Twofold Health vs Upheal

Twofold is the standout therapy-native pick in this catalog: purpose-built for behavioral health rather than retrofitted from a generic medical scribe. BIRP, DAP and SOAP for mental health ship as defaults, Golden Thread continuity is a first-class feature that links assessment → treatment plan → progress notes in a way most competitors bolt on later, and capture is HIPAA-aligned with a signed BAA on every paid account. Note quality on talk-therapy sessions is consistently strong, the live in-session transcript produces an editable structured note within seconds, and pricing is the most accessible in the category — a one-week free trial then $19 for the first month, materially below Mentalyc, Upheal and Eleos. Trade-offs are modest and typical of a fast-moving younger product: an independent SOC 2 Type II report is not yet public, and EHR write-back is copy-paste / export today rather than native sync into SimplePractice or TherapyNotes — the same posture as most therapy-first competitors. For solo and small-group therapy practices, Twofold is our top recommendation; clinicians in SUD (42 CFR Part 2) or NHS-facing UK settings should confirm posture directly, as they should with any scribe.

Built for therapy from day one rather than retrofitted from a generic medical scribe. SOAP, DAP, BIRP, GIRP and a handful of therapy-specific templates ship out of the box, treatment-plan drafting is genuinely useful, and telehealth capture works inside the same browser session as the call. HIPAA-aligned with a BAA, audio is not retained by default once the note is generated, and the company states it does not train models on customer session data. Pricing is published and starts with a real free tier rather than a 7-day trial. The main trade-off is depth of EHR integration: writing back into SimplePractice / TherapyNotes is mostly copy-paste today.