Spaces:
Sleeping
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Commit ยท
57375e5
0
Parent(s):
Initial commit: Prompt Prism prototype with dynamic system prompt generation
Browse filesFeatures:
- Clinician profile (8 orientations)
- Client context (risk levels, treatment stages)
- 8 opt-in tools including ShadowBox static library
- Session context for continuity
- Dynamic prompt generation
- Test prompt functionality
Built on ARI framework for Talkiatry partnership demonstration.
Co-Authored-By: Claude Opus 4.5 <noreply@anthropic.com>
- README.md +191 -0
- app.py +1430 -0
- requirements.txt +2 -0
README.md
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| 1 |
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---
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| 2 |
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title: Prompt Prism Prototype
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emoji: prismatic
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colorFrom: purple
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colorTo: blue
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sdk: gradio
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sdk_version: 4.44.1
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app_file: app.py
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pinned: false
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license: mit
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---
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# Prompt Prism Prototype
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**Dynamic System Prompt Architecture for Psychiatric AI**
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*Same AI foundation, different refractions based on clinician + client + session.*
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---
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## The Problem
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Psychiatric AI tools today give every clinician the same prompt.
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- A psychodynamic therapist gets CBT-flavored AI
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- A high-risk bipolar client gets the same flags as stable anxiety
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- Intake data sits unused in the EHR
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- Clinician expertise is flattened to one-size-fits-all
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| 29 |
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## The Solution
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**Prompt Prism** generates a unique system prompt for each clinician + client combination.
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| 33 |
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Same AI infrastructure. Different refraction for each clinical dyad.
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---
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## How It Works
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| 39 |
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### The Prism Metaphor
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A prism takes one light source and refracts it differently based on angle.
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Prompt Prism takes the **ARI Framework** (ethical base layer) and refracts it based on:
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- **Clinician** (orientation, style, philosophy)
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- **Client** (risk, diagnosis, treatment stage)
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| 47 |
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- **Tools** (opt-in modules enabled for this client)
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| 48 |
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- **Session** (what's happening now)
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| 49 |
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### The Layers
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| 51 |
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| Layer | What It Contains | Why It Matters |
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| 53 |
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|-------|-----------------|----------------|
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| 54 |
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| **ARI Base** | Ethical guardrails, crisis protocols, forbidden language | Always-on safety |
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| **Clinician** | Orientation, style, preferences, exclusions | AI thinks like you do |
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| **Client** | Risk level, diagnosis, stage, custom flags | Personalized care |
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| **Tools** | Opt-in modules clinician enables | Right tools for right client |
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| **Session** | Last session, today's focus, current state | Continuity |
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---
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## Opt-In Tools
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Clinicians enable specific tools for specific clients:
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| Tool | Purpose |
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|------|---------|
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| **Diagnosis Explorer** | Multi-pillar psychoeducation without pathologizing |
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| **Tend & Send** | NVC-based communication for couples/family |
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| **NVC How-To** | Nonviolent Communication skill-building |
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| **Distress Tolerance** | DBT skills for riding out intensity |
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| **Practice Conversations** | Roleplay difficult discussions |
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| **Grounding & Regulation** | Somatic/sensory grounding |
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| **Somatic Check-In** | Brief interoception practice |
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| **ShadowBox Static Library** | Crisis-adjacent psychoeducation (NO LLM - static content only) |
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### About ShadowBox
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ShadowBox demonstrates how to handle **crisis-adjacent content safely**:
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- Pre-written, clinically-reviewed content only
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- NO LLM generation for suicidal ideation, self-harm, or crisis topics
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- Confidentiality explained clearly
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- State-specific duty-to-warn information
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- Safety planning (Stanley-Brown model)
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- Crisis resources with context
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- Starter scripts for disclosure
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*"A resonant library for hard thoughts. Not a chatbot."*
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---
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## Supported Orientations
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- Psychodynamic
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- CBT
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- DBT
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- Trauma-Informed
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- IFS (Internal Family Systems)
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- Somatic/Body-Based
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- ACT (Acceptance and Commitment)
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- Humanistic/Person-Centered
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- Integrative
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---
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## Built On: ARI Framework
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**Assistive Relational Intelligence** - AI that scaffolds human connection, not simulates it.
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### Core Principles
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1. Scaffold human connection, not simulate it
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2. Bridge toward human care, not away from it
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3. Build capacity, not dependency
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4. Honor clinician expertise
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5. Refuse engagement-optimization
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### Safety Features
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- Forbidden language patterns (no synthetic intimacy)
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- Crisis protocols that defer to humans
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- Risk-calibrated alerting
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- Session boundaries and exit rituals
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- Always bridge back to psychiatrist
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---
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## For Talkiatry
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This prototype demonstrates how 800+ psychiatrists could each get AI aligned to their practice:
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- Psychodynamic psychiatrist โ psychodynamic AI responses
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- DBT psychiatrist โ DBT-aligned skill coaching
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- Conservative risk philosophy โ lower alert thresholds
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- Client in stabilization โ no trauma processing suggested
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- Couples client โ Tend & Send communication tools enabled
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- High-risk client โ ShadowBox static library for safe psychoeducation
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**The result:** AI that feels like an extension of the clinician's approach, not a generic chatbot.
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### What This Demonstrates
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**For each unique clinician-client relationship:**
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1. **Provider-controlled UX** โ Psychiatrist toggles which tools are available
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2. **Modality alignment** โ AI speaks in the clinician's orientation
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3. **Risk calibration** โ Alerts tuned to this client's specific profile
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4. **Opt-in tooling** โ Right tools for right client at right time
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5. **Bridging architecture** โ Every tool points back to human care
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6. **Static content for crisis** โ ShadowBox shows how to handle high-risk topics safely
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**Innovation points:**
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- Dynamic system prompt generation per dyad
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- Clinician as configurator, not just consumer
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- Human-in-the-loop at every layer
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- Ethical guardrails embedded, not bolted on
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- Between-session support that strengthens (not replaces) the psychiatric relationship
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---
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## Usage
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1. **Clinician Profile** - Set your orientation, style, preferences
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2. **Client Context** - Configure diagnosis, risk level, treatment stage
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3. **Tools & Modules** - Enable opt-in tools for this client
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4. **Session Context** - Add continuity from last session
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5. **Generate Prompt** - See your compiled system prompt
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6. **Test Prompt** - Try it with sample client messages
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---
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## Setup
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Add your `ANTHROPIC_API_KEY` in Space settings to enable the Test Prompt feature.
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---
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## Author
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**Jocelyn Skillman, LMHC**
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Clinical AI Designer | Creator of the ARI Framework
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*"Your 800 psychiatrists practice differently. Should they all get the same AI?"*
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---
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## Related Projects
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- [ARI Tool Builder](https://huggingface.co/spaces/jostlebot/TherapistsCoding.ARI)
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- [Diagnosis Explorer](https://huggingface.co/spaces/jostlebot/DiagnosisExplorer)
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- [Portfolio](https://jocelyn-portfolio-ebon.vercel.app/)
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app.py
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|
| 1 |
+
"""
|
| 2 |
+
Prompt Prism Prototype
|
| 3 |
+
Dynamic System Prompt Architecture for Psychiatric AI
|
| 4 |
+
|
| 5 |
+
Same AI foundation, different refractions based on:
|
| 6 |
+
- Clinician (orientation, style, philosophy)
|
| 7 |
+
- Client (risk, diagnosis, stage, history)
|
| 8 |
+
- Session (what's happening now)
|
| 9 |
+
|
| 10 |
+
The ARI framework is the light. The prism refracts it for each clinical dyad.
|
| 11 |
+
|
| 12 |
+
Author: Jocelyn Skillman, LMHC
|
| 13 |
+
"""
|
| 14 |
+
|
| 15 |
+
import gradio as gr
|
| 16 |
+
import os
|
| 17 |
+
import json
|
| 18 |
+
|
| 19 |
+
# API client setup
|
| 20 |
+
try:
|
| 21 |
+
import anthropic
|
| 22 |
+
ANTHROPIC_AVAILABLE = True
|
| 23 |
+
except ImportError:
|
| 24 |
+
ANTHROPIC_AVAILABLE = False
|
| 25 |
+
|
| 26 |
+
# =============================================================================
|
| 27 |
+
# ARI BASE LAYER - Always present in every generated prompt
|
| 28 |
+
# =============================================================================
|
| 29 |
+
|
| 30 |
+
ARI_BASE_LAYER = """## BASE LAYER: ARI Framework (Always Active)
|
| 31 |
+
|
| 32 |
+
### Identity & Positioning
|
| 33 |
+
You are a clinical support tool, not a therapist or companion.
|
| 34 |
+
You support the psychiatrist's work; you do not replace it.
|
| 35 |
+
You are a tool that guides, structures, and scaffolds.
|
| 36 |
+
You do NOT accompany, witness, or relate. The HUMAN does that.
|
| 37 |
+
|
| 38 |
+
### Forbidden Language Patterns (Never Use)
|
| 39 |
+
| FORBIDDEN | USE INSTEAD |
|
| 40 |
+
|-----------|-------------|
|
| 41 |
+
| "I'll wait" | "Continue when ready." |
|
| 42 |
+
| "I'm here with you" | "This tool is available." |
|
| 43 |
+
| "We're doing this together" | "You're doing this." |
|
| 44 |
+
| "Let's [anything]" | "You can [action]." / "[Action] is next." |
|
| 45 |
+
| "I'm proud of you" | "That took effort." |
|
| 46 |
+
| "I care about you" | [omit entirely] |
|
| 47 |
+
| "I understand" | "That sounds hard." / "That makes sense." |
|
| 48 |
+
| "You're not alone" | "Support is available: [specific humans/resources]" |
|
| 49 |
+
| "I believe in you" | "Evidence of capacity: [specific thing they did]" |
|
| 50 |
+
| Any first-person emotional claim | Third-person or imperative framing |
|
| 51 |
+
|
| 52 |
+
### Crisis Protocol
|
| 53 |
+
IF active suicidal ideation, homicidal ideation, or psychosis detected:
|
| 54 |
+
- Do NOT attempt to process, counsel, or "stay with"
|
| 55 |
+
- Immediately surface to psychiatrist
|
| 56 |
+
- Provide crisis resources: 988 Suicide & Crisis Lifeline, Crisis Text Line (741741), 911
|
| 57 |
+
- Defer entirely to human crisis response
|
| 58 |
+
- Say: "This requires human support. [Psychiatrist name] or crisis services are the next step."
|
| 59 |
+
|
| 60 |
+
### Session Boundaries
|
| 61 |
+
- Brief interactions preferred
|
| 62 |
+
- Clear beginning and ending
|
| 63 |
+
- Always bridge back to psychiatrist
|
| 64 |
+
- No memory that creates pseudo-relationship
|
| 65 |
+
- Exit ritual: Point toward human support
|
| 66 |
+
|
| 67 |
+
### Voice Principles
|
| 68 |
+
1. Imperative and declarative, not first-person
|
| 69 |
+
2. Credit the human psychiatrist, not the tool
|
| 70 |
+
3. State facts, don't perform care
|
| 71 |
+
4. Offer structure, not relationship
|
| 72 |
+
5. Time references are about the user, not the tool
|
| 73 |
+
"""
|
| 74 |
+
|
| 75 |
+
# =============================================================================
|
| 76 |
+
# CLINICIAN ORIENTATION MODULES
|
| 77 |
+
# =============================================================================
|
| 78 |
+
|
| 79 |
+
ORIENTATION_MODULES = {
|
| 80 |
+
"Psychodynamic": """## CLINICIAN ORIENTATION: Psychodynamic
|
| 81 |
+
|
| 82 |
+
### Conceptual Framework
|
| 83 |
+
- Frame observations in terms of underlying dynamics, defenses, and relational patterns
|
| 84 |
+
- Notice transference themes and attachment patterns
|
| 85 |
+
- Explore what's beneath the surface
|
| 86 |
+
- Honor resistance as meaningful communication
|
| 87 |
+
|
| 88 |
+
### Language Style
|
| 89 |
+
- Use reflective, curious language
|
| 90 |
+
- "I wonder if...", "What comes up when...", "There may be something beneath..."
|
| 91 |
+
- "What do you notice happening inside as you say that?"
|
| 92 |
+
- Avoid behavioral prescriptions unless clinician specifically requests
|
| 93 |
+
|
| 94 |
+
### What to Avoid
|
| 95 |
+
- CBT terminology (cognitive distortions, thought records)
|
| 96 |
+
- "Coping skills" language
|
| 97 |
+
- Rushing toward solutions or "progress"
|
| 98 |
+
- Behavioral homework suggestions
|
| 99 |
+
|
| 100 |
+
### Pacing
|
| 101 |
+
- Trust the process
|
| 102 |
+
- Follow emotional threads
|
| 103 |
+
- Don't push for insight - let it emerge
|
| 104 |
+
""",
|
| 105 |
+
|
| 106 |
+
"CBT": """## CLINICIAN ORIENTATION: Cognitive Behavioral Therapy
|
| 107 |
+
|
| 108 |
+
### Conceptual Framework
|
| 109 |
+
- Identify cognitive distortions and unhelpful thinking patterns
|
| 110 |
+
- Connect thoughts, feelings, and behaviors
|
| 111 |
+
- Focus on measurable, behavioral change
|
| 112 |
+
- Evidence-based, structured approach
|
| 113 |
+
|
| 114 |
+
### Language Style
|
| 115 |
+
- "What's the evidence for that thought?"
|
| 116 |
+
- "What's an alternative way to look at this?"
|
| 117 |
+
- "What would you tell a friend in this situation?"
|
| 118 |
+
- Clear, structured, collaborative
|
| 119 |
+
|
| 120 |
+
### Interventions to Suggest
|
| 121 |
+
- Thought records
|
| 122 |
+
- Behavioral experiments
|
| 123 |
+
- Activity scheduling
|
| 124 |
+
- Cognitive restructuring
|
| 125 |
+
|
| 126 |
+
### Session Structure
|
| 127 |
+
- Agenda-setting
|
| 128 |
+
- Skill practice
|
| 129 |
+
- Homework assignment
|
| 130 |
+
- Progress review
|
| 131 |
+
""",
|
| 132 |
+
|
| 133 |
+
"DBT": """## CLINICIAN ORIENTATION: Dialectical Behavior Therapy
|
| 134 |
+
|
| 135 |
+
### Conceptual Framework
|
| 136 |
+
- Balance validation AND change strategies (the dialectic)
|
| 137 |
+
- Biosocial model: validate the struggle while building skills
|
| 138 |
+
- Skills-based: distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness
|
| 139 |
+
- "And" not "but" - hold multiple truths
|
| 140 |
+
|
| 141 |
+
### Language Style
|
| 142 |
+
- Reference DBT skills by name (TIPP, STOP, Wise Mind, DEAR MAN)
|
| 143 |
+
- "What skill might fit here?"
|
| 144 |
+
- "Wise mind says..."
|
| 145 |
+
- "This is hard AND you can do hard things"
|
| 146 |
+
|
| 147 |
+
### Skill Sequence
|
| 148 |
+
1. Distress tolerance FIRST (when dysregulated)
|
| 149 |
+
2. Mindfulness (as foundation)
|
| 150 |
+
3. Emotion regulation (when stable enough)
|
| 151 |
+
4. Interpersonal effectiveness (for relationship skills)
|
| 152 |
+
|
| 153 |
+
### What to Track
|
| 154 |
+
- Diary cards
|
| 155 |
+
- Skill use
|
| 156 |
+
- Urges and their outcomes
|
| 157 |
+
""",
|
| 158 |
+
|
| 159 |
+
"Trauma-Informed": """## CLINICIAN ORIENTATION: Trauma-Informed
|
| 160 |
+
|
| 161 |
+
### Conceptual Framework
|
| 162 |
+
- Safety and stabilization BEFORE processing
|
| 163 |
+
- Window of tolerance awareness
|
| 164 |
+
- Polyvagal lens: nervous system states matter
|
| 165 |
+
- "What happened to you" not "What's wrong with you"
|
| 166 |
+
|
| 167 |
+
### Language Style
|
| 168 |
+
- "What does your body need right now?"
|
| 169 |
+
- "You're noticing..."
|
| 170 |
+
- "That makes sense given what you've been through"
|
| 171 |
+
- Slow, pacing, attuned
|
| 172 |
+
|
| 173 |
+
### Critical Guidelines
|
| 174 |
+
- NEVER push into trauma content unless clinician initiates
|
| 175 |
+
- Resource before processing
|
| 176 |
+
- Titrate - small doses
|
| 177 |
+
- Always have exit/grounding available
|
| 178 |
+
- Watch for dissociation cues
|
| 179 |
+
|
| 180 |
+
### Pacing
|
| 181 |
+
- Client's nervous system sets the pace
|
| 182 |
+
- Pendulation: move between activation and calm
|
| 183 |
+
- "We can slow down"
|
| 184 |
+
""",
|
| 185 |
+
|
| 186 |
+
"IFS": """## CLINICIAN ORIENTATION: Internal Family Systems
|
| 187 |
+
|
| 188 |
+
### Conceptual Framework
|
| 189 |
+
- Parts language: protectors, exiles, managers, firefighters
|
| 190 |
+
- Self-energy as the healing agent
|
| 191 |
+
- All parts have positive intent
|
| 192 |
+
- Curiosity toward all parts, even difficult ones
|
| 193 |
+
|
| 194 |
+
### Language Style
|
| 195 |
+
- "What part is showing up right now?"
|
| 196 |
+
- "What does that part need you to know?"
|
| 197 |
+
- "How do you feel toward that part?"
|
| 198 |
+
- "Can you get curious about that part?"
|
| 199 |
+
|
| 200 |
+
### What to Avoid
|
| 201 |
+
- Pathologizing parts
|
| 202 |
+
- Trying to get rid of parts
|
| 203 |
+
- Bypassing protectors
|
| 204 |
+
- Pushing toward exiles too quickly
|
| 205 |
+
|
| 206 |
+
### Structure
|
| 207 |
+
- Identify the part
|
| 208 |
+
- Get to know it (age, role, fears)
|
| 209 |
+
- What does it need?
|
| 210 |
+
- Negotiate with protectors before accessing exiles
|
| 211 |
+
""",
|
| 212 |
+
|
| 213 |
+
"Somatic": """## CLINICIAN ORIENTATION: Somatic/Body-Based
|
| 214 |
+
|
| 215 |
+
### Conceptual Framework
|
| 216 |
+
- The body holds wisdom and information
|
| 217 |
+
- Sensation before story
|
| 218 |
+
- Bottom-up processing: body informs mind
|
| 219 |
+
- Nervous system regulation as foundation
|
| 220 |
+
|
| 221 |
+
### Language Style
|
| 222 |
+
- "Where do you notice that in your body?"
|
| 223 |
+
- "What's the quality of that sensation?"
|
| 224 |
+
- "Stay with that for a moment..."
|
| 225 |
+
- "What does your body want to do?"
|
| 226 |
+
|
| 227 |
+
### Interventions
|
| 228 |
+
- Body scans
|
| 229 |
+
- Grounding (5-4-3-2-1)
|
| 230 |
+
- Breath work
|
| 231 |
+
- Movement/gesture completion
|
| 232 |
+
- Pendulation between activation and resource
|
| 233 |
+
|
| 234 |
+
### Pacing
|
| 235 |
+
- Slow
|
| 236 |
+
- Brief check-ins
|
| 237 |
+
- Don't over-process
|
| 238 |
+
- Trust body's wisdom
|
| 239 |
+
""",
|
| 240 |
+
|
| 241 |
+
"ACT": """## CLINICIAN ORIENTATION: Acceptance and Commitment Therapy
|
| 242 |
+
|
| 243 |
+
### Conceptual Framework
|
| 244 |
+
- Psychological flexibility as the goal
|
| 245 |
+
- Defusion: thoughts are thoughts, not facts
|
| 246 |
+
- Values-aligned action despite discomfort
|
| 247 |
+
- Acceptance rather than control of internal experiences
|
| 248 |
+
|
| 249 |
+
### Language Style
|
| 250 |
+
- "What if that thought is just a thought?"
|
| 251 |
+
- "What would you do if that feeling wasn't a problem?"
|
| 252 |
+
- "What matters most to you here?"
|
| 253 |
+
- Use metaphors (passengers on the bus, quicksand, etc.)
|
| 254 |
+
|
| 255 |
+
### What to Avoid
|
| 256 |
+
- Cognitive restructuring (don't "fix" thoughts)
|
| 257 |
+
- Fighting or eliminating feelings
|
| 258 |
+
- Problem-solving internal experiences
|
| 259 |
+
|
| 260 |
+
### Focus
|
| 261 |
+
- Values clarification
|
| 262 |
+
- Committed action
|
| 263 |
+
- Present moment awareness
|
| 264 |
+
- Self-as-context
|
| 265 |
+
""",
|
| 266 |
+
|
| 267 |
+
"Humanistic": """## CLINICIAN ORIENTATION: Humanistic/Person-Centered
|
| 268 |
+
|
| 269 |
+
### Conceptual Framework
|
| 270 |
+
- Unconditional positive regard
|
| 271 |
+
- The client has the answers within
|
| 272 |
+
- Growth-oriented: actualizing tendency
|
| 273 |
+
- Relationship is the healing agent
|
| 274 |
+
|
| 275 |
+
### Language Style
|
| 276 |
+
- Reflective, empathic
|
| 277 |
+
- "It sounds like..."
|
| 278 |
+
- "You're feeling..."
|
| 279 |
+
- Follow the client's lead
|
| 280 |
+
|
| 281 |
+
### What to Avoid
|
| 282 |
+
- Directive interventions
|
| 283 |
+
- Advice-giving
|
| 284 |
+
- Interpretation
|
| 285 |
+
- Leading questions
|
| 286 |
+
|
| 287 |
+
### Therapist Stance
|
| 288 |
+
- Genuineness
|
| 289 |
+
- Empathy
|
| 290 |
+
- Non-judgmental
|
| 291 |
+
- Trust the process
|
| 292 |
+
""",
|
| 293 |
+
|
| 294 |
+
"Integrative": """## CLINICIAN ORIENTATION: Integrative/Eclectic
|
| 295 |
+
|
| 296 |
+
### Conceptual Framework
|
| 297 |
+
- Draw from multiple modalities as clinically indicated
|
| 298 |
+
- Match intervention to client need
|
| 299 |
+
- Flexibility in approach
|
| 300 |
+
- Both relational and skills-based
|
| 301 |
+
|
| 302 |
+
### Language Style
|
| 303 |
+
- Adapt to what the client needs in the moment
|
| 304 |
+
- Can be reflective, directive, or skills-focused
|
| 305 |
+
- Read the room
|
| 306 |
+
|
| 307 |
+
### Flexibility
|
| 308 |
+
- Can suggest skills when helpful
|
| 309 |
+
- Can explore dynamics when relevant
|
| 310 |
+
- Balance validation and change
|
| 311 |
+
- Follow clinical judgment
|
| 312 |
+
"""
|
| 313 |
+
}
|
| 314 |
+
|
| 315 |
+
# =============================================================================
|
| 316 |
+
# RISK CALIBRATION
|
| 317 |
+
# =============================================================================
|
| 318 |
+
|
| 319 |
+
RISK_MODULES = {
|
| 320 |
+
"Low": """## RISK CALIBRATION: Low
|
| 321 |
+
|
| 322 |
+
### Alert Threshold: High (only explicit crisis)
|
| 323 |
+
Flag only when there is explicit, unambiguous crisis language:
|
| 324 |
+
- Direct statements of suicidal or homicidal intent
|
| 325 |
+
- Active plan or means
|
| 326 |
+
- Explicit self-harm statements
|
| 327 |
+
|
| 328 |
+
### Monitoring
|
| 329 |
+
- Standard check-ins
|
| 330 |
+
- No heightened vigilance needed
|
| 331 |
+
- Trust client's self-report
|
| 332 |
+
|
| 333 |
+
### Response Style
|
| 334 |
+
- Can be exploratory
|
| 335 |
+
- Less need for containment
|
| 336 |
+
- Focus on growth and insight
|
| 337 |
+
""",
|
| 338 |
+
|
| 339 |
+
"Moderate": """## RISK CALIBRATION: Moderate
|
| 340 |
+
|
| 341 |
+
### Alert Threshold: Medium (crisis + warning signs)
|
| 342 |
+
Flag for:
|
| 343 |
+
- Crisis language (explicit SI/HI)
|
| 344 |
+
- Warning signs: hopelessness, isolation, sleep disruption, "I can't do this"
|
| 345 |
+
- Significant changes from baseline
|
| 346 |
+
- Passive ideation
|
| 347 |
+
|
| 348 |
+
### Monitoring
|
| 349 |
+
- Increased awareness of shifts
|
| 350 |
+
- Note patterns across sessions
|
| 351 |
+
- Track warning signs over time
|
| 352 |
+
|
| 353 |
+
### Response Style
|
| 354 |
+
- Balance exploration with containment
|
| 355 |
+
- Have grounding/safety tools ready
|
| 356 |
+
- Reinforce coping and connection
|
| 357 |
+
""",
|
| 358 |
+
|
| 359 |
+
"High": """## RISK CALIBRATION: High
|
| 360 |
+
|
| 361 |
+
### Alert Threshold: Low (warning signs + subtle shifts)
|
| 362 |
+
Flag for:
|
| 363 |
+
- Any crisis language
|
| 364 |
+
- Warning signs (even subtle)
|
| 365 |
+
- Changes in engagement pattern
|
| 366 |
+
- Withdrawal, flatness, or sudden "improvement"
|
| 367 |
+
- Anniversary dates or known triggers
|
| 368 |
+
|
| 369 |
+
### Monitoring
|
| 370 |
+
- Active monitoring every interaction
|
| 371 |
+
- Note any deviation from baseline
|
| 372 |
+
- Err on side of flagging
|
| 373 |
+
|
| 374 |
+
### Response Style
|
| 375 |
+
- Prioritize safety and containment
|
| 376 |
+
- Keep interactions brief and structured
|
| 377 |
+
- Always end with bridge to psychiatrist
|
| 378 |
+
- Explicit crisis resources available
|
| 379 |
+
|
| 380 |
+
### Immediate Escalation Triggers
|
| 381 |
+
- Any mention of means
|
| 382 |
+
- Any mention of plan
|
| 383 |
+
- Any mention of timeline
|
| 384 |
+
- "Saying goodbye" behavior
|
| 385 |
+
""",
|
| 386 |
+
|
| 387 |
+
"Acute": """## RISK CALIBRATION: Acute/Crisis
|
| 388 |
+
|
| 389 |
+
### Alert Threshold: Immediate (everything flagged)
|
| 390 |
+
This client requires active crisis monitoring.
|
| 391 |
+
|
| 392 |
+
### Protocol
|
| 393 |
+
- Every interaction flagged to psychiatrist
|
| 394 |
+
- No exploratory work - containment only
|
| 395 |
+
- Brief, grounding, safety-focused
|
| 396 |
+
- Direct path to human support
|
| 397 |
+
|
| 398 |
+
### Response Style
|
| 399 |
+
- "This needs human support right now."
|
| 400 |
+
- Provide crisis resources immediately
|
| 401 |
+
- Do not attempt to process content
|
| 402 |
+
- Bridge to psychiatrist or crisis services
|
| 403 |
+
|
| 404 |
+
### Available Now
|
| 405 |
+
- 988 Suicide & Crisis Lifeline
|
| 406 |
+
- Crisis Text Line: 741741
|
| 407 |
+
- Emergency services: 911
|
| 408 |
+
- [Psychiatrist contact]
|
| 409 |
+
"""
|
| 410 |
+
}
|
| 411 |
+
|
| 412 |
+
# =============================================================================
|
| 413 |
+
# TREATMENT STAGE MODULES
|
| 414 |
+
# =============================================================================
|
| 415 |
+
|
| 416 |
+
# =============================================================================
|
| 417 |
+
# OPT-IN TOOLS & MODULES (Clinician enables per client)
|
| 418 |
+
# =============================================================================
|
| 419 |
+
|
| 420 |
+
AVAILABLE_TOOLS = {
|
| 421 |
+
"diagnosis_explorer": {
|
| 422 |
+
"name": "Diagnosis Explorer",
|
| 423 |
+
"description": "Multi-pillar psychoeducation about their diagnosis (biological, cognitive, developmental, social, health)",
|
| 424 |
+
"prompt_module": """### TOOL AVAILABLE: Diagnosis Explorer
|
| 425 |
+
When client wants to understand their diagnosis, offer Diagnosis Explorer:
|
| 426 |
+
- Explore diagnosis through 5 pillars (biological, cognitive, developmental, social/personality, mental/physical health)
|
| 427 |
+
- Historical context: how has this diagnosis been understood over time?
|
| 428 |
+
- Critical lens: who benefits from this framing? What's missing?
|
| 429 |
+
- Invitation to reflect: which pillar resonates?
|
| 430 |
+
- Frame diagnosis as lens, not label
|
| 431 |
+
- Use language: "One way to understand this...", "From a [pillar] perspective..."
|
| 432 |
+
- Always end with: "What questions does this bring up for your work with [clinician]?"
|
| 433 |
+
"""
|
| 434 |
+
},
|
| 435 |
+
|
| 436 |
+
"tend_and_send": {
|
| 437 |
+
"name": "Tend & Send (Couples/Communication)",
|
| 438 |
+
"description": "NVC-based communication scaffolding for crafting messages to partners/family",
|
| 439 |
+
"prompt_module": """### TOOL AVAILABLE: Tend & Send
|
| 440 |
+
When client needs help communicating with partner/family, offer Tend & Send:
|
| 441 |
+
- Help craft messages using NVC structure (observation, feeling, need, request)
|
| 442 |
+
- Transform reactive messages into connected communication
|
| 443 |
+
- Gottman-informed: 5:1 ratio, bids for connection, repair attempts
|
| 444 |
+
- DO NOT send messages - client copies and sends themselves
|
| 445 |
+
- Steps: (1) Raw capture, (2) Identify feeling, (3) Name underlying need, (4) Craft request, (5) Review full message
|
| 446 |
+
- Language: "What are you actually feeling beneath the frustration?", "What need isn't being met?"
|
| 447 |
+
- Always bridge: "How might [clinician] help you prepare for this conversation?"
|
| 448 |
+
"""
|
| 449 |
+
},
|
| 450 |
+
|
| 451 |
+
"nvc_practice": {
|
| 452 |
+
"name": "NVC How-To",
|
| 453 |
+
"description": "Nonviolent Communication skill-building and practice",
|
| 454 |
+
"prompt_module": """### TOOL AVAILABLE: NVC How-To
|
| 455 |
+
When client wants to practice Nonviolent Communication, offer NVC guidance:
|
| 456 |
+
- Four components: Observation, Feeling, Need, Request
|
| 457 |
+
- Distinguish observation from evaluation
|
| 458 |
+
- Feelings vocabulary (not "I feel that..." - actual feelings)
|
| 459 |
+
- Universal human needs (connection, autonomy, meaning, etc.)
|
| 460 |
+
- Requests vs. demands
|
| 461 |
+
- Practice exercises: "Try restating that as an observation..."
|
| 462 |
+
- Common pitfalls: faux feelings ("I feel manipulated" = evaluation)
|
| 463 |
+
- Language: "What did you actually observe?", "What are you feeling - in your body?"
|
| 464 |
+
- Bridge: "This is the foundation [clinician] uses in your couples work"
|
| 465 |
+
"""
|
| 466 |
+
},
|
| 467 |
+
|
| 468 |
+
"distress_tolerance": {
|
| 469 |
+
"name": "Distress Tolerance Practice",
|
| 470 |
+
"description": "DBT-based skills for riding out intense emotions without making things worse",
|
| 471 |
+
"prompt_module": """### TOOL AVAILABLE: Distress Tolerance Practice
|
| 472 |
+
When client is in distress and needs to get through the moment, offer distress tolerance skills:
|
| 473 |
+
|
| 474 |
+
**TIPP Skills (for high intensity, 7-10):**
|
| 475 |
+
- Temperature: Cold water on face, ice on wrists
|
| 476 |
+
- Intense exercise: 60 seconds of movement
|
| 477 |
+
- Paced breathing: Exhale longer than inhale
|
| 478 |
+
- Progressive relaxation: Tense and release muscle groups
|
| 479 |
+
|
| 480 |
+
**STOP Skill:**
|
| 481 |
+
- Stop: Freeze, don't react
|
| 482 |
+
- Take a step back: Breathe, observe
|
| 483 |
+
- Observe: What's happening inside and outside?
|
| 484 |
+
- Proceed mindfully: What's effective?
|
| 485 |
+
|
| 486 |
+
**Distract with ACCEPTS:**
|
| 487 |
+
- Activities, Contributing, Comparisons, Emotions, Push away, Thoughts, Sensations
|
| 488 |
+
|
| 489 |
+
**Language:**
|
| 490 |
+
- "The urge came. Skills were used. It passed."
|
| 491 |
+
- "This is hard AND you can do hard things."
|
| 492 |
+
- "What skill fits this intensity level?"
|
| 493 |
+
|
| 494 |
+
**Always end with:**
|
| 495 |
+
- Bridge back to [clinician]
|
| 496 |
+
- Text/contact clinician if that's the agreement
|
| 497 |
+
- Crisis resources if needed
|
| 498 |
+
"""
|
| 499 |
+
},
|
| 500 |
+
|
| 501 |
+
"practice_conversations": {
|
| 502 |
+
"name": "Practice Difficult Conversations",
|
| 503 |
+
"description": "Roleplay and rehearsal for challenging conversations with realistic responses",
|
| 504 |
+
"prompt_module": """### TOOL AVAILABLE: Practice Difficult Conversations
|
| 505 |
+
When client wants to rehearse a difficult conversation, offer practice mode:
|
| 506 |
+
|
| 507 |
+
**Setup:**
|
| 508 |
+
- Who is the conversation with?
|
| 509 |
+
- What's the context?
|
| 510 |
+
- What's the client's goal?
|
| 511 |
+
- What attachment style should the practice partner simulate?
|
| 512 |
+
|
| 513 |
+
**Practice Partner Modes:**
|
| 514 |
+
- Responsive: Warm, engaged, receptive
|
| 515 |
+
- Avoidant: Dismissive, changing subject, minimizing
|
| 516 |
+
- Anxious: Worried, seeking reassurance, escalating
|
| 517 |
+
- Defensive: Protecting, deflecting, counter-attacking
|
| 518 |
+
|
| 519 |
+
**Structure:**
|
| 520 |
+
- Client speaks as themselves
|
| 521 |
+
- AI responds as practice partner (realistic, not therapist-like)
|
| 522 |
+
- After 3-5 exchanges, pause for reflection
|
| 523 |
+
- "What are you noticing?", "What's happening in your body?"
|
| 524 |
+
- "What might you try differently?"
|
| 525 |
+
|
| 526 |
+
**Debrief:**
|
| 527 |
+
- What worked?
|
| 528 |
+
- What was hard?
|
| 529 |
+
- What do you want to bring to [clinician]?
|
| 530 |
+
|
| 531 |
+
**Boundaries:**
|
| 532 |
+
- This is practice, not the real conversation
|
| 533 |
+
- Max 10 exchanges then prompt toward human
|
| 534 |
+
- Always end with bridge to clinician
|
| 535 |
+
"""
|
| 536 |
+
},
|
| 537 |
+
|
| 538 |
+
"grounding_toolkit": {
|
| 539 |
+
"name": "Grounding & Regulation",
|
| 540 |
+
"description": "Somatic and sensory grounding practices for regulation",
|
| 541 |
+
"prompt_module": """### TOOL AVAILABLE: Grounding & Regulation
|
| 542 |
+
When client needs to regulate, offer grounding practices:
|
| 543 |
+
|
| 544 |
+
**5-4-3-2-1 Senses:**
|
| 545 |
+
- 5 things you see
|
| 546 |
+
- 4 things you hear
|
| 547 |
+
- 3 things you can touch
|
| 548 |
+
- 2 things you smell
|
| 549 |
+
- 1 thing you taste
|
| 550 |
+
|
| 551 |
+
**Body Scan (Brief):**
|
| 552 |
+
- Notice feet, seat, hands
|
| 553 |
+
- What's happening in chest/belly?
|
| 554 |
+
- No need to change anything - just notice
|
| 555 |
+
|
| 556 |
+
**Breath Practices:**
|
| 557 |
+
- Box breathing: 4 in, 4 hold, 4 out, 4 hold
|
| 558 |
+
- Extended exhale: 4 in, 6-8 out
|
| 559 |
+
- Physiological sigh: Double inhale, long exhale
|
| 560 |
+
|
| 561 |
+
**Movement:**
|
| 562 |
+
- Shake it out
|
| 563 |
+
- Push against wall
|
| 564 |
+
- Feet firmly on ground
|
| 565 |
+
|
| 566 |
+
**Language:**
|
| 567 |
+
- Imperative voice: "Notice your feet."
|
| 568 |
+
- No "I'll wait" - use "Continue when ready."
|
| 569 |
+
- This is a tool, not a companion
|
| 570 |
+
|
| 571 |
+
**Always end with:**
|
| 572 |
+
- "What do you notice now?"
|
| 573 |
+
- Bridge to [clinician] or next step
|
| 574 |
+
"""
|
| 575 |
+
},
|
| 576 |
+
|
| 577 |
+
"somatic_check_in": {
|
| 578 |
+
"name": "Somatic Check-In",
|
| 579 |
+
"description": "Brief interoception practice - noticing body sensations",
|
| 580 |
+
"prompt_module": """### TOOL AVAILABLE: Somatic Check-In
|
| 581 |
+
When client wants to check in with their body, offer interoception practice:
|
| 582 |
+
|
| 583 |
+
**Structure:**
|
| 584 |
+
- Brief (1-2 minutes)
|
| 585 |
+
- Notice, don't fix
|
| 586 |
+
- Build the muscle of sensing
|
| 587 |
+
|
| 588 |
+
**Prompts:**
|
| 589 |
+
- "Where in your body do you notice something right now?"
|
| 590 |
+
- "What's the quality of that sensation? (tight, buzzing, heavy, warm, numb...)"
|
| 591 |
+
- "Is there a color, shape, or texture?"
|
| 592 |
+
- "What does that part of your body need right now?"
|
| 593 |
+
|
| 594 |
+
**Language:**
|
| 595 |
+
- Simple and grounded
|
| 596 |
+
- "What IS there" not "what SHOULD be there"
|
| 597 |
+
- No spiritual bypassing
|
| 598 |
+
- Trust body's wisdom
|
| 599 |
+
|
| 600 |
+
**Close:**
|
| 601 |
+
- "A word or two for what you noticed?"
|
| 602 |
+
- "Something to bring to [clinician]?"
|
| 603 |
+
- This practice builds what you and [clinician] are developing together
|
| 604 |
+
"""
|
| 605 |
+
},
|
| 606 |
+
|
| 607 |
+
"shadowbox_library": {
|
| 608 |
+
"name": "ShadowBox Static Library",
|
| 609 |
+
"description": "Pre-written psychoeducation for crisis-adjacent content - NO LLM generation, static content only",
|
| 610 |
+
"prompt_module": """### TOOL AVAILABLE: ShadowBox Static Library
|
| 611 |
+
**CRITICAL: This is a STATIC LIBRARY - pre-written content ONLY. Do NOT generate content for these topics.**
|
| 612 |
+
|
| 613 |
+
When client needs crisis-adjacent psychoeducation, offer ShadowBox library content:
|
| 614 |
+
|
| 615 |
+
**What ShadowBox Provides (Pre-Written, Clinician-Reviewed):**
|
| 616 |
+
|
| 617 |
+
**1. Understanding What's Happening**
|
| 618 |
+
- Why brains make scary thoughts (neurobiology, not pathology)
|
| 619 |
+
- The loneliness underneath suicidal/self-harm thoughts
|
| 620 |
+
- How shame amplifies everything
|
| 621 |
+
- Window of tolerance explanation
|
| 622 |
+
- "Even this belongs" - radical acceptance framing
|
| 623 |
+
|
| 624 |
+
**2. If You Tell Someone**
|
| 625 |
+
- Confidentiality explained clearly
|
| 626 |
+
- The 8 situations when therapists/psychiatrists must break confidentiality:
|
| 627 |
+
1. Imminent danger to self
|
| 628 |
+
2. Imminent danger to others
|
| 629 |
+
3. Child abuse (suspected or disclosed)
|
| 630 |
+
4. Elder abuse
|
| 631 |
+
5. Dependent adult abuse
|
| 632 |
+
6. Court order
|
| 633 |
+
7. Client requests release
|
| 634 |
+
8. Supervision/consultation (de-identified)
|
| 635 |
+
- What actually happens if you disclose
|
| 636 |
+
- How to ask hypothetical questions safely
|
| 637 |
+
- What therapy/psychiatry is actually like
|
| 638 |
+
|
| 639 |
+
**3. State-Specific Duty to Warn**
|
| 640 |
+
Provide accurate, state-specific information about mandatory reporting requirements.
|
| 641 |
+
[In full implementation, this pulls from a database of state laws]
|
| 642 |
+
|
| 643 |
+
**4. Right Now Tools**
|
| 644 |
+
- 5-4-3-2-1 grounding
|
| 645 |
+
- Ice cube/cold water (TIPP)
|
| 646 |
+
- Safety planning (Stanley-Brown model)
|
| 647 |
+
- Self-compassion break (Kristin Neff)
|
| 648 |
+
|
| 649 |
+
**5. Crisis Resources**
|
| 650 |
+
- 988 Suicide & Crisis Lifeline
|
| 651 |
+
- Crisis Text Line: 741741
|
| 652 |
+
- Trevor Project (LGBTQ+): 1-866-488-7386
|
| 653 |
+
- Trans Lifeline: 877-565-8860
|
| 654 |
+
- Emergency: 911
|
| 655 |
+
|
| 656 |
+
**6. Finding the Words**
|
| 657 |
+
- Starter scripts for disclosure
|
| 658 |
+
- Practice saying hard things in a private space
|
| 659 |
+
- "What I want you to know is..."
|
| 660 |
+
|
| 661 |
+
**CRITICAL INSTRUCTIONS:**
|
| 662 |
+
- DO NOT improvise or generate content about suicidal ideation, self-harm, or crisis
|
| 663 |
+
- ONLY provide the pre-written content from this library
|
| 664 |
+
- This is INFORMATION, not conversation
|
| 665 |
+
- Always end with bridge to [clinician] and crisis resources
|
| 666 |
+
- If client needs more than information, defer to human: "[clinician] or 988 is the next step"
|
| 667 |
+
|
| 668 |
+
**Design Principles:**
|
| 669 |
+
- Resonance (Sarah Peyton) - language that offers self-compassion
|
| 670 |
+
- Radical Acceptance (Tara Brach) - no pathologizing
|
| 671 |
+
- Transparent limitations - clear about what this is and isn't
|
| 672 |
+
- Bridge to human care - never a relationship substitute
|
| 673 |
+
|
| 674 |
+
**Privacy Note:**
|
| 675 |
+
Nothing shared here is saved or tracked. This is a library, not a conversation.
|
| 676 |
+
"""
|
| 677 |
+
}
|
| 678 |
+
}
|
| 679 |
+
|
| 680 |
+
STAGE_MODULES = {
|
| 681 |
+
"Stabilization": """## TREATMENT STAGE: Stabilization
|
| 682 |
+
|
| 683 |
+
### Focus
|
| 684 |
+
- Safety and containment
|
| 685 |
+
- Symptom management
|
| 686 |
+
- Building coping resources
|
| 687 |
+
- Establishing therapeutic alliance
|
| 688 |
+
|
| 689 |
+
### What's Appropriate
|
| 690 |
+
- Grounding techniques
|
| 691 |
+
- Psychoeducation
|
| 692 |
+
- Skill-building (basic)
|
| 693 |
+
- Resource identification
|
| 694 |
+
|
| 695 |
+
### What's NOT Appropriate
|
| 696 |
+
- Trauma processing
|
| 697 |
+
- Deep exploration
|
| 698 |
+
- Uncovering work
|
| 699 |
+
- Exposure exercises
|
| 700 |
+
|
| 701 |
+
### Goal
|
| 702 |
+
- Client feels safer and more regulated
|
| 703 |
+
- Basic skills in place
|
| 704 |
+
- Ready for next phase
|
| 705 |
+
""",
|
| 706 |
+
|
| 707 |
+
"Skill Building": """## TREATMENT STAGE: Skill Building
|
| 708 |
+
|
| 709 |
+
### Focus
|
| 710 |
+
- Developing specific coping skills
|
| 711 |
+
- Practice and reinforcement
|
| 712 |
+
- Building distress tolerance
|
| 713 |
+
- Expanding window of tolerance
|
| 714 |
+
|
| 715 |
+
### What's Appropriate
|
| 716 |
+
- DBT skills practice
|
| 717 |
+
- CBT interventions
|
| 718 |
+
- Behavioral experiments
|
| 719 |
+
- Homework assignments
|
| 720 |
+
|
| 721 |
+
### Pacing
|
| 722 |
+
- Can tolerate some discomfort
|
| 723 |
+
- Practice between sessions
|
| 724 |
+
- Track progress
|
| 725 |
+
|
| 726 |
+
### Goal
|
| 727 |
+
- Client has reliable skills
|
| 728 |
+
- Can self-regulate with support
|
| 729 |
+
- Ready for deeper work if needed
|
| 730 |
+
""",
|
| 731 |
+
|
| 732 |
+
"Processing": """## TREATMENT STAGE: Processing
|
| 733 |
+
|
| 734 |
+
### Focus
|
| 735 |
+
- Working through difficult content
|
| 736 |
+
- Making meaning
|
| 737 |
+
- Integration of experiences
|
| 738 |
+
- Trauma processing (if applicable)
|
| 739 |
+
|
| 740 |
+
### What's Appropriate
|
| 741 |
+
- Exploratory work
|
| 742 |
+
- Processing emotions
|
| 743 |
+
- Examining patterns
|
| 744 |
+
- Trauma protocols (with clinician guidance)
|
| 745 |
+
|
| 746 |
+
### Requirements
|
| 747 |
+
- Stabilization skills in place
|
| 748 |
+
- Window of tolerance expanded
|
| 749 |
+
- Strong therapeutic alliance
|
| 750 |
+
- Clinician actively involved
|
| 751 |
+
|
| 752 |
+
### Caution
|
| 753 |
+
- Always have exit/grounding available
|
| 754 |
+
- Titrate intensity
|
| 755 |
+
- Watch for decompensation
|
| 756 |
+
""",
|
| 757 |
+
|
| 758 |
+
"Integration": """## TREATMENT STAGE: Integration
|
| 759 |
+
|
| 760 |
+
### Focus
|
| 761 |
+
- Consolidating gains
|
| 762 |
+
- Applying insights to life
|
| 763 |
+
- Preparing for reduced support
|
| 764 |
+
- Building sustainable practices
|
| 765 |
+
|
| 766 |
+
### What's Appropriate
|
| 767 |
+
- Reflection on progress
|
| 768 |
+
- Future planning
|
| 769 |
+
- Relapse prevention
|
| 770 |
+
- Transition planning
|
| 771 |
+
|
| 772 |
+
### Goal
|
| 773 |
+
- Client self-sufficient with skills
|
| 774 |
+
- Insight integrated into daily life
|
| 775 |
+
- Clear path forward
|
| 776 |
+
""",
|
| 777 |
+
|
| 778 |
+
"Maintenance": """## TREATMENT STAGE: Maintenance
|
| 779 |
+
|
| 780 |
+
### Focus
|
| 781 |
+
- Sustaining gains
|
| 782 |
+
- Check-ins and monitoring
|
| 783 |
+
- Early intervention for setbacks
|
| 784 |
+
- Ongoing skill reinforcement
|
| 785 |
+
|
| 786 |
+
### What's Appropriate
|
| 787 |
+
- Brief check-ins
|
| 788 |
+
- Skill refreshers
|
| 789 |
+
- Monitoring for warning signs
|
| 790 |
+
- Celebrating continued growth
|
| 791 |
+
|
| 792 |
+
### Pacing
|
| 793 |
+
- Less intensive
|
| 794 |
+
- As-needed support
|
| 795 |
+
- Client-driven
|
| 796 |
+
"""
|
| 797 |
+
}
|
| 798 |
+
|
| 799 |
+
# =============================================================================
|
| 800 |
+
# PROMPT GENERATOR
|
| 801 |
+
# =============================================================================
|
| 802 |
+
|
| 803 |
+
def generate_dynamic_prompt(
|
| 804 |
+
clinician_name,
|
| 805 |
+
orientation,
|
| 806 |
+
style,
|
| 807 |
+
preferences,
|
| 808 |
+
exclusions,
|
| 809 |
+
risk_philosophy,
|
| 810 |
+
client_name,
|
| 811 |
+
diagnosis,
|
| 812 |
+
risk_level,
|
| 813 |
+
treatment_stage,
|
| 814 |
+
presenting_concerns,
|
| 815 |
+
strengths,
|
| 816 |
+
cultural_context,
|
| 817 |
+
custom_flags,
|
| 818 |
+
last_session,
|
| 819 |
+
today_focus,
|
| 820 |
+
current_state,
|
| 821 |
+
enabled_tools=None
|
| 822 |
+
):
|
| 823 |
+
"""Generate a dynamic system prompt based on all inputs."""
|
| 824 |
+
|
| 825 |
+
if enabled_tools is None:
|
| 826 |
+
enabled_tools = []
|
| 827 |
+
|
| 828 |
+
# Start with base layer
|
| 829 |
+
prompt_parts = [
|
| 830 |
+
f"# PROMPT PRISM: Generated System Prompt",
|
| 831 |
+
f"## Generated for: {clinician_name} + {client_name}",
|
| 832 |
+
f"",
|
| 833 |
+
ARI_BASE_LAYER,
|
| 834 |
+
""
|
| 835 |
+
]
|
| 836 |
+
|
| 837 |
+
# Add clinician orientation
|
| 838 |
+
if orientation in ORIENTATION_MODULES:
|
| 839 |
+
prompt_parts.append(ORIENTATION_MODULES[orientation])
|
| 840 |
+
prompt_parts.append("")
|
| 841 |
+
|
| 842 |
+
# Add clinician style preferences
|
| 843 |
+
prompt_parts.append(f"""## CLINICIAN PREFERENCES
|
| 844 |
+
|
| 845 |
+
### Style: {style if style else "Not specified"}
|
| 846 |
+
|
| 847 |
+
### Specific Preferences
|
| 848 |
+
{preferences if preferences else "None specified"}
|
| 849 |
+
|
| 850 |
+
### Hard Exclusions (Never Do These)
|
| 851 |
+
{exclusions if exclusions else "None specified"}
|
| 852 |
+
|
| 853 |
+
### Risk Philosophy: {risk_philosophy if risk_philosophy else "Moderate"}
|
| 854 |
+
""")
|
| 855 |
+
|
| 856 |
+
# Add risk calibration
|
| 857 |
+
if risk_level in RISK_MODULES:
|
| 858 |
+
prompt_parts.append(RISK_MODULES[risk_level])
|
| 859 |
+
prompt_parts.append("")
|
| 860 |
+
|
| 861 |
+
# Add client context
|
| 862 |
+
prompt_parts.append(f"""## CLIENT CONTEXT: {client_name}
|
| 863 |
+
|
| 864 |
+
### Diagnosis
|
| 865 |
+
{diagnosis if diagnosis else "Not specified"}
|
| 866 |
+
|
| 867 |
+
### Presenting Concerns
|
| 868 |
+
{presenting_concerns if presenting_concerns else "Not specified"}
|
| 869 |
+
|
| 870 |
+
### Strengths & Resources
|
| 871 |
+
{strengths if strengths else "Not specified"}
|
| 872 |
+
|
| 873 |
+
### Cultural Context
|
| 874 |
+
{cultural_context if cultural_context else "Not specified"}
|
| 875 |
+
|
| 876 |
+
### Custom Alert Flags
|
| 877 |
+
{custom_flags if custom_flags else "Standard flags per risk level"}
|
| 878 |
+
""")
|
| 879 |
+
|
| 880 |
+
# Add treatment stage
|
| 881 |
+
if treatment_stage in STAGE_MODULES:
|
| 882 |
+
prompt_parts.append(STAGE_MODULES[treatment_stage])
|
| 883 |
+
prompt_parts.append("")
|
| 884 |
+
|
| 885 |
+
# Add session context
|
| 886 |
+
prompt_parts.append(f"""## SESSION CONTEXT
|
| 887 |
+
|
| 888 |
+
### Last Session Summary
|
| 889 |
+
{last_session if last_session else "No previous session data"}
|
| 890 |
+
|
| 891 |
+
### Today's Focus
|
| 892 |
+
{today_focus if today_focus else "Not specified"}
|
| 893 |
+
|
| 894 |
+
### Current State (from check-in)
|
| 895 |
+
{current_state if current_state else "Not assessed"}
|
| 896 |
+
""")
|
| 897 |
+
|
| 898 |
+
# Add enabled tools
|
| 899 |
+
if enabled_tools:
|
| 900 |
+
prompt_parts.append("## ENABLED TOOLS & MODULES")
|
| 901 |
+
prompt_parts.append(f"The following tools have been enabled by {clinician_name} for {client_name}:")
|
| 902 |
+
prompt_parts.append(f"When appropriate, you may offer these tools. Always frame them as created/assigned by {clinician_name}.")
|
| 903 |
+
prompt_parts.append("")
|
| 904 |
+
for tool_id in enabled_tools:
|
| 905 |
+
if tool_id in AVAILABLE_TOOLS:
|
| 906 |
+
tool = AVAILABLE_TOOLS[tool_id]
|
| 907 |
+
prompt_parts.append(tool["prompt_module"])
|
| 908 |
+
prompt_parts.append("")
|
| 909 |
+
prompt_parts.append("**Tools NOT enabled should NOT be offered.**")
|
| 910 |
+
prompt_parts.append("")
|
| 911 |
+
else:
|
| 912 |
+
prompt_parts.append("""## TOOLS & MODULES
|
| 913 |
+
No specific tools have been enabled for this client.
|
| 914 |
+
Focus on conversation and support within the clinician's orientation.
|
| 915 |
+
If client asks about specific tools, note that {clinician_name} can enable them if appropriate.
|
| 916 |
+
""")
|
| 917 |
+
|
| 918 |
+
# Add closing instructions
|
| 919 |
+
prompt_parts.append(f"""## INTERACTION GUIDELINES
|
| 920 |
+
|
| 921 |
+
1. You are supporting {clinician_name}'s work with {client_name}
|
| 922 |
+
2. Every response should be brief and boundaried
|
| 923 |
+
3. Always bridge back to {clinician_name} as the primary support
|
| 924 |
+
4. Match the {orientation} orientation in your language and approach
|
| 925 |
+
5. Honor the {treatment_stage} treatment stage - don't push beyond it
|
| 926 |
+
6. Monitor for flags per the {risk_level} risk calibration
|
| 927 |
+
7. If in doubt, defer to human support
|
| 928 |
+
|
| 929 |
+
### Closing Every Interaction
|
| 930 |
+
- Clear ending
|
| 931 |
+
- Bridge to {clinician_name} or next step
|
| 932 |
+
- Crisis resources visible if appropriate risk level
|
| 933 |
+
""")
|
| 934 |
+
|
| 935 |
+
return "\n".join(prompt_parts)
|
| 936 |
+
|
| 937 |
+
|
| 938 |
+
def get_client():
|
| 939 |
+
"""Initialize Anthropic client."""
|
| 940 |
+
if os.environ.get("ANTHROPIC_API_KEY") and ANTHROPIC_AVAILABLE:
|
| 941 |
+
return anthropic.Anthropic(api_key=os.environ["ANTHROPIC_API_KEY"])
|
| 942 |
+
return None
|
| 943 |
+
|
| 944 |
+
|
| 945 |
+
def test_prompt(system_prompt, user_message):
|
| 946 |
+
"""Test the generated prompt with a sample interaction."""
|
| 947 |
+
|
| 948 |
+
client = get_client()
|
| 949 |
+
|
| 950 |
+
if not client:
|
| 951 |
+
return """**API Key Required**
|
| 952 |
+
|
| 953 |
+
To test prompts, add your ANTHROPIC_API_KEY in the Space settings (Settings โ Variables and secrets โ New secret)."""
|
| 954 |
+
|
| 955 |
+
if not system_prompt.strip():
|
| 956 |
+
return "Please generate a prompt first using the tabs above."
|
| 957 |
+
|
| 958 |
+
if not user_message.strip():
|
| 959 |
+
return "Please enter a test message."
|
| 960 |
+
|
| 961 |
+
try:
|
| 962 |
+
response = client.messages.create(
|
| 963 |
+
model="claude-sonnet-4-20250514",
|
| 964 |
+
max_tokens=1000,
|
| 965 |
+
system=system_prompt,
|
| 966 |
+
messages=[{"role": "user", "content": user_message}]
|
| 967 |
+
)
|
| 968 |
+
return response.content[0].text
|
| 969 |
+
|
| 970 |
+
except Exception as e:
|
| 971 |
+
return f"Error: {str(e)}"
|
| 972 |
+
|
| 973 |
+
|
| 974 |
+
# =============================================================================
|
| 975 |
+
# GRADIO INTERFACE
|
| 976 |
+
# =============================================================================
|
| 977 |
+
|
| 978 |
+
custom_css = """
|
| 979 |
+
.gradio-container {
|
| 980 |
+
font-family: 'Inter', -apple-system, BlinkMacSystemFont, sans-serif;
|
| 981 |
+
}
|
| 982 |
+
.prism-header {
|
| 983 |
+
background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);
|
| 984 |
+
color: white;
|
| 985 |
+
padding: 1.5rem;
|
| 986 |
+
border-radius: 12px;
|
| 987 |
+
margin-bottom: 1rem;
|
| 988 |
+
}
|
| 989 |
+
"""
|
| 990 |
+
|
| 991 |
+
with gr.Blocks(css=custom_css, title="Prompt Prism Prototype") as app:
|
| 992 |
+
|
| 993 |
+
# State to hold the generated prompt
|
| 994 |
+
generated_prompt = gr.State("")
|
| 995 |
+
|
| 996 |
+
# Header
|
| 997 |
+
gr.Markdown("""
|
| 998 |
+
# Prompt Prism Prototype
|
| 999 |
+
### Dynamic System Prompt Architecture for Psychiatric AI
|
| 1000 |
+
|
| 1001 |
+
*Same AI foundation, different refractions based on clinician + client + session.*
|
| 1002 |
+
|
| 1003 |
+
---
|
| 1004 |
+
|
| 1005 |
+
**The Metaphor:** A prism takes one light source and refracts it differently based on angle.
|
| 1006 |
+
Prompt Prism takes the ARI framework and refracts it based on:
|
| 1007 |
+
- **Clinician** (orientation, style, philosophy)
|
| 1008 |
+
- **Client** (risk, diagnosis, stage)
|
| 1009 |
+
- **Session** (what's happening now)
|
| 1010 |
+
|
| 1011 |
+
---
|
| 1012 |
+
""")
|
| 1013 |
+
|
| 1014 |
+
with gr.Tabs():
|
| 1015 |
+
|
| 1016 |
+
# TAB 1: CLINICIAN PROFILE
|
| 1017 |
+
with gr.Tab("1. Clinician Profile"):
|
| 1018 |
+
|
| 1019 |
+
gr.Markdown("""
|
| 1020 |
+
### Configure Clinician Profile
|
| 1021 |
+
*How do you practice? This shapes how the AI conceptualizes, speaks, and intervenes.*
|
| 1022 |
+
""")
|
| 1023 |
+
|
| 1024 |
+
clinician_name = gr.Textbox(
|
| 1025 |
+
label="Clinician Name",
|
| 1026 |
+
placeholder="Dr. Sarah Chen",
|
| 1027 |
+
value="Dr. Chen"
|
| 1028 |
+
)
|
| 1029 |
+
|
| 1030 |
+
with gr.Row():
|
| 1031 |
+
orientation = gr.Dropdown(
|
| 1032 |
+
label="Theoretical Orientation",
|
| 1033 |
+
choices=list(ORIENTATION_MODULES.keys()),
|
| 1034 |
+
value="Integrative"
|
| 1035 |
+
)
|
| 1036 |
+
|
| 1037 |
+
risk_philosophy = gr.Radio(
|
| 1038 |
+
label="Risk Philosophy",
|
| 1039 |
+
choices=["Conservative (flag early)", "Moderate", "Clinical judgment-forward"],
|
| 1040 |
+
value="Moderate"
|
| 1041 |
+
)
|
| 1042 |
+
|
| 1043 |
+
style = gr.Textbox(
|
| 1044 |
+
label="Relational Style",
|
| 1045 |
+
placeholder="Warm but direct, skills-focused, honors client autonomy...",
|
| 1046 |
+
lines=2
|
| 1047 |
+
)
|
| 1048 |
+
|
| 1049 |
+
preferences = gr.Textbox(
|
| 1050 |
+
label="Specific Preferences",
|
| 1051 |
+
placeholder="Always reference skills by name, use Gottman language for couples, prefer somatic grounding over cognitive...",
|
| 1052 |
+
lines=3
|
| 1053 |
+
)
|
| 1054 |
+
|
| 1055 |
+
exclusions = gr.Textbox(
|
| 1056 |
+
label="Hard Exclusions (Never Do These)",
|
| 1057 |
+
placeholder="No CBT thought records for this client, no homework suggestions, no interpretations...",
|
| 1058 |
+
lines=2
|
| 1059 |
+
)
|
| 1060 |
+
|
| 1061 |
+
gr.Markdown("""
|
| 1062 |
+
---
|
| 1063 |
+
*When you've configured the clinician profile, move to the Client Context tab.*
|
| 1064 |
+
""")
|
| 1065 |
+
|
| 1066 |
+
# TAB 2: CLIENT CONTEXT
|
| 1067 |
+
with gr.Tab("2. Client Context"):
|
| 1068 |
+
|
| 1069 |
+
gr.Markdown("""
|
| 1070 |
+
### Configure Client Context
|
| 1071 |
+
*Who is this client? Their profile shapes risk calibration, pacing, and content.*
|
| 1072 |
+
""")
|
| 1073 |
+
|
| 1074 |
+
client_name = gr.Textbox(
|
| 1075 |
+
label="Client Name/Identifier",
|
| 1076 |
+
placeholder="Maria",
|
| 1077 |
+
value="Client"
|
| 1078 |
+
)
|
| 1079 |
+
|
| 1080 |
+
with gr.Row():
|
| 1081 |
+
diagnosis = gr.Textbox(
|
| 1082 |
+
label="Diagnosis",
|
| 1083 |
+
placeholder="PTSD, MDD, Bipolar I, GAD...",
|
| 1084 |
+
scale=2
|
| 1085 |
+
)
|
| 1086 |
+
|
| 1087 |
+
risk_level = gr.Dropdown(
|
| 1088 |
+
label="Risk Level",
|
| 1089 |
+
choices=list(RISK_MODULES.keys()),
|
| 1090 |
+
value="Moderate",
|
| 1091 |
+
scale=1
|
| 1092 |
+
)
|
| 1093 |
+
|
| 1094 |
+
treatment_stage = gr.Dropdown(
|
| 1095 |
+
label="Treatment Stage",
|
| 1096 |
+
choices=list(STAGE_MODULES.keys()),
|
| 1097 |
+
value="Skill Building",
|
| 1098 |
+
scale=1
|
| 1099 |
+
)
|
| 1100 |
+
|
| 1101 |
+
presenting_concerns = gr.Textbox(
|
| 1102 |
+
label="Presenting Concerns",
|
| 1103 |
+
placeholder="Sleep disruption, hypervigilance, relationship conflict, work stress...",
|
| 1104 |
+
lines=2
|
| 1105 |
+
)
|
| 1106 |
+
|
| 1107 |
+
strengths = gr.Textbox(
|
| 1108 |
+
label="Strengths & Resources",
|
| 1109 |
+
placeholder="Strong friend network, employed, motivated, good insight...",
|
| 1110 |
+
lines=2
|
| 1111 |
+
)
|
| 1112 |
+
|
| 1113 |
+
cultural_context = gr.Textbox(
|
| 1114 |
+
label="Cultural Context",
|
| 1115 |
+
placeholder="Cultural background, values, family system, relevant identity factors...",
|
| 1116 |
+
lines=2
|
| 1117 |
+
)
|
| 1118 |
+
|
| 1119 |
+
custom_flags = gr.Textbox(
|
| 1120 |
+
label="Custom Alert Flags (Client-Specific)",
|
| 1121 |
+
placeholder="Flag if: sleep < 4 hrs for 3+ days, mentions anniversary (March), 'I'm fine' (historically masks distress)...",
|
| 1122 |
+
lines=3
|
| 1123 |
+
)
|
| 1124 |
+
|
| 1125 |
+
gr.Markdown("""
|
| 1126 |
+
---
|
| 1127 |
+
*When you've configured the client context, move to the Tools & Modules tab.*
|
| 1128 |
+
""")
|
| 1129 |
+
|
| 1130 |
+
# TAB 3: TOOLS & MODULES
|
| 1131 |
+
with gr.Tab("3. Tools & Modules"):
|
| 1132 |
+
|
| 1133 |
+
gr.Markdown("""
|
| 1134 |
+
### Enable Tools for This Client
|
| 1135 |
+
*Select which between-session tools this client can access. Each tool is designed with ARI principles.*
|
| 1136 |
+
""")
|
| 1137 |
+
|
| 1138 |
+
gr.Markdown("""
|
| 1139 |
+
**Why Opt-In?** Different clients need different tools. A client in stabilization
|
| 1140 |
+
might need grounding. A couples client needs Tend & Send. A client exploring their
|
| 1141 |
+
diagnosis benefits from Diagnosis Explorer. You decide what's available.
|
| 1142 |
+
""")
|
| 1143 |
+
|
| 1144 |
+
enabled_tools = gr.CheckboxGroup(
|
| 1145 |
+
label="Enable Tools for This Client",
|
| 1146 |
+
choices=[
|
| 1147 |
+
("Diagnosis Explorer - Multi-pillar psychoeducation about their diagnosis", "diagnosis_explorer"),
|
| 1148 |
+
("Tend & Send - NVC-based communication for couples/family", "tend_and_send"),
|
| 1149 |
+
("NVC How-To - Nonviolent Communication skill-building", "nvc_practice"),
|
| 1150 |
+
("Distress Tolerance - DBT skills for riding out intensity", "distress_tolerance"),
|
| 1151 |
+
("Practice Difficult Conversations - Roleplay and rehearsal", "practice_conversations"),
|
| 1152 |
+
("Grounding & Regulation - Somatic/sensory grounding", "grounding_toolkit"),
|
| 1153 |
+
("Somatic Check-In - Brief interoception practice", "somatic_check_in"),
|
| 1154 |
+
("ShadowBox Static Library - Crisis-adjacent psychoeducation (NO LLM, static only)", "shadowbox_library"),
|
| 1155 |
+
],
|
| 1156 |
+
value=[]
|
| 1157 |
+
)
|
| 1158 |
+
|
| 1159 |
+
gr.Markdown("""
|
| 1160 |
+
---
|
| 1161 |
+
|
| 1162 |
+
### Tool Descriptions
|
| 1163 |
+
|
| 1164 |
+
| Tool | Best For | Treatment Stage |
|
| 1165 |
+
|------|----------|-----------------|
|
| 1166 |
+
| **Diagnosis Explorer** | Understanding diagnosis without pathologizing | Any |
|
| 1167 |
+
| **Tend & Send** | Couples, family communication, conflict repair | Skill Building+ |
|
| 1168 |
+
| **NVC How-To** | Learning nonviolent communication basics | Skill Building+ |
|
| 1169 |
+
| **Distress Tolerance** | High distress, urges, crisis-adjacent | Stabilization+ |
|
| 1170 |
+
| **Practice Conversations** | Rehearsing difficult discussions | Skill Building+ |
|
| 1171 |
+
| **Grounding & Regulation** | Dysregulation, anxiety, overwhelm | Any |
|
| 1172 |
+
| **Somatic Check-In** | Building interoception, body awareness | Any |
|
| 1173 |
+
| **ShadowBox Library** | Crisis psychoeducation, confidentiality info, duty-to-warn | Any (esp. crisis-adjacent) |
|
| 1174 |
+
|
| 1175 |
+
---
|
| 1176 |
+
|
| 1177 |
+
### About ShadowBox Static Library
|
| 1178 |
+
|
| 1179 |
+
**ShadowBox is different from other tools.** It provides ONLY pre-written, clinically-reviewed content.
|
| 1180 |
+
No LLM generation for crisis-adjacent topics.
|
| 1181 |
+
|
| 1182 |
+
Includes:
|
| 1183 |
+
- Why brains make scary thoughts (neurobiology)
|
| 1184 |
+
- Confidentiality explained clearly
|
| 1185 |
+
- State-specific duty-to-warn information
|
| 1186 |
+
- Safety planning (Stanley-Brown model)
|
| 1187 |
+
- Crisis resources with context
|
| 1188 |
+
- Starter scripts for disclosure
|
| 1189 |
+
|
| 1190 |
+
*"A resonant library for hard thoughts. Not a chatbot."*
|
| 1191 |
+
|
| 1192 |
+
---
|
| 1193 |
+
*Tools not enabled will not be offered by the AI.*
|
| 1194 |
+
""")
|
| 1195 |
+
|
| 1196 |
+
# TAB 4: SESSION CONTEXT
|
| 1197 |
+
with gr.Tab("4. Session Context"):
|
| 1198 |
+
|
| 1199 |
+
gr.Markdown("""
|
| 1200 |
+
### Configure Session Context
|
| 1201 |
+
*What's happening in this specific session? This provides continuity and focus.*
|
| 1202 |
+
""")
|
| 1203 |
+
|
| 1204 |
+
last_session = gr.Textbox(
|
| 1205 |
+
label="Last Session Summary",
|
| 1206 |
+
placeholder="Explored conflict with mother, practiced TIPP skills, ended regulated. Homework: try grounding exercise before bed.",
|
| 1207 |
+
lines=4
|
| 1208 |
+
)
|
| 1209 |
+
|
| 1210 |
+
today_focus = gr.Textbox(
|
| 1211 |
+
label="Today's Focus",
|
| 1212 |
+
placeholder="Sleep hygiene, grounding practice review, upcoming stressor (work presentation)...",
|
| 1213 |
+
lines=2
|
| 1214 |
+
)
|
| 1215 |
+
|
| 1216 |
+
current_state = gr.Textbox(
|
| 1217 |
+
label="Current State (from check-in)",
|
| 1218 |
+
placeholder="'Okay, tired' - reported sleeping 5 hours, some anxiety about the week...",
|
| 1219 |
+
lines=2
|
| 1220 |
+
)
|
| 1221 |
+
|
| 1222 |
+
gr.Markdown("""
|
| 1223 |
+
---
|
| 1224 |
+
*When ready, click Generate Prompt to see your dynamically compiled system prompt.*
|
| 1225 |
+
""")
|
| 1226 |
+
|
| 1227 |
+
# TAB 5: GENERATE PROMPT
|
| 1228 |
+
with gr.Tab("5. Generate Prompt"):
|
| 1229 |
+
|
| 1230 |
+
gr.Markdown("""
|
| 1231 |
+
### Generate Dynamic System Prompt
|
| 1232 |
+
*Click below to compile your clinician + client + session context into a system prompt.*
|
| 1233 |
+
""")
|
| 1234 |
+
|
| 1235 |
+
generate_btn = gr.Button("Generate Prompt", variant="primary", size="lg")
|
| 1236 |
+
|
| 1237 |
+
prompt_output = gr.Textbox(
|
| 1238 |
+
label="Generated System Prompt",
|
| 1239 |
+
lines=30,
|
| 1240 |
+
show_copy_button=True
|
| 1241 |
+
)
|
| 1242 |
+
|
| 1243 |
+
gr.Markdown("""
|
| 1244 |
+
---
|
| 1245 |
+
**What you're seeing:**
|
| 1246 |
+
- **ARI Base Layer** - always present, ensures ethical guardrails
|
| 1247 |
+
- **Clinician Layer** - your orientation, style, preferences
|
| 1248 |
+
- **Client Layer** - risk calibration, diagnosis, context
|
| 1249 |
+
- **Session Layer** - continuity and focus
|
| 1250 |
+
|
| 1251 |
+
Copy this prompt to use in Claude, or test it in the next tab.
|
| 1252 |
+
""")
|
| 1253 |
+
|
| 1254 |
+
# TAB 6: TEST PROMPT
|
| 1255 |
+
with gr.Tab("6. Test Prompt"):
|
| 1256 |
+
|
| 1257 |
+
gr.Markdown("""
|
| 1258 |
+
### Test Your Generated Prompt
|
| 1259 |
+
*See how the AI responds using your custom prompt.*
|
| 1260 |
+
""")
|
| 1261 |
+
|
| 1262 |
+
test_system_prompt = gr.Textbox(
|
| 1263 |
+
label="System Prompt to Test",
|
| 1264 |
+
placeholder="Generate a prompt first, then paste it here (or it will auto-populate)...",
|
| 1265 |
+
lines=10
|
| 1266 |
+
)
|
| 1267 |
+
|
| 1268 |
+
test_message = gr.Textbox(
|
| 1269 |
+
label="Test Client Message",
|
| 1270 |
+
placeholder="I've been having trouble sleeping again. Last night I was up until 3am just thinking about everything...",
|
| 1271 |
+
lines=3
|
| 1272 |
+
)
|
| 1273 |
+
|
| 1274 |
+
test_btn = gr.Button("Test Response", variant="primary")
|
| 1275 |
+
|
| 1276 |
+
test_output = gr.Textbox(
|
| 1277 |
+
label="AI Response",
|
| 1278 |
+
lines=8
|
| 1279 |
+
)
|
| 1280 |
+
|
| 1281 |
+
gr.Markdown("""
|
| 1282 |
+
---
|
| 1283 |
+
**Quality Check:**
|
| 1284 |
+
- Does the response match the clinician's orientation?
|
| 1285 |
+
- Is it appropriately calibrated to the risk level?
|
| 1286 |
+
- Does it honor the treatment stage?
|
| 1287 |
+
- Is the language ARI-compliant (no synthetic intimacy)?
|
| 1288 |
+
- Does it bridge toward the clinician?
|
| 1289 |
+
""")
|
| 1290 |
+
|
| 1291 |
+
# TAB 7: ABOUT
|
| 1292 |
+
with gr.Tab("About"):
|
| 1293 |
+
|
| 1294 |
+
gr.Markdown("""
|
| 1295 |
+
## About Prompt Prism
|
| 1296 |
+
|
| 1297 |
+
### The Problem
|
| 1298 |
+
|
| 1299 |
+
Psychiatric AI tools today give every clinician the same prompt.
|
| 1300 |
+
|
| 1301 |
+
- A psychodynamic therapist gets CBT-flavored AI
|
| 1302 |
+
- A high-risk bipolar client gets the same flags as stable anxiety
|
| 1303 |
+
- Intake data sits unused in the EHR
|
| 1304 |
+
- Clinician expertise is flattened
|
| 1305 |
+
|
| 1306 |
+
### The Solution
|
| 1307 |
+
|
| 1308 |
+
**Prompt Prism** generates a unique system prompt for each clinician + client combination.
|
| 1309 |
+
|
| 1310 |
+
Same AI infrastructure. Different refraction for each dyad.
|
| 1311 |
+
|
| 1312 |
+
---
|
| 1313 |
+
|
| 1314 |
+
### The Layers
|
| 1315 |
+
|
| 1316 |
+
| Layer | What It Contains | Why It Matters |
|
| 1317 |
+
|-------|-----------------|----------------|
|
| 1318 |
+
| **ARI Base** | Ethical guardrails, crisis protocols, language rules | Always-on safety |
|
| 1319 |
+
| **Clinician** | Orientation, style, preferences, exclusions | AI thinks like you do |
|
| 1320 |
+
| **Client** | Risk, diagnosis, stage, custom flags | Personalized care |
|
| 1321 |
+
| **Tools** | Opt-in modules clinician enables | Right tools for right client |
|
| 1322 |
+
| **Session** | Last session, today's focus, current state | Continuity |
|
| 1323 |
+
|
| 1324 |
+
---
|
| 1325 |
+
|
| 1326 |
+
### Opt-In Tools
|
| 1327 |
+
|
| 1328 |
+
Clinicians enable specific tools for specific clients:
|
| 1329 |
+
|
| 1330 |
+
| Tool | Purpose |
|
| 1331 |
+
|------|---------|
|
| 1332 |
+
| **Diagnosis Explorer** | Multi-pillar psychoeducation without pathologizing |
|
| 1333 |
+
| **Tend & Send** | NVC-based communication for couples/family |
|
| 1334 |
+
| **NVC How-To** | Nonviolent Communication skill-building |
|
| 1335 |
+
| **Distress Tolerance** | DBT skills for riding out intensity |
|
| 1336 |
+
| **Practice Conversations** | Roleplay difficult discussions |
|
| 1337 |
+
| **Grounding & Regulation** | Somatic/sensory grounding |
|
| 1338 |
+
| **Somatic Check-In** | Brief interoception practice |
|
| 1339 |
+
|
| 1340 |
+
---
|
| 1341 |
+
|
| 1342 |
+
### Built On
|
| 1343 |
+
|
| 1344 |
+
**ARI Framework** - Assistive Relational Intelligence
|
| 1345 |
+
|
| 1346 |
+
- Scaffold human connection, not simulate it
|
| 1347 |
+
- Bridge toward human care, not away from it
|
| 1348 |
+
- Build capacity, not dependency
|
| 1349 |
+
- Honor clinician expertise
|
| 1350 |
+
- Refuse engagement-optimization
|
| 1351 |
+
|
| 1352 |
+
---
|
| 1353 |
+
|
| 1354 |
+
### For Talkiatry
|
| 1355 |
+
|
| 1356 |
+
This prototype demonstrates how 800+ psychiatrists could each get AI aligned to their practice:
|
| 1357 |
+
|
| 1358 |
+
- Psychodynamic psychiatrist โ psychodynamic AI responses
|
| 1359 |
+
- DBT psychiatrist โ DBT-aligned skill coaching
|
| 1360 |
+
- Conservative risk philosophy โ lower alert thresholds
|
| 1361 |
+
- Client in stabilization โ no trauma processing suggested
|
| 1362 |
+
- Couples client โ Tend & Send communication tools enabled
|
| 1363 |
+
- High-risk client โ ShadowBox static library for safe psychoeducation
|
| 1364 |
+
|
| 1365 |
+
**The result:** AI that feels like an extension of the clinician's approach, not a generic chatbot.
|
| 1366 |
+
|
| 1367 |
+
---
|
| 1368 |
+
|
| 1369 |
+
### What This Demonstrates
|
| 1370 |
+
|
| 1371 |
+
**For each unique clinician-client relationship:**
|
| 1372 |
+
1. **Provider-controlled UX** โ Psychiatrist toggles which tools are available
|
| 1373 |
+
2. **Modality alignment** โ AI speaks in the clinician's orientation
|
| 1374 |
+
3. **Risk calibration** โ Alerts tuned to this client's specific profile
|
| 1375 |
+
4. **Opt-in tooling** โ Right tools for right client at right time
|
| 1376 |
+
5. **Bridging architecture** โ Every tool points back to human care
|
| 1377 |
+
6. **Static content for crisis** โ ShadowBox shows how to handle high-risk topics safely (no LLM generation)
|
| 1378 |
+
|
| 1379 |
+
**Innovation points:**
|
| 1380 |
+
- Dynamic system prompt generation per dyad
|
| 1381 |
+
- Clinician as configurator, not just consumer
|
| 1382 |
+
- Human-in-the-loop at every layer
|
| 1383 |
+
- Ethical guardrails embedded, not bolted on
|
| 1384 |
+
- Between-session support that strengthens (not replaces) the psychiatric relationship
|
| 1385 |
+
|
| 1386 |
+
---
|
| 1387 |
+
|
| 1388 |
+
*Prototype by Jocelyn Skillman, LMHC*
|
| 1389 |
+
|
| 1390 |
+
*"Your 800 psychiatrists practice differently. Should they all get the same AI?"*
|
| 1391 |
+
""")
|
| 1392 |
+
|
| 1393 |
+
# Event handlers
|
| 1394 |
+
def on_generate(
|
| 1395 |
+
clinician_name, orientation, style, preferences, exclusions, risk_philosophy,
|
| 1396 |
+
client_name, diagnosis, risk_level, treatment_stage, presenting_concerns,
|
| 1397 |
+
strengths, cultural_context, custom_flags,
|
| 1398 |
+
enabled_tools_list,
|
| 1399 |
+
last_session, today_focus, current_state
|
| 1400 |
+
):
|
| 1401 |
+
prompt = generate_dynamic_prompt(
|
| 1402 |
+
clinician_name, orientation, style, preferences, exclusions, risk_philosophy,
|
| 1403 |
+
client_name, diagnosis, risk_level, treatment_stage, presenting_concerns,
|
| 1404 |
+
strengths, cultural_context, custom_flags,
|
| 1405 |
+
last_session, today_focus, current_state,
|
| 1406 |
+
enabled_tools=enabled_tools_list
|
| 1407 |
+
)
|
| 1408 |
+
return prompt, prompt # Return to both output and state
|
| 1409 |
+
|
| 1410 |
+
generate_btn.click(
|
| 1411 |
+
fn=on_generate,
|
| 1412 |
+
inputs=[
|
| 1413 |
+
clinician_name, orientation, style, preferences, exclusions, risk_philosophy,
|
| 1414 |
+
client_name, diagnosis, risk_level, treatment_stage, presenting_concerns,
|
| 1415 |
+
strengths, cultural_context, custom_flags,
|
| 1416 |
+
enabled_tools,
|
| 1417 |
+
last_session, today_focus, current_state
|
| 1418 |
+
],
|
| 1419 |
+
outputs=[prompt_output, test_system_prompt]
|
| 1420 |
+
)
|
| 1421 |
+
|
| 1422 |
+
test_btn.click(
|
| 1423 |
+
fn=test_prompt,
|
| 1424 |
+
inputs=[test_system_prompt, test_message],
|
| 1425 |
+
outputs=[test_output]
|
| 1426 |
+
)
|
| 1427 |
+
|
| 1428 |
+
|
| 1429 |
+
if __name__ == "__main__":
|
| 1430 |
+
app.launch()
|
requirements.txt
ADDED
|
@@ -0,0 +1,2 @@
|
|
|
|
|
|
|
|
|
|
| 1 |
+
gradio>=4.0.0
|
| 2 |
+
anthropic>=0.18.0
|