Voice to Text for Psychiatrists
Your clinical insights shouldn't get lost between your mind and the keyboard. Blurt lets you dictate psychiatric evaluations, medication notes, and treatment plans as naturally as you'd explain them to a colleague. Hold a button, speak your clinical observations, release. Text appears wherever your cursor is — in Epic, Cerner, your notes app, anywhere. No templates. No clicks. Just talk and document.
The Typing Problem
Writing detailed psychiatric evaluations after back-to-back sessions
You just finished your fifth patient of the morning. Each conversation revealed layers of clinical complexity — trauma history, medication responses, subtle changes in affect. Now you're staring at five blank evaluation forms, trying to reconstruct nuanced clinical observations while they're still fresh. The typing alone will take longer than the sessions did.
Documenting medication management visits in real-time
A 15-minute med check generates 20 minutes of documentation. You need to record the patient's reported symptoms, side effects, vital signs, mental status, your clinical reasoning for adjustments, and the updated prescription. By the time you finish typing one note, your next patient is already waiting.
Crafting consult letters that capture clinical nuance
The referring physician needs your assessment. You know exactly what to say — you could dictate it in three minutes. But typing a comprehensive consult letter that captures your diagnostic reasoning, treatment recommendations, and follow-up plan takes thirty minutes. So you write something shorter, and the nuance gets lost.
Updating treatment plans during sessions
Your patient just shared something that changes everything. You want to update the treatment plan while the insight is fresh, but typing while they're in the room feels disconnected. You make a mental note to document later, but by then you've seen three more patients and the specifics have blurred together.
Your hands ache from typing notes until 8 PM
You became a psychiatrist to help people, not to type. But here you are, every evening, fingers cramping as you catch up on documentation. The EMR demands complete notes. Insurance demands detailed justifications. Your wrists demand a break. Something has to give, and lately it's been your evenings.
How It Works
Blurt works in every system psychiatrists use — Epic, Cerner, Athena, your practice management software, anywhere you can place a cursor.
Hold your hotkey
Press your chosen shortcut. A small indicator shows Blurt is listening.
Speak naturally
Dictate your clinical observations, medication notes, or treatment plan. Blurt handles punctuation.
Release and done
Text appears at your cursor. No copying, no pasting, no extra steps.
Real Scenarios
Dictating psychiatric evaluations between sessions
You have ten minutes before your next patient. Instead of typing furiously, hold your hotkey and speak: 'Patient presents with depressed mood, anhedonia, and passive suicidal ideation without plan or intent. Sleep disrupted with early morning awakening. Appetite decreased with 8-pound weight loss over six weeks. PHQ-9 score of 18, up from 12 at last visit.' Three paragraphs of clinical documentation in 45 seconds. Your evaluation is complete before your next patient arrives.
Recording medication adjustments during med checks
You're wrapping up a medication management visit. Hold the button and dictate: 'Patient reports improved mood on current sertraline 100mg but continued insomnia. Discussed options including adding trazodone versus increasing sertraline. Patient prefers adjunctive sleep medication. Starting trazodone 50mg at bedtime. Follow up in four weeks to assess response.' The entire medication note documented while the clinical reasoning is still fresh.
Writing consult letters to referring physicians
A primary care physician referred a complex patient. Hold your button and speak your consultation naturally: 'Thank you for referring Ms. Johnson for psychiatric evaluation. Based on my assessment, she meets criteria for major depressive disorder, recurrent, moderate severity, with comorbid generalized anxiety disorder. I am recommending initiation of escitalopram with psychotherapy referral.' A comprehensive consult letter dictated in two minutes instead of typed in twenty.
Documenting mental status exams in real-time
Your patient just left the room. The mental status exam is fresh in your mind. Hold and speak: 'Appearance: Casually dressed, appropriate hygiene. Behavior: Good eye contact, psychomotor slowing noted. Speech: Soft volume, decreased rate. Mood: Patient states sad. Affect: Constricted, tearful at times.' Complete mental status exam documented in 30 seconds while the observations are vivid.
Updating treatment plans after breakthrough insights
A therapy session just revealed the core issue. Between patients, hold your hotkey: 'Patient identified connection between current relationship patterns and childhood attachment disruption. Recommend shifting focus to attachment-based interventions. Consider referral for EMDR to address specific trauma memories. Updated diagnosis to include PTSD, chronic.' Treatment plan updated while the clinical insight is still crystallized.
Composing prior authorization justifications
Insurance denied coverage for a medication your patient needs. Instead of typing a lengthy appeal, hold and dictate: 'Patient has failed trials of sertraline, fluoxetine, and venlafaxine at therapeutic doses with adequate duration. Current presentation includes treatment-resistant depression with significant functional impairment. Requesting coverage for esketamine nasal spray based on FDA approval for treatment-resistant depression.' Prior auth letter completed in one minute.
Recording session notes immediately after therapy
You practice psychotherapy alongside medication management. The session just ended. Hold your button: 'Explored patient's grief response to recent loss. Notable progress in identifying cognitive distortions around self-blame. Patient able to challenge automatic thoughts with evidence. Homework: Continue thought record, practice self-compassion exercise discussed in session.' Session documented before the next patient knocks.
Why psychiatrists choose Blurt over built-in dictation
| Blurt | macOS Dictation | |
|---|---|---|
| Activation | Single hotkey, instant start | Click microphone icon or say 'Hey Siri' |
| Speed | Text appears in under 500ms | 2-3 second delay before transcription |
| Medical terminology | Handles psychiatric terms and medication names accurately | Struggles with clinical vocabulary |
| Reliability | Consistent accuracy across sessions | Often fails silently or mishears |
| Privacy | No 'Hey Siri' or voice activation that might pick up patient conversations | Voice activation can be triggered accidentally |
Frequently Asked Questions
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