As this article by a cardiologist and a neurologist attests, Electronic Medical Records are for the most part clunky, rather stupid electronic filing cabinets well suited to virtually no one. This is particularly the case for mental health which depends so much on the therapeutic alliance and is less suited to a series of check-boxes and decision trees. EMRs can be so much more. EMRs should make care more efficient, patient-centric and improve outcomes. Our plans to develop a “smart” electronic Stepped Care 2.0 dashboard that organizes care and records along dimensions of patient-centricity, empowerment, outcomes, and costs will move us in that direction.