If you’re a therapist who spends one to three hours every evening finishing notes, you already know the problem. The session ends. The client leaves. And then you sit down to document what just happened — reconstructing a 50-minute conversation from memory, trying to get it into the record before the details fade, knowing you still have three more sessions to document before you can call it a day.
Documentation fatigue is real, and it contributes directly to burnout. The administrative burden of private practice is one of the most consistently cited reasons therapists reduce their caseloads, move away from insurance, or leave the profession altogether.
AI scribes are designed to help with this. They listen to sessions, generate draft notes in whatever format you use, and hand you something to review and sign rather than something to write from scratch. The best ones can cut documentation time by 60 to 80 percent. The worst ones generate plausible-sounding notes that require more editing than just writing them yourself.
This guide covers seven of the most widely used AI scribes in the therapy space in 2026, along with the consent, privacy, and HIPAA considerations that are often glossed over in tool comparisons. Because the clinical and ethical questions around AI documentation matter as much as the features do.
This guide is for general informational purposes. Features, pricing, and compliance postures change frequently. Always verify current details directly with each vendor, and consult your licensing board and state laws regarding recording consent before implementing any AI documentation tool.
Looking for AI help on the admin and billing side instead of the clinical side? See Best AI Tools for Mental Health VAs and Billers.
How AI Scribes Work
Most AI scribes follow a similar workflow, though the specific steps vary by platform:
- The therapist opens the AI scribe app at the start of the session
- The platform listens to or records the session (either live or via a separate recording)
- After the session, the AI transcribes the conversation and identifies clinically relevant information
- The platform generates a draft note in your chosen format — SOAP, DAP, GIRP, BIRP, or others
- The therapist reviews the draft, edits as needed, and signs the note
Some platforms do this in real time during the session. Others process after the session ends. Some require the therapist to initiate recording manually. A few use upload-based workflows where you record with your phone and submit the audio file.
One point that needs to be said clearly: the AI generates a draft. The therapist is responsible for reviewing it, correcting any errors, and approving the final note before it becomes part of the client’s legal health record. No AI scribe removes that responsibility. The clinical judgment, the accuracy of the documented content, and the appropriateness of what appears in the record belong to the clinician — not the software.
AI can draft notes, organize information, and suggest documentation structures. It cannot make diagnoses, replace clinical reasoning, determine medical necessity, or decide what should and shouldn’t be documented. Every note that an AI generates needs to be read, not rubber-stamped.
Documentation automation is one piece of a bigger operational puzzle. The complete guide to running a private practice covers how it connects to billing, compliance, and the rest of your systems.
Client Consent and Ethical Considerations
This is the section most AI scribe comparisons skip or minimize, and it’s one of the most important ones for therapists to think through before signing up for any platform.
Informed Consent for AI Documentation
Before using an AI scribe with any client, therapists should ensure clients understand and have consented to:
- That an AI-assisted documentation tool is being used in their care
- Whether their session is being recorded, transcribed, or both — and the distinction between the two
- What information is processed by the software and where it goes
- How the information is protected (encryption, data retention, third-party access)
- Whether they have the option to decline AI-assisted documentation
- What happens if they decline — typically, the therapist completes notes manually instead
Many practices add language about AI documentation tools to their standard informed consent paperwork and revisit it verbally when introducing the tool to existing clients. This isn’t just good ethics — in some contexts it’s a legal requirement.
State Recording Consent Laws
Recording consent requirements vary significantly by state. Some states require only one-party consent (meaning the therapist’s consent is sufficient to record). Others require all-party consent, meaning every person in the session must explicitly agree before recording begins.
Even in states where one-party consent is sufficient under law, ethical practice in therapy generally favors transparent informed consent with clients regardless of the legal minimum. A client who doesn’t know their session is being recorded — even in a state where that’s legally permitted — may reasonably feel that trust has been violated if they find out later.
Before enabling session recording with any AI scribe, review your state’s recording consent laws, your licensing board’s guidance, and any relevant professional ethics codes. If you’re unsure, consult your malpractice insurance carrier.
Data Use and Privacy Policies
Not all AI scribes handle client data the same way. Some vendors state explicitly that session data is never used to train their AI models and is deleted after note generation. Others use data for training by default, with an opt-out mechanism — or no opt-out at all. A few have policies that permit sharing aggregated data with third parties.
This matters more in therapy than in most other healthcare settings because the content of therapy sessions is uniquely sensitive. Before choosing any AI scribe, read the vendor’s privacy policy directly and look for specific answers to: Is session audio or transcript used for AI training? Is there an opt-out? What is the data retention period? Can data be shared with third parties?
A BAA is necessary but not sufficient. The BAA covers the vendor’s HIPAA obligations. It doesn’t necessarily address what the vendor does with de-identified or aggregated data, which may fall outside HIPAA’s scope.
HIPAA Compliance: What to Look For
Any platform you use to record, transcribe, or process therapy session content is handling protected health information (PHI), which makes the vendor a HIPAA business associate. That means a signed Business Associate Agreement is required before you use the platform with client data.
A vendor that advertises “HIPAA compliant” but won’t sign a BAA is not an option for clinical use, regardless of how good the notes are. The BAA is a legal requirement, not a formality.
Beyond the BAA, evaluate:
- Encryption of audio and data in transit and at rest
- Access controls limiting who within the vendor organization can access recordings or transcripts
- Audit logs tracking data access
- Clear data retention and deletion policies
- Whether the platform has independent security certifications (SOC 2 Type II is the most meaningful)
- Transparent documentation of what data is used for and how long it’s retained
SOC 2 Type II certification indicates that a vendor’s security controls have been independently audited over a period of time, not just reviewed at a single point. It’s a stronger signal than self-attestation alone.
Quick Comparison: 2026 AI Scribes for Therapists
| Platform | HIPAA BAA | Session Recording | EHR Integrations | Starting Price | Best For |
| Mentalyc | ✓ (SOC 2 Type II) | Record-then-process | 6 direct (SP, TherapyNotes, others) | $19.99/mo | Best overall; therapy-native formats; solo and group practices |
| Upheal | ✓ (SOC 2 Type II) | Live + upload | Built-in EHR + integrations | Free / $1/session (cap $69) | Session analytics, telehealth-first, all-in-one EHR |
| Blueprint AI | ✓ | Live recording | EHR included free | Free EHR; $0.99/session AI | Measurement-based care; free EHR entry point |
| AutoNotes AI | ⚠ Claims compliance; BAA concerns — verify directly | No live recording (typed or uploaded audio) | Copy/paste; no direct integration | ~$29/mo (Economy) | Clinicians who prefer no live recording |
| Freed AI | ✓ (verify data use policy) | Live ambient recording | Limited; standalone | $39/mo (Starter, 40 note cap) | General healthcare; existing Freed users |
| Heidi Health | ✓ | Live voice | Growing; primarily copy/paste | Free tier / paid from ~$100/mo | Multi-specialty; international practices |
| Nabla | ✓ | Live ambient | Enterprise EHR integrations | Enterprise pricing | Organizations, clinics, health systems |
Pricing and features verified mid-2026 from published sources and third-party reviews. Features, pricing, and compliance postures change frequently — verify directly with each vendor before purchasing. The AutoNotes BAA flag is based on multiple third-party sources as of mid-2026; verify directly with the vendor.
Platform Reviews
1. Mentalyc
Mentalyc is the AI scribe built specifically and exclusively for mental health professionals, and that focus shows in every part of the product. The note template library alone — with over 100 therapy-specific formats including SOAP, DAP, BIRP, GIRP, PIE, SIRP, and others — is deeper than anything a general-purpose AI scribe offers out of the box.
The platform uses a record-then-process workflow. The therapist records the session (or uploads audio, dictates a summary, or types session details), and Mentalyc processes it after the session ends to generate the draft note. This is different from real-time ambient listening — the note isn’t available during the session, but it’s typically ready within a few minutes of the recording ending.
Beyond notes, Mentalyc generates treatment plans, intake documentation, and tracks therapeutic patterns across sessions over time. The Alliance Genie feature surfaces session insights that some therapists find useful for clinical reflection and supervision. Six direct EHR integrations (including SimplePractice and TherapyNotes) cover the most common platforms; a Chrome extension autofill handles the rest.
Mentalyc is HIPAA-compliant, SOC 2 Type II certified, states that session data is not used for AI model training, and reports that recordings are deleted within three days of note generation. That combination of specificity and documentation around privacy puts it ahead of most competitors on transparency.
The main trade-off is the note caps on individual plans. At 40 notes on the Mini plan and 100 on the Basic, a therapist seeing 25 clients a week will hit the ceiling within a couple of weeks on the lower tiers. The Pro plan at $69.99/month covers 160 notes, and the Super at $119.99/month covers 330. Group practice plans with unlimited notes run $49.99 to $59.99 per seat per month.
Pros
- Purpose-built for mental health — 100+ therapy-specific note formats out of the box
- HIPAA-compliant, SOC 2 Type II certified with transparent privacy documentation
- Session data not used for AI training; recordings deleted within 3 days
- Treatment plans, intake documentation, and session pattern tracking included
- Six direct EHR integrations; Chrome extension for others
- Affordable entry point at $19.99/month for lighter caseloads
- 14-day free trial, no credit card required
Cons
- Record-then-process workflow — note isn’t available during the session
- Note caps on individual plans can be limiting for high-volume practices
- No built-in EHR, scheduling, or telehealth — standalone documentation tool only
Pricing
Mini: $19.99/month (40 notes). Basic: $39.99/month (100 notes). Pro: $69.99/month (160 notes). Super: $119.99/month (330 notes). Group Practice: $49.99–$59.99/seat/month (unlimited notes). Annual billing saves up to $300. Pricing verified May 2026 — verify directly.
Best for
Solo therapists and group practices who want therapy-native AI notes from a purpose-built platform. Strongest for those already using SimplePractice or TherapyNotes who want direct EHR integration.
2. Upheal
Upheal occupies a different category from most AI scribes on this list: it’s not just a documentation tool, it’s a full EHR built around AI. Scheduling, client records, telehealth, payment processing, treatment plans, and AI-generated notes are all in one platform. For therapists who want to consolidate away from a legacy EHR, that’s a meaningful offer.
The documentation side is strong. Upheal records sessions (live or uploaded), generates notes in standard therapy formats, and — most distinctively — provides session analytics: talk-time ratios, emotional tone patterns, and other conversational insights that no other platform in this category matches. Therapists who find value in reflective practice or who are building supervision programs have used these analytics meaningfully.
Pricing is per-session, capped at $69/month on the Premium plan regardless of volume — which makes it cost-effective for high-volume practices. A free tier with unlimited AI notes is available, making it easy to evaluate seriously before committing.
The main gap as of mid-2026: insurance billing (claims submission, ERA processing, eligibility checks) is on Upheal’s roadmap but not yet live. Therapists who bill insurance heavily will need to manage that outside of Upheal for now. On the privacy side, Upheal requires explicit opt-in from both therapist and client before any data is used for AI training — one of the stronger consent postures in this space.
Pros
- Full EHR with AI notes, telehealth, scheduling, and payments — one platform
- Unique session analytics (talk-time, emotional tone, client-therapist ratios)
- Generous free tier with unlimited AI notes
- Per-session pricing capped at $69/month — cost-effective for high volume
- HIPAA-compliant, SOC 2 Type II, GDPR certified
- Explicit opt-in required before any data is used for AI training
Cons
- Insurance billing (claims, ERA, eligibility) not yet live as of mid-2026 — verify current status
- Less depth on therapy-specific note formats compared to Mentalyc
- Analytics features add value but also add complexity for therapists who just want simple notes
Pricing
Free tier available with core features. Paid plans run approximately $1/session, capped at $69/month on the Premium tier. Verify current plan structure directly with Upheal.
Best for
Therapists who want an AI-native alternative to SimplePractice or TherapyNotes, particularly those who value session analytics and don’t depend heavily on insurance billing automation. Also a strong choice for practices that see moderate volume and want to keep total software costs predictable.
3. Blueprint AI
Blueprint’s business model is genuinely different from every other platform on this list: the EHR is free. Scheduling, documentation, billing, insurance claims processing, client portal, intake forms — all included at no charge. Blueprint makes its revenue through the AI add-on, which runs $0.99 per session on the Plus plan and $1.49 per session on the Pro plan.
For a therapist seeing 20 clients per week, that’s roughly $80–$120/month for AI notes on top of a free EHR — comparable to SimplePractice’s Essential plan, but with the EHR and AI bundled differently. For lower-volume practices, the per-session model is very cost-effective. For high-volume practices, the math flips.
Where Blueprint differentiates most clearly is measurement-based care (MBC). It has the deepest integration of validated outcome measures — PHQ-9, GAD-7, PCL-5, and 250+ others — woven into the documentation workflow. For practices contracted with payers that require outcome measurement, or for therapists who use MBC as a clinical philosophy, Blueprint is the strongest option in this category. No other tool in this comparison comes close on that specific capability.
The AI note quality is solid, with notes that users report closely match their own writing style after some initial calibration. The EHR includes insurance claims processing — a meaningful advantage over Upheal while that feature is pending.
Pros
- EHR is free — scheduling, billing, insurance claims, client portal all included at no cost
- Deepest measurement-based care (MBC) integration of any platform in this category
- Per-session AI pricing is cost-effective for lower-volume practices
- 30-day free trial on the AI add-on
- Insurance billing included in the free EHR
- Updated privacy policy: no longer trains AI on user data
Cons
- Per-session pricing becomes expensive for high-volume practices
- AI notes require more manual input than fully ambient platforms
- Note template depth not as extensive as Mentalyc for specialized therapy formats
Pricing
EHR Core: free (no session limit, no expiration). AI Plus: $0.99/session. AI Pro: $1.49/session. Verify current plan details directly with Blueprint.
Best for
Practices that want a free, full-featured EHR with AI documentation added per session. Strongest fit for therapists who use measurement-based care or whose payer contracts require outcome reporting.
4. AutoNotes AI
AutoNotes takes a fundamentally different approach from the other platforms on this list: there’s no session recording. Instead, therapists enter session details — through a typed summary, structured prompts, or uploaded audio — and the AI generates formatted documentation from that input.
For therapists who have reservations about recording sessions, or who work with clients who are uncomfortable being recorded, AutoNotes provides a way to get AI-assisted documentation benefits without the recording component. That’s a genuine clinical and ethical niche that the other platforms don’t serve.
The Economy plan generates notes from typed or structured input. The higher-tier First Class plan adds an AutoScribe feature that does capture live sessions — so if recording is eventually something you’d consider, that option is there.
Important: Multiple independent sources as of mid-2026 indicate that AutoNotes claims HIPAA compliance but does not sign Business Associate Agreements (BAAs), and that their terms prohibit uploading PHI. If accurate, this would mean AutoNotes cannot be used with actual client data in a HIPAA-compliant manner. This is a significant concern. Verify the current BAA status directly with AutoNotes before using the platform with any client information.
If the BAA situation has been resolved, AutoNotes is worth evaluating for its no-recording approach. If it hasn’t, therapists should not use it for actual session documentation regardless of how the notes are generated.
Pros
- No live session recording required on the base plan — suitable for clients uncomfortable with recording
- Fast note generation from typed or structured input
- Lower barrier to entry for therapists hesitant about AI recording
Cons
- BAA availability is unclear and disputed as of mid-2026 — must be verified directly
- No direct EHR integration; copy-paste workflow only
- Less clinical depth than therapy-native platforms
Pricing
Economy: approximately $29/month. First Class (with AutoScribe): higher tier. Verify current pricing directly. Note: annual plans are also available.
Best for
Therapists who want AI-assisted notes without live session recording — but only if BAA status is confirmed. Do not use with PHI without verifying the BAA situation directly with the vendor.
5. Freed AI
Freed is a well-regarded AI scribe in the broader healthcare space — primary care, specialty medicine, and general clinical settings. It was not built for therapy specifically, and that distinction matters more than it might seem.
The note quality and ambient recording capability are genuinely good. Freed records sessions, transcribes them accurately, and generates clean clinical documentation. For therapists working in integrated healthcare settings who document alongside medical colleagues, Freed’s familiarity with medical workflows is an asset.
For a solo therapy private practice, the math is harder to justify. The Starter plan caps at 40 notes per month at $39 — which a therapist seeing 15 clients per week exhausts in a week and a half. The Core plan at $79/month does notes only, with no EHR, scheduling, or billing — so most therapists using Freed also pay separately for their EHR, putting the total cost at $120–$180/month for a complete stack.
The privacy concern worth flagging: Freed’s terms of service permit using de-identified session data for AI training by default, and the policy permits sharing aggregated data with third parties. There is no opt-out mechanism published for AI training use. For therapy specifically, where session content is uniquely sensitive even when de-identified, this is worth careful consideration before choosing the platform.
Pros
- Strong transcription accuracy across clinical contexts
- Clean, fast ambient documentation workflow
- Good fit for therapists in integrated medical settings needing cross-specialty documentation
- HIPAA-compliant with BAA
Cons
- Not built for therapy — lacks therapy-specific note formats and DSM-5-TR alignment
- Starter plan caps at 40 notes/month — most private practice therapists outgrow it quickly
- Notes-only product; requires separate EHR — total cost can exceed $150/month
- Data use policy allows AI training on de-identified session content with no published opt-out
Pricing
Starter: $39/month (40 note cap). Core: $79/month (unlimited notes, no EHR). Verify current tiers directly with Freed.
Best for
Therapists in integrated healthcare or hospital settings who use Freed alongside medical colleagues, or who already have a preferred EHR and specifically want Freed’s ambient documentation. Not the strongest standalone choice for a solo therapy private practice.
6. Heidi Health
Heidi Health is a voice-first AI documentation platform with a permanent free tier that makes it one of the most accessible options for therapists who want to test AI scribing without any financial commitment. The platform is used across multiple healthcare specialties, not just mental health, which gives it breadth but less therapy-specific depth.
Heidi’s free tier is genuinely functional for lower-volume practices. The paid plans start at approximately $100/month and add features for higher-volume use and team settings. EHR integration is growing but currently relies primarily on copy-paste workflows for most US therapy EHRs.
Heidi has strong adoption among international practitioners, particularly in Australia and the UK. US therapists should verify current feature availability and EHR integration status directly, as the platform’s roadmap has been active and things change.
Pros
- Permanent free tier — no time limit or session cap on the free plan
- Voice-first workflow is intuitive for many clinicians
- Good for multi-specialty practices or therapists who also document for other healthcare roles
Cons
- Not therapy-native — limited therapy-specific note formats
- EHR integration for US therapy platforms primarily copy-paste as of mid-2026
- Paid plans are expensive relative to therapy-specific alternatives
- Stronger international adoption than US therapy-specific presence
Pricing
Free tier: permanent, no note cap. Paid Pro tier: approximately $100–$130/month. Verify current pricing and features directly with Heidi Health.
Best for
Therapists who want to evaluate AI documentation at zero cost before committing, or those in multi-specialty settings who need a tool that works across disciplines. US solo therapy private practices will find more purpose-built options at comparable or lower cost.
7. Berries (HeyBerries)

Berries is one of the newer AI documentation platforms built specifically for mental health professionals. Unlike general medical AI scribes, it focuses on the unique documentation needs of therapists, counselors, psychologists, and other behavioral health providers.
One of the things that sets Berries apart is that it goes beyond simply transcribing sessions. The platform can help therapists prepare before a session, generate documentation afterward, suggest ICD-10 diagnoses, create treatment plans, draft patient instructions, and even provide an AI clinical assistant for follow-up questions. It also supports multiple ways to capture information, including live sessions, uploaded audio, handwritten notes, and typed summaries, making it flexible for different documentation styles.
Standout Features
- Designed specifically for mental health professionals
- Generates SOAP, DAP, BIRP, and other common therapy note formats
- Creates treatment plans and patient instructions
- Offers ICD-10 code suggestions
- Pre-session summaries and historical context to help prepare for appointments
- AI clinical assistant for documentation support
- Compatible with virtually any EHR through copy/paste workflows, with one-click EHR exports for supported systems
Security & Privacy
For therapists, security is just as important as note quality. Berries states that it:
- Is HIPAA compliant
- Is SOC 2 certified
- Encrypts data both in transit and at rest
- Does not use protected health information (PHI) to train its AI models
- Does not store session recordings after processing
As with any AI documentation platform, you should still verify that a Business Associate Agreement (BAA) is available and ensure the platform aligns with your organization’s privacy and documentation policies before using it in clinical practice.
Pros
- Built exclusively for behavioral health
- Comprehensive documentation workflow beyond note generation
- Flexible session capture options
- Strong focus on privacy and security
- Free trial available for testing before committing
Cons
- Higher monthly cost than some basic AI note generators
- Many advanced workflow features may be more than a new solo practice needs
- Because it’s a rapidly evolving platform, features and integrations continue to change
Pricing
At the time of writing, Berries offers a free trial with limited sessions, while the Pro plan starts at $79/month. Pricing and included features may change, so it’s worth checking the latest plans before subscribing.
My Take
If you’re looking for an AI scribe that’s built specifically for therapists rather than adapted from general healthcare, Berries deserves a close look. I especially like that it supports the entire documentation workflow—from preparing for sessions to drafting notes and treatment plans—instead of functioning as a simple transcription tool.
That said, no AI scribe should replace your clinical judgment. Every note should be reviewed, edited as needed, and approved by the treating clinician before it becomes part of the legal medical record. Additionally, if you’re using any AI tool that records or processes session information, make sure you’ve obtained appropriate informed consent from your clients and confirmed the platform meets your HIPAA and state privacy requirements.
Best for
Therapists looking for a purpose-built AI scribe with features that support the entire clinical workflow—not just progress notes.
8. BastionGPT
BastionGPT is a different kind of tool than most on this list. Rather than a scribe built exclusively around session notes, it’s a HIPAA-compliant AI assistant — think a locked-down, healthcare-grade version of ChatGPT — that happens to include a strong AI scribe feature. For therapists who want one tool that handles documentation and the dozen other AI-assisted tasks that come up in a practice (drafting a client email, summarizing a lengthy intake packet, rewording a report), that breadth is the appeal.
The scribe itself covers the basics well: live or uploaded audio, multi-speaker recognition, and output in SOAP, DAP, BIRP, and other standard formats. Based on available documentation, it doesn’t appear to offer the depth of therapy-specific templates or the pattern-tracking features that Mentalyc or Berries built specifically for behavioral health — so if documentation is your only pain point, a therapy-native scribe may fit tighter. Where BastionGPT pulls ahead is if you also want an AI assistant for the rest of your paperwork, not just progress notes.
On compliance, BastionGPT includes a signed BAA on every plan (including trials), states it doesn’t use client data to train its models, and runs on HIPAA-compliant infrastructure. As with every tool in this guide: verify the current BAA terms directly before using it with real client data.
Pros
- Full AI assistant, not just a scribe — useful beyond note-writing (summarizing records, drafting client communications)
- BAA included on every plan, including free trials
- Access to multiple underlying AI models rather than one
- Straightforward, published pricing with no hidden enterprise-only tiers
- Unlimited scribe transcription even on the entry plan
Cons
- Not therapy-native — fewer specialized note formats than Mentalyc or Berries out of the box
- No dedicated therapy EHR or scheduling — pairs with whatever system you already use, largely via copy-paste
- Less of a track record in the therapy space specifically compared to purpose-built competitors
Pricing
Professional: around $20/month (unlimited scribe transcription, document uploads up to 30 pages). Professional Plus: around $45/month (larger document uploads, more features). Verify pricing directly before recommending it to a client, since AI tool pricing shifts often. Get an extended 30-day trial with my partner link.
Best for
Therapists who want one HIPAA-compliant AI tool that covers documentation and the broader administrative AI tasks in a practice — not just therapists looking for the deepest therapy-specific note template library.
Benefits of AI Scribes (When Used Well)
- Significantly reduced documentation time — studies suggest 40–80% faster note completion
- Less cognitive fatigue at the end of the day from reconstructing session details from memory
- More consistent note structure across sessions, which can support audit-readiness
- Greater presence during sessions when the therapist isn’t mentally pre-drafting notes while listening
- Faster turnaround on treatment plans and intake documentation
- Potential reduction in burnout from documentation burden over time
Potential Drawbacks Worth Knowing
- AI hallucinations: the platform may generate plausible-sounding content that is inaccurate. Every note requires careful review.
- Over-documentation: AI tends toward completeness, sometimes generating more content than the record needs. Notes may require pruning, not just editing.
- Learning curve: most platforms take a few weeks of consistent use to calibrate to your workflow and terminology.
- Monthly subscription cost: $20–$120/month is meaningful for solo practices already paying for an EHR.
- Client comfort: some clients will be uncomfortable with recording regardless of consent. Having a non-recording workflow option matters for certain populations.
- EHR integration limitations: most standalone AI scribes still require some copy-paste. Direct bidirectional integration is limited to a handful of platform pairs.
- Privacy and data use concerns: not all platforms are equally transparent about what happens to session data. Read the privacy policy, not just the marketing materials.
Frequently Asked Questions
What is the best AI scribe for therapists?
Mentalyc is the most consistently recommended option for solo therapists and small group practices who want therapy-native documentation with strong privacy practices. Upheal is the stronger choice for therapists who want a full AI-native EHR with session analytics. Blueprint is the best entry point for measurement-based care practices or those who want a free EHR with per-session AI notes. The right answer depends on whether you need a standalone documentation tool or a full practice platform, and what your current EHR situation is.
Are AI therapy notes HIPAA compliant?
They can be, but HIPAA compliance depends on the specific platform, whether a BAA has been signed, and how the tool is configured and used. A signed BAA is the minimum requirement before using any AI scribe with client data. Beyond the BAA, evaluate encryption, data retention policies, and access controls. Not every platform that claims HIPAA compliance signs BAAs — AutoNotes in particular has been flagged for this; verify directly with any vendor before using them with PHI.
Do AI scribes replace therapists?
No. AI scribes generate draft documentation. The therapist reviews, edits, corrects, and approves every note before it becomes part of the client’s legal health record. The clinical judgment, the diagnostic reasoning, the determination of what’s clinically relevant — all of that remains the therapist’s responsibility. AI assists with the writing. It doesn’t replace the clinician.
Do clients have to consent to AI documentation?
Ethically, yes. Legally, the requirements vary by state and the specific nature of the documentation process (recording vs. transcription vs. AI-assisted note drafting without recording). Best practice is to include clear language about AI documentation tools in your informed consent paperwork and to explain verbally what the tool does when introducing it to a client. Clients should always have the option to decline, with an understanding of what that means for documentation.
Is recording therapy sessions legal?
It depends on your state. Some states require only one-party consent for recording (the therapist’s consent is sufficient). Others require all-party consent, meaning the client must explicitly agree before any recording begins. Even in one-party consent states, ethical practice in therapy generally favors transparent informed consent. Review your state’s recording laws, your licensing board guidance, and your malpractice carrier’s recommendations before enabling session recording.
Can AI create SOAP notes?
Yes. SOAP notes are one of the most commonly supported formats across all AI scribes. Mentalyc, Upheal, Blueprint, Freed, and Heidi all support SOAP format. Therapy-native platforms like Mentalyc also support DAP, BIRP, GIRP, PIE, and many other therapy-specific formats that general healthcare AI scribes may not have pre-built.
Which EHRs integrate with AI scribes?
Mentalyc has direct integrations with SimplePractice, TherapyNotes, ICANotes, TheraNest, Valant, and TheraBill, plus a Chrome extension for browser-accessible EHRs. Upheal has its own built-in EHR. Blueprint has its own built-in EHR with insurance billing. Most other standalone AI scribes (Freed, Heidi, AutoNotes) use primarily copy-paste workflows for EHR transfer. Direct bidirectional integration — where the AI writes the note directly into the EHR without manual steps — remains limited in the therapy space.
Are AI-generated notes accepted by insurance companies?
Yes, with an important qualification: the insurance company cares about the clinical content and documentation standards, not how the note was created. A well-documented, properly signed note generated with AI assistance is not inherently different from a manually written note. What matters is that the note meets payer documentation requirements, accurately reflects the service provided, is reviewed and signed by the licensed clinician, and supports the CPT code and diagnosis billed. AI-generated notes that are rubber-stamped without review create the same compliance risk as any other inadequately reviewed documentation.
How much do AI scribes cost?
Pricing in 2026 ranges from free (Upheal’s free tier, Blueprint’s free EHR, Heidi Health’s free tier) to $120+/month for high-volume individual plans. Mentalyc starts at $19.99/month. Upheal charges $1/session capped at $69/month. Blueprint’s AI add-on is $0.99/session. Freed starts at $39/month for a 40-note cap. For practices already paying for an EHR, standalone AI scribes add to the total software cost — factor in the combined cost when comparing options.
Are AI scribes worth it?
For most therapists who try them seriously, yes — particularly for those with caseloads of 15 or more clients per week who are spending multiple hours per week on documentation. The time saved tends to justify the cost for active practices, and the reduction in end-of-day cognitive fatigue is consistently cited as a meaningful quality-of-life benefit. The key is choosing a platform that actually fits your workflow, reviewing notes carefully rather than rubber-stamping them, and making sure the consent and privacy foundations are in place before you start.
Recommendations by Practice Type
| Use Case | Recommended Platform | Why |
| Best Overall | Mentalyc | Therapy-native formats, strong privacy documentation, SOC 2 Type II, direct EHR integrations |
| Best for Insurance Practices | Upheal (when billing launches) or Blueprint | Blueprint has insurance billing now; Upheal has it on roadmap for summer 2026 |
| Best for Manual Documentation | AutoNotes AI (if BAA confirmed) | No live recording required on base plan; verify BAA status before use |
| Best for Measurement-Based Care | Blueprint AI | Deepest integration of validated outcome measures (250+ assessments) |
| Best Free Starting Point | Upheal or Blueprint | Both have free tiers with real functionality; try before paying |
| Best Multi-Purpose | HeyBerries | Built for mental health professionals |
The AI scribe space is moving faster than almost any other category in healthcare technology right now. Platforms that were leading in 2024 have been surpassed by newer entrants, pricing models have shifted, and privacy policies have been updated in response to practitioner pressure. Whatever platform you choose, verify the current state of their HIPAA documentation, BAA availability, and data use policies at the time you’re signing up — not at the time this was written.
And whichever platform you choose: read every note before you sign it.
This guide is for educational purposes only. Consult your state licensing board, malpractice carrier, and applicable state laws before implementing AI documentation tools in your practice.


