The Future of Trust in Behavioral Health AI
The Future of Trust in Behavioral Health AI By Allison Sikorsky, DNP, PMHNP-BCFounder & CEO, PMHScribe For most of my career, finding good information was relatively straightforward. If I had a question about psychiatric care, documentation, or a new technology, I searched for it, reviewed the evidence, and made a clinical decision. Lately, I’ve noticed […]
Best AI Scribe for Psychiatry (2026): How to Choose the Right AI Documentation Platform for Psychiatrists & PMHNPs
Best AI Scribe for Psychiatry (2026): How to Choose the Right AI Documentation Platform for Psychiatrists & PMHNPs Artificial intelligence is rapidly changing healthcare documentation, but not every AI scribe is built for behavioral health. If you’re looking for the best AI scribe for psychiatry, the most important consideration isn’t simply whether it can generate […]
The Four Types of Documentation Burden in Behavioral Health
The Four Types of Documentation Burden in Behavioral Health What Building an AI Scribe Taught Me About Why Mental Health Providers Feel Exhausted By Allison Sikorsky, PMHNP For years, I thought documentation was the problem. Like many psychiatrists, PMHNPs, and therapists, I spent evenings finishing notes and weekends catching up on charts, spending far too […]
AI Won’t Replace Clinical Judgment: What Behavioral Health Providers Should Know About AI Documentation
AI Won’t Replace Clinical Judgment: What Behavioral Health Providers Should Know About AI Documentation By Allison Sikorsky, DNP, PMHNP-BC, Founder & CEO, PMHScribe When people talk about AI in healthcare, the conversation usually starts with efficiency. How much time can it save? How many notes can it generate? How much documentation can it automate? As […]
How to Document Decisional Capacity in SNF and Hospital Consultant Psychiatry
In skilled nursing homes and hospital consult liaison psychiatry, requests for a capacity assessment are common. Courts, attorneys, and families often request clinical documentation when pursuing guardianship or activating a medical power of attorney. For psychiatrists and psychiatric mental health nurse practitioners, assessing medical decision-making capacity is a routine part of clinical care. A formal […]
AI Scribes in Psychiatry: What the 2026 JAMA Study Means for PMHNPs
A large AI scribe study in primary care has real implications for psychiatry The April 2026 JAMA study by Rotenstein et al. is the largest multisite evaluation to date of AI-powered scribes. Across 8,581 clinicians at five U.S. academic health systems, AI scribe adoption was associated with 13.4 fewer minutes of total EHR time and […]
Online Digital E/M Services in Psychiatry (Portal Messages Billing): What Mental Health Clinicians Need to Know in 2026
Online Digital E/M Services. Billing for Portal Messages and Interim Care.
How Telepsychiatry Reduces Psychiatrist Burnout
Burnout in psychiatry has reached levels that are no longer sustainable. Long clinical days, emotionally intense encounters, administrative overload, and limited recovery time between patients have pushed many psychiatrists to reconsider traditional in-person workflows. While individual wellness strategies can help, the strongest evidence suggests that burnout improves most when the structure of work changes. Telepsychiatry […]
How Many Patients Should a Psychiatric Provider Have? A Look at What the Evidence Really Shows
How Many Patients Should a Psychiatric Provider Have? A Look at What the Evidence Really Shows: The Online Debate About Panel Size If you spend any time online in mental health groups, you have probably seen debates about how many patients a psychiatrist or psychiatric mental health nurse practitioner should have on their panel. Some […]
Carry-Over Charting: Why Copy-Forward Documentation Puts Clinicians and Practices at Risk
I am hired by malpractice insurers, licensing boards, and healthcare organizations to perform expert witness chart reviews. In nearly every major documentation problem I have reviewed, one pattern stands out: clinicians relying on what I call Carry-Over Charting. What Is Carry-Over Charting? Carry-Over Charting is the documentation practice in which a clinician uses an EHR […]