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| title: Prompt Prism Prototype | |
| short_description: Dynamic system prompts for psychiatric AI | |
| emoji: 🔮 | |
| colorFrom: purple | |
| colorTo: blue | |
| sdk: gradio | |
| sdk_version: 4.44.1 | |
| python_version: "3.11" | |
| app_file: app.py | |
| pinned: false | |
| license: mit | |
| # Prompt Prism Prototype | |
| **Dynamic System Prompt Architecture for Psychiatric AI** | |
| *Same AI foundation, different refractions based on clinician + client + session.* | |
| --- | |
| ## The Problem | |
| Psychiatric AI tools today give every clinician the same prompt. | |
| - A psychodynamic therapist gets CBT-flavored AI | |
| - A high-risk bipolar client gets the same flags as stable anxiety | |
| - Intake data sits unused in the EHR | |
| - Clinician expertise is flattened to one-size-fits-all | |
| ## The Solution | |
| **Prompt Prism** generates a unique system prompt for each clinician + client combination. | |
| Same AI infrastructure. Different refraction for each clinical dyad. | |
| --- | |
| ## How It Works | |
| ### The Prism Metaphor | |
| A prism takes one light source and refracts it differently based on angle. | |
| Prompt Prism takes the **ARI Framework** (ethical base layer) and refracts it based on: | |
| - **Clinician** (orientation, style, philosophy) | |
| - **Client** (risk, diagnosis, treatment stage) | |
| - **Tools** (opt-in modules enabled for this client) | |
| - **Session** (what's happening now) | |
| ### The Layers | |
| | Layer | What It Contains | Why It Matters | | |
| |-------|-----------------|----------------| | |
| | **ARI Base** | Ethical guardrails, crisis protocols, forbidden language | Always-on safety | | |
| | **Clinician** | Orientation, style, preferences, exclusions | AI thinks like you do | | |
| | **Client** | Risk level, diagnosis, stage, custom flags | Personalized care | | |
| | **Tools** | Opt-in modules clinician enables | Right tools for right client | | |
| | **Session** | Last session, today's focus, current state | Continuity | | |
| --- | |
| ## Opt-In Tools | |
| Clinicians enable specific tools for specific clients: | |
| | Tool | Purpose | | |
| |------|---------| | |
| | **Diagnosis Explorer** | Multi-pillar psychoeducation without pathologizing | | |
| | **Tend & Send** | NVC-based communication for couples/family | | |
| | **NVC How-To** | Nonviolent Communication skill-building | | |
| | **Distress Tolerance** | DBT skills for riding out intensity | | |
| | **Practice Conversations** | Roleplay difficult discussions | | |
| | **Grounding & Regulation** | Somatic/sensory grounding | | |
| | **Somatic Check-In** | Brief interoception practice | | |
| | **ShadowBox Static Library** | Crisis-adjacent psychoeducation (NO LLM - static content only) | | |
| ### About ShadowBox | |
| ShadowBox demonstrates how to handle **crisis-adjacent content safely**: | |
| - Pre-written, clinically-reviewed content only | |
| - NO LLM generation for suicidal ideation, self-harm, or crisis topics | |
| - Confidentiality explained clearly | |
| - State-specific duty-to-warn information | |
| - Safety planning (Stanley-Brown model) | |
| - Crisis resources with context | |
| - Starter scripts for disclosure | |
| *"A resonant library for hard thoughts. Not a chatbot."* | |
| --- | |
| ## Supported Orientations | |
| - Psychodynamic | |
| - CBT | |
| - DBT | |
| - Trauma-Informed | |
| - IFS (Internal Family Systems) | |
| - Somatic/Body-Based | |
| - ACT (Acceptance and Commitment) | |
| - Humanistic/Person-Centered | |
| - Integrative | |
| --- | |
| ## Built On: ARI Framework | |
| **Assistive Relational Intelligence** - AI that scaffolds human connection, not simulates it. | |
| ### Core Principles | |
| 1. Scaffold human connection, not simulate it | |
| 2. Bridge toward human care, not away from it | |
| 3. Build capacity, not dependency | |
| 4. Honor clinician expertise | |
| 5. Refuse engagement-optimization | |
| ### Safety Features | |
| - Forbidden language patterns (no synthetic intimacy) | |
| - Crisis protocols that defer to humans | |
| - Risk-calibrated alerting | |
| - Session boundaries and exit rituals | |
| - Always bridge back to psychiatrist | |
| --- | |
| ## For Psychiatric Organizations | |
| This prototype demonstrates how hundreds of psychiatrists could each get AI aligned to their practice: | |
| - Psychodynamic psychiatrist → psychodynamic AI responses | |
| - DBT psychiatrist → DBT-aligned skill coaching | |
| - Conservative risk philosophy → lower alert thresholds | |
| - Client in stabilization → no trauma processing suggested | |
| - Couples client → Tend & Send communication tools enabled | |
| - High-risk client → ShadowBox static library for safe psychoeducation | |
| **The result:** AI that feels like an extension of the clinician's approach, not a generic chatbot. | |
| ### What This Demonstrates | |
| **For each unique clinician-client relationship:** | |
| 1. **Provider-controlled UX** — Psychiatrist toggles which tools are available | |
| 2. **Modality alignment** — AI speaks in the clinician's orientation | |
| 3. **Risk calibration** — Alerts tuned to this client's specific profile | |
| 4. **Opt-in tooling** — Right tools for right client at right time | |
| 5. **Bridging architecture** — Every tool points back to human care | |
| 6. **Static content for crisis** — ShadowBox shows how to handle high-risk topics safely | |
| **Innovation points:** | |
| - Dynamic system prompt generation per dyad | |
| - Clinician as configurator, not just consumer | |
| - Human-in-the-loop at every layer | |
| - Ethical guardrails embedded, not bolted on | |
| - Between-session support that strengthens (not replaces) the psychiatric relationship | |
| --- | |
| ## Usage | |
| 1. **Clinician Profile** - Set your orientation, style, preferences | |
| 2. **Client Context** - Configure diagnosis, risk level, treatment stage | |
| 3. **Tools & Modules** - Enable opt-in tools for this client | |
| 4. **Session Context** - Add continuity from last session | |
| 5. **Generate Prompt** - See your compiled system prompt | |
| 6. **Test Prompt** - Try it with sample client messages | |
| --- | |
| ## Setup | |
| Add your `ANTHROPIC_API_KEY` in Space settings to enable the Test Prompt feature. | |
| --- | |
| ## Author | |
| **Jocelyn Skillman, LMHC** | |
| Clinical AI Designer | Creator of the ARI Framework | |
| *"Your 800 psychiatrists practice differently. Should they all get the same AI?"* | |
| --- | |
| ## Related Projects | |
| - [ARI Tool Builder](https://huggingface.co/spaces/jostlebot/TherapistsCoding.ARI) | |
| - [Diagnosis Explorer](https://huggingface.co/spaces/jostlebot/DiagnosisExplorer) | |
| - [Portfolio](https://jocelyn-portfolio-ebon.vercel.app/) | |