# Waco Guide- Psychopharmacology — Clinical Decision Support

> Psychopharmacology clinical decision support for primary care. (iPhone/iPad app by McLennan County Medical Education and Research Foundation.)

- Source: https://appshunter.io/ios/app/waco-guide-psychopharmacology/id1503707099 (this page in markdown: same URL + `.md`)
- Developer: [McLennan County Medical Education and Research Foundation](https://appshunter.io/developer/1503707098)
- Category: Medical
- Price: Free
- Rating: 4.90/5 from 1,025 App Store ratings · 23 written reviews indexed
- Age rating: 17+
- Requires: iOS 13.6 · 136 MB
- Languages: American English
- Released: 2021-03-04
- Data updated: 2026-08-29
- Monetization: free
- User reviews in markdown: https://appshunter.io/ios/app/waco-guide-psychopharmacology/id1503707099/reviews.md

## What is Waco Guide?

The Waco Guide to Psychopharmacology in Primary Care is a tool developed by faculty of the Waco Family Medicine Residency, in consultation with faculty of MGH Visiting through the Division of Professional and Public Education in the Department of Psychiatry, affiliated with Harvard Medical School

Tools combine top-level evidence and expert opinion from world-renowned psychiatrists with primary care expertise from one of the nation’s premier family medicine training programs.

This resource is ideal for primary care clinicians, including physicians, nurse practitioners, and physician assistants, as well as integrated behavioral health providers. 

The tools succinctly reflect standard and advanced primary care mental health practices and psychopharmacology for:
• Adult
• Pediatric & Adolescent
• Geriatric
• Perinatal and Women’s Mental Health
• Substance Use Disorders

Special Population considerations offering individually tailored pharmacotherapy recommendations include:
• Obesity
• Cardiac Impairment
• Renal Impairment
• Hepatic Impairment
• Geriatric

Why use The Waco Guide?
• High-yield, evidence-based psychopharmacology
• In office usability at the point-of-care to enhance medical decision making
• Common language and framework for integrated and collaborative care practices
• Tools account for cost and medication availability
• Titration schedules, monitoring recommendations, and a list of side effects accompany each tool

Treatment recommendations for the following disorders:

Adult:
• Major Depressive Disorder
• Anxiety Disorders— Panic Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder
• Bipolar Disorder
• Posttraumatic Stress Disorder
• Acute and Chronic Insomnia
• Schizophrenia Spectrum and Other Psychotic Disorders
• Acute Stress Disorder
• Anorexia Nervosa
• Antipsychotic Side Effect Management
• Binge Eating Disorder
• Bulimia Nervosa
• Fibromyalgia
• Intermittent Explosive Disorder
• Neuropsychiatric Dementia
• Obsessive-Compulsive Disorder
• Tobacco Use Disorder
• ADHD

Pediatric & Adolescent Decision Support Tools
• ADHD
• Depression
• Generalized anxiety
• Bipolar disorder
• Psychosis
• Anorexia Nervosa
• Binge Eating
• Bulimia Nervosa
• Autism Spectrum Disorder
• Opioid Use Disorder


Perinatal (Preconception, Antepartum, and Postpartum)/Women’s Mental Health:
• Sexual Interest/Arousal Disorder
• Obsessive Compulsive Disorder
• Premenstrual Dysphoric Disorder
• SSRI-Induced Sexual Dysfunction
• Antepartum Tobacco Use Disorder

Substance Use Disorders:
• Alcohol Use Disorder
• Antepartum Alcohol Use Disorder
• Tobacco Use Disorder
• Benzodiazepine Deprescribing
• Opioid Use Disorder
• Stimulant Use Disorder

The decision support tools included are designed to be informational and to reflect current accepted practices at the time of publication. These tools are not intended to replace professional medical judgment or treatment of specific conditions. Heart of Texas Community Health Center (dba Waco Family Medicine) and the authors accept no responsibility for any damages, obligations, losses, liabilities, costs or expenses arising from use of the decision support tools contained herein. By using this app, you acknowledge that you have reviewed the above and accept these terms.

## Key features

- Evidence-based psychopharmacology
- Point-of-care decision making
- Tailored recommendations for special populations
- Treatment for adult, pediatric, and geriatric mental health
- Substance use disorder treatment tools
- Medication cost and availability considerations

## Recent user reviews (10 of 23)

All indexed reviews: https://appshunter.io/ios/app/waco-guide-psychopharmacology/id1503707099/reviews.md

### 5/5 — Awesome app

*2026-02-22, version 8.6*

This is such an awesome app and I find it very helpful in practice. Please add more diagnosis and decision support tools!

### 5/5 — WACO Guide

*2026-02-02, version 8.6*

Easy to use evidence based clinical tool that assist with medical decision making. Great for new providers.

### 5/5 — First App ever reviewed

*2026-01-13, version 8.6*

Absolutely incredible. Download. Reference often.

### 5/5 — New and Seasoned PMHNPs

*2025-08-27, version 8.6*

This is not only a tool for also education with the latest knowledge to keep you update on clinical information to receive the best possible outcomes for out patients! I’m so grateful I found this app! And it’s FREE!

### 5/5 — Beyond impressive

*2025-06-25, version 8.6*

I’d pay all the money for this. But it’s free. Ya’ll are doin the Lord’s work over at Baylor/MGH.  You all included lisdex in your stim use (meth specific) disorder algo and that’s all I needed to see.  Thank you for not 100% regurgitating only prominent National guideline recs and being bold enough to incorporate other valuable sources of evidence into the decision tree. MANY, many thank you’s for the time and dedication spent and continued to be devoted towards maintaining such a fantastic tool.

### 5/5 — Stunning

*2024-07-10, version 8.5*

Easy to use and concise.

### 5/5 — Evidence based recs for primary care

*2023-10-02, version 8.4*

Great app!

### 5/5 — This is the best Psychopharm App I have used in a long time

*2023-01-01, version 7.0*

Excellent!!!

### 5/5 — Wow!

*2022-11-23, version 7.0*

Nothing else like it

### 5/5 — My “go to” psych medication source

*2022-08-29, version 6.0*

I’ve been using The Waco Guide in my clinic for several months and love this resource. It gives you the information you need in the exam room.

## Frequently asked questions about Waco Guide

### What is the Waco Guide app?

The Waco Guide app is a clinical decision support tool designed for primary care clinicians. It provides evidence-based psychopharmacology information and expert opinion to aid in medical decision-making for various mental health conditions across different patient populations.

### What key features does the Waco Guide offer?

The app offers high-yield, evidence-based psychopharmacology, in-office usability at the point-of-care, a common language for collaborative care, consideration of medication cost and availability, and detailed titration schedules, monitoring recommendations, and side effect lists.

### Is the Waco Guide app free to use?

Yes, based on the provided information, the Waco Guide app is available for free. There are no mentions of subscription fees, in-app purchases, or advertisements.

### Who is the target audience for the Waco Guide app?

The app is ideal for primary care clinicians, including physicians, nurse practitioners, and physician assistants. It is also beneficial for integrated behavioral health providers who manage mental health conditions in a primary care setting.

### What types of mental health conditions does the app cover?

The app covers a wide range of conditions for adults, including depression, anxiety disorders, bipolar disorder, PTSD, insomnia, schizophrenia, and substance use disorders. It also provides decision support tools for pediatric and adolescent mental health, perinatal and women's mental health, and special populations with specific health impairments.

## Version history (last 5 releases)

### 8.7 — 2026-03-14

Strength of Recommendation (SOR) Now Available
View Strength of Recommendation details directly in the app. SORT tables are now displayed in-app (no PDFs), with clearer layout and improved readability.

Medication Switching & Discontinuation Updates
A new Discontinuation tool has been added alongside Switching. Easily toggle between switching and discontinuation for antidepressants and mood stabilizers. Improved accuracy and clearer medication states.

Expanded Clinical Content
 • New Binge Eating (Adolescent) and Bulimia (Adolescent) content.
 • Updates to Depressive Disorder (including multiple subtypes), Autism, Alcohol Use Disorder (antepartum), and Antipsychotic Management.
 • Expanded and refreshed SORT tables across many disorders.
 • Medication updates, including search by brand name.

Performance & Stability Improvements
 • Fixed medication switching issues and content-related crashes.
 • Improved error reporting and diagnostic support.

### 8.6 — 2025-04-22

New clinical decision support tools are now available for Dementia and Adolescent Tobacco Use Disorder.

Additionally, Perinatal Opioid Use Disorder, Alcohol Use Disorder, and Adolescent Stimulant Use Disorder have all been updated to reflect the latest best practices.

### 8.5 — 2024-04-05

Updated adolescent section.

### 8.4 — 2023-09-08

New age grouping for Adolescents!
Adolescent Tools include Opioid Use Disorder, Anorexia Nervosa, Binge Eating & Bulimia Nervosa
Other tools coming soon.

### 8.3 — 2023-08-21

General updates and tool refinements.

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-08-29.*