Psychiatry Dictation Where Patient Data
Never Reaches a Third-Party Server
Psychiatric notes carry the highest privacy stakes in medicine. Forensic evaluations, substance use documentation, trauma history, and risk assessments don't belong on a vendor's cloud server - where they can surface in insurance denials, custody proceedings, employment screenings, and legal proceedings. VoicePrivate processes everything on your device.
Psychiatric notes carry
consequences that follow patients everywhere
A psychiatric diagnosis isn't just a medical fact. It travels. Insurance underwriters use it to price premiums or deny coverage. Employers may screen for it in background checks. Courts use psychiatric records in custody proceedings, immigration cases, competency hearings, and criminal proceedings. A risk assessment note dictated in a private clinical encounter can surface in legal proceedings years later.
Cloud dictation tools create a third-party record of what you dictated. Even with a signed BAA, the vendor holds your patients' most sensitive information on infrastructure you don't govern. That record is subject to their breach risk, their data retention policies, and legal discovery reaching their servers.
There is no third-party record when you use VoicePrivate. The audio stays on your device. The transcript goes directly into your EHR. No vendor ever held your patient's trauma history, psychotic episode documentation, or suicide risk assessment. The data path is entirely under your control.
Psychiatric records dictated through cloud tools can surface in: insurance disability claim adjudication, child custody evaluations, security clearance investigations, immigration court proceedings, criminal competency hearings, and employment background checks. On-device processing means there is no vendor-held record to subpoena, breach, or disclose.
Dragon Medical / cloud-based tools
- ↓ Psychiatrist dictates risk assessment or forensic note
- ↓ Audio sent to vendor cloud server for processing
- ↓ Sensitive psychiatric data exists on vendor infrastructure
- ↓ Reachable by breach, legal discovery, regulatory inquiry
- ↓ Vendor's data governance, not yours, governs access
On-device psychiatric dictation
- ↓ Psychiatrist activates hotkey and begins dictating
- ↓ On-device AI transcribes with full psychiatric vocabulary
- ↓ DSM-5 diagnoses, medication names, forensic terms corrected locally
- ↓ Text typed directly into EHR note field
- ↓ No vendor ever receives or holds this data
Who uses VoicePrivate
in psychiatry practice
Psychiatrists and mental health clinicians
- Outpatient psychiatrists in solo and group practice
- Inpatient and consultation-liaison psychiatrists
- Forensic psychiatrists (criminal, civil, immigration)
- Addiction psychiatrists and substance use treatment providers
- Child and adolescent psychiatrists
- Geriatric psychiatrists
- Psychiatric NPs and APPs managing medication management caseloads
Documentation types covered
- Psychiatric evaluation and diagnostic formulation notes
- Medication management session notes
- Suicide and violence risk assessment documentation
- Forensic evaluation reports
- Substance use disorder treatment documentation
- Disability and independent medical examination reports
Psychiatry dictation
documentation scenarios
Comprehensive psychiatric evaluations
Dictate full psychiatric histories with DSM-5-TR diagnostic formulations. Psychosocial history, mental status examination findings, diagnostic reasoning, and multiaxial assessment language all handled without abbreviating or spelling diagnostic criteria specifiers.
Suicide and violence risk documentation
Columbia Suicide Severity Rating Scale documentation, static and dynamic risk factor enumeration, protective factor assessment, and safety planning documentation. C-SSRS ideation categories, intensity scores, and behavior scores recognized without spelling out the scale name repeatedly.
Forensic evaluation reports
Competency to stand trial evaluation language, criminal responsibility assessment, civil commitment criteria, fitness for duty evaluation, immigration psychological evaluation, and personal injury assessment documentation. Forensic reports are among the highest-stakes psychiatric documents - they never belong on a vendor's cloud server.
Addiction and substance use documentation
DSM-5 substance use disorder severity criteria, AUDIT-C and CAGE screening results, COWS and CIWA-Ar scoring, medication-assisted treatment initiation and dosing notes (buprenorphine, naltrexone, methadone), and recovery-oriented documentation language.
Follow-up and medication adjustment notes
Brief psychiatric follow-up notes with mental status findings, medication response documentation, side effect assessment (EPS, tardive dyskinesia screening, metabolic monitoring), and treatment plan updates. Psychotropic drug names and dosing documented without spelling.
Inpatient and consultation notes
Admission psychiatric evaluation, daily progress notes, discharge summaries with aftercare plan, and consultation-liaison psychiatry notes for medically hospitalized patients. Works offline in hospital settings with unreliable network connectivity.
VoicePrivate vs. alternatives for psychiatry
| Feature | VoicePrivate | Dragon Medical One | Nuance DAX | Freed |
|---|---|---|---|---|
| Audio stays on device | ✓ Always | ✗ Cloud | ✗ Cloud | ✗ Cloud |
| No vendor holds psychiatric data | ✓ | ✗ | ✗ | ✗ |
| Works offline | ✓ | ✗ | ✗ | ✗ |
| BAA required | No - no data sharing | Yes | Yes | Yes |
| DSM-5 / psychiatric vocabulary | ✓ Included | Psychiatry specialty add-on | General clinical NLP | General clinical NLP |
| Forensic evaluation terminology | ✓ Included | Partial | Partial | Partial |
| Monthly price (per user) | $34.99/mo | ~$99/mo | Custom / enterprise | $99/mo |
Competitor pricing and features based on publicly available information. Subject to change.
Three-step setup,
any psychiatric EHR
M1, M2, M3, M4 Macs
Fastest transcription via Neural Engine. Works with SimplePractice, TherapyNotes, Epic, Cerner, and any browser-based psychiatric EHR or EMR. Common in private practice psychiatry settings.
Intel-based Macs
Fully supported on Intel Macs with macOS 13 or later. Slightly slower than Apple Silicon but entirely workable for all psychiatric dictation workflows.
Windows workstations
Works on hospital psychiatric unit workstations, forensic facility computers, and personal Windows laptops. Fully offline - no network dependency in inpatient units or secure facilities.
Healthcare Edition pricing
Start with 5,000 free words - no credit card required.