Home / NoteDesigner / Alternatives NoteDesigner alternatives Looking for something different from NoteDesigner? Eight AI therapy scribes ranked on the same editorial rubric — note quality, compliance, integration, pricing, breadth, support.
Reviewed by TherapyScribes Editorial · Facts verified June 15, 2026 · Methodology TL;DR
The top alternative to NoteDesigner on our rubric is Twofold Health (score 9.0 / 10). For multilingual capture try Upheal; for the deepest template library try Mentalyc; for a free-tier-first option try Upheal or Supanote.
Key takeaways Twofold Health — behavioral-health and therapy clinicians who want a HIPAA-aligned scribe with mental-health note formats by default and a low entry price (score 9.0/10). Upheal — private-practice therapists who want progress notes in their preferred format with minimal cleanup (score 8.7/10). Mentalyc — established practices that need reliable progress notes across many modalities (score 8.4/10). Heidi Health — therapists and psychiatrists outside the US who need a HIPAA + GDPR + Australian Privacy Act-aligned scribe (score 8.3/10). All alternatives ranked 01
Tested Top 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
Starting
Free 1-week trial, then $19 first month
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
Tested Best for private-practice therapists who want progress notes in their preferred format with minimal cleanup
Starting
Free up to 10 sessions/mo; from $59/mo
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
Tested Best for established practices that need reliable progress notes across many modalities
Starting
From $39.99/mo (intro tier)
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
Tested Best for therapists and psychiatrists outside the US who need a HIPAA + GDPR + Australian Privacy Act-aligned scribe
Starting
Free; from $99/mo (Pro)
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
Tested Best for therapists who want progress notes plus measurement-based-care outcomes in one workflow
Starting
From $79/clinician/mo
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
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 07
Provisional Best for behavioral-health organizations, CCBHCs and community mental-health centers
Starting
Sales-led; no public pricing
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
Provisional Best for clinicians who prefer to dictate a brief recap rather than record full sessions
Starting
From $29/clinician/mo (Solo)
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)