I still run a psychiatry practice in San Francisco. I built Zenara because I needed it first.
For psychiatry practices ready to reclaim their work
If you run a psychiatry practice, you're probably feeling squeezed from every side—shorter visits, portal overload, invisible coordination work, and constant pressure to do more with less. Zenara Assist was built in that reality. In clinical testing, our assessment identified bipolar disorder missed for years, caught supplements causing symptoms, and surfaced trauma patients hadn't disclosed. You can practice the psychiatry you trained for.
You're not imagining it—this is hard.
Time compressed to the breaking point
15-minute follow-ups became 10, then 6. Complex first visits get half the time they deserve. You‘re doing checklist psychiatry when you know the case needs depth.
Portal and inbox overload
Refills, crises, clarifications, insurance messages—your inbox never sleeps. You‘re doing hours of clinical work every evening that no one sees and no one pays for.
Invisible care between visits
Your team coordinates with therapists, PCPs, families, pharmacies—crucial work that isn’t tracked, organized, or billable. It’s just more weight on everyone’s shoulders.
Measurement as a slogan, not a reality
Everyone talks about outcomes and measurement-based care. In practice, PHQ-9 forms are scattered, trends are hard to see, and treating ‘to target’ feels aspirational.
Diagnostic uncertainty
You suspect there’s more going on—maybe bipolar spectrum, maybe ADHD, maybe trauma you haven’t uncovered—but there’s no time to do the comprehensive evaluation that would give you confidence. So you treat what’s in front of you and hope you‘re not missing something important.
Moral injury
You didn’t become a psychiatrist to churn through 6-minute med checks. You feel the gap between your intentions and what the system allows.
Zenara Assist exists to close that gap—clinically, financially, and humanly.
What changes when your practice is supported
A practical path forward for your practice
Service lines that fit modern psychiatry
Zenara Assist doesn’t force you into any one financial model. It helps you run the care models that make sense for your patients, your clinicians, and your payers—by making sure your documentation is clear, consistent, and ready.
* Coverage and reimbursement vary by payer and state. During a practice checkup, we’ll help you understand which models fit your specific context.
Built by a psychiatrist who lives in this system
Built inside a working practice. Zenara Assist comes from workflows I use every week in my psychiatry practice—not theory.
Designed for the real constraints. I built collaborative care at Kaiser for a 500,000-patient catchment and helped design national clinical programs at Headspace Health. But Zenara didn’t come from those roles—it came from sitting with my own patients and watching a broken system fail them.
Focused on depth, not more clicking. The goal is better first visits, routine measurement, and organized coordination—without drowning clinicians in admin. Zenara Assist is how I’ve reconciled excellent care with sustainability in my practice.
Learn more about Ravi”- 10 years of measurement-based care (~400 patients) in my practice
Ravi Hariprasad, MD, MPHFounder & CEO, Zenara Health
- 1 year of continuous care coordination with clean monthly claims
- Clinical partnership with Texas Center for Lifestyle Medicine—45 comprehensive assessments completed
- Average 8-10 diagnoses identified per patient versus literature benchmark of 2.8
”That challenged my belief system—that the only way you can really identify mental health challenges was with a qualified mental health practitioner. But that's not what we found whatsoever.
The AI is able to give me a chart of the patient's hemoglobin and blood pressure and highlight areas I should be looking at. What does that really do for us? It elevates the quality of our decisions because innately we have the knowledge to make decisions—we just need the data.
It no longer becomes cross-sectional—it becomes a high-definition look at the patient.
Dr. Cheng Ruan, MDFounder, Texas Center for Lifestyle Medicine
The questions you’re probably asking
How do I know this actually finds things we're missing?
In clinical validation in an integrated primary care setting, comprehensive assessment surfaced findings standard care would have missed: bipolar disorder treated as depression for years, a supplement causing the brain fog it was meant to treat, profound social isolation driving “cognitive decline,” and undisclosed sexual trauma affecting daily functioning.
These weren’t unusual cases—they were typical primary care referrals. We have detailed documentation on 50+ assessments available for practices evaluating Assess.
Will this disrupt our clinicians?
We start by fitting into how you already work. Assess improves your intakes without forcing everyone to change their clinical style. Monitor and Care are layered in when your team is ready, not all at once.
Do we have to switch EHRs?
No. Zenara Assist is a sidecar. We complement your existing EHR and post artifacts back; we don’t replace your core system.
Is this just more administrative burden?
The whole point is to reduce administrative overload, not add to it. We focus on shifting work away from your highest-paid clinicians and turning the invisible coordination they’re already doing into organized, trackable activity.
Practically, that means intake summaries, risk flags, and billing-ready documentation come from the same workflow—so your team isn’t rebuilding the case from scratch.
We're not sure care-management billing will work for us
Care-management models aren’t right for every practice. In a practice assessment, we’ll look at your payer mix, patient panel, and staffing to decide together if they make sense—before you invest.
What practices like yours aim to see
Outcomes
- First visits where clinicians feel prepared and patients feel understood.
- Less time spent on documentation after hours; more time on actual care.
- Visible outcomes that guide treatment changes and support payer conversations.
- Continuous care models that feel organized enough to sustain, not heroics that exhaust your team.
- A practice that can keep saying yes to complex patients without burning out the people who care for them.
What this looked like for one patient:
A 72-year-old referred for memory concerns left his assessment with a completely different picture: his “cognitive decline” was anxiety-driven attention deficits from profound social isolation. Instead of a dementia workup, he got community connection resources. Within weeks, he attended his first social event in years. That’s what comprehensive assessment makes possible.
*Note: the exact impact depends on your starting point. Part of our work together is defining what success means for your particular practice.
You can practice the psychiatry you meant to practice
You don't have to choose between excellent care, your own wellbeing, and a sustainable business. You can build a practice that serves your community at scale—and still lets you be human. Let's explore whether Zenara Assist is the right partner for that.
Ready to talk? Get a practice checkup. Want to stay informed as Assess launches? Join the waitlist.
