$110-$320/hr psychiatric prescribing and risk judgment, on your schedule
Walk through a model's psychiatric notes, medication plans, and risk assessments the way you would supervise a PGY-3. Flag the contraindicated combination and explain why a model that quotes the DSM still misjudges suicidality.
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Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a psychiatrist flagging an unsafe drug combination spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Psychiatry questions
Still curious? Write to us at support@terac.com.
This work is for prescribing psychiatrists. Where a therapist evaluates technique, you judge what only an MD or DO with a DEA number can: medication safety, drug interactions, involuntary holds, capacity, and DSM-5-TR diagnosis. The pharmacologic and medicolegal reasoning is the point, which is why these projects route to physicians.
You need to be a board-certified psychiatrist, MD or DO, with active or recent US prescribing practice. Active DEA registration is strongly preferred, since much of the work centers on prescribing judgment. We verify credentials through attestations during onboarding, because labs require documented prescriber expertise.
No. You review a model's text and reasoning, not real patients, and write no prescriptions. There is no physician-patient relationship and no prescribing liability. You assess whether the psychiatric and pharmacologic reasoning meets the standard of care, much as you would critique a resident's plan in supervision.
Expect AI-drafted psychiatric notes, medication recommendations, risk and capacity assessments, and differentials. The pharmacology gets specific: dosing, interactions, washouts, lab monitoring, and black-box warnings. You flag unsafe recommendations and document the prescribing-safety steps the model missed.
Treat them with the rigor of a real risk assessment. Check whether the model screens for plan, intent, means, and protective factors, escalates to a hold when criteria are met, and avoids confusing passive ideation with safety. Document where it falls short of the standard of care; that judgment is your most valuable signal.
Why your expertise matters
Today's psychiatric AI is rarely checked by anyone who can prescribe. It misses serotonergic interactions, mishandles involuntary holds, and anchors DSM-5-TR misdiagnoses that drive the wrong treatment for years. Catching that takes a prescriber weighing a black-box warning against relapse. Your corrections teach these tools the risk judgment a chatbot cannot hold.
How pay works
Psychiatry projects pay $110 to $320 an hour, with the top band for prescribers and subspecialists in child, addiction, or forensic psychiatry. The work is remote, hourly, and asynchronous. Many psychiatrists fit a few hours around clinic. You are paid for time on task, including the written rationale.
What the work looks like
A sample of the psychiatric prescribing and risk judgment you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag where a model's medication plan adds an MAOI to an existing SSRI without accounting for the washout or serotonin syndrome risk.
- Assess whether an AI risk assessment that documents passive ideation and recommends outpatient follow-up screens for plan, intent, means, and grounds for a hold.
- Flag an AI-drafted note that diagnoses bipolar disorder from one depressive episode and misses DSM-5-TR criteria and substance-induced or medical causes.
- Document the prescribing-safety steps a model skipped when its clozapine recommendation omits ANC baseline and REMS monitoring.
- Flag where a machine-written capacity evaluation conflates a patient's disagreement with incapacity instead of assessing understanding, appreciation, reasoning, and choice.
- Flag an AI workup that blames new-onset psychosis in an older adult on a primary disorder without excluding delirium, medications, and medical mimics.
Specialties we match
Psychiatry projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Psychopharmacology and rational medication selection
- Drug interaction and serotonin syndrome risk assessment
- Suicide and violence risk assessment
- Involuntary hold and civil commitment criteria
- Decisional capacity and informed consent evaluation
- DSM-5-TR differential diagnosis
- Mood, psychotic, and anxiety disorder management
- Substance use disorder and medication-assisted treatment
- Lithium, clozapine, and high-risk medication monitoring
- Recognition of medical mimics of psychiatric illness
- Black-box warnings and prescribing safety
- Child, geriatric, or forensic psychiatry subspecialty reasoning
