Status‑Exam generation
One comment by a Twofold user on the relevant subreddit:
“Twofold Health is a great tool. Very behavioral‑health oriented, super easy to get started…” – u/Fit‑Astronaut6464
Why does it land at #1 for psychiatrists
- Dedicated MSE fields (appearance, mood, thought content, risk).
- <30‑second turnaround—even on clinic Wi‑Fi.
- Flat $49/mo (annual) with instant BAA; recordings erased after processing.
- Templates for med‑management, psychotherapy, intake, and 99214 follow‑up.
- Very customizable note format
- Used by many PMHNP and psychiatrists daily
Caveats
- No direct Epic/Cerner plug‑in (copy‑paste or PDF export).
- No native tablet support
2. Freed AI — Fast HPI capture, decent med‑list support
Freed review:
“Freed … gives a better HPI than Nabla … basically never attempts to write an MSE if there isn’t enough data.” – u/gdkmangosalsa
Caveats
- Narrative voice changes between visits, so you’ll re‑polish.
- Free tier minute cap; no offline capture.
- Slow during peak hours
- Support not responsive
Psychiatry perks
- Medication reconciliation template with dosage fields.
- Flat subscription, no per‑minute charges.
3. Nabla Copilot — Real‑time transcript with auto‑MSE (needs edits)
“Nabla shows you a live transcription … plus a gender‑neutral HPI and mental status exam.” – same thread
Caveats
- Auto‑generated MSE often needs heavy rewriting for nuance.
- Free tier lacks a BAA → HIPAA coverage starts on the paid plan.
- Prompt field clips very long sessions
Psychiatry perks
- Live transcript you can mark up during the encounter.
- Zero‑cost starter, great for residents.
- One‑click “Generate Note” workflow.
4. Upheal — Session recorder with affect timeline
“I’ve been using Upheal … records sessions and spits out SOAP, GIRP, DAP.” – u/mindful_therapist
Caveats
- Requires continuous recording and explicit patient consent.
- 10–15 min processing for a 50‑min visit.
Psychiatry perks
- Speaker‑specific sentiment graph—useful for mood tracking.
- Exports SOAP, BIRP, DAP; therapists and psychiatrists can share one platform.
- Zoom integration for tele‑psych.
5. Mentalyc — Privacy‑first upload for risk‑averse prescribers
One Mentalyc users claims:
“I use Mentalyc (≈ 8 months). Overall, I like it. … it saves me time.” - u/EveningPatient4895
Caveats
- Long sessions need file‑splitting or an extra fee
- Templates are fixed—limited space for custom MSE headings.
Psychiatry perks
- Audio is anonymised and purged after processing.
- BAA on every paid tier.
- Handy consent template for risky populations.
6. Abridge — Enterprise Epic plug‑in psychiatrists like in big systems
“If you’re in a big system, my colleagues really like Abridge…” – u/anhydrous_echinoderm
Caveats
- 30‑day cloud retention window; can be a non‑starter for strict orgs.
- Sold to health‑system IT; no solo sign‑up.
- English & Spanish only
Psychiatry perks
- One‑tap launch inside Epic’s Haiku/Canto apps.
- Auto‑creates patient‑friendly visit summaries—great for psycho‑education.
- Time‑to‑note often under two minutes.
7. DeepScribe — Human‑QA safety net (but painfully slow)
“I wouldn’t recommend DeepScribe … note ready only after several hours.” — u/Vegetable_Cry133 Reddit
Caveats
- Turnaround depends on a human reviewer—hours, not minutes.
- Notes tend to be verbose; expect pruning.
Psychiatry perks
- An optional human “second set of eyes” for compliance or forensic cases.
- Ambient capture tags interventions and medication changes automatically.
Psychiatrist’s quick‑pick cheat‑sheet
Your non‑negotiable | Best bets |
|---|---|
Robust MSE fields | Twofold, Nabla |
Epic Ambient workflow | Abridge, DAX |
Zero long‑term audio | Twofold, Freed |
Shoestring budget | Twofold, Mentalyc (mini) |
Human QA safety net | Deepscribe |
Mobile first/on the go dictation | Twofold, Suki |
Fast onboarding/ minimal setup | Twofold, Mentalyc |
Multi-provider/ team collaboration | Freed, Abridge |
Affordable scalability (growing practice) | Twofold, Mentalyc |
Minimal editing required | Twofold, Deepscribe |
Last verified January 2026
Final Verdict for busy psychiatrists
If you juggle complex psychopharmacology, suicide‑risk assessments, and psychotherapy progress in the same visit, Twofold Health stands out: psychiatry‑specific templates, < 30 s drafts, and flat pricing with no long‑term audio storage.
Freed or Nabla shine when cost is king; Abridge and DAX rule Epic‑heavy institutions; Upheal offers rich affect analytics; and Mentalyc wins on iron‑clad privacy. But for most private‑practice psychiatrists searching for the best AI notes psychiatry solution, Twofold remains the safest first pilot.