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AI scribes for couples and relationship therapy

Couples therapists want a scribe that attributes disclosures correctly and outputs a systemic assessment, not two individual notes.

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Reviewed by TherapyScribes EditorialFacts verified Methodology

Key takeaways

  • Look for dedicated couples/family templates — generic SOAP forces awkward attribution.
  • PHI rules differ: is the record joint, or two individual records? Confirm your state's stance.
  • Systemic-therapy trained models (EFT, Gottman) produce better assessments than generic prompts.

Ranked shortlist

  1. #1
    9.3/10
    Twofold Health

    Therapy-focused AI scribe with HIPAA-first capture and BIRP / DAP / SOAP out of the box

    Best for: behavioral-health and therapy clinicians who want a HIPAA-aligned, therapy-native scribe with BIRP / DAP / SOAP by default, Golden Thread continuity, and the lowest entry price in the category

  2. #2
    8.4/10
    Mentalyc

    Mature therapy-note generator with the broadest modality template library

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

  3. #3
    8.7/10
    Upheal

    Therapy-first AI scribe with progress-note and treatment-plan templates

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

  4. #4
    8.3/10
    Heidi Health

    Multi-specialty AI scribe with strong therapy template support and ANZ/UK reach

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

  5. #5
    7.4/10
    Supanote

    Lightweight therapy scribe with a real free tier

    Best for: solo therapists trialing AI documentation without commitment

How we scored

Weights systemic-template quality (0.45), diarization (0.35), pricing (0.2).

See our full methodology for weights and evidence rules.

Frequently asked

Is the record joint or individual for couples work?
Jurisdiction-dependent. In most US states, couples records are joint by default and neither partner can unilaterally release them.

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