Best AI Scribe for Mental Health (2026) – Comparison, Pricing & More

How this list was compiled

From Jan 2024 –2026, we analyzed 2,400+ clinician posts on r/therapists, r/Psychiatry, and r/medicine, validated each vendor’s pricing and HIPAA paperwork, then scored them on speed, security, and template depth.

1. Twofold Health — fastest, therapy‑specific all‑rounder

A Reddit review:

“Twofold drafts my SOAP in under 30 seconds and nails the MSE sections almost every time.” – u/Behavioral_NP

Twofold Trustpilot review:

Changed the way I work (in the best way possible)… highly recommended for anyone who struggles with, and wastes hours on documentation.

Pros

• 20‑ to 30‑second drafts; built‑in SOAP, DAP, BIRP, ADIME & MSE
• Flat $49 / mo (annual) with instant BAA; audio deleted after processing
• Native Mobile Apps
• 24/7 customer support on all tiers
• Highly customizable
• Industry-leading accuracy

2. Freed AI — narrative‑style drafts at a flat fee

“Freed feels like a human dictation—great paragraphs, minimal tweaking.” – u/HelpingHandsLCSW

More reviews: G2 

Pros

• Browser & mobile apps work with any EHR.
• $99 / mo flat rate avoids per‑minute fees.

Cons

1. Writing style drifts between encounters; needs proofreading.
2. Free tier limits daily minutes.
3. No offline capture; steady internet required.
4. Peak‑hour slow‑downs reported by some users.

3. Eleos Health — analytics‑driven option for larger teams

Overall, it has helped me and been a positive experience. However, it only saves me a small amount of time. With tweaks, it could be more useful and efficient.
- Allison (Therapist in US)

More reviews in Capterra.

Pros

• Full‑session recorder extracts interventions and risk phrases.
• Supervisor dashboard surfaces engagement metrics.

Cons

1. Quote‑only pricing; five‑seat minimum.
2. Two‑to‑four‑week onboarding before go‑live.
3. Requires continuous recording and client consent.
4. Heavier bandwidth usage than memo‑based tools.

4. Athelas Scribe — coding‑savvy but contract‑heavy

Google Play review:

"Athelas scribe has helped me with taking lecture notes and allowed me to catch up on sleep as a college student."

Pros

• ICD‑10 / CPT suggestions built into the note.
• Apps available on Chrome, iOS, and Android.

Cons

1. $150 +/mo per clinician plus a 12‑month commitment.
2. Cloud‑only processing; no offline mode.
3. Output quality drops with low‑grade microphones.
4. No flexible month‑to‑month plan for small practices.

5. Upheal — emotion timeline with auto‑generated notes

Trustpilot review:

Honestly, overall, my experience with Upheal is GOOD. Some challenges I experience the following: - Incorrectly identifying male and female voice, even if the transcript speakers have been adj...
- Letiesha Dunn

Pros

• Visual affect & keyword timeline accompanies each transcript.
• Multi‑format export (SOAP, GIRP, DAP).

Cons

1. 60‑ to 90‑second processing per 50-minute session.
2. Requires reliable broadband; large audio uploads.
3. Clients must agree to recording every visit.
4. Pricing available only via sales demo.

6. Mentalyc — privacy‑first upload workflow

Capterra Review:

“Mentalyc helps me create excellent notes in much less time. Less time doing notes=less stress and more time to focus on what I love to do.“
- Laura C, Counselor

Pros

• Audio anonymised and purged immediately after processing.
• $59 / mo starter plan includes a signed BAA.

Cons

1. 10–15 minute turnaround—slowest on the list.
2. Fixed templates limit custom fields.
3. No live recording; you must upload files after sessions.
4. Longer sessions may require splitting audio or incurring extra fees.

7. Apollo Notes — voice‑memo to SOAP/DAP in ~1 minute

Pros

• Converts a short post‑session voice memo into full notes.
• Free tier (10 notes/month) for testing.

Cons

1. English‑only; no multilingual support.
2. Founder‑run support can be slow during peak times.
3. Average 70‑second processing—longer with poor audio quality.
4. No analytics or template customization beyond core formats.

Price & Speed Snapshot (2026)

Conclusion — Why Twofold Health Leads the Pack

After weighing speed, privacy, pricing transparency, and mental‑health‑specific templates, Twofold Health emerges as the most balanced choice among today’s AI scribes. Its sub‑30‑second drafts shave real time off every progress note; its flat $49 per‑month plan avoids unpredictable transcription fees; and its instant BAA plus auto‑purged audio tick HIPAA and subpoena‑safety boxes that many clinicians overlook.

That doesn’t mean the others lack merit: Freed AI offers friendly narrative notes at a flat fee, Eleos and Upheal deliver deep analytics for multi‑provider agencies, Athelas shines for billing‑heavy workflows, Mentalyc prioritises iron‑clad privacy, and Apollo empowers low‑bandwidth practices.