Psychiatry insights

AI sidebar that surfaces mental status, risk flags, sleep, substance, and themes from the conversation. Psychiatry visits only.

When you use a Psychiatry Consultation or Psychiatry Follow-up template, OHM runs a second AI pass on the conversation and surfaces clinical insights in a side panel — separate from the form fields.

Think of it as a second pair of eyes on the conversation, not a diagnosis. You decide what's relevant.

When the insights panel appears

It only shows up when:

You're using a psychiatry template (Consultation or Follow-up).
You've recorded at least one audio session in this visit.

For any other template, the panel does not appear — you won't see the trigger tab.

How to open it

Spot the trigger tab

After extraction finishes, a small tab appears on the right edge of the screen labelled Insights. It's a subtle vertical pill.

Click the tab — or press Alt+I

The panel slides in from the right. The form on the left stays editable — you can keep working while the panel is open.

Press Esc to close

Or click the × in the panel's header.

Alt+I toggles the panel. Use it like a quick reference window — open it when you need it, close it when you don't.

What you'll see

The panel is a dashboard, not a wall of text. Each card is one clinical concept. The exact cards depend on the template:

Psychiatry Consultation (first visit)

Mental status snapshot — appearance, mood, affect, thought process, insight, judgement.
Risk flags — suicidal ideation, self-harm, homicidal ideation, psychosis. Highlighted in red if mentioned in the conversation.
Sleep, appetite, energy — short bullets.
Substance use — what was mentioned and at what frequency.
Themes — recurring topics across the consult (e.g. "work stress", "relationship conflict").

Psychiatry Follow-up (return visit)

Symptom change — what improved, what worsened, what's unchanged.
Medication adherence — taking as prescribed, missed doses, side effects.
Sleep / substance delta — what changed since last visit.
Risk flags — same as above. Always look here first on a follow-up.

Risk flags are AI-extracted from the conversation. If the patient denies suicidal ideation but uses ambiguous language, the AI may still flag it for review. A flag means "look here," not "this is true."

How to use the insights

Open the panel after extraction finishes — the form will already be filled. The panel is a complement, not a replacement.
Scan the risk flags first. If anything is red, read the supporting quote and decide if it needs immediate attention.
Use themes to spot patterns. If "work stress" appears in three consecutive visits, that's the conversation you might want to have today.
Cross-check medication adherence (follow-up only) against what the patient told you verbally — sometimes the AI catches admissions that slipped past in real time.

What the panel doesn't do

It does not write your clinical formulation. That's your job, in the Formulation field on the form.
It does not change the form. Editing the form doesn't update insights. Insights are frozen at the moment of extraction.
It does not send a separate note. The insights are for your reference only — they're stored with the visit but not included in the prescription email.

If the panel shows "No insights yet"

This usually means:

You haven't recorded audio in this visit yet — record first.
The audio was too short or too quiet for the AI to extract a meaningful set of insights. Try a longer recording.
The extraction failed silently. Try Save draft, refresh the page, and record again.