Low mood and sleep loss expressed without clinical language.
A patient who struggles to name the problem can describe its impact in their own words while Ella records safety-relevant questions for human review.
- Patient
- Patient C
- Profile
- 27 years / female
- Pathway
- Mental wellbeing appointment
- Illustrative length
- 04:18
Consultation playback
The patient speaks. Ella follows what changes the history.
This anonymised demonstration shows the shape of a pre-appointment conversation. Each response remains in the source transcript for later review.
Ella consultation
Patient C / Voice capture
- Ella
What would you most like the clinic to understand before your appointment?
00:06Turn 1 - Patient
I am not sure how to say it. I have not felt like myself and I barely sleep.
00:22Turn 2 - Ella
How long has this been happening, and how is it affecting your day-to-day life?
00:39Turn 3 - Patient
About a month. I am missing work and avoiding people because everything feels too much.
01:02Turn 4 - Ella
Have you had thoughts of harming yourself, or felt that you may not be safe?
01:23Turn 5 - Patient
No, I have not planned to harm myself. I just feel overwhelmed and need help.
01:41Turn 6 - Ella
Thank you for telling me. How are your sleep, appetite and ability to concentrate at the moment?
02:00Turn 7 - Patient
I wake at about four every morning and cannot get back to sleep. I am not eating much and I cannot focus on anything.
02:22Turn 8 - Ella
Has anything like this happened before, and is there someone you can talk to at home?
02:41Turn 9 - Patient
I felt low for a while a few years ago but it lifted on its own. My partner is supportive, though I have not told them how bad it is.
03:03Turn 10 - Ella
Is there anything you would like the clinician to know, and would you like support reaching them sooner if you need it?
03:22Turn 11 - Patient
I would like to be taken seriously and to know what help is available. I think I can wait for the appointment.
03:43Turn 12
Post-call clinician review
The prepared note stays connected to what was said.
Representative prepared-note view based on Ella's current review structure. Ella prepares information for review. It does not diagnose, prescribe, or replace clinical judgement.
Clinician review / consultation note
Opening history
Summary
Approximately one month of low mood and severe sleep disruption, with early-morning waking around 4am, reduced appetite and poor concentration.
Reported functional impact includes missing work and social withdrawal. The patient describes a previous self-limiting low period some years ago.
Patient denies thoughts or plans of self-harm during this conversation and feels able to wait for the booked appointment. A supportive partner is present at home, though the patient has not yet disclosed the severity to them. Safety remains a matter for human assessment and can change after the conversation.
History fields / source linked
Main concern
Low mood with poor sleep
Turn 02Duration
Approximately one month
Turn 04Sleep
Early-morning waking around 4am
Turn 08Appetite / concentration
Reduced appetite; poor focus
Turn 08Functional impact
Missing work; withdrawing socially
Turn 04Previous episode
Self-limiting low period years ago
Turn 10Support / patient goal
Supportive partner; wants to be taken seriously
Turns 10-12Triggered questionnaire
Brief mood and safety check
Auto-triggered by low mood with sleep disturbance lasting more than two weeks.
Little interest or pleasure in doing things?
Most daysFeeling down, depressed or hopeless?
Most daysSleep disturbance present?
Yes, early-morning wakingChange in appetite?
ReducedAny thoughts of self-harm or suicide?
DeniedSomeone at home for support?
Yes, partnerInspect transcript source
Patient transcript
"About a month. I am missing work and avoiding people because everything feels too much."
Duration
Approximately one month
Safety review
Self-harm thoughts or plan
DeniedPatient denied thoughts or plans during the conversation.
Current distress
PresentFeels overwhelmed and is requesting help.
Early-morning waking
PresentConsistent waking around 4am with reduced appetite and focus.
Support network
PresentSupportive partner at home, though severity not yet shared.
Safeguarding context
To verifyFurther human safety assessment remains appropriate and should not be delayed if risk changes.
Questions to verify
- 01Confirm current safety, risk and support network in person.
- 02Explore mood symptoms, sleep pattern, appetite and substance use.
- 03Establish previous episodes, family history and any current treatment.
- 04Agree a safety-net plan and how to seek help sooner if needed.
Transparency
- Risk can change after a conversation; the note is not a substitute for clinical safety assessment.
- Responses are self-reported and no validated score or diagnosis is inferred from them.
- Any indication of immediate risk should prompt urgent human review rather than waiting for the appointment.
Sensitive patient language is retained while immediate safety context stays prominent for review.
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Voice signal animation: Carolina Cruz Barbosa / LottieFiles under the Lottie Simple License.