A psychiatrist’s read, in the chart before the physician walks in.
The patient answers a structured intake before the appointment. When the physician opens the chart, the Brief is already there, written the way a psychiatrist hands a patient to a colleague, and the physician makes every decision.
The intake before the visit.
The intake tells the patient what to expect, then asks about mood, sleep, history, and life circumstances, in their own words and from short options. It adapts as the patient goes, and the answers are held under the patient’s consent to prepare their physician.
For patients and families
The intake is the part of Singula a patient sees. The Brief it produces is written for the clinician, and the physician makes every decision. If you want your own practice to offer the Care Companion, share this page with your primary care physician. If you are in crisis in the United States, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911.
The patient answers on a phone or a clinic tablet, in about five minutes, before the appointment. Questions open only when earlier answers make them relevant, so the conversation stays short for most people and goes deeper where it matters.
Hello.
If you're in crisis, get help nowThe intake screens, answered for the composite patient whose Brief appears below. Not a patient record.
The physician opens the Brief.
The Brief is written for the clinician: what stood out, what to ask, what to be careful about, and a read on level of care. Every finding links back to the answer behind it.
The most important findings come first, and the detail sits underneath. The raw responses travel with every Brief, so the physician can check any finding in place before deciding what it means for this patient.
34-year-old female with no prior psychiatric history reported, presenting for an unrelated primary care concern, with moderate depressive symptom burden alongside severe anxiety. The mood presentation includes low energy, anhedonia, and concentration difficulty, accompanied by discrete periods of reduced sleep need with sustained high energy, episode-linked irritability, and impulsive decision-making. Active suicidal ideation was not endorsed on the current screen and no historical suicidality was reported. Anxiety is broad and severe, with anticipatory worry and situational avoidance shaping daily function. The presence of activation features alongside a depressive presentation raises a bipolar-spectrum question that should be characterized before an antidepressant is initiated.
Recommended questions for this appointment, each with the rule that raised it and the clinical rationale.
Based on reported symptoms. All prescribing, referral, and safety decisions are determined by the treating clinician.
- Psychiatric evaluation given the activation pattern and overall clinical complexity
- Characterizing the mood timeline before initiating pharmacotherapy
- Anxiety treatment planning at this visit given the GAD-7 burden
- Antidepressant monotherapy before the bipolar-spectrum question is characterized
- Reading the PHQ-9 total alone as a complete picture when activation features are present
- Severe anxiety may amplify the mood and cognitive findings on this screen
- Psychiatry for evaluation of the mood-activation pattern
- Psychotherapy anxiety-focused, based on confirmed phenotype
- PHQ-9, GAD-7, and sleep at short-interval follow-up
- High-energy periods, sleep need, and impulsivity over time
Source of truth. Exact patient responses as submitted, carried with every Brief so the physician can check any finding in place.
Mood Context · Bipolar Spectrum Screening
PHQ-9 · Depression Screen
History · Psychiatric and Family
Two scores measure severity, and the Brief adds what sits around them.
PHQ-9 and GAD-7
- Two totals: depression and anxiety severity
- No psychiatric or family history
- No record of past treatment or how it went
- No prompt for a second look when totals are low
Clinical rules written by a psychiatrist, applied the same way every time
- Mood, anxiety, activation, psychosis, trauma, attention, autism spectrum features, substance use, sleep, function, and risk, read as one picture
- Psychiatric and family history, and how past treatment went
- The traits and circumstances that shape treatment
- Findings the two scores can’t register, stated plainly
What changes in the room.
The physician walks in knowing what to ask, which pattern deserves a second look, and whether this patient may need another level of care.
Each flag names a pattern to look into, with the rule that raised it and the answer underneath.
If the intake surfaces something the two screening scores can’t register, the Brief says so.
Treat, refer, look further, or set the question aside for this visit, now with the psychiatric picture in hand.
How it fits an 18-minute visit.
The Brief is in the chart before the physician sees the patient, so the visit starts from the psychiatric picture.
The patient completes the intake on a phone or a clinic tablet. Clinical rules score the answers the same way every time, safety rules run first, and the Brief is written from that structured result.
Each Brief is added to the patient’s chart before the physician sees the patient. There is no integration project to start, and patient information stays under the business associate agreement and the study protocol.
The physician reads what stood out and the questions to ask, then decides. The detail, including every raw response, sits underneath for whenever it is needed.
The Brief supports the initiating assessment and its documentation for behavioral health integration. The practice furnishes and bills any recurring care-management service, and Singula does not provide billing or coding advice.
Built so a physician can check it, and overrule it.
Each of these is a reason a physician can trust the Brief in a real visit.
The same answers produce the same result every time. The clinical determination is made before any language is written, and a controlled language layer renders it as readable clinical prose without changing it.
Each flag names the rule that raised it and the answer underneath, in plain language a physician can check.
Current and past suicidality are always surfaced and raise level of care, whatever the total score. Every Brief goes through clinical quality review before it reaches the physician.
The Care Companion does not diagnose, does not direct treatment, does not operate autonomously, and is not for emergency use. The patient completes the intake and receives no score or result, and the Brief goes only to the physician. Singula's position is that it falls outside the FDA's device definition under the agency's clinical decision support criteria.
It supports the physician the patient already has.
When a Brief suggests another level of care, the physician decides whether to refer, and to whom.
The Care Companion supports the primary care physician who already knows the patient.
Intended use. Singula Care Companion is intended to assist licensed health care professionals in primary care by organizing patient-reported information into a structured pre-visit clinical brief that supports the clinician's assessment of common mental health conditions. It is intended to support, and not to replace, the clinician's independent clinical judgment. Intended for use by licensed clinicians caring for adults aged 18 and older. All clinical decisions, including diagnosis, prescribing, referral, and safety management, are made by the treating clinician.
Bring the Care Companion to your practice.
It runs today in independent primary care practices.