TL;DR (1‑minute read)
- Pricing (solo, annual): Twofold $49/mo ($588/yr) vs Berries $948/yr vs JotPsych $135/mo ($1,620/yr). Twofold is typically the lowest cost with the richest template/assistant set.
- Capture options you’ll actually use: Twofold supports full‑session capture, dictate a summary, upload a recording, and upload handwritten notes (OCR)—useful when you jot during a session or after.
- Telehealth with headphones: Twofold documents step‑by‑step how to record telehealth with headsets/earbuds (important for privacy and echo control). Berries also supports telehealth with guidance in Help Center.
- AI‑Assistant: Twofold’s assistant answers progress questions, suggests ICD/CPT, and can generate homework ideas—all in‑app.
- Treatment plans: SMART goals + Golden‑Thread summaries keep goals↔objectives↔interventions connected across notes.
- Languages: Twofold supports 50+ languages (English, Spanish, Arabic, Mandarin, ASL transcription support via interpreters, etc.).
- Support: Twofold advertises 24/7 human support on all tiers.
Category | Twofold Health | JotPsych | Berries |
|---|---|---|---|
Solo Price (annual) | $49/mo | $135/mo | $79/mo |
Audio Retention | Never stored | Temp during transcription → delete | Not stored |
Capture Methods | 4 ways: full session, dictate summary, upload audio, upload handwritten | Session capture (web/iOS) | Multiple methods (web and iOS)) |
Treatment Planning | SMART goals + “Golden-Thread” | Plans available | Plans available with goals and golden thread |
Templates & Assistant | Custom templates + AI-Assistant (progress tracking, homework, supervision) | BH templates + helpers | Customizable templates that can be edited |
Specialty Coverage | Multi-specialty (MH + PT/OT + primary care options) | Behavioral health only | Mental health only |
Device support | Web, iOS, Android | Web + iOS | Web + iOS |
Free Tier | Free plan availible | No free tier | Free tier available (limited) |
Last verified May 2026
JotPsych at a glance
What stands out
- Behavioral‑health focus with iOS app and Chrome extension for capture (in‑person or telehealth).
- Security posture: audio is temporarily hosted in an encrypted AWS S3 during processing; notes are stored in a HIPAA‑aligned cloud DB until you delete them.
Watch‑outs to weigh
- Total cost: JotPsych's Basic plan is $135/mo ($1,620/yr) for unlimited notes; the Everything plan (which bundles audit, security, JotRx, EHR Extension) is $269/mo ($3,229/yr). That makes JotPsych roughly 2.8×–5.5× Twofold's annual rate for solo clinicians depending on which JotPsych tier you actually need.
- Ecosystem: iOS and Chrome are first‑class; there’s no official Android app listing at this time (web works).
- Data lifecycle clarity: audio “temporarily hosted” and notes retained until deleted; make sure that aligns with your subpoena/retention policy.
Berries at a glance
What stands out
- Price: $79/mo Pro plan ($948/yr) for unlimited sessions, with treatment plans and an AI assistant that understands context, diagnoses, and treatment plans.
- Privacy messaging: Recordings are not stored. Notes and transcripts can auto-delete after 30 days.
Watch‑outs to weigh
- Integration method: marketed as “accessible with all EMRs and telehealth platforms,” but the workflow is typically record → generate → upload to EMR (i.e., not a direct write‑back). Ensure it fits your audit trail.
- Support hours: dedicated support is offered.
JotPsych vs Berries vs Twofold — three AI therapy-note tools at a glance.
Twofold Health: where it tends to win day‑to‑day
1) Four flexible ways to generate notes
- Capture full session (ambient).
- Dictate a session summary (post‑visit).
- Upload a recording (phone memo/telehealth file).
- Upload handwritten notes (OCR), handy for clinicians who jot on paper.
These are all first‑party documented or published by Twofold.
2) Telehealth with headphones
Twofold documents exactly how to record telehealth sessions with headsets/earbuds in Chrome on Mac/Windows—reducing echo, protecting privacy, and improving clarity.
3) AI‑Assistant = progress, homework, coding help
The in‑app assistant understands patient context (prior notes, diagnoses, and treatment plan), answers progress questions, suggests ICD/CPT, and can generate homework ideas—useful both for care and for supervision prep.
4) SMART treatment plans with a “Golden‑Thread”
Twofold’s treatment‑plan resources emphasize SMART goals, and its comparison pages list Golden‑Thread summaries as a built‑in strength, helping you keep goals↔interventions aligned across the chart.
5) Custom templates + granular note controls
You can build your own note type (sections, structure, tone), and tune generation behavior in Note Settings—so notes match your voice and payer rules.
6) Languages
Twofold publishes a 50+ language support list (useful for multilingual families and agencies).
7) 24/7 human support
Twofold calls out premium 24/7 human support on the Personal plan and reiterates 24/7 support in its buying guides.
8) Value for money
Solo annual totals: Twofold $588 vs Berries $948 vs JotPsych $1,620. For most independent clinicians, Twofold’s combination of price + breadth (templates, assistant, languages, capture modes) is hard to beat.
- Verified May 2026 annual spend: Twofold $588/yr vs Berries $948/yr (+$360) vs JotPsych Basic $1,620/yr (+$1,032) vs JotPsych Everything $3,229/yr (+$2,641). For a solo therapist, the gap is the price of a part-time admin.
Privacy & retention: the fine print (read this before you commit)
- Twofold: HIPAA/HITECH; audio auto‑purged after processing (i.e., not stored), with BAA at signup.
- JotPsych: audio temporarily hosted in encrypted AWS S3 during processing; notes reside in a HIPAA‑aligned cloud DB until you delete them. Verify your retention policy and BAA terms.
- Berries: site says “we don’t store recordings,” and the help center clarifies that recordings are processed in chunks and and then deleted; notes can auto‑delete after 30 days or be removed manually.
What it’s like in week one (real workflows)
- Telehealth on headphones: With Twofold’s headset workflow, you can ambiently capture a therapy hour on Zoom/Meet and still keep audio private in a shared office; the help doc is explicit about Chrome settings.
- Backlogged charts: Finish older encounters by uploading recordings or dictating summaries; if you kept a paper pad, upload the handwritten page and let OCR seed the note.
- Supervision prep: Ask the Twofold Assistant for a progress synopsis since last month and a draft list of homework ideas aligned to the client’s plan. Edit, save, done.
Where JotPsych and Berries may fall short for some teams (and what to check)
- Cost scaling (solos): JotPsych’s annual cost is ~$1,032/yr more than Twofold; Berries is $360/yr more—a non‑trivial delta for private practice.
- Audio/data handling nuances: JotPsych keeps notes in its cloud until deletion; Berries processes the note in small chunks and does not store the full recordings. Compliance officers should confirm retention language in each BAA.
- Headset/telehealth guidance: Twofold publishes explicit how‑to steps for headset‑based telehealth capture; if your day is 100% virtual, that’s practical friction avoided. Berries also publishes headset guidance in help center .
JotPsych vs Berries vs Twofold — which one fits your week-one rollout.
Verdict (objective, but candid)
JotPsych and Berries both generate usable mental‑health notes and have clear audiences. However, across the categories that most solo clinicians and small groups care about—capture flexibility (including handwritten notes), headset‑friendly telehealth, true custom templates, SMART/Golden‑Thread planning, 50+ languages, and round‑the‑clock human support ‑ Twofold Health is likely to deliver more capability at a lower annual price. If you’re deciding this week, it’s worth making Twofold your first trial and measuring your own time saved per note. See also our best JotPsych alternative.