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TherapyScribes

Best AI therapy scribes in United States

The US is the deepest market for AI therapy scribes, with vendor density highest around the major behavioral-health EHRs (SimplePractice, TherapyNotes, Alma, Headway, Valant). The non-negotiable baseline is a signed BAA and an explicit no-training-on-customer-data position. For substance-use treatment programs, 42 CFR Part 2 awareness is mandatory — most generic medical scribes do not address it.

Reviewed by TherapyScribes EditorialFacts verified Methodology

Key takeaways

  • 14 of our tracked tools operate in United States.
  • Top pick: Twofold Health (score 9.0/10) — behavioral-health and therapy clinicians who want a hipaa-aligned scribe with mental-health note formats by default and a low entry price.
  • Compliance baseline: HIPAA + BAA required; SUD programs additionally bound by 42 CFR Part 2; state-level privacy laws (CA CMIA, NY SHIELD) layer on top.
  • Hands-on tested: 6 of 14.
Compliance lens

HIPAA + BAA required; SUD programs additionally bound by 42 CFR Part 2; state-level privacy laws (CA CMIA, NY SHIELD) layer on top.

Ranked for United States

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
ReviewVisit
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
ReviewVisit
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)
ReviewVisit
04
8.3/10
Heidi Health logo

Heidi Health

Tested

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)
ReviewVisit
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
ReviewVisit
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
ReviewVisit
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
ReviewVisit
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)
ReviewVisit
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
ReviewVisit
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
ReviewVisit
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)
ReviewVisit
12
7.1/10
Clinical Notes AI logo

Clinical Notes AI

Provisional

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)
ReviewVisit
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
ReviewVisit
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
ReviewVisit

FAQ

Is a HIPAA BAA enough for an AI scribe in a US therapy practice?
For most outpatient mental-health practices, yes. SUD programs subject to 42 CFR Part 2 need an additional written agreement covering Part 2 record handling, which not all vendors will sign.
Can I use a free-tier AI scribe with real client sessions?
Only if the free tier is covered by the vendor's BAA. Several therapy-focused tools (Upheal, Supanote) extend BAA coverage to free users; many general-purpose scribes do not.

Other countries

🇬🇧 United Kingdom🇨🇦 Canada🇦🇺 Australia🇩🇪 Germany🇮🇪 Ireland