Built by a psychiatric nurse practitioner and a software engineer.
We are Charisa and Richard King. Charisa sees patients. Richard writes the code. MH Scribe is the documentation tool we wanted to exist for mental health clinicians, and we run it ourselves from Lake Oswego, Oregon.
Why we built it
Notes are the part of mental health work that follows you home. A full day of sessions turns into an evening of charting, and the note written at 9 p.m. is never as good as the one you would have written right after the session.
A general medical scribe treats every visit the same way. But a medication check, a 90837 and a psychiatric intake are different documents, and a mental health note has to show things a primary care note does not: mental status, risk, interventions and the patient's response to them. Charisa knows what those notes need because she writes them. Richard has spent more than 25 years building software and knew how to build something that gets them right without making a clinician change how she works.
Before MH Scribe, Charisa tried three other AI scribes in her own practice. None of them stuck. Today she uses MH Scribe for every patient. She finds its notes more accurate than what she got from the others, and it is simply easier to use. Two things she would not give up: the dashboard that shows which notes still need her review, so nothing slips, and being able to ask the AI questions about a patient's history before a visit.
So MH Scribe records the session, drafts the note in the format you pick, suggests codes, and keeps track of each patient across visits so the next note knows what happened in the last one. Then it gets out of the way.
The two of us
Charisa King, PMHNP-BC
Co-Founder & Clinical Lead
Charisa is a board-certified psychiatric-mental health nurse practitioner with more than 13 years in mental health care. She treats ADHD, depression, anxiety, bipolar disorder and trauma-related conditions, and she still sees patients.
She decides what a good note looks like. The built-in templates, the way diagnosis and billing suggestions are worded, and what the AI is and isn't allowed to put in a note all go past her first. If a draft would not hold up in her own chart, it does not ship.
Richard King, MBA
Co-Founder & CEO
Richard has more than 25 years in software engineering and technology leadership, with a degree in computer science and an MBA. He has led engineering teams and built products in enterprise software, data platforms and cloud infrastructure.
He founded AhlTrade LLC and builds and runs MH Scribe: the recording pipeline, the AI and the security setup. He is also the only person with access to production systems, which keeps the list of people who could ever touch PHI as short as it can be.
Choices we made on purpose
Four decisions that shape how MH Scribe works.
The template comes after the session
You record first and pick SOAP, DAP, BIRP, an intake or your own template when you generate the note. If it reads wrong, regenerate the same session in another format. Nobody knows in advance which way a session will go.
Your EHR stays where it is
MH Scribe does not ask you to switch EHRs. It runs in the browser next to whatever telehealth platform and EHR you already use, and the finished note copies over in one step.
The BAA is in the Terms
You should not have to email a sales rep to get a Business Associate Agreement. Ours is part of the Terms of Service, so it is in place the day you sign up. Your data is never used to train AI models.
The clinician makes the call
MH Scribe suggests CPT codes, ICD-10 codes mapped to DSM-5 criteria, and risk-related content from the session. They are suggestions. You review every note and every code before anything goes in the chart.