Yuliya Matusevich
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AI note editor redesign

Mentalyc is an AI clinical documentation platform for therapists and mental healthcare professionals. The product helps clinicians create AI-⁠powered clinical notes, treatment plans, therapeutic alliance insights, and supervision documentation.

I served as Lead Product Designer, owning the end-⁠to-⁠end design strategy for the note editor experience. I led research, solution definition, usability testing, and cross-⁠functional collaboration with the product manager and engineering team to redesign the note viewing and editing interface. A second phase added Magic Edit, an AI tool for the fixes clinicians kept making by hand.

  • Year

    2025

  • Timeline

    1 month

  • Tools

    Figma,Mixpanel,Clarity

  • My role

    Lead Product Designer,UX/UI Designer,Researcher,Design System Designer

  • Team

    Product Manager,Developers

Redesigned note editor — before VS after

After: Mentalyc progress note viewer and editor

Problem statement

Design challenges

  • Very limited time and focus on quick delivery
  • Focus on “low-⁠hanging fruits” improvements

Business
problems

The market shifted when major EHR (Electronic Health Record) systems began embedding AI documentation tools directly into their platforms. This created financial and workflow friction for Mentalyc users who now questioned paying for two separate tools.

While Mentalyc had expanded beyond core note-⁠taking with advanced features like Treatment Plans, Alliance Genie (therapeutic alliance insights), and Supervision tools,
the product faced critical retention and adoption challenges:

  • Churn was rising
  • Not sufficient or low adoption of “advanced” features (Treatment Plans, Alliance Genie, Supervision)
  • Users churning specifically because they didn't
    perceive sufficient value and couldn’t justify paying extra for the note-⁠taking tool
  • Low awareness of note customization capabilities,
    leading to dissatisfaction with note quality (AHA moment)

Business
goals

01

Reduce churn
within 3 months post-⁠launch

02

Increase in-⁠app note editing
(vs. editing in EHR)

03

Increase template customization adoption

04

Reduce support tickets related
to note editing confusion

05

Improve discoverability of features accessible
from note editor (Analytics, Treatment Plans, etc.)

06

Increase user engagement with note-⁠related settings

Research

Research process

I proposed a research-⁠first approach
to understand how clinicians actually used the note editor and what barriers prevented effective editing workflows.

  1. CS ticket analysis

    100+ support messages over 6 months. Top issues: templates and note types (50), client reassignment (34), note content (10).

  2. UX audit

    Heuristic analyses of the product and flows.

  3. Competitor & desk research

    Established mental models for discoverability and navigation.

  4. Clarity heatmaps

    Identified low-⁠engagement zones and banner blindness.

  5. User interviews (4)

    1:1 sessions with active clinicians, walking through their own notes on a shared screen

  6. Survey (~250 responses)

    “Help us shape Magic Edit”: how clinicians edit, which edits they repeat, and what they’d want AI to do. The most common answers became its suggested prompts.

  7. User testing (12)

    Two rounds of 6: the new editor, then Magic Edit

Key open questions

  • How users’ workflow looks like? How do users currently approach writing and editing notes in Mentalyc?

  • Do users understand that notes are editable within Mentalyc?

  • Can users discover key features in the left toolbar (Transcript, Analytics, Treatment Plans)?

  • What's the mental model for where to find settings
    (global vs. local)?

  • Do users understand the connection between notes
    and templates?

  • What are the most common edits users need to make?

Research insights

Research synthesis board: interview notes for each participant beside a highlights summary

Discoverability barriers

  • Note editability

    2 of 4 didn’t know they could edit notes in Mentalyc,
    and 3 of 4 edited in their EHR instead.

  • Left toolbar features

    Icon-⁠only design hid the tools: 2 of 4 struggled to find the transcript, and 1 copied it by hand, not knowing it could be downloaded.

  • Templates

    1 of 4 didn’t know templates could be customised,
    and nothing showed which template a note came from.

  • Global settings

    None of the 4 would go to the global note or data settings (terminology, modalities, data preferences) on their own.

  • Note header

    2 of 4 didn’t know they could customise what the note header shows.

  • Saving notes

    Only about 60% of users saved notes to records. Those who did treated it like a to-⁠do list, not knowing why it mattered.

Highlight

Important observations
  • Some users viewed their EHR as source of truth, not Mentalyc
  • Users approached Mentalyc with "copy-⁠paste" mindset rather than exploring features
  • Poor information architecture caused users to look for options in wrong places
  • The same small fixes came up note after note: placeholder names, wrong pronouns, mixed-⁠up speakers, notes that ran too long

Solution & testing

Design goals

  • Make note editability obvious through clear visual affordances (editable text styling, formatting toolbar, UI copy)
  • Improve feature discoverability in the left toolbar by adding labels to icons and organizing content clearly
  • Surface the template connection — show which template was used and provide easy access to template editing
  • Create entry points to global settings directly from the note editor — terminology, modalities, and data preferences
  • Reduce repetitive manual editing by introducing AI-⁠powered Magic Edit — find & replace, pronoun changes, adding and removing details
  • Improve information architecture by reorganising session details, client details, and note settings into logical, accessible sections
  • Clarify note header customisation so users understand what information can be shown and how to configure it

Magic Edit

Shipped later in June 2026

Clinicians fixed the same things in every note by hand. Magic Edit lets them describe a change in plain words, or start from a suggested prompt, and review it before it touches the note.

  • Suggested prompts come from the survey’s most common answers: find & replace, make more concise, include missing details, change pronouns, anonymize
  • A before/after preview highlights every change; the note only updates once it’s saved
  • Past versions stay one toggle away, so nothing is lost

Usability tests

Participants & Method

  • Two rounds of 6 participants: the new editor, then Magic Edit
  • Moderated task-⁠based usability testing using the clickable design prototypes (online)

Results - note editor

  • Worked: Users reacted positively to updated UI, describing
    it as "cleaner and more organized"

  • Worked: 5/6 users quickly spotted they could switch between Clinical/Narrative/For Client note views (significant improvement)

  • Worked: Users reacted positively to new labeled toolbar layout, noticing options they'd never seen before

  • Worked: Finding session transcript caused no hesitation (major improvement)

  • Concern: Some confusion about whether settings apply locally
    or globally

  • Concern: Mixed preference on placement of download/copy actions

  • Concern: Some users associated template editability with
    "Edit Note" button causing slight confusion

Results - Magic Edit

  • Worked: All 6 users understood how to accept/discard edits individually or in bulk

  • Worked: 4 users understood the process fully

  • Worked: Common labels like "Make concise" and "Change pronouns" were clear

  • Concern: 2 users could not locate Magic Edit without guidance

  • Concern: All 6 users found some suggested edit labels
    confusing or risky

Changes after testing

Note editor

  • Changed: Moved the formatting toolbar above the note, where its actions are easier to spot

  • Changed: Replaced the "Edit note" button, which users read as a step before editing, with a "Change template or client" link under the title

  • Changed: Cut the formatting options down to the ones users said they’d use: text style, bold and lists

  • Changed: Showed more client and session details in the header by default

Magic Edit

  • Changed: Rewrote vague prompts: "Improve writing" became "Refine writing & language", and "Remove details" became "Remove sensitive information"

  • Changed: Merged overlapping prompts into one: "Include missing details"

  • Changed: Replaced bracket placeholders, which users over-⁠deleted, with an open prompt box

  • Changed: Every edit previews before and after, with past versions one toggle away, so the original note is never lost

Final designs

Designs

Shot 1 of 7.
Note editor: labelled side panel, client and session details, and the clinical note with a formatting toolbar and Magic Edit

Achieve­ments

Key result

Monthly churn rate

−10%

Before launch (Jun–Aug 2025) vs. 4 months after (Dec 2025)

Breakdown per metric

Before launch (Jun–Aug 2025) vs. 4 months after (Dec 2025)

Note editing

Used during trial25×
Overall usage4×

Template customization

Used during trial+31%
Overall usage+24%

Global note settings

Used during trial+133%
Overall usage+25%

Magic Edit

AI edits accepted

77%

Active clinicians using it monthly

12%

Jul–Aug 2026

Next project

Information architecture & navigation redesign

MentalycHealthcare2025

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