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PsychToolkit

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Psychiatry Toolkit (PsychToolkit)

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Patient Review Note (OCA Template)

Editable Workspace
MSE Live Builder

Select options to dynamically update the MSE section in your assessment note.

Appearance
Attitude & Behaviour
Symptomatic Movements:
Mannerisms / Oddities:
Speech and Language
Emotions
Affect (Objective):
Perceptions
Hallucinations:
Thought Form & Content
Form of Thought:
Content - Risk: Other Thought Phenomena:
Delusions:
Insight and Judgement
Insight:
Cognition
Formulation Live Builder
Presenting Problem
Diagnostic Impression
Predisposing Factors (Why past?)
Biological: Psychological: Social:
Precipitating Factors (Why now?)
Biological: Psychological: Social:
Perpetuating Factors (What maintains?)
Biological: Psychological: Social:
Protective Factors (Strengths)
Biological: Psychological: Social:
Theoretical Frameworks (Optional)
HCR-20 Violence Risk

Check risk items identified to auto-populate Static/Dynamic risk factors and the Aggression (Agg) formulation.

Historical Scale (Static)
Clinical Scale (Dynamic)
Risk Management Scale (Dynamic)

Antipsychotic Dose Converter

Chlorpromazine (CPZ) Equivalent: 0.00 mg
Olanzapine (OLZ) Equivalent: 0.00 mg
Note: Equivalents are population estimates based on consensus guidelines. Individual pharmacokinetics vary significantly. High QTc risks require special monitoring.
Scientific References:
  • Gardner DM, Murphy AL, O'Donnell H, et al. International Consensus Study of Antipsychotic Dosing. Am J Psychiatry. 2010;167(6):686-693. DOI: 10.1176/appi.ajp.2009.09060802
  • Taylor D, Barnes T, Young A. The Maudsley Prescribing Guidelines in Psychiatry. 15th Ed. Wiley-Blackwell; 2023.

Benzodiazepine Dose Converter

Diazepam Equivalent (DDE): 0.00 mg
Target Benzo Equivalent: 0.00 mg
Note: Half-lives vary significantly (e.g., Diazepam 20-100 hrs with active metabolites vs. Oxazepam 4-15 hrs). Cross-taper carefully due to incomplete cross-tolerance.
Scientific References:
  • Ashton H. Benzodiazepines: How They Work and How to Withdraw (The Ashton Manual). 2002.
  • Taylor D, Barnes T, Young A. The Maudsley Prescribing Guidelines in Psychiatry. 15th Ed. Wiley-Blackwell; 2023.

Lithium Monitoring Schedule & Checklist

Baseline Assessments (Prior to initiation)

Ongoing Monitoring (Every 3-6 months)

Clozapine Protocol & haematological Monitoring

Baseline Assessments (Prior to commencement)

Ongoing Haematological Checks

Metabolic Syndrome Monitoring Checklist

Screening Checklist

Methadone Titration Commencement Schedule

Buprenorphine / Suboxone Titration Schedule

Long-Acting Injectable (LAI) Next Dose Window

OTP Script Maker & Visualiser

Enter details below to generate a simulated standard NSW Authority script layout for Opioid Treatment.

Diazepam Weaning Schedule Builder

Nicotine Replacement Therapy (NRT) Dosage Calculator

Alcohol Elimination Rate Calculator

Psychiatric Medication QTc Guide

Review the typical QT interval prolongation risks and precaution guidelines for major psychotropic agents.

Medication Risk Level Est. prolongation (msec) Monitoring Recommendations

Mental Status Examination (MSE) Generator

Record the patient's presentation across standard clinical domains to generate a structured, EMR-ready mental status note.

Appearance

Attitude & Behaviour

Symptomatic Movements:
Mannerisms / Oddities:

Speech and Language

Emotions

Affect (Objective):

Perceptions

Hallucinations:

Thought Form & Content

Form of Thought:
Content - Risk:
Other Thought Phenomena:
Delusions:

Insight and Judgement

Insight:

Cognition

Generated MSE Note

Definitive 4P Formulation Maker

Enter patient details and biopsychosocial factors below to automatically compile a comprehensive clinical formulation.

📖 Formulation Reference Guide ▼

Predisposing: Historical vulnerabilities (genetic family history, early childhood developmental trauma, personality structure).
Precipitating: Triggers that initiated the current episode (recent losses, conflicts, life stressors, medical illness).
Perpetuating: Maintaining factors (cognitive distortions, avoidant coping styles, ongoing substance use, chronic social stressors).
Protective: Patient strengths and resources (good insight, strong support system, history of resilience, treatment adherence).
CBT: Analyzes Core Schemas ("I am unlovable"), Intermediate Rules/Assumptions ("If I please others, I will be safe"), and Automatic Thoughts.
Psychodynamic: Explores defense mechanisms (splitting, projection, intellectualization), central conflicts (autonomy vs dependency), and Ego Strengths.
Self Psychology: Focuses on unmet selfobject needs (mirroring, idealization, twinship) and dynamics of self cohesion vs fragmentation.
Erikson's Stages: Maps current crisis to psychosocial stages (e.g., Intimacy vs Isolation) and unresolved past stages.
Attachment Theory: Evaluates attachment styles (Secure, Anxious, Avoidant, Disorganized) and threat/separation triggers.

Presenting Problem

Diagnostic Impression

Predisposing Factors

What has made the person vulnerable in the past?

Biological
Psychological
Social

Precipitating Factors

Why now? What triggered the episode?

Biological
Psychological
Social

Perpetuating Factors

What is keeping the problem going?

Biological
Psychological
Social

Protective Factors

What are the patient's strengths and support networks?

Biological
Psychological
Social

Theoretical & Transdiagnostic Add-ins (Optional)

Select one or more theoretical frameworks to include in the formulation.

Cognitive Behavioral (CBT)
Psychodynamic & Defenses
Self Psychology
Erikson's Developmental Stages
Attachment Theory

Prognosis & Management Implications "prognosis guarded..." "priority safety..."

Compiled Formulation Note

Clinical Review Note Templates

Mental Health Support Lines

  • Mental Health Line (NSW): 1800 011 511 (24/7 crisis support and clinical triage connection)
  • Lifeline Australia: 13 11 14 (24/7 crisis support and suicide prevention counseling)
  • Beyond Blue: 1300 22 4636 (Information and support services for anxiety and depression)
  • Kids Helpline: 1800 55 1800 (24/7 free, private and confidential counseling for youth aged 5-25)
  • 13YARN: 13 92 76 (24/7 national crisis support line for Aboriginal and Torres Strait Islander people)

Statewide D&A / Specialty Services

  • ADIS (Alcohol and Drug Information Service): 1800 422 599 (24/7 support, information and referral)
  • DASAS (Drug and Alcohol State Advisory Service): 1800 023 687 (24/7 specialist advisory line for regional clinicians)
  • Suicide Call Back Service: 1300 659 467 (National 24/7 support for people affected by suicide)
Decision support, not legal advice. This tool covers the Mental Health Act 2007 (NSW), which it quotes directly, and the Guardianship Act 1987 (NSW) and Public Health Act 2010 (NSW), which are summarised from published algorithms rather than quoted. It does not replace your local health district's legal advice, NSW Health policy directives, or your own clinical judgement. Adults only.

Guided pathway

One question at a time. Each answer narrows to a disposition card telling you what to do, which section authorises it, what paperwork it needs and what clock starts.

Pathway maps

The whole picture in two diagrams. Click any box to open that step in the guided pathway.

Which Act applies — in the emergency department

After Huber J, Aguirrebarrena G, Ryan CJ. Algorithm for the use of the Guardianship Act, the Mental Health Act and the Public Health Act in emergency departments in New South Wales. Emerg Med Australas 2022; 34(1): 34-38. Guardianship Act and Public Health Act content is paraphrased from that paper, not quoted from those Acts.

Involuntary admission and detention

Refusal of medical treatment

After Cheng K, Wand A, Ryan C, Callaghan S. An algorithm for managing adults who refuse medical treatment in New South Wales. Australas Psychiatry 2018; 26(5): 464-468.

Capacity, Guardianship Act & Public Health Act

The capacity test, what has to happen before a person is deemed to lack capacity, the substitute-consent routes when they do, and what the Public Health Act can and cannot do for you. Guardianship Act and Public Health Act content is paraphrased from the published algorithms, not quoted from those Acts.

Section library

Every section this tool relies on, quoted from the current consolidation. Search by number, heading or any words in the text.

Forms & clocks

What to complete, who completes it, and every statutory time limit in one place.

Paperwork

Statutory clocks

Sources & scope

What this tool is built from, how current it is, and what it deliberately does not cover.

About PsychToolkit

PsychToolkit is a Progressive Web App (PWA) designed for clinical decision support, providing mental health professionals with rapid access to screening scales, equivalents calculators, and interactive monitoring protocols.

Copyright & Disclaimer

Educational and Informational Purposes Only. PsychToolkit is not a medical device and is not a substitute for professional clinical judgment, diagnosis, or treatment. Independent verification of all calculated doses, thresholds, and recommendations is required before patient application.

Copyright © Trent Koessler 2026. All rights reserved.

Version

Current Version: 1.0.0

Model plasma drug concentration over time using a one-compartment superposition model. Enter a dosing regimen, select a drug or enter a half-life manually, then generate the graph.

⚠️ Disclaimer: All concentration curves are in arbitrary units and are simplified models. Results are for educational and decision-support purposes only. LAI antipsychotic values are marked as approximate due to complex multi-compartment absorption-phase PK.

Drug Reference

Select a preset drug to auto-fill its typical half-life, or enter manually below.

Parameters

Regimen Builder

Pick a dose, a frequency and a number of days, and this writes the hour lines into the regimen below. Doses are spaced evenly across the interval; real administration times (e.g. TDS at 08:00/14:00/20:00) differ, so edit the lines directly if that matters.

Dosing Regimen

One dose per line, format: hour_from_start, dose_amount
Lines starting with # are ignored.

Enter parameters and click Generate Graph to visualise drug concentration over time.