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Comparison

Mentalyc Alternatives (2026)

Searching for a Mentalyc alternative? Review 5 leading AI medical scribes of 2026—prices, specialty fit & real clinician feedback.

Mentalyc Alternatives (2026) hero image

Mentalyc popularized automated therapy notes, but many clinicians now want richer templates, faster drafts, or lower total cost of ownership. Below are five strong “Mentalyc alternative” options arranged in the order most therapists ask about them. See also our Mentalyc vs Twofold comparison.

Watch: why Twofold ranks as a top AI therapy notes generator in 2026.

Mentalyc Alternatives Comparison: Features & Pricing

Rank

Platform

Solo pricing*

Avg. draft speed

Prime advantage

Real‑world verdict

Most suited for

1

Twofold Health

7 day free trial → $49 mo (annual)

~20 s

50 + therapy‑specific templates & rewrite engine and treatment plans

Therapists needing depth + templates

2

Blueprint AI

Free 5 sessions → from $29 mo

≤ 30 s

Progress notes plus AI‑guided treatment plans

Clinicians wanting guided treatment planning

3

Upheal

Unlimited free notes ; paid from $19 mo

~25 s

Privacy‑first design, unlimited free tier

“A godsend … helps me stay present.”

Privacy-focused practices, new grads

4

Freed AI

$99 mo (solo)

15–30 s

Lightning SOAP drafts, mobile recorder

High-volume SOAP workflow

5

Autonotes AI

Free 1/day → $25 mo (125 sessions)

20–40 s

Lowest entry price, voice + text modes

“Makes note‑writing quicker and simpler.”

Budget-conscious clinicians

*USD, single‑clinician annual pricing when available. Last verified May 2026

1. Twofold Health: Best Overall Mentalyc Alternative

Why therapists switch

  • Depth: 50 + note styles (SOAP, DAP, EMDR, narrative) outclass Mentalyc’s limited format list.
  • Learning engine: one‑click Rewrite adopts your phrasing; no manual prompt engineering.
  • All‑in‑one: Golden‑Thread summaries, patient handouts, and coding helper come in one tier—no nickel‑and‑diming.

Key spec

Detail

Trial & price

7 day free trial → $69 mo (monthly) or $49 mo annual

Speed

≈ 20 s first draft; < 5 s regenerate

Workflow

Web, iOS, Android, Zoom capture; clipboard push to any EHR

Security

HIPAA, AES‑256, audio purged after processing

Clinician love

One review mentions that:

“After evaluating 7 different vendors, we ended up going with Twofold. It ticked off most of the boxes, and we were super happy with their support team.”

Another Reddit user shared their experience:

“Twofold was less than half the price of Freed and lets you build your own note templates—huge for mental‑health workflow.” – u/Throwaway‑PsyD

Pros

  • Deepest behavioral‑health template library in the segment.
  • One‑click Rewrite engine learns your personal writing style.
  • All premium features (Golden‑Thread summaries, coding suggestions, patient handouts) included in a single tier—no add‑on fees.
  • Unlimited notes once on a paid plan; no seat minimums.

Twofold Health dashboard showing session history, note titles, and options to capture conversations with template, mic, and modality settings.

2. Blueprint AI: Data‑Driven Notes & Treatment Plans

Blueprint positions itself as a complete AI Scribe for therapists that also closes the loop with measurement‑based care.

Key spec

Detail

Trial & price

Free Core EHR; Plus $0.99/session; Pro $1.49/session; Enterprise custom

Speed

≤ 30 s for progress notes and “Golden‑Thread” treatment plans

Workflow

Pre‑session insights, in‑session prompts, post‑session homework suggestions

Security

HIPAA, SOC 2, audio auto‑deleted after transcription

Therapist feedback

“Blueprint’s BIRP note was better than the one I would have written.” Reddit

Pros

  • Built‑in measurement‑based care tools (surveys, progress graphs) keep clients engaged.
  • Lowest entry price among full‑feature competitors.

Cons

  • Free tier is session‑capped and watermarks notes.
  • Templates skew toward BIRP/SOAP; limited DAP or narrative options.
  • No mobile recorder—browser‑based only.
Blueprint AI interface showing an EMDR session note with editable fields for presenting issue, image, negative and positive cognition, and AI-assisted tools.

3. Upheal: Best Privacy‑First, Unlimited‑Free Option

Key spec

Detail

Trial & price

Unlimited free notes; $1/session capped at $69/mo per provider; 30-day full trial

Note formats

SOAP, DAP, BIRP, PIE, EMDR, fully custom

Extras

Multi‑language support (8), AI intake forms, telehealth module

Privacy focus

In-session consent prompts; SOC 2 + HIPAA; trainees get 50% off first 12 months

Pros

  • Emphasizes consent and privacy controls (opt‑in recording, timestamped consent logs).
  • Telehealth platform and note automation live in one interface—no tab switching.

Cons

  • Free plan stores transcripts in the cloud (local‑only storage is a paid feature).
  • Mobile apps are still in beta; desktop experience is smoother.
  • Fewer advanced coding helpers than Twofold or Blueprint.

User quotes

“Upheal helps me stay present with clients—the insight into goals and interventions is better articulated than my own notes.”
Upheal dashboard showing client list, session summaries, and multiple options to create notes via audio, video, dictation, Zoom, or iPhone.

4. Freed AI: Fastest SOAP‑Only Drafts

Key spec

Detail

Trial & price

Starter $39/mo (40 notes cap); Core $79/mo (unlimited, monthly only); Premier $104/mo annual or $119/mo monthly; Groups custom

Note formats

Specialty-specific templates (50+ types) plus a Premier-tier template builder; SOAP drafted in 15–30 s via web or iOS/Android recorder

Extras

Chrome copy‑paste extension (free); optional direct EHR push add‑on

Privacy focus

HIPAA compliant; recordings deleted immediately after processing

Pros

  • Mobile recorder works offline and uploads automatically when reconnected.
  • Simple, uncluttered UI with minimal learning curve.

Cons

  • Specialty templates exist from Starter; Premier adds the Instant Template Builder. The older SOAP-only positioning is no longer accurate.
  • Pricey for solo practitioners relative to feature depth.
  • ICD-10 coding and the Instant Template Builder live on Premier ($104/mo annual) — Starter and Core don't include them.
“Simple, intuitive … and I finally have evenings free again.” Reddit
Freed dashboard showing patient note list and prompt to enter a patient name and template before starting a visit; trial subscription has expired.

5. Autonotes AI: Most Affordable Paid Plan

Key spec

Detail

Trial & price

7-day free trial → Economy $14/mo (unlimited notes); First Class $34/mo; Enterprise custom

Draft speed

20–40 s (voice or text input)

Extras

SOAP, DAP, narrative templates; basic treatment‑plan auto‑generation

Privacy focus

HIPAA/PHIPA compliant; SOC 2 audit underway

Pros

  • Lowest monthly cost of any vendor on this list.
  • Supports both voice dictation and text paste‑in workflows.
  • Clear session‑based pricing—easy to predict monthly spend.

Cons

  • Economy tier ($14/mo) includes unlimited progress notes — Autonotes' old per-tier session caps were removed in the 2026 plan refresh.
  • No mobile app; phone recording requires a browser workaround.
  • Lacks deeper analytics and coding suggestions found in higher‑priced tools.
Illustration of an Individual Progress Note using presets for intake diagnosis, highlighting faster documentation with a “10x faster” label in Autonotes AI.

Choosing the Right Mentalyc Alternative

If you need…

Choose…

Why

Deep behavioral‑health templates & rewrite engine

Twofold Health

Fast drafts + 50 + note styles

Linked treatment plans & analytics

Twofold Health, Blueprint

“Golden‑Thread” insights

Zero‑cost unlimited notes & privacy tools

Upheal

Free forever tier + consent workflows

SOAP notes

Twofold, Freed AI

Sub‑30 s speed

Rock‑bottom entry price

Autonotes AI

$14/mo Economy plan (unlimited notes)

Conclusion

Mentalyc paved the way, but 2026’s ecosystem offers richer, faster, and often cheaper AI Scribe for therapists options. Twofold Health leads for overall depth and speed, and the best overall alternative with added performance, Blueprint AI excels at data‑driven care plans, Upheal provides a privacy‑first unlimited free tier, Freed AI is the go‑to for quick SOAP notes, and Autonotes AI delivers unmatched affordability. Pilot the two or three that best match your caseload, workflow, and budget—your clients (and personal time) will thank you.

FAQ

Frequently asked questions

  • Are these Mentalyc alternatives HIPAA-compliant?

    Yes — all five alternatives publish HIPAA compliance, with BAA paths verified May 2026:

    • Twofold: HIPAA + signed BAA on every paid plan; org-wide BAA for group practices.
    • Blueprint: HIPAA + SOC 2; audio auto-deleted after transcription.
    • Upheal: HIPAA on every tier including Free; signs BAAs for paid plans.
    • Freed: HIPAA + SOC 2 Type 1 & 2; BAA available; org-wide BAA on Groups tier.
    • Autonotes: HIPAA + PHIPA; SOC 2 audit underway as of last vendor update.
  • Which tool supports the most note formats?

    Twofold Health offers 50 + formats (SOAP, DAP, EMDR, narrative), followed by Upheal’s multi‑template engine; Freed supports SOAP only.

  • Can I record sessions on a mobile device?

    Yes. Twofold, Upheal, Freed and Autonotes all have iOS/Android recorders; Blueprint accepts uploads or live recordings via browser.

  • Are there cheaper Mentalyc alternatives that do the same job?

    Yes — several. Verified May 2026 solo‑clinician annual cost for unlimited‑use:

    • Twofold Personal (annual): $49/mo ($588/yr) — unlimited notes, treatment plans, 24/7 support, copy-into-any-EHR.
    • Autonotes Economy: $14/mo (unlimited progress notes) — cheapest entry point on this list.
    • Mentalyc Mini: $14.99/mo annual but capped at 40 notes — only fits the smallest caseloads.
    • Upheal Individual: $1/session capped at $69/mo — usage-based, so monthly cost varies with volume.
    • Where Mentalyc still wins: the Pro and Super tiers ($69.99/$119.99 monthly, $59.99/$99.99 annual) are deepest on Mentalyc-specific features like Alliance Genie analytics.