EPSpeak for clinicians:patient-shared records

What your patient can bring to the appointment

Between appointments, patients build a patient-reported record on their own phone. When they choose to share it, you can see:

• Daily check-in history: a short read-aloud affirmation of roughly 20 to 40 seconds, plus a brief scored wellness questionnaire
• A voice-change score over time, which compares each recording with the patient's own earlier recordings, not with a population
• Symptom notes in the patient's own words, including movement changes such as restlessness, tremor, stiffness or slowness
• A medication log with doses and changes over time
• Optional wearable data, such as steps, heart rate, sleep and exercise, if the patient has connected a Fitbit or Google Health

The aim is to give you weeks of context in the time it takes to scan a code, so more of a short consultation can go to decisions rather than recall.

How sharing works

Sharing is opt-in and controlled by the patient. They generate a QR code in the app and choose the clinician they share with. Nothing is sent to a clinician automatically. The patient can use a session at home before the appointment, or at the clinic during it.

Medication side effect profiles and their evidence base

For psychotropic medicines, EPSpeak shows three scores from 0 to 4, covering extrapyramidal symptoms, akathisia and anticholinergic effects. The scores are derived from published comparative tolerability research: Huhn et al. and Leucht et al. in The Lancet, the Maudsley Prescribing Guidelines in Psychiatry, and Chew et al. on anticholinergic activity.

The profiles describe a medicine across many people in the literature. They are not a measurement of the individual patient, not a prediction, and not a recommendation. They exist to support a shared conversation about trade-offs, including the anticholinergic burden when several medicines are combined.

What EPSpeak is not

EPSpeak is a self-monitoring and health information tool. It is not a medical device and is not included on the Australian Register of Therapeutic Goods. It does not diagnose, it does not name or rate any condition, and the voice-change score is not a clinical judgement. Interpretation, and every decision about treatment, stays with you and your patient.

Recommending EPSpeak to patients

Points patients often ask about:

• Free on Google Play for Android and on the App Store for iPhone, with no ads and no in-app purchases.
• No account and no login. Anonymous sign-in with a random ID, and no name, email address, phone number or precise location collected.
• Works on a phone alone. A wearable is optional.
• Recording happens only during the check-in. Voice recordings are deleted after 7 days, and raw movement sensor data never leaves the phone.
• Developed by clinicians working in psychiatry, by MANOAI Pty Ltd in Perth.