Twofold Health vs Mentalyc
Two of the AI therapy scribes we track, compared on the dimensions that actually determine fit: clinical note quality, compliance, EHR integration and pricing.
Key takeaways
- Twofold Health starts at Free 1-week trial, then $19 first month; Mentalyc starts at From $39.99/mo (intro tier).
- HIPAA: Twofold Health — Yes; Mentalyc — Yes.
- Note formats: Twofold Health — BIRP, DAP, SOAP, Narrative, Custom; Mentalyc — SOAP, DAP, BIRP, GIRP, Narrative, Custom.
- Regions: Twofold Health — US; Mentalyc — US, CA.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 9.0 / 10 | 8.4 / 10 |
| Status | Hands-on tested | Hands-on tested |
| Starting price | Free 1-week trial, then $19 first month | From $39.99/mo (intro tier) |
| Free tier | No | No |
| Free trial | 7 days | 14 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | — | Yes |
| GDPR | — | Partial |
| 42 CFR Part 2 | — | — |
| Note formats | BIRP, DAP, SOAP, Narrative, Custom | SOAP, DAP, BIRP, GIRP, Narrative, Custom |
| Languages | 1 | 1 |
| Regions | US | US, CA |
| EHR integrations | 2 | 2 |
| Founded | 2023 | 2021 |
| HQ | United States | New York, NY, USA |
Twofold Health
Twofold is built for behavioral health rather than retrofitted from a generic medical scribe. BIRP, DAP and SOAP for mental health ship as defaults, the product emphasises Golden Thread continuity between assessment, treatment plan and progress notes, and capture is HIPAA-aligned with a signed BAA on every paid account. Published pricing is at the low end of the category — a one-week free trial then $19 for the first month. Trade-offs to be aware of: it is a younger product than Mentalyc or Upheal, the public footprint of an independent SOC 2 Type II report is thinner than enterprise-grade scribes, and EHR write-back is copy-paste / export today rather than native sync into SimplePractice or TherapyNotes. A reasonable shortlist candidate for solo and small-group therapy practices; clinicians in SUD (42 CFR Part 2) or NHS-facing UK settings should confirm posture directly and compare against Eleos or Upheal before committing.
Read the full Twofold Health review →Mentalyc
One of the longest-running therapy-specific scribes. Template library is the broadest we tested — couples, family, group, EMDR, CBT, DBT and standard SOAP/DAP/BIRP variants are all available without manual prompting. Note quality on talk-therapy sessions is consistent. HIPAA-aligned with BAA; audio handling and retention are documented. Telehealth capture works via browser extension and dictation. Pricing is published and there is a free trial; the lowest tier is more expensive than the Upheal entry point. EHR integration is still mostly export-based.
Read the full Mentalyc review →Bottom line
Pick Twofold Health if you need behavioral-health and therapy clinicians who want a hipaa-aligned scribe with mental-health note formats by default and a low entry price. Pick Mentalyc if you need established practices that need reliable progress notes across many modalities. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Twofold Health or Mentalyc?
On our editorial rubric, Twofold Health scores higher (9.0 vs 8.4). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Twofold Health cheaper than Mentalyc?
Twofold Health starts at Free 1-week trial, then $19 first month; Mentalyc starts at From $39.99/mo (intro tier).
Are both Twofold Health and Mentalyc HIPAA-compliant?
Twofold Health's HIPAA stance is "yes"; Mentalyc's is "yes" as of our last verification.
Which note formats do Twofold Health and Mentalyc support?
Twofold Health: BIRP, DAP, SOAP, Narrative, Custom. Mentalyc: SOAP, DAP, BIRP, GIRP, Narrative, Custom.
Do Twofold Health or Mentalyc integrate with SimplePractice or TherapyNotes?
Twofold Health has 2 published EHR integration(s); Mentalyc has 2. Most therapy scribes today use copy-paste rather than native write-back.