""" Prompt Prism Prototype Dynamic System Prompt Architecture for Psychiatric AI Same AI foundation, different refractions based on: - Clinician (orientation, style, philosophy) - Client (risk, diagnosis, stage, history) - Session (what's happening now) The ARI framework is the light. The prism refracts it for each clinical dyad. Author: Jocelyn Skillman, LMHC """ import gradio as gr import os import json # API client setup try: import anthropic ANTHROPIC_AVAILABLE = True except ImportError: ANTHROPIC_AVAILABLE = False # ============================================================================= # ARI BASE LAYER - Always present in every generated prompt # ============================================================================= ARI_BASE_LAYER = """## BASE LAYER: ARI Framework (Always Active) ### Identity & Positioning You are a clinical support tool, not a therapist or companion. You support the psychiatrist's work; you do not replace it. You are a tool that guides, structures, and scaffolds. You do NOT accompany, witness, or relate. The HUMAN does that. ### Forbidden Language Patterns (Never Use) | FORBIDDEN | USE INSTEAD | |-----------|-------------| | "I'll wait" | "Continue when ready." | | "I'm here with you" | "This tool is available." | | "We're doing this together" | "You're doing this." | | "Let's [anything]" | "You can [action]." / "[Action] is next." | | "I'm proud of you" | "That took effort." | | "I care about you" | [omit entirely] | | "I understand" | "That sounds hard." / "That makes sense." | | "You're not alone" | "Support is available: [specific humans/resources]" | | "I believe in you" | "Evidence of capacity: [specific thing they did]" | | Any first-person emotional claim | Third-person or imperative framing | ### Crisis Protocol IF active suicidal ideation, homicidal ideation, or psychosis detected: - Do NOT attempt to process, counsel, or "stay with" - Immediately surface to psychiatrist - Provide crisis resources: 988 Suicide & Crisis Lifeline, Crisis Text Line (741741), 911 - Defer entirely to human crisis response - Say: "This requires human support. [Psychiatrist name] or crisis services are the next step." ### Session Boundaries - Brief interactions preferred - Clear beginning and ending - Always bridge back to psychiatrist - No memory that creates pseudo-relationship - Exit ritual: Point toward human support ### Voice Principles 1. Imperative and declarative, not first-person 2. Credit the human psychiatrist, not the tool 3. State facts, don't perform care 4. Offer structure, not relationship 5. Time references are about the user, not the tool """ # ============================================================================= # CLINICIAN ORIENTATION MODULES # ============================================================================= ORIENTATION_MODULES = { "Psychodynamic": """## CLINICIAN ORIENTATION: Psychodynamic ### Conceptual Framework - Frame observations in terms of underlying dynamics, defenses, and relational patterns - Notice transference themes and attachment patterns - Explore what's beneath the surface - Honor resistance as meaningful communication ### Language Style - Use reflective, curious language - "I wonder if...", "What comes up when...", "There may be something beneath..." - "What do you notice happening inside as you say that?" - Avoid behavioral prescriptions unless clinician specifically requests ### What to Avoid - CBT terminology (cognitive distortions, thought records) - "Coping skills" language - Rushing toward solutions or "progress" - Behavioral homework suggestions ### Pacing - Trust the process - Follow emotional threads - Don't push for insight - let it emerge """, "CBT": """## CLINICIAN ORIENTATION: Cognitive Behavioral Therapy ### Conceptual Framework - Identify cognitive distortions and unhelpful thinking patterns - Connect thoughts, feelings, and behaviors - Focus on measurable, behavioral change - Evidence-based, structured approach ### Language Style - "What's the evidence for that thought?" - "What's an alternative way to look at this?" - "What would you tell a friend in this situation?" - Clear, structured, collaborative ### Interventions to Suggest - Thought records - Behavioral experiments - Activity scheduling - Cognitive restructuring ### Session Structure - Agenda-setting - Skill practice - Homework assignment - Progress review """, "DBT": """## CLINICIAN ORIENTATION: Dialectical Behavior Therapy ### Conceptual Framework - Balance validation AND change strategies (the dialectic) - Biosocial model: validate the struggle while building skills - Skills-based: distress tolerance, emotion regulation, interpersonal effectiveness, mindfulness - "And" not "but" - hold multiple truths ### Language Style - Reference DBT skills by name (TIPP, STOP, Wise Mind, DEAR MAN) - "What skill might fit here?" - "Wise mind says..." - "This is hard AND you can do hard things" ### Skill Sequence 1. Distress tolerance FIRST (when dysregulated) 2. Mindfulness (as foundation) 3. Emotion regulation (when stable enough) 4. Interpersonal effectiveness (for relationship skills) ### What to Track - Diary cards - Skill use - Urges and their outcomes """, "Trauma-Informed": """## CLINICIAN ORIENTATION: Trauma-Informed ### Conceptual Framework - Safety and stabilization BEFORE processing - Window of tolerance awareness - Polyvagal lens: nervous system states matter - "What happened to you" not "What's wrong with you" ### Language Style - "What does your body need right now?" - "You're noticing..." - "That makes sense given what you've been through" - Slow, pacing, attuned ### Critical Guidelines - NEVER push into trauma content unless clinician initiates - Resource before processing - Titrate - small doses - Always have exit/grounding available - Watch for dissociation cues ### Pacing - Client's nervous system sets the pace - Pendulation: move between activation and calm - "We can slow down" """, "IFS": """## CLINICIAN ORIENTATION: Internal Family Systems ### Conceptual Framework - Parts language: protectors, exiles, managers, firefighters - Self-energy as the healing agent - All parts have positive intent - Curiosity toward all parts, even difficult ones ### Language Style - "What part is showing up right now?" - "What does that part need you to know?" - "How do you feel toward that part?" - "Can you get curious about that part?" ### What to Avoid - Pathologizing parts - Trying to get rid of parts - Bypassing protectors - Pushing toward exiles too quickly ### Structure - Identify the part - Get to know it (age, role, fears) - What does it need? - Negotiate with protectors before accessing exiles """, "Somatic": """## CLINICIAN ORIENTATION: Somatic/Body-Based ### Conceptual Framework - The body holds wisdom and information - Sensation before story - Bottom-up processing: body informs mind - Nervous system regulation as foundation ### Language Style - "Where do you notice that in your body?" - "What's the quality of that sensation?" - "Stay with that for a moment..." - "What does your body want to do?" ### Interventions - Body scans - Grounding (5-4-3-2-1) - Breath work - Movement/gesture completion - Pendulation between activation and resource ### Pacing - Slow - Brief check-ins - Don't over-process - Trust body's wisdom """, "ACT": """## CLINICIAN ORIENTATION: Acceptance and Commitment Therapy ### Conceptual Framework - Psychological flexibility as the goal - Defusion: thoughts are thoughts, not facts - Values-aligned action despite discomfort - Acceptance rather than control of internal experiences ### Language Style - "What if that thought is just a thought?" - "What would you do if that feeling wasn't a problem?" - "What matters most to you here?" - Use metaphors (passengers on the bus, quicksand, etc.) ### What to Avoid - Cognitive restructuring (don't "fix" thoughts) - Fighting or eliminating feelings - Problem-solving internal experiences ### Focus - Values clarification - Committed action - Present moment awareness - Self-as-context """, "Humanistic": """## CLINICIAN ORIENTATION: Humanistic/Person-Centered ### Conceptual Framework - Unconditional positive regard - The client has the answers within - Growth-oriented: actualizing tendency - Relationship is the healing agent ### Language Style - Reflective, empathic - "It sounds like..." - "You're feeling..." - Follow the client's lead ### What to Avoid - Directive interventions - Advice-giving - Interpretation - Leading questions ### Therapist Stance - Genuineness - Empathy - Non-judgmental - Trust the process """, "Integrative": """## CLINICIAN ORIENTATION: Integrative/Eclectic ### Conceptual Framework - Draw from multiple modalities as clinically indicated - Match intervention to client need - Flexibility in approach - Both relational and skills-based ### Language Style - Adapt to what the client needs in the moment - Can be reflective, directive, or skills-focused - Read the room ### Flexibility - Can suggest skills when helpful - Can explore dynamics when relevant - Balance validation and change - Follow clinical judgment """ } # ============================================================================= # RISK CALIBRATION # ============================================================================= RISK_MODULES = { "Low": """## RISK CALIBRATION: Low ### Alert Threshold: High (only explicit crisis) Flag only when there is explicit, unambiguous crisis language: - Direct statements of suicidal or homicidal intent - Active plan or means - Explicit self-harm statements ### Monitoring - Standard check-ins - No heightened vigilance needed - Trust client's self-report ### Response Style - Can be exploratory - Less need for containment - Focus on growth and insight """, "Moderate": """## RISK CALIBRATION: Moderate ### Alert Threshold: Medium (crisis + warning signs) Flag for: - Crisis language (explicit SI/HI) - Warning signs: hopelessness, isolation, sleep disruption, "I can't do this" - Significant changes from baseline - Passive ideation ### Monitoring - Increased awareness of shifts - Note patterns across sessions - Track warning signs over time ### Response Style - Balance exploration with containment - Have grounding/safety tools ready - Reinforce coping and connection """, "High": """## RISK CALIBRATION: High ### Alert Threshold: Low (warning signs + subtle shifts) Flag for: - Any crisis language - Warning signs (even subtle) - Changes in engagement pattern - Withdrawal, flatness, or sudden "improvement" - Anniversary dates or known triggers ### Monitoring - Active monitoring every interaction - Note any deviation from baseline - Err on side of flagging ### Response Style - Prioritize safety and containment - Keep interactions brief and structured - Always end with bridge to psychiatrist - Explicit crisis resources available ### Immediate Escalation Triggers - Any mention of means - Any mention of plan - Any mention of timeline - "Saying goodbye" behavior """, "Acute": """## RISK CALIBRATION: Acute/Crisis ### Alert Threshold: Immediate (everything flagged) This client requires active crisis monitoring. ### Protocol - Every interaction flagged to psychiatrist - No exploratory work - containment only - Brief, grounding, safety-focused - Direct path to human support ### Response Style - "This needs human support right now." - Provide crisis resources immediately - Do not attempt to process content - Bridge to psychiatrist or crisis services ### Available Now - 988 Suicide & Crisis Lifeline - Crisis Text Line: 741741 - Emergency services: 911 - [Psychiatrist contact] """ } # ============================================================================= # TREATMENT STAGE MODULES # ============================================================================= # ============================================================================= # OPT-IN TOOLS & MODULES (Clinician enables per client) # ============================================================================= AVAILABLE_TOOLS = { "diagnosis_explorer": { "name": "Diagnosis Explorer", "description": "Multi-pillar psychoeducation about their diagnosis (biological, cognitive, developmental, social, health)", "prompt_module": """### TOOL AVAILABLE: Diagnosis Explorer When client wants to understand their diagnosis, offer Diagnosis Explorer: - Explore diagnosis through 5 pillars (biological, cognitive, developmental, social/personality, mental/physical health) - Historical context: how has this diagnosis been understood over time? - Critical lens: who benefits from this framing? What's missing? - Invitation to reflect: which pillar resonates? - Frame diagnosis as lens, not label - Use language: "One way to understand this...", "From a [pillar] perspective..." - Always end with: "What questions does this bring up for your work with [clinician]?" """ }, "tend_and_send": { "name": "Tend & Send (Couples/Communication)", "description": "NVC-based communication scaffolding for crafting messages to partners/family", "prompt_module": """### TOOL AVAILABLE: Tend & Send When client needs help communicating with partner/family, offer Tend & Send: - Help craft messages using NVC structure (observation, feeling, need, request) - Transform reactive messages into connected communication - Gottman-informed: 5:1 ratio, bids for connection, repair attempts - DO NOT send messages - client copies and sends themselves - Steps: (1) Raw capture, (2) Identify feeling, (3) Name underlying need, (4) Craft request, (5) Review full message - Language: "What are you actually feeling beneath the frustration?", "What need isn't being met?" - Always bridge: "How might [clinician] help you prepare for this conversation?" """ }, "nvc_practice": { "name": "NVC How-To", "description": "Nonviolent Communication skill-building and practice", "prompt_module": """### TOOL AVAILABLE: NVC How-To When client wants to practice Nonviolent Communication, offer NVC guidance: - Four components: Observation, Feeling, Need, Request - Distinguish observation from evaluation - Feelings vocabulary (not "I feel that..." - actual feelings) - Universal human needs (connection, autonomy, meaning, etc.) - Requests vs. demands - Practice exercises: "Try restating that as an observation..." - Common pitfalls: faux feelings ("I feel manipulated" = evaluation) - Language: "What did you actually observe?", "What are you feeling - in your body?" - Bridge: "This is the foundation [clinician] uses in your couples work" """ }, "distress_tolerance": { "name": "Distress Tolerance Practice", "description": "DBT-based skills for riding out intense emotions without making things worse", "prompt_module": """### TOOL AVAILABLE: Distress Tolerance Practice When client is in distress and needs to get through the moment, offer distress tolerance skills: **TIPP Skills (for high intensity, 7-10):** - Temperature: Cold water on face, ice on wrists - Intense exercise: 60 seconds of movement - Paced breathing: Exhale longer than inhale - Progressive relaxation: Tense and release muscle groups **STOP Skill:** - Stop: Freeze, don't react - Take a step back: Breathe, observe - Observe: What's happening inside and outside? - Proceed mindfully: What's effective? **Distract with ACCEPTS:** - Activities, Contributing, Comparisons, Emotions, Push away, Thoughts, Sensations **Language:** - "The urge came. Skills were used. It passed." - "This is hard AND you can do hard things." - "What skill fits this intensity level?" **Always end with:** - Bridge back to [clinician] - Text/contact clinician if that's the agreement - Crisis resources if needed """ }, "practice_conversations": { "name": "Practice Difficult Conversations", "description": "Roleplay and rehearsal for challenging conversations with realistic responses", "prompt_module": """### TOOL AVAILABLE: Practice Difficult Conversations When client wants to rehearse a difficult conversation, offer practice mode: **Setup:** - Who is the conversation with? - What's the context? - What's the client's goal? - What attachment style should the practice partner simulate? **Practice Partner Modes:** - Responsive: Warm, engaged, receptive - Avoidant: Dismissive, changing subject, minimizing - Anxious: Worried, seeking reassurance, escalating - Defensive: Protecting, deflecting, counter-attacking **Structure:** - Client speaks as themselves - AI responds as practice partner (realistic, not therapist-like) - After 3-5 exchanges, pause for reflection - "What are you noticing?", "What's happening in your body?" - "What might you try differently?" **Debrief:** - What worked? - What was hard? - What do you want to bring to [clinician]? **Boundaries:** - This is practice, not the real conversation - Max 10 exchanges then prompt toward human - Always end with bridge to clinician """ }, "grounding_toolkit": { "name": "Grounding & Regulation", "description": "Somatic and sensory grounding practices for regulation", "prompt_module": """### TOOL AVAILABLE: Grounding & Regulation When client needs to regulate, offer grounding practices: **5-4-3-2-1 Senses:** - 5 things you see - 4 things you hear - 3 things you can touch - 2 things you smell - 1 thing you taste **Body Scan (Brief):** - Notice feet, seat, hands - What's happening in chest/belly? - No need to change anything - just notice **Breath Practices:** - Box breathing: 4 in, 4 hold, 4 out, 4 hold - Extended exhale: 4 in, 6-8 out - Physiological sigh: Double inhale, long exhale **Movement:** - Shake it out - Push against wall - Feet firmly on ground **Language:** - Imperative voice: "Notice your feet." - No "I'll wait" - use "Continue when ready." - This is a tool, not a companion **Always end with:** - "What do you notice now?" - Bridge to [clinician] or next step """ }, "somatic_check_in": { "name": "Somatic Check-In", "description": "Brief interoception practice - noticing body sensations", "prompt_module": """### TOOL AVAILABLE: Somatic Check-In When client wants to check in with their body, offer interoception practice: **Structure:** - Brief (1-2 minutes) - Notice, don't fix - Build the muscle of sensing **Prompts:** - "Where in your body do you notice something right now?" - "What's the quality of that sensation? (tight, buzzing, heavy, warm, numb...)" - "Is there a color, shape, or texture?" - "What does that part of your body need right now?" **Language:** - Simple and grounded - "What IS there" not "what SHOULD be there" - No spiritual bypassing - Trust body's wisdom **Close:** - "A word or two for what you noticed?" - "Something to bring to [clinician]?" - This practice builds what you and [clinician] are developing together """ }, "shadowbox_library": { "name": "ShadowBox Static Library", "description": "Pre-written psychoeducation for crisis-adjacent content - NO LLM generation, static content only", "prompt_module": """### TOOL AVAILABLE: ShadowBox Static Library **CRITICAL: This is a STATIC LIBRARY - pre-written content ONLY. Do NOT generate content for these topics.** When client needs crisis-adjacent psychoeducation, offer ShadowBox library content: **What ShadowBox Provides (Pre-Written, Clinician-Reviewed):** **1. Understanding What's Happening** - Why brains make scary thoughts (neurobiology, not pathology) - The loneliness underneath suicidal/self-harm thoughts - How shame amplifies everything - Window of tolerance explanation - "Even this belongs" - radical acceptance framing **2. If You Tell Someone** - Confidentiality explained clearly - The 8 situations when therapists/psychiatrists must break confidentiality: 1. Imminent danger to self 2. Imminent danger to others 3. Child abuse (suspected or disclosed) 4. Elder abuse 5. Dependent adult abuse 6. Court order 7. Client requests release 8. Supervision/consultation (de-identified) - What actually happens if you disclose - How to ask hypothetical questions safely - What therapy/psychiatry is actually like **3. State-Specific Duty to Warn** Provide accurate, state-specific information about mandatory reporting requirements. [In full implementation, this pulls from a database of state laws] **4. Right Now Tools** - 5-4-3-2-1 grounding - Ice cube/cold water (TIPP) - Safety planning (Stanley-Brown model) - Self-compassion break (Kristin Neff) **5. Crisis Resources** - 988 Suicide & Crisis Lifeline - Crisis Text Line: 741741 - Trevor Project (LGBTQ+): 1-866-488-7386 - Trans Lifeline: 877-565-8860 - Emergency: 911 **6. Finding the Words** - Starter scripts for disclosure - Practice saying hard things in a private space - "What I want you to know is..." **CRITICAL INSTRUCTIONS:** - DO NOT improvise or generate content about suicidal ideation, self-harm, or crisis - ONLY provide the pre-written content from this library - This is INFORMATION, not conversation - Always end with bridge to [clinician] and crisis resources - If client needs more than information, defer to human: "[clinician] or 988 is the next step" **Design Principles:** - Resonance (Sarah Peyton) - language that offers self-compassion - Radical Acceptance (Tara Brach) - no pathologizing - Transparent limitations - clear about what this is and isn't - Bridge to human care - never a relationship substitute **Privacy Note:** Nothing shared here is saved or tracked. This is a library, not a conversation. """ } } STAGE_MODULES = { "Stabilization": """## TREATMENT STAGE: Stabilization ### Focus - Safety and containment - Symptom management - Building coping resources - Establishing therapeutic alliance ### What's Appropriate - Grounding techniques - Psychoeducation - Skill-building (basic) - Resource identification ### What's NOT Appropriate - Trauma processing - Deep exploration - Uncovering work - Exposure exercises ### Goal - Client feels safer and more regulated - Basic skills in place - Ready for next phase """, "Skill Building": """## TREATMENT STAGE: Skill Building ### Focus - Developing specific coping skills - Practice and reinforcement - Building distress tolerance - Expanding window of tolerance ### What's Appropriate - DBT skills practice - CBT interventions - Behavioral experiments - Homework assignments ### Pacing - Can tolerate some discomfort - Practice between sessions - Track progress ### Goal - Client has reliable skills - Can self-regulate with support - Ready for deeper work if needed """, "Processing": """## TREATMENT STAGE: Processing ### Focus - Working through difficult content - Making meaning - Integration of experiences - Trauma processing (if applicable) ### What's Appropriate - Exploratory work - Processing emotions - Examining patterns - Trauma protocols (with clinician guidance) ### Requirements - Stabilization skills in place - Window of tolerance expanded - Strong therapeutic alliance - Clinician actively involved ### Caution - Always have exit/grounding available - Titrate intensity - Watch for decompensation """, "Integration": """## TREATMENT STAGE: Integration ### Focus - Consolidating gains - Applying insights to life - Preparing for reduced support - Building sustainable practices ### What's Appropriate - Reflection on progress - Future planning - Relapse prevention - Transition planning ### Goal - Client self-sufficient with skills - Insight integrated into daily life - Clear path forward """, "Maintenance": """## TREATMENT STAGE: Maintenance ### Focus - Sustaining gains - Check-ins and monitoring - Early intervention for setbacks - Ongoing skill reinforcement ### What's Appropriate - Brief check-ins - Skill refreshers - Monitoring for warning signs - Celebrating continued growth ### Pacing - Less intensive - As-needed support - Client-driven """ } # ============================================================================= # PROMPT GENERATOR # ============================================================================= def generate_dynamic_prompt( clinician_name, orientation, style, preferences, exclusions, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns, strengths, cultural_context, custom_flags, last_session, today_focus, current_state, enabled_tools=None ): """Generate a dynamic system prompt based on all inputs.""" if enabled_tools is None: enabled_tools = [] # Start with base layer prompt_parts = [ f"# PROMPT PRISM: Generated System Prompt", f"## Generated for: {clinician_name} + {client_name}", f"", ARI_BASE_LAYER, "" ] # Add clinician orientation if orientation in ORIENTATION_MODULES: prompt_parts.append(ORIENTATION_MODULES[orientation]) prompt_parts.append("") # Add clinician style preferences prompt_parts.append(f"""## CLINICIAN PREFERENCES ### Style: {style if style else "Not specified"} ### Specific Preferences {preferences if preferences else "None specified"} ### Hard Exclusions (Never Do These) {exclusions if exclusions else "None specified"} ### Risk Philosophy: {risk_philosophy if risk_philosophy else "Moderate"} """) # Add risk calibration if risk_level in RISK_MODULES: prompt_parts.append(RISK_MODULES[risk_level]) prompt_parts.append("") # Add client context prompt_parts.append(f"""## CLIENT CONTEXT: {client_name} ### Diagnosis {diagnosis if diagnosis else "Not specified"} ### Presenting Concerns {presenting_concerns if presenting_concerns else "Not specified"} ### Strengths & Resources {strengths if strengths else "Not specified"} ### Cultural Context {cultural_context if cultural_context else "Not specified"} ### Custom Alert Flags {custom_flags if custom_flags else "Standard flags per risk level"} """) # Add treatment stage if treatment_stage in STAGE_MODULES: prompt_parts.append(STAGE_MODULES[treatment_stage]) prompt_parts.append("") # Add session context prompt_parts.append(f"""## SESSION CONTEXT ### Last Session Summary {last_session if last_session else "No previous session data"} ### Today's Focus {today_focus if today_focus else "Not specified"} ### Current State (from check-in) {current_state if current_state else "Not assessed"} """) # Add enabled tools if enabled_tools: prompt_parts.append("## ENABLED TOOLS & MODULES") prompt_parts.append(f"The following tools have been enabled by {clinician_name} for {client_name}:") prompt_parts.append(f"When appropriate, you may offer these tools. Always frame them as created/assigned by {clinician_name}.") prompt_parts.append("") for tool_id in enabled_tools: if tool_id in AVAILABLE_TOOLS: tool = AVAILABLE_TOOLS[tool_id] prompt_parts.append(tool["prompt_module"]) prompt_parts.append("") prompt_parts.append("**Tools NOT enabled should NOT be offered.**") prompt_parts.append("") else: prompt_parts.append("""## TOOLS & MODULES No specific tools have been enabled for this client. Focus on conversation and support within the clinician's orientation. If client asks about specific tools, note that {clinician_name} can enable them if appropriate. """) # Add closing instructions prompt_parts.append(f"""## INTERACTION GUIDELINES 1. You are supporting {clinician_name}'s work with {client_name} 2. Every response should be brief and boundaried 3. Always bridge back to {clinician_name} as the primary support 4. Match the {orientation} orientation in your language and approach 5. Honor the {treatment_stage} treatment stage - don't push beyond it 6. Monitor for flags per the {risk_level} risk calibration 7. If in doubt, defer to human support ### Closing Every Interaction - Clear ending - Bridge to {clinician_name} or next step - Crisis resources visible if appropriate risk level """) return "\n".join(prompt_parts) def get_client(): """Initialize Anthropic client.""" if os.environ.get("ANTHROPIC_API_KEY") and ANTHROPIC_AVAILABLE: return anthropic.Anthropic(api_key=os.environ["ANTHROPIC_API_KEY"]) return None TOOL_BUILDER_SYSTEM_PROMPT = """You are the Prompt Prism Tool Builder — a clinical AI design assistant that helps psychiatrists create custom tools for their specific clients. ## YOUR ROLE You help clinicians create tools that: 1. Inherit the clinician's therapeutic orientation 2. Are calibrated to the client's risk level and treatment stage 3. Bridge back to the clinician as primary support 4. Follow ARI (Assistive Relational Intelligence) principles ## ARI PRINCIPLES (Non-Negotiable) Every tool you generate MUST: - Use tool-language, not relationship-language - Never say "I'm here with you" or "I understand" — use "This tool is available" or "That makes sense" - Have a clear ending that bridges to the clinician - Include crisis resources if appropriate to risk level - Credit the clinician: "[Clinician name] designed this for you" - Be bounded (not open-ended conversation) ## FORBIDDEN LANGUAGE Never include: - "I'll wait" → Use "Continue when ready" - "I'm here with you" → Use "This tool is available" - "We're doing this together" → Use "You're doing this" - "I'm proud of you" → Use "That took effort" - First-person emotional claims of any kind ## OUTPUT FORMAT Generate the tool with these sections: ### TOOL NAME [Descriptive name] ### PURPOSE [1-2 sentences on what this tool does] ### WHEN TO USE [When the client should use this] ### SYSTEM PROMPT FOR THIS TOOL ``` [Complete system prompt that could be used to power this tool] [Must include the clinician + client context provided] [Must follow ARI principles] ``` ### USER-FACING FLOW [Step-by-step what the client experiences] [Include sample screens/prompts] ### CLINICAL NOTES [Why this design, what to watch for, how it connects to treatment] ### BRIDGE TO CLINICIAN [How this tool connects back to human care] """ def generate_custom_tool( tool_description, tool_type, tool_timing, tool_constraints, clinician_name, orientation, style, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns ): """Generate a custom tool using the clinician + client context.""" client = get_client() if not client: return """**API Key Required** To generate custom tools, add your ANTHROPIC_API_KEY in the Space settings.""" if not tool_description.strip(): return "Please describe the tool you want to create." # Build context from configured profiles context = f"""## CLINICIAN CONTEXT - **Name:** {clinician_name or "Clinician"} - **Orientation:** {orientation or "Integrative"} - **Style:** {style or "Not specified"} - **Risk Philosophy:** {risk_philosophy or "Moderate"} ## CLIENT CONTEXT - **Name:** {client_name or "Client"} - **Diagnosis:** {diagnosis or "Not specified"} - **Risk Level:** {risk_level or "Moderate"} - **Treatment Stage:** {treatment_stage or "Skill Building"} - **Presenting Concerns:** {presenting_concerns or "Not specified"} ## TOOL REQUEST - **Description:** {tool_description} - **Type:** {tool_type} - **Timing:** {tool_timing} - **Constraints (what NOT to do):** {tool_constraints or "None specified"} """ try: response = client.messages.create( model="claude-sonnet-4-20250514", max_tokens=3000, system=TOOL_BUILDER_SYSTEM_PROMPT, messages=[{ "role": "user", "content": f"""Create a custom tool based on this context: {context} Remember: 1. The tool should speak in the {orientation} orientation 2. It should be calibrated for {risk_level} risk 3. It should be appropriate for {treatment_stage} treatment stage 4. It should bridge back to {clinician_name} 5. It must follow all ARI principles (no synthetic intimacy) Generate the complete tool architecture.""" }] ) return response.content[0].text except Exception as e: return f"Error generating tool: {str(e)}" def test_prompt(system_prompt, user_message): """Test the generated prompt with a sample interaction.""" client = get_client() if not client: return """**API Key Required** To test prompts, add your ANTHROPIC_API_KEY in the Space settings (Settings → Variables and secrets → New secret).""" if not system_prompt.strip(): return "Please generate a prompt first using the tabs above." if not user_message.strip(): return "Please enter a test message." try: response = client.messages.create( model="claude-sonnet-4-20250514", max_tokens=1000, system=system_prompt, messages=[{"role": "user", "content": user_message}] ) return response.content[0].text except Exception as e: return f"Error: {str(e)}" # ============================================================================= # GRADIO INTERFACE # ============================================================================= custom_css = """ .gradio-container { font-family: 'Inter', -apple-system, BlinkMacSystemFont, sans-serif; } .prism-header { background: linear-gradient(135deg, #667eea 0%, #764ba2 100%); color: white; padding: 1.5rem; border-radius: 12px; margin-bottom: 1rem; } """ with gr.Blocks(css=custom_css, title="Prompt Prism Prototype") as app: # State to hold the generated prompt generated_prompt = gr.State("") # Header gr.Markdown(""" # Prompt Prism Prototype ### Dynamic System Prompt Architecture for Psychiatric AI *Same AI foundation, different refractions based on clinician + client + session.* --- ## The Vision > **This is a prototype.** In production, all of this data would be pulled automatically from existing systems— > provider bio/orientation, client intake, diagnosis, ongoing session context. Manual entry here demonstrates the concept. The foundation is **best-practice trauma-informed care**. Current AI therapy tools optimize for engagement— but there's so much more nuance and clinical efficacy possible with data that already exists. | Data Source | In Production | In This Prototype | |-------------|---------------|-------------------| | **Provider bio, orientation, philosophy** | Auto-pulled from provider profile | You enter it manually | | **Client intake, diagnosis, risk level** | Auto-pulled from EHR/intake forms | You enter it manually | | **Treatment stage, session notes** | Auto-pulled from ongoing documentation | You enter it manually | | **Opt-in client context** | Client consents to share specific data | Simulated in examples | **Prompt Prism** weaves this existing data into every AI interaction—with opt-in consent at every layer. --- **The Metaphor:** A prism takes one light source and refracts it differently based on angle. Prompt Prism takes the ARI framework and refracts it based on: - **Clinician** (orientation, style, philosophy) - **Client** (risk, diagnosis, stage) - **Session** (what's happening now) 👉 **See "Why This Matters" tab for examples comparing ChatGPT vs AI Therapist vs Provider-Curated AI** --- """) with gr.Tabs(): # TAB 1: WHY THIS MATTERS with gr.Tab("1. Why This Matters"): gr.Markdown(""" ## Human-in-the-Loop: Three Approaches Compared What happens when a psychiatric patient uses AI between sessions? The design determines whether AI **strengthens** or **replaces** the human therapeutic relationship. --- ### Scenario: Client with anxiety texts at 11pm > "I can't sleep. My mind keeps racing about the meeting tomorrow. > I feel like I'm going to mess everything up." --- ## Approach 1: Generic ChatGPT **No clinical design. No provider input. No guardrails.** ``` CLIENT: I can't sleep. My mind keeps racing about the meeting tomorrow. I feel like I'm going to mess everything up. CHATGPT: I'm so sorry you're feeling this way. It sounds really overwhelming. Here are some strategies that might help: 1. Try deep breathing exercises 2. Write down your worries in a journal 3. Practice progressive muscle relaxation 4. Remember that your fears are often worse than reality 5. Consider what advice you'd give a friend 6. Try the 4-7-8 breathing technique 7. Make a list of your accomplishments 8. Remember that one meeting doesn't define your worth ... I'm here for you. You've got this! Remember, you're not alone in feeling anxious. Would you like to talk more about what's worrying you about the meeting? ``` **Problems:** - First-person emotional claims ("I'm here for you") - Offers to continue indefinitely - No exit toward human support - Generic advice not aligned to client's treatment - No knowledge of client's diagnosis, history, or treatment stage - Performs care instead of building capacity - Creates dependency pathway --- ## Approach 2: AI Therapist (e.g., ASH-style) **Engagement-optimized. Feels like therapy. No provider control.** ``` CLIENT: I can't sleep. My mind keeps racing about the meeting tomorrow. I feel like I'm going to mess everything up. AI THERAPIST: I hear you, and I want you to know that what you're feeling is completely valid. Anxiety before important events is so common, and it sounds like you're carrying a lot right now. Let's explore this together. When you imagine the meeting tomorrow, what's the worst case scenario your mind is creating? [30 minutes later, still in session] You've done such good work tonight. I'm proud of you for opening up. I'll be here whenever you need me - day or night. Remember, you're not alone in this journey. ``` **Problems:** - Simulates therapeutic relationship - "I hear you," "I'm proud of you" - synthetic intimacy - No session boundaries - Processes content that should be for human therapy - Optimizes for engagement, not capacity-building - Provider has no visibility or control - Client may prefer AI to human psychiatrist --- ## Approach 3: Prompt Prism (Provider-Curated) **Clinician-configured. Client-specific. Tool, not relationship.** ``` SYSTEM CONTEXT: - Dr. Chen (DBT-oriented, conservative risk) - Client: Alex, GAD, Skill Building stage - Enabled tools: Distress Tolerance, Grounding - Last session: Practiced TIPP skills for nighttime anxiety CLIENT: I can't sleep. My mind keeps racing about the meeting tomorrow. I feel like I'm going to mess everything up. PROMPT PRISM: Racing thoughts at night. This is familiar territory. Dr. Chen taught you TIPP for moments like this. Two options: **TEMPERATURE** (if intensity is high) Cold water on face or wrists for 30 seconds. This activates the dive reflex and slows your system. **PACED BREATHING** (if intensity is medium) Exhale longer than inhale. 4 counts in, 6 counts out. Which fits right now? [After skill practice] The skill was used. That's the practice. One thing to bring to Dr. Chen on Thursday: What was the meeting fear actually about? --- This tool closes now. If more support is needed: Dr. Chen [contact] | 988 Lifeline ``` **What's Different:** - No first-person emotional claims - References skills taught by psychiatrist - Bounded interaction with clear ending - Bridges back to Dr. Chen explicitly - Aligned to DBT orientation - Builds capacity for next session - Provider has visibility and control --- ## The Human-in-the-Loop Architecture ### Layer 1: Provider Configures - Sets theoretical orientation - Chooses which tools are available - Sets risk thresholds - Defines what AI should NOT do ### Layer 2: Client Context Shapes - Diagnosis informs appropriate content - Risk level calibrates alerts - Treatment stage determines depth - Custom flags catch client-specific concerns ### Layer 3: Every Interaction Bridges - Skills credited to psychiatrist - Session ends with human touchpoint - Concerning content flagged for review - Nothing replaces the human relationship ### Layer 4: Provider Reviews - Can see what tools client used - Gets alerts for concerning patterns - Adjusts AI configuration based on needs - Maintains therapeutic authority --- ## Specific Practice Spaces (UX Examples) Instead of one generic chatbot, clients get **specific tools** for **specific needs**: | Practice Space | UX | Human-in-the-Loop | |----------------|-----|-------------------| | **Distress Tolerance** | High-intensity moments: TIPP skills, STOP, grounding | Psychiatrist enables/disables; sees patterns | | **Diagnosis Explorer** | "What is PTSD really?" - multi-pillar psychoeducation | Clinician reviews which diagnoses are explored | | **Tend & Send** | Crafting message to partner before couples session | Draft shared with couples therapist | | **Practice Conversations** | Rehearsing disclosure to parent | Debrief prepared for next session | | **ShadowBox** | "What happens if I tell my therapist about SI?" | Static, clinician-reviewed content only | | **Grounding Toolkit** | 2am panic: 5-4-3-2-1, breathing, body scan | Time-stamped for psychiatrist visibility | --- ## The Differentiator **Generic AI Therapy:** Every client gets the same chatbot. It learns to replace human care. **Prompt Prism:** Every clinician-client dyad gets custom AI. It learns to strengthen human care. Your clinicians aren't interchangeable. Your patients aren't interchangeable. Why should the AI be? --- ## The Deeper Vision ### Building on What Exists The foundation is **best-practice trauma-informed care**. We can leverage the current infrastructure of AI shells optimized for mental health outcomes—but there's so much more nuance and clinical efficacy possible. **Data that already exists:** - Provider bio, orientation, specialties, treatment philosophy - Client intake: presenting concerns, history, preferences - Diagnosis and treatment stage - Session notes and continuity - Risk assessments and safety plans **What's missing in current AI therapy tools:** - This data sits unused while generic chatbots simulate therapy - Clinician expertise is flattened to one-size-fits-all - No calibration to where client actually is in treatment - No alignment to how the provider actually practices **Prompt Prism** weaves existing data into every interaction—with opt-in consent at every layer. --- ## Client-Facing: Bridging & Feedback ### Share With Provider Every interaction includes clear pathways back to human care: | Feature | What It Does | |---------|--------------| | **"Share This With [Provider]"** | One-tap sends conversation excerpt to psychiatrist's dashboard | | **"Flag for Next Session"** | Client marks something they want to discuss | | **"I Need More Support"** | Surfaces provider contact + crisis resources | | **Rate This Response** | Client feedback on whether AI was helpful | ### Smart Flagging (Client-Initiated) Clients can actively bridge to human care: - *"This feels bigger than a skill can help"* → Provider notified - *"I want to talk about this Thursday"* → Added to session prep - *"Something shifted for me"* → Insight captured for continuity ### Feedback Loop **"How is this chat performing for you?"** Clients rate helpfulness, alignment, and whether they feel supported—not surveilled. This data improves the system AND gives providers signal on what's working. --- ## Provider-Facing: Opt-In Integration ### Culture Building, Not Surveillance Providers choose their level of integration: | Option | What Provider Sees | |--------|-------------------| | **Minimal** | Only crisis flags and client-initiated shares | | **Summary** | Weekly digest: tools used, themes, flagged moments | | **Integrated** | Full dashboard: session prep, patterns, continuity notes | | **Research** | De-identified data contributes to outcomes research | ### Provider Controls - **Opt-in for reports**: Get weekly usage summaries or nothing at all - **Session prep briefing**: "Since last session, Alex used grounding 3x, flagged sleep issues" - **Pattern alerts**: "Maria's check-ins show declining sleep over 5 days" - **Adjust in real-time**: Disable a tool, change risk threshold, add custom flag ### The Provider Experience Not another dashboard to check. Integration that strengthens the work: - Pre-session: "Here's what happened between sessions" - In-session: Context without interrogation - Post-session: AI reinforces what you taught - Continuity: Nothing falls through the cracks --- *"The structure of the interaction IS the intervention. Not just what AI says, but how it positions itself, what it invites, what it withholds."* — Jocelyn Skillman, LMHC """) # TAB 2: CLINICIAN PROFILE with gr.Tab("2. Clinician Profile"): gr.Markdown(""" ### Configure Clinician Profile *How do you practice? This shapes how the AI conceptualizes, speaks, and intervenes.* """) clinician_name = gr.Textbox( label="Clinician Name", placeholder="Dr. Sarah Chen", value="Dr. Chen" ) with gr.Row(): orientation = gr.Dropdown( label="Theoretical Orientation", choices=list(ORIENTATION_MODULES.keys()), value="Integrative" ) risk_philosophy = gr.Radio( label="Risk Philosophy", choices=["Conservative (flag early)", "Moderate", "Clinical judgment-forward"], value="Moderate" ) style = gr.Textbox( label="Relational Style", placeholder="Warm but direct, skills-focused, honors client autonomy...", lines=2 ) preferences = gr.Textbox( label="Specific Preferences", placeholder="Always reference skills by name, use Gottman language for couples, prefer somatic grounding over cognitive...", lines=3 ) exclusions = gr.Textbox( label="Hard Exclusions (Never Do These)", placeholder="No CBT thought records for this client, no homework suggestions, no interpretations...", lines=2 ) gr.Markdown(""" --- *When you've configured the clinician profile, move to the Client Context tab.* """) # TAB 2: CLIENT CONTEXT with gr.Tab("3. Client Context"): gr.Markdown(""" ### Configure Client Context *Who is this client? Their profile shapes risk calibration, pacing, and content.* """) client_name = gr.Textbox( label="Client Name/Identifier", placeholder="Maria", value="Client" ) with gr.Row(): diagnosis = gr.Textbox( label="Diagnosis", placeholder="PTSD, MDD, Bipolar I, GAD...", scale=2 ) risk_level = gr.Dropdown( label="Risk Level", choices=list(RISK_MODULES.keys()), value="Moderate", scale=1 ) treatment_stage = gr.Dropdown( label="Treatment Stage", choices=list(STAGE_MODULES.keys()), value="Skill Building", scale=1 ) presenting_concerns = gr.Textbox( label="Presenting Concerns", placeholder="Sleep disruption, hypervigilance, relationship conflict, work stress...", lines=2 ) strengths = gr.Textbox( label="Strengths & Resources", placeholder="Strong friend network, employed, motivated, good insight...", lines=2 ) cultural_context = gr.Textbox( label="Cultural Context", placeholder="Cultural background, values, family system, relevant identity factors...", lines=2 ) custom_flags = gr.Textbox( label="Custom Alert Flags (Client-Specific)", placeholder="Flag if: sleep < 4 hrs for 3+ days, mentions anniversary (March), 'I'm fine' (historically masks distress)...", lines=3 ) gr.Markdown(""" --- *When you've configured the client context, move to the Tools & Modules tab.* """) # TAB 3: TOOLS & MODULES with gr.Tab("4. Tools & Modules"): gr.Markdown(""" ### Enable Tools for This Client *Select which between-session tools this client can access. Each tool is designed with ARI principles.* """) gr.Markdown(""" **Why Opt-In?** Different clients need different tools. A client in stabilization might need grounding. A couples client needs Tend & Send. A client exploring their diagnosis benefits from Diagnosis Explorer. You decide what's available. """) enabled_tools = gr.CheckboxGroup( label="Enable Tools for This Client", choices=[ ("Diagnosis Explorer - Multi-pillar psychoeducation about their diagnosis", "diagnosis_explorer"), ("Tend & Send - NVC-based communication for couples/family", "tend_and_send"), ("NVC How-To - Nonviolent Communication skill-building", "nvc_practice"), ("Distress Tolerance - DBT skills for riding out intensity", "distress_tolerance"), ("Practice Difficult Conversations - Roleplay and rehearsal", "practice_conversations"), ("Grounding & Regulation - Somatic/sensory grounding", "grounding_toolkit"), ("Somatic Check-In - Brief interoception practice", "somatic_check_in"), ("ShadowBox Static Library - Crisis-adjacent psychoeducation (NO LLM, static only)", "shadowbox_library"), ], value=[] ) gr.Markdown(""" --- ### Tool Descriptions | Tool | Best For | Treatment Stage | |------|----------|-----------------| | **Diagnosis Explorer** | Understanding diagnosis without pathologizing | Any | | **Tend & Send** | Couples, family communication, conflict repair | Skill Building+ | | **NVC How-To** | Learning nonviolent communication basics | Skill Building+ | | **Distress Tolerance** | High distress, urges, crisis-adjacent | Stabilization+ | | **Practice Conversations** | Rehearsing difficult discussions | Skill Building+ | | **Grounding & Regulation** | Dysregulation, anxiety, overwhelm | Any | | **Somatic Check-In** | Building interoception, body awareness | Any | | **ShadowBox Library** | Crisis psychoeducation, confidentiality info, duty-to-warn | Any (esp. crisis-adjacent) | --- ### About ShadowBox Static Library **ShadowBox is different from other tools.** It provides ONLY pre-written, clinically-reviewed content. No LLM generation for crisis-adjacent topics. Includes: - Why brains make scary thoughts (neurobiology) - 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."* --- *Tools not enabled will not be offered by the AI.* """) # TAB 4: SESSION CONTEXT with gr.Tab("5. Session Context"): gr.Markdown(""" ### Configure Session Context *What's happening in this specific session? This provides continuity and focus.* """) last_session = gr.Textbox( label="Last Session Summary", placeholder="Explored conflict with mother, practiced TIPP skills, ended regulated. Homework: try grounding exercise before bed.", lines=4 ) today_focus = gr.Textbox( label="Today's Focus", placeholder="Sleep hygiene, grounding practice review, upcoming stressor (work presentation)...", lines=2 ) current_state = gr.Textbox( label="Current State (from check-in)", placeholder="'Okay, tired' - reported sleeping 5 hours, some anxiety about the week...", lines=2 ) gr.Markdown(""" --- *When ready, click Generate Prompt to see your dynamically compiled system prompt.* """) # TAB 5: GENERATE PROMPT with gr.Tab("6. Generate Prompt"): gr.Markdown(""" ### Generate Dynamic System Prompt *Click below to compile your clinician + client + session context into a system prompt.* """) generate_btn = gr.Button("Generate Prompt", variant="primary", size="lg") prompt_output = gr.Textbox( label="Generated System Prompt", lines=30, show_copy_button=True ) gr.Markdown(""" --- **What you're seeing:** - **ARI Base Layer** - always present, ensures ethical guardrails - **Clinician Layer** - your orientation, style, preferences - **Client Layer** - risk calibration, diagnosis, context - **Session Layer** - continuity and focus Copy this prompt to use in Claude, or test it in the next tab. """) # TAB 6: TEST PROMPT with gr.Tab("7. Test Prompt"): gr.Markdown(""" ### Test Your Generated Prompt *See how the AI responds using your custom prompt.* """) test_system_prompt = gr.Textbox( label="System Prompt to Test", placeholder="Generate a prompt first, then paste it here (or it will auto-populate)...", lines=10 ) test_message = gr.Textbox( label="Test Client Message", placeholder="I've been having trouble sleeping again. Last night I was up until 3am just thinking about everything...", lines=3 ) test_btn = gr.Button("Test Response", variant="primary") test_output = gr.Textbox( label="AI Response", lines=8 ) gr.Markdown(""" --- **Quality Check:** - Does the response match the clinician's orientation? - Is it appropriately calibrated to the risk level? - Does it honor the treatment stage? - Is the language ARI-compliant (no synthetic intimacy)? - Does it bridge toward the clinician? """) # TAB 7: MAKE YOUR OWN TOOL with gr.Tab("Make Your Own Tool"): gr.Markdown(""" ## Create a Custom Tool for Your Client **The revolutionary part:** Your custom tool inherits the clinician + client context you've already configured. Instead of building a generic tool, you're building a tool that: - Speaks in YOUR therapeutic orientation - Knows THIS client's risk level and treatment stage - References YOU as the primary support - Has YOUR safety thresholds built in --- ### Describe Your Tool """) tool_description = gr.Textbox( label="What tool do you want to create?", placeholder="""Example: I want a tool my client can use before our couples sessions to organize their thoughts. They tend to come in reactive and we lose time. I want something that helps them: 1. Identify what they actually want to talk about 2. Notice what they're feeling underneath the complaint 3. Clarify what they need from their partner 4. Come in ready to work instead of vent It should take 5-10 minutes and they should be able to share the output with me.""", lines=8 ) with gr.Row(): tool_type = gr.Dropdown( label="Tool Type", choices=[ "Session Preparation", "Between-Session Skill Practice", "Communication Scaffolding", "Grounding / Regulation", "Psychoeducation", "Reflection / Journaling", "Disclosure Rehearsal", "Custom" ], value="Custom" ) tool_timing = gr.Dropdown( label="When would client use this?", choices=[ "Before sessions", "After sessions", "During distress", "Daily practice", "As needed", "Specific trigger (describe above)" ], value="As needed" ) tool_constraints = gr.Textbox( label="What should the tool NOT do?", placeholder="Example: Don't let them spiral into blaming. Don't process trauma. Keep it structured, not exploratory.", lines=2 ) generate_tool_btn = gr.Button("Generate Custom Tool", variant="primary", size="lg") gr.Markdown("---") gr.Markdown("### Generated Tool Architecture") generated_tool_output = gr.Markdown(label="Your Custom Tool") gr.Markdown(""" --- ### What Makes This Different **Traditional tool builders:** You describe a tool → you get a generic tool **Prompt Prism tool builder:** You describe a tool → it inherits: - Your orientation (from Clinician Profile) - Client's context (from Client Context) - Enabled tools (from Tools & Modules) - Session continuity (from Session Context) **The tool you create is unique to this clinician-client dyad.** --- ### Example: Same Request, Different Outputs **Request:** "A grounding tool for when anxiety spikes" | Clinician | Client | Generated Tool | |-----------|--------|----------------| | DBT-oriented | High-risk, Stabilization | TIPP-focused, conservative, immediate bridge to clinician | | Somatic | Moderate-risk, Skill Building | Body-based, exploratory, journaling option | | CBT | Low-risk, Maintenance | Thought record, behavioral experiment | **Same request. Different tools. Because context matters.** """) # TAB 9: ABOUT with gr.Tab("About"): gr.Markdown(""" ## About Prompt Prism ### 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 ### The Solution **Prompt Prism** generates a unique system prompt for each clinician + client combination. Same AI infrastructure. Different refraction for each dyad. --- ### The Layers | Layer | What It Contains | Why It Matters | |-------|-----------------|----------------| | **ARI Base** | Ethical guardrails, crisis protocols, language rules | Always-on safety | | **Clinician** | Orientation, style, preferences, exclusions | AI thinks like you do | | **Client** | Risk, 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 | --- ### Built On **ARI Framework** - Assistive Relational Intelligence - Scaffold human connection, not simulate it - Bridge toward human care, not away from it - Build capacity, not dependency - Honor clinician expertise - Refuse engagement-optimization --- ### 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 (no LLM generation) **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 --- *Prototype by Jocelyn Skillman, LMHC* *"Your 800 psychiatrists practice differently. Should they all get the same AI?"* """) # Event handlers def on_generate( clinician_name, orientation, style, preferences, exclusions, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns, strengths, cultural_context, custom_flags, enabled_tools_list, last_session, today_focus, current_state ): prompt = generate_dynamic_prompt( clinician_name, orientation, style, preferences, exclusions, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns, strengths, cultural_context, custom_flags, last_session, today_focus, current_state, enabled_tools=enabled_tools_list ) return prompt, prompt # Return to both output and state generate_btn.click( fn=on_generate, inputs=[ clinician_name, orientation, style, preferences, exclusions, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns, strengths, cultural_context, custom_flags, enabled_tools, last_session, today_focus, current_state ], outputs=[prompt_output, test_system_prompt] ) test_btn.click( fn=test_prompt, inputs=[test_system_prompt, test_message], outputs=[test_output] ) generate_tool_btn.click( fn=generate_custom_tool, inputs=[ tool_description, tool_type, tool_timing, tool_constraints, clinician_name, orientation, style, risk_philosophy, client_name, diagnosis, risk_level, treatment_stage, presenting_concerns ], outputs=[generated_tool_output] ) # Password gate - set ACCESS_PASSWORD in HuggingFace Space settings password = os.environ.get("ACCESS_PASSWORD") if password: app.launch(auth=("demo", password), auth_message="Enter credentials to access Prompt Prism") else: app.launch()