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Mary
Visit - 10/27/2025
10/27/2025, 1:33 PM

Mary, 52F

Psychiatry
Mental Health
Therapy
More

Visit - 10/27/2025

Session Summary:

34-year-old female with major depressive disorder, recurrent, currently in partial remission. On sertraline 100mg daily for 6 months with good response.

Mental Status Exam:

Alert, cooperative, fair eye contact. Mood: 'Better but still struggling.' Affect: Mildly constricted but brightens with engagement. Thought process linear and goal-directed. No SI/HI.

Assessment and Plan:

  • MDD: Continue sertraline 100mg, symptoms improving
  • Psychotherapy: Continue weekly CBT sessions, focus on behavioral activation
  • Sleep hygiene: Reviewed strategies for improved sleep quality

Patient reports improved mood and energy. Continue current treatment plan. Next session in 1 week.

Built for Psychiatry

Scope helps psychiatrists maintain therapeutic presence during sessions while capturing comprehensive mental status exams, treatment plans, and progress notes that meet documentation requirements.

Mental status exam documentation

Automatically capture appearance, behavior, mood, affect, thought process, and cognition from your clinical conversation.

Safety assessment & risk documentation

Comprehensive suicide/homicide risk assessments with detailed safety planning and crisis resource documentation.

Medication management notes

Track medication trials, side effects, efficacy, and adjustments with automated documentation of rationale and monitoring.

Therapy progress notes

Document psychotherapy sessions with interventions used, patient progress, and treatment plan updates—all automated.

Why Psychiatrists choose Scope

More Time for What Matters

34 days

saved per year on documentation

No burnout

end late nights charting

Free to use

Free to use, no catch

I can finally give my patients my full attention. Scope captures everything I need for compliance while letting me focus on the therapeutic relationship. It's been transformative.

Dr. Sarah Williams, MD

Psychiatry

90 min saved per day

Better therapeutic rapport

No after-hours charting

Every psychiatry practice

From solo practitioners to multi-physician groups, Scope scales to fit your psychiatry workflow perfectly.

Solo Psychiatry practices

Run your practice without the documentation burden. See more patients while maintaining work-life balance.

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Group psychiatry

Standardize documentation across your team. Reduce variability while maintaining each provider's unique voice.

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Rural & mobile care

Perfect for home visits, rural clinics, and mobile health. Works offline with seamless sync when you're back online.

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Spend more time caring for patients, not charting. Scope captures your patient encounters in real time and quickly generates high-quality clinical notes – and it's completely free.

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