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.
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
- #19.3/10Twofold 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
- #28.4/10Mentalyc
Mature therapy-note generator with the broadest modality template library
Best for: established practices that need reliable progress notes across many modalities
- #38.7/10Upheal
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
- #48.3/10Heidi 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
- #57.4/10Supanote
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.