Skip to content
Independent Editorial Review

The best AI therapy scribes, rigorously tested.

We hands-on test note quality and source every compliance, pricing and integration claim. Built for mental-health and therapy clinicians — not general medical scribes retrofitted to therapy.

Clinical Review Board
Updated June 2026
Tools tracked
14
Hands-on tested
6
Country guides
6
How they work

An ambient therapy scribe, in three steps

Every tool here follows the same loop. The differences are in accuracy, template depth, compliance and price — which is what we score.

  1. 01

    It listens

    During the session — in person or over telehealth — the scribe captures the conversation so the clinician can stay present with the client.

  2. 02

    It drafts the note

    Within seconds it produces a structured note in your format — SOAP, DAP, BIRP, GIRP or a custom therapy template — plus a treatment-plan update where supported.

  3. 03

    You review and sign

    The clinician edits the draft and pushes it to the EHR. The human stays accountable for the final record — the AI just removes the typing.

Vendor and early-study time-savings figures vary widely by modality, caseload and EHR. Treat them as directional, not guaranteed. The clinician remains accountable for the record — AI removes typing, not judgment.

The ranking

Every AI therapy scribe, ranked

Note quality is hands-on tested where labeled; pricing, integrations and compliance are sourced and dated. How we score.

01
9.0/10
Twofold Health logo

Twofold Health

TestedTop ranked

Best for behavioral-health and therapy clinicians who want a HIPAA-aligned scribe with mental-health note formats by default and a low entry price

  • BIRP, DAP and SOAP for mental health are default formats, not add-ons
  • Signed BAA on every paid account; encryption in transit and at rest documented publicly
  • Younger product than Mentalyc or Upheal — independent long-term reliability data is still limited
  • EHR integration is copy-paste / export today; no native write-back to SimplePractice or TherapyNotes confirmed
Starting
Free 1-week trial, then $19 first month
02
8.7/10
Upheal logo

Upheal

Tested

Best for private-practice therapists who want progress notes in their preferred format with minimal cleanup

  • Therapy-native templates (SOAP, DAP, BIRP, GIRP) ship by default — no prompt engineering required
  • Treatment-plan and progress-note generation are first-class features, not afterthoughts
  • EHR write-back is copy-paste for SimplePractice and TherapyNotes today
  • 42 CFR Part 2 stance is not separately enumerated for SUD programs — confirm before deploying in OTP/SUD settings
Starting
Free up to 10 sessions/mo; from $59/mo
03
8.4/10
Mentalyc logo

Mentalyc

Tested

Best for established practices that need reliable progress notes across many modalities

  • Largest therapy-specific template library tested (CBT, DBT, EMDR, couples, family, group)
  • HIPAA-compliant with BAA; documented audio-retention policy
  • Entry pricing is higher than Upheal's free tier
  • Direct EHR write-back is limited; most users export or paste
Starting
From $39.99/mo (intro tier)
04
8.3/10

Best for therapists and psychiatrists outside the US who need a HIPAA + GDPR + Australian Privacy Act-aligned scribe

  • Free tier with unlimited sessions on the entry plan
  • HIPAA, GDPR, ISO 27001 and Australian Privacy Act-aligned — strong for ANZ/UK/EU therapists
  • Not therapy-only — some clinical-pathway features assume primary-care or specialist medical context
  • EHR write-back into therapy-specific systems (SimplePractice, TherapyNotes) is copy-paste
Starting
Free; from $99/mo (Pro)
05
8.2/10
Blueprint logo

Blueprint

Tested

Best for therapists who want progress notes plus measurement-based-care outcomes in one workflow

  • Ties session content to validated outcome measures (PHQ-9, GAD-7, PCL-5) — unique in the field
  • Published per-seat pricing; free trial available
  • Narrower therapy-template library than Mentalyc or Upheal
  • Bundled scope means you're paying for outcomes tooling whether you use it or not
Starting
From $79/clinician/mo
06
7.9/10
Freed logo

Freed

Tested

Best for solo therapists who want a fast, low-fuss ambient scribe with a flat monthly price

  • Fast turnaround — notes typically generated in under 60 seconds
  • Flat $99/clinician/mo with BAA included
  • Therapy template library is narrower than Mentalyc / Upheal
  • No free tier and no annual discount published
Starting
$99/clinician/mo
07
7.9/10
Eleos Health logo

Eleos Health

Provisional

Best for behavioral-health organizations, CCBHCs and community mental-health centers

  • Built for clinics, CCBHCs and SUD programs from the ground up
  • Documented 42 CFR Part 2 awareness — material for SUD treatment programs
  • Sales-led only — no published pricing or self-serve tier
  • Overkill for solo private practice
Starting
Sales-led; no public pricing
08
7.6/10
AutoNotes logo

AutoNotes

Provisional

Best for clinicians who prefer to dictate a brief recap rather than record full sessions

  • Largest published therapy-format list we found — including PAIP, MINT, EMDR-specific templates
  • Flat per-seat pricing with a free trial
  • Ambient capture is newer than the recap-input flow
  • Provisional pending hands-on review
Starting
From $29/clinician/mo (Solo)
09
7.4/10
Supanote logo

Supanote

Provisional

Best for solo therapists trialing AI documentation without commitment

  • Free tier; very low entry price
  • Standard therapy note formats supported
  • Provisional pending hands-on clinical-quality testing
  • Smaller team and shorter operating history than Mentalyc or Upheal
Starting
Free; from $29/mo
10
7.3/10
Lyrebird Health logo

Lyrebird Health

Provisional

Best for Australian and UK psychiatrists and therapists wanting a locally-built scribe

  • Australian Privacy Act-aligned; data residency in AU/EU/US selectable
  • Used in NHS England pilot programmes (2025)
  • General medical scribe, not therapy-first
  • Provisional pending hands-on therapy testing
Starting
From AU$119/clinician/mo
11
7.2/10
Yung Sidekick logo

Yung Sidekick

Provisional

Best for solo clinicians who want a no-nonsense ambient note tool with session insights

  • Clear solo-clinician positioning
  • Session-insights feature spans across multiple sessions per client
  • Provisional pending our own testing
  • Smaller compliance documentation footprint
Starting
From $39/mo (verify directly)
12
7.1/10

Best for clinicians wanting straightforward DAP/BIRP/GIRP generation

  • Behavioral-health-focused output formats
  • Reasonable per-clinician pricing
  • Provisional rating — not yet hands-on tested by us
  • Ambient capture maturity unclear vs Upheal / Mentalyc
Starting
From $49/clinician/mo (verify directly)
13
7.0/10
Nabla Copilot logo

Nabla Copilot

Provisional

Best for psychiatrists in larger health systems already evaluating Nabla for primary care

  • Full HIPAA + SOC 2 Type II + GDPR + ISO 27001 quartet
  • Real free tier up to 30 consults/month
  • General medical scribe — therapy template depth is limited
  • Editor UX is tuned for medical visits, not 50-minute psychotherapy sessions
Starting
Free up to 30 consults/mo; from $119/mo
14
6.8/10
NoteDesigner logo

NoteDesigner

Provisional

Best for therapists who want a deterministic, prompt-based note builder rather than ambient recording

  • No audio recording — sidesteps consent and storage concerns entirely
  • One-time license option in addition to subscription
  • Not an ambient scribe — does not transcribe or summarise sessions
  • Older UI compared with 2024-vintage entrants
Starting
From $14.95/mo or one-time $199 license
Feature comparison

Every tool, side by side

An em-dash means the vendor has not publicly disclosed the answer; we never guess.

= not publicly disclosedYes / No / Partial
Why trust this

Editorial independence, in three lines

Source-cited facts

Every compliance, pricing and integration claim links to a public source and carries a last-verified date.

Transparent scoring

Six rubric dimensions weighted in public — note quality 35%, compliance 20%, integration 15%, pricing 10%, breadth 10%, support 10%.

Email-verified reviews

Clinician reviews are shown separately from the editorial score and only counted when email-verified.

Verified clinician reviews

From the people actually using these tools

No verified reviews yet. Reviews are email-verified and shown separately from our editorial score.

Submit the first verified review →
Frequently asked

Questions therapists actually ask

What is an AI therapy scribe?
An AI tool that listens to a therapy session and drafts the progress note in your preferred format (SOAP, DAP, BIRP, GIRP, narrative). The clinician reviews, edits and signs — the AI never owns the record.
Is it HIPAA-compliant to use an AI scribe in therapy?
Yes, when the vendor signs a BAA, encrypts audio in transit and at rest, and offers documented retention and training-data policies. The therapy-focused vendors we recommend all do this.
What about 42 CFR Part 2 for substance-use treatment?
If you run an SUD program subject to 42 CFR Part 2, you need a vendor whose BAA explicitly covers Part 2 record handling. Most generic medical scribes do not — Eleos Health is one of the few that does.
Do AI therapy scribes work for couples and family sessions?
Mentalyc and Upheal handle multi-speaker therapy formats; quality of speaker attribution varies, and you should verify on a real session before relying on it.
Do I need to tell clients I'm using an AI scribe?
Yes. Informed consent for AI-assisted documentation is the prevailing professional-ethics standard across jurisdictions; capture it in your intake paperwork and verbally at the start of each session for the first few visits.
Will my client's audio be used to train the model?
Reputable therapy-focused vendors do not train on customer session data by default. Look for an explicit no-training-on-customer-data line in the BAA or DPA, not just a marketing statement.