Assess is the first step. It gives you a coherent, whole-person picture of each patient before you walk into the room and generates CPT-aligned artifacts for psychiatric evaluations and psychological testing. The first minute can be clinical, not just administrative.
A New Way to Practice Psychiatry
Built By a Psychiatrist, for Psychiatrists
More presence • More freedom • More life
What if you walked into every first visit already knowing the patient?
Not a basic intake form. A comprehensive clinical portrait — the whole person, across every dimension that matters to a psychiatrist. Built from structured self-report before the appointment, Zenara Assess surfaces what rushed conversations miss and what patients struggle to say out loud. You walk in with insight that used to take months to build. The visit goes somewhere it couldn't have gone otherwise.
This is what a first visit can be.
Taking our profession back, together.
We stand at one of the largest disruptive moments in the history of our profession.
New technology is reshaping medicine. We will either learn to use it — to dramatically raise the quality of care we deliver, to reach the communities that need us, to practice the way we trained to — or this wave will roll on without us.
So I built the thing I needed to keep going. Not software. A quiet hand on the shoulder. The intake writes itself. The note writes itself. The continuous clinical learning just happens, in five-minute reads, between patients. The screen disappears and the human comes back into the room.
Since Kaiser, I’ve been obsessed with one question:
how do you take care of someone you don’t have time to know?
The clinical model doesn’t give us the time to sit down with a patient and actually understand them. Cracking that has been my life’s work.
Ravi Hariprasad, MD, MPH
Founder & CEO, Zenara Health
Practicing Psychiatrist, San Francisco
Zenara Flow
The Optimization System Redefining How Psychiatry is Practiced
Zenara Flow snaps into your existing EHR and workflows. It doesn’t replace what you’ve built—it activates it. We start with better assessments, then make measurement routine, then turn continuous coordination into clean monthly revenue.
Whether you lead a psychiatry group, therapy practice, or primary care clinic with real behavioral health needs — the system is squeezing you. I’m a psychiatrist who spent 10 years building workflows that actually work: deeper first visits, visible outcomes, sustainable coordination. Zenara Flow is how I’m making those workflows available to practices like yours.
Zenara Flow includes 3 modules:
Assess — Available Now
Assess deeply
The most comprehensive mental health assessment.
It turns patient self‑report and a brief human review into a whole‑person picture and documentation you can actually bill and treat from. You have complete understanding before the first word.
How are you feeling?
How are your sleep patterns?
Monitor — Coming 2026
Monitor continuously
Mental vitals by default—treat-to-target becomes routine.
Outcomes stop being invisible. PHQ-9, GAD-7, labs, and vitals are automated, trended, and actionable.
• PHQ-9
• GAD-7
Care – Coming 2026
Care cohesively
We take care of patients; we optimize, bill, and manage the program.
Under-the-waterline orchestration. Helps your team keep patients connected between visits and supports clean monthly claims.
• Goals met
• Barriers cleared
• Interventions complete
Who This is For
Built for leaders of behavioral health and primary care practices who want to deliver excellent care sustainably
Start with Assess — complete understanding before the first word
- Psychiatric/Psychological Intake or Psychological Testing—your preference
- Supports documentation for evaluations, testing, health-behavior and cognitive assessments
- Team members can help with intake prep; clinicians focus on interpretation and treatment decisions
Already working in the real world
8-10
diagnoses identified per patient in clinical validation
vs. 2.8
(the benchmark in standard psychiatric evaluations)
50-75%
higher remission rates with measurement-based care*
2x
treatment response with collaborative care models*
*APA guidelines, Fortney et al., 2017; IMPACT trial, Unützer et al., 2002
Built on proven approaches
Practices using routine symptom measurement see 50-75% higher remission rates compared to usual care (APA guidelines, Fortney et al., 2017). Collaborative care models more than double treatment response and remission (IMPACT trial, Unützer et al., 2002).
In our partnership with Texas Center for Lifestyle Medicine, comprehensive assessment identified bipolar disorder missed for years, surfaced undisclosed trauma, and caught supplements causing the symptoms they were meant to treat.
What changes when you use Zenara
Without Zenara
First visit eaten by fact-finding
Outcomes invisible between visits
Important details discovered late, if at all
Coordination scattered across inboxes
With Zenara
First visit focused on formulation and treatment
PHQ-9, GAD-7, and other measures tracked automatically
Risks, patterns, root causes, and social determinants—all surfaced before you walk in, so you can practice true biopsychosocial medicine
Between-visit work organized and billable
Aligned with modern care models
Zenara Flow is designed to support the care models and service lines practices are actually being asked to run—not just visits but continuous, integrated care.
- Psychiatric evaluations (90791 / 90792 / 99205)
- Psychological testing (96138–39 / 96130–31 / 96127)
- Health behavior & cognitive assessments (96156 / 99483)
- Behavioral health integration (99484)
- Collaborative care management (99492–94)
- Chronic care management (99490 / 99487 / +99489)
- Advanced primary care management (99426 / 99427)
- GPCM-ready documentation (when finalized)
* Coverage and reimbursement vary by payer and state. In a practice assessment, we focus on what’s realistic for your contracts and regulations.
Learn how these care models really work
If you’re still mapping your options, we have put together our brilliant resources to help you get started.
CCM vs CoCM vs BHI: a practical guide for psychiatry and therapy practices
APCM now, GPCM coming: a primary care leader’s guide
Adding psychiatric coverage to a therapy practice: a grounded playbook
Five Cases Standard Care Would Have Missed
What comprehensive assessment actually finds
Real findings from clinical validation.
Case Study 01
David’s Story:
He was convinced he had early dementia. Memory slipping. Projects unfinished. Standard screening showed minimal symptoms—easy to dismiss.
Assess found something different: his “cognitive decline” was actually anxiety driven by profound social isolation. He lived alone. No one nearby. The real diagnosis wasn’t dementia—it was loneliness.
— David, 72 | PHQ-9: 1 | PROMIS Cognitive: Normal
Case Study 02
Miguel’s Story:
PHQ-9: 4. GAD-7: 2. Everyone said he was fine.
But he experienced debilitating symptoms that came and went—invisible to screening that averages across time. Assess found the supplement he was taking for brain fog had brain fog as a documented side effect. The treatment was causing the problem.
— Miguel, 18 | PHQ-9: 4 | The cure was the cause
Case Study 03
Nadia’s Story:
Referred for social anxiety. Assess found she was drinking six espresso shots daily—self-medicating probable ADHD while the caffeine amplified her anxiety.
She didn’t need an SSRI. She needed to address the caffeine first, then evaluate what was underneath.
— Nadia, 39 | GAD-7: 7 | Root cause: caffeine, not anxiety disorder
If this sounds like the way you want to practice, let's talk
Excellent care, your own wellbeing, and a sustainable business. You don't have to choose anymore. Zenara Flow is how I reconciled those in my practice.
If you're ready to see what that might look like in yours, try Zenara Assess, free until July 31st.
