AI Discharge Summary for Psychiatrists Using TherapyNotes

Save 4.5 hours weekly on documentation. Built specifically for psychiatrists who use TherapyNotes.

6+
Hours Saved Weekly
80
Avg Sessions/Week
8-12 minutes
Per Note (Manual)

Sound Familiar?

"Medication management notes take 8-12 minutes each. With 80 patients a week, that's 12+ hours just on documentation."

As a psychiatrist using TherapyNotes, you deserve documentation tools that understand your specific workflow.

Psychiatrist Documentation Workflows

Mozu understands the unique documentation needs of psychiatrists, including:

Common Documentation Types

  • Medication Management Notes
  • Initial Psychiatric Evaluation
  • E/M Documentation
  • Prior Authorization Forms

Specialty Workflows Supported

  • 15-minute med checks
  • Split treatment coordination
  • Telepsychiatry sessions
  • Controlled substance documentation

Discharge Summary Requirements for Psychiatrists

Mozu generates compliant discharge summary with all required elements.

Required ElementMozu Coverage
Treatment summary Auto-generated
Progress made Auto-generated
Reason for discharge Auto-generated
Aftercare recommendations Auto-generated

Insurance Note: Required for medical record completion and continuity of care

Psychiatrist Compliance Considerations

Documentation that meets your regulatory and licensing requirements.

DEA compliance for controlled substances
State prescription monitoring program
E-prescribing mandates
Collaborative care documentation

Common Discharge Summary Mistakes Mozu Prevents

Audit-proof documentation that avoids these common pitfalls:

Missing outcome data

Mozu prevents this

Incomplete aftercare plan

Mozu prevents this

No relapse prevention

Mozu prevents this

Psychiatrist-Specific Clinical Terminology

Mozu understands and correctly uses psychiatrist-specific language:

MSE findingsmedication titrationside effect monitoringpolypharmacy reviewblack box warnings

Example Discharge Summary for Psychiatrists

Here's a sample discharge summary generated by Mozu. Ready to paste into TherapyNotes.

MozuGenerated Note
TherapyNotes Ready
DISCHARGE SUMMARY CLIENT INFORMATION: Admission Date: [Date] Discharge Date: [Date] Length of Treatment: 16 sessions over 4 months Type of Discharge: Planned/Mutual agreement - Treatment goals achieved DIAGNOSES AT INTAKE: - Major Depressive Disorder, Recurrent, Moderate (F33.1) - Generalized Anxiety Disorder (F41.1) DIAGNOSES AT DISCHARGE: - Major Depressive Disorder, Recurrent, In Remission (F33.40) - Generalized Anxiety Disorder (F41.1) - Improved/Mild PRESENTING PROBLEMS AT INTAKE: - Severe depressive symptoms (PHQ-9: 18) - Significant anxiety (GAD-7: 14) - Occupational impairment (missing deadlines, difficulty concentrating) - Social isolation (0-1 social activities per month) TREATMENT PROVIDED: - 16 weekly individual psychotherapy sessions (50 minutes each) - Treatment modality: Cognitive Behavioral Therapy - Coordination with psychiatrist for medication management (4 contacts) - Interventions utilized: - Behavioral activation protocol - Cognitive restructuring - Relaxation and mindfulness training - Social engagement planning - Sleep hygiene education PROGRESS AND OUTCOMES: Symptom Measures: - PHQ-9: Decreased from 18 (moderately severe) to 6 (minimal symptoms) - GAD-7: Decreased from 14 (moderate) to 5 (mild anxiety) Functional Improvements: - Returned to full-time work with no missed deadlines in final 8 weeks - Re-engaged with social support system (attending 3+ social activities weekly) - Sleep improved from 4-5 hours to 7-8 hours nightly - Resumed exercise routine (3x weekly) Skills Acquired: - Cognitive restructuring for negative automatic thoughts - Progressive muscle relaxation - Behavioral activation planning - Assertive communication - Sleep hygiene practices DISCHARGE STATUS: Treatment goals achieved. Client demonstrates consistent use of coping skills and maintained symptom improvement for 6+ weeks. AFTERCARE RECOMMENDATIONS: 1. Continue current medication regimen with psychiatrist (Dr. [Name]) - Next appointment: [Date] 2. Monthly therapy "booster" sessions for 3 months, then as needed 3. Continue daily use of learned coping skills 4. Maintain social activities and exercise routine 5. Return to weekly therapy if: - PHQ-9 increases above 10 - Sleep problems return for more than 2 weeks - Significant life stressor occurs 6. Crisis resources provided: 988 Suicide & Crisis Lifeline REFERRALS: - Psychiatry: Continue with current provider - Support group: Referred to local anxiety/depression support group (client considering) PROGNOSIS: Good, given treatment response and skill acquisition Therapist Signature: _________________ Date: _______ Credentials: _________________

Why Psychiatrists Using TherapyNotes Choose Mozu

TherapyNotes: Behavioral health-specific templates. Mozu adds AI-powered documentation.

Built for Psychiatrists

Trained on psychiatrist sessions. Understands clinical nuance, not just transcription.

TherapyNotes Ready

Copy-paste directly into TherapyNotes. No integrations needed, no workflow changes required.

Cross-Session Memory

Mozu remembers client history, names, and patterns across all your sessions.

Clinical-Grade Security

HIPAA compliant with BAA provided. Built on SOC 2 Type II certified infrastructure.

SOC 2 Type II
HIPAA Compliant

Frequently Asked Questions

How much time will Mozu save me as a psychiatrist?

Most psychiatrists using TherapyNotes save 4.5 hours per week on documentation. That's approximately 8-12 minutes saved per discharge summary.

Does Mozu work with TherapyNotes?

Yes. Mozu generates discharge summary that you can copy directly into TherapyNotes. No integration or setup required - it works with any EHR system.

Is Mozu HIPAA compliant for psychiatrist documentation?

Yes. Mozu is fully HIPAA compliant with BAA provided. We use SOC 2 Type II certified infrastructure and never use your patient data to train AI models.

What types of notes can Mozu generate for psychiatrists?

Mozu generates Medication Management Notes, Initial Psychiatric Evaluation, E/M Documentation, Prior Authorization Forms specifically formatted for psychiatrist documentation requirements.

Is there a free plan for solo psychiatrists?

Yes. Mozu is completely free for solo practitioners. No credit card required, no trial period - free forever for individual psychiatrists.

Free for Solo Psychiatrists

Start saving 4.5 hours weekly on discharge summary. No credit card required.

$0
per month for solo practice
  • Unlimited Discharge Summary
  • Cross-session memory
  • Works with TherapyNotes
  • HIPAA compliant
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