Free for a week, then $19 for your first month

AI Therapy Notes Done in Minutes Not Hours

Be fully present in session while Twofold creates a clean therapy note you can trust. BIRP, DAP, and SOAP for mental health supported out of the box.

Try for free
4.8 · 3,079 reviews
  • HIPAA Compliant
  • BAA at signup
  • No audio stored
The solution

Save hours and raise quality

The fastest way to create clear therapy notes that reflect your voice and your model of care.

  • BIRP, DAP, and SOAP for Mental Health

    Generate structured therapy notes that capture behavior, interventions, response, and plan with minimal edits.

  • Progress and Intake Notes

    Create detailed Progress and Intake notes that summarize goals, history, and current status.

  • Treatment Plan Assistant

    Turn session content into goals, objectives, and next steps with timelines you can adjust.

  • Client Letters and Summaries

    Produce client friendly session summaries and letters in one click to support follow up.

  • Risk and Safety Planning

    Document risk language, safety steps, and protective factors with clear professional wording.

  • Couples and Family Sessions

    Handle multiple speakers cleanly for joint sessions in person or telehealth.

  • Personalized Tone and Templates

    Add custom instructions so notes match your style and template preferences.

  • One Click to EHR

    Copy your finished note into any EHR in seconds. Mobile and desktop ready.

Before & after

Manual vs. AI-powered Therapy Notes

See what changes when Twofold writes the first draft.

The old way

Without Twofold

  • Evenings lost to documentation
  • Memory slips after long clinical days
  • Inconsistent structure across sessions
  • Stress about payer language and compliance
With Twofold

With Twofold Therapy Notes

  • Five minute therapy notes
  • Consistent structure with your voice
  • More presence and connection in session
  • Cleaner documentation for payer review
Who it's for

Built for busy mental health providers

Twofold adapts to your caseload so you can focus on care and finish on time.

  • Clinics and groups

    Give your group a consistent therapy note format and lower burnout.

  • Individual therapists

    Finish notes during the day and protect your evenings.

  • Desktop and mobile

    Capture sessions in room or over telehealth from computer or phone.

  • Templates and care models

    BIRP, DAP, and SOAP for mental health with goals, interventions, and plans.

In their words

Therapists use Twofold to save time and lower stress

I think it is amazing. One of the biggest positives for me is that it validates the work that I put into a session. It always catches things that I would miss. 10/10 @Twofold_Health

Tristian Palmer
Tristian Palmer LCSW

Amazing @Twofold_Health! It works so well with couples/families (multiple voices) and exports well to other filing applications. I love the feature of writing a follow-up email to clients!

Aiyana Osterman
Aiyana Osterman LMFT

I am in love with @Twofold_Health. I can't tell you how grateful I am to cut down the time I spend on notes.

Anthony Mitchell
Anthony Mitchell PMNHP

I'm always concerned about completing my documentation and being in compliance for insurance claims. @Twofold_Health helps me with creating beautiful notes in a fraction of the time.

Jenny Heil
Jenny Heil LPC

It saves so much time and stress. @Twofold_Health has truly had a positive impact on my own mental health. Thanks for making such an amazing program.

Janelle West
Janelle West LSW

Totally amazing. I am your number 1 fan

Stephen Huber
Stephen Huber Psychiatrist

Perfect for therapy notes. It picks up on emotional nuance in conversation that I'd normally struggle to document accurately. My notes have never been better.

Marcus Davis
Marcus Davis LMFT

@Twofold_Health wow this is hands down the best scribe I've tried. I love your app.

Marylin Zertuche
Marylin Zertuche MD

Went from spending 3+ hours on notes to under 30 minutes. Wish I had found @Twofold_Health sooner. My patients get better care now because I'm less burned out.

Dr. Priya Nair
Dr. Priya Nair MD

@Twofold_Health is amazing in that I could really focus on my patient instead of bouncing between them and the computer screen. I'm submitting my notes right away and not on weekends!

Kelly Perez
Kelly Perez PCP

@Twofold_Health is very easy to navigate and it has saved me time and energy with finishing documentation. Today I'm more motivated to finish my notes at the end of the day. I'm SO glad I found this!

Cristina Riske
Cristina Riske NP

I recommend @Twofold_Health to every colleague who complains about documentation burden. The time savings alone make it worth every penny.

Laura Mendez
Laura Mendez NP

Cut my charting time in half. I can actually leave the office on time now. This tool is a genuine game-changer for work-life balance.

Rebecca Santos
Rebecca Santos PA-C

solo primary care, panel of about 1100. a1c trends, weights, BPs — all just there when i open the chart. don't know how i did this job before tbh

DH
Devon Hayes FNP-BC

Family med is wild. Chronic care visit, then a sick toddler, then a Medicare wellness — all in one afternoon. Twofold just keeps up. I'm not picking templates anymore.

AR
Aisha Robinson MD

Was honestly skeptical. Three weeks in, my charts were caught up for the first time in like, years? Now i tell every new partner about it on day 1.

TV
Tomás Vela MD

my follow-ups are usually 5–6 problems deep and the A&P comes out structured per dx without me babysitting it. coding suggestions are usually right too which is wild.

JW
Jordan Whitaker MD

Hospitalist work is just a wave of admissions all day. With this I'm done before signout. That used to be unthinkable.

EV
Elena Vasquez DO

AGNP, panel north of 1200. The med rec alone gives me back like an hour a day — every dose change carries forward visit to visit and i don't have to dig through old notes.

SK
Saanvi Krishnan AGNP-C

Worked through a PE rule-out yesterday and the note basically wrote itself. Cardiopulm exam, d-dimer reasoning, the whole dispo. Saved me at least 20 min on a busy shift.

MR
Mateo Reed PA-C

discharge summaries used to ruin my Fridays. now i dictate the hospital course on the way to the parking lot and twofold handles the rest. it's a different job

DC
Daniel Cho MD

Bright Futures language, growth percentiles, anticipatory guidance — all of it ends up in the right section automatically. I'm out the door on time, which is wild for peds.

RP
Ramona Park MD, FAAP

peds visits are SHORT and full of family voices and twofold attributes parents vs patient correctly every single time. that alone is worth it honestly

MS
Maya Sharma CPNP

Well-checks, sick visits, asthma follow-ups — all in the same morning. Asthma action plans come out clean and parents leave with the printed copy without me opening a template.

BD
Brett Donovan MD

triage and immunization docs are way faster. lot numbers, VIS dates, all structured for our IIS — i was dreading immunization clinic days and now they're fine

SD
Sara Donaghue RN, CPN

Adolescent visits with sensitive content (depression screens, sexual health) — Twofold handles the confidentiality framing well. I don't worry about a parent reading something they shouldn't. I trust it.

NP
Naomi Patel PA-C

I do integrated psych evals. Twofold handles the formulation, MSE and plan in a structure that holds up to peer review — and the case-conceptualization narrative still sounds like me, not a robot.

RB
Renée Boudreaux PsyD

half my caseload is trauma. the PE/CPT-aligned language is actually thoughtful, not just keyword stuffing. saves me from rewriting every note which i used to do constantly

AA
Adesola Ajayi LMHC

Med-management used to bleed into my evenings every single day. Now MSE, risk assessment, prescribing rationale come out structured the way i'd write them. I have evenings again. real ones.

SL
Sasha Lee MD

heavy panel — twofold tracks meds, side effects, PHQ-9 trends visit-over-visit so i can actually look at the patient instead of the chart. that part shouldn't be revolutionary but it kinda is

TJ
Trevor Johnson PMHNP

as a resident, getting clean H&Ps that my attending signs without re-writing? unreal. made my last inpatient month tolerable

NF
Noor Foster MD, PGY-3

Controlled-substance documentation is structured exactly the way my state board wants it — PDMP review, treatment agreement, risk-benefit. I stopped dreading audits.

ET
Eli Tanaka MD

ROM, MMT, special tests — all there exactly the way i'd write them. my initial evals are done before i leave the treatment room. that did not used to be true

OT
Olivia Tran PT, DPT

Twofold actually understands rehab docs — outcome measures, plan of care, recerts, all in a Medicare-compliant structure. No more nightly chart catch-up. I stopped working from my couch.

MR
Marcus Reed PT, DPT, OCS

ADL/IADL assessments come out in the format i use for OT evals. The time i get back goes back to my patients, full stop.

RB
Riya Bennett OTR/L

daily treatment notes used to be 20 min per patient. now it's 3. same compliance, same detail, way less typing. ngl this changed my whole workflow

TE
Tom Ellis PTA

Documentation finally feels like part of treatment instead of the thing i have to do after. Game-changer for SNF work.

TL
Tomas Lawson COTA/L

i bounce between a clinic, a high school, and a college program. mobile capture means i'm not chained to a desk — notes get done on the bus ride home which is where i'd rather do them anyway

RC
Riley Chen ATC

Artic and language goals used to mean endless copy-paste. Twofold tracks cueing level and percent accuracy cleanly visit to visit, so my progress reports actually show progress.

AR
Abigail Reyes MS, CCC-SLP

school sessions with mixed groups are finally documentable without chaos. attendance, target goals, and homework all land in the right place — i can run six kids in 30 min and still have the note done

CH
Connor Hale SLP

For dysphagia follow-ups it captures PO trials and compensatory strategies in a structure my rehab team can actually use. They stopped DMing me asking what i meant.

IB
Imani Brooks MA, CCC-SLP

as a CF, writing strong plans was my bottleneck. twofold gives me a solid first draft that still sounds like me. saved my sanity tbh

LM
Lucas Meyer SLP-CF

Cognitive-comm sessions are nuanced and the tool actually captures real functional progress instead of generic template language. That's rare.

NF
Nadia Farouk CCC-SLP

outpatient peds and adults in the same day used to wreck me. twofold adapts without me switching formats every hour

PV
Peter Vaughn MS, CCC-SLP

nutrition counseling notes are finally fast AND consistent. assessment, intervention, monitoring — done in one pass. feels like cheating

LM
Leah Morgan RD, LD

For DM follow-ups it captures carb goals and adherence barriers exactly how I actually discuss them with patients. Doesn't scrub the personal stuff out which is the whole point.

DK
Darren Kim RD, CDCES

telehealth visits move fast. twofold keeps pace and i'm closing charts before the next session starts which is genuinely a first for me

HO
Helena Ortiz MS, RDN

Behavior-change plans used to get buried in free text. Now goals, barriers, next steps are obvious to the whole care team — my MA actually reads my notes again.

SG
Samir Gupta CNS

weight-management documentation is so much cleaner now. trend lines that i can actually point at during a visit. patients respond to that better than my old word salad

JW
Jocelyn Wade RD

I cover oncology nutrition — i need precise, practical notes. Twofold saves me time without losing clinical detail, which i was worried about going in.

MA
Miguel Alvarez RD, CSO

Latch assessments are clearer and faster now. I finish charting while the feeding plan is still fresh in my head — i used to forget the small stuff by the end of the day.

NR
Naomi Rivera IBCLC

home visits used to be impossible to document on time. now i capture positioning changes and parent coaching right there in the room. parents don't even notice

EC
Erin Caldwell CLC

For postpartum follow-ups it organizes symptoms, transfer observations and next-step guidance in a chart-ready format. The whole care team's on the same page now.

MP
Monica Price RN, IBCLC

i love that it captures exactly what education i covered with families. continuity between visits is so much better — i'm not asking the same questions over and over

CS
Caroline Shaw IBCLC

In our busy postpartum unit, doc speed matters a lot. Twofold helps me keep notes complete without staying late. That's everything for me right now.

TN
Tessa Nguyen CNM, IBCLC

when feeds are complicated i need detail and structure both. this gives me both, no extra clicks. i don't remember what i did before

AF
Alyssa Ford PA-C, CLC

I think it is amazing. One of the biggest positives for me is that it validates the work that I put into a session. It always catches things that I would miss. 10/10 @Twofold_Health

Tristian Palmer
Tristian Palmer LCSW

Amazing @Twofold_Health! It works so well with couples/families (multiple voices) and exports well to other filing applications. I love the feature of writing a follow-up email to clients!

Aiyana Osterman
Aiyana Osterman LMFT

I am in love with @Twofold_Health. I can't tell you how grateful I am to cut down the time I spend on notes.

Anthony Mitchell
Anthony Mitchell PMNHP

I'm always concerned about completing my documentation and being in compliance for insurance claims. @Twofold_Health helps me with creating beautiful notes in a fraction of the time.

Jenny Heil
Jenny Heil LPC

It saves so much time and stress. @Twofold_Health has truly had a positive impact on my own mental health. Thanks for making such an amazing program.

Janelle West
Janelle West LSW

Totally amazing. I am your number 1 fan

Stephen Huber
Stephen Huber Psychiatrist

Perfect for therapy notes. It picks up on emotional nuance in conversation that I'd normally struggle to document accurately. My notes have never been better.

Marcus Davis
Marcus Davis LMFT

@Twofold_Health wow this is hands down the best scribe I've tried. I love your app.

Marylin Zertuche
Marylin Zertuche MD

Went from spending 3+ hours on notes to under 30 minutes. Wish I had found @Twofold_Health sooner. My patients get better care now because I'm less burned out.

Dr. Priya Nair
Dr. Priya Nair MD

@Twofold_Health is amazing in that I could really focus on my patient instead of bouncing between them and the computer screen. I'm submitting my notes right away and not on weekends!

Kelly Perez
Kelly Perez PCP

@Twofold_Health is very easy to navigate and it has saved me time and energy with finishing documentation. Today I'm more motivated to finish my notes at the end of the day. I'm SO glad I found this!

Cristina Riske
Cristina Riske NP

I recommend @Twofold_Health to every colleague who complains about documentation burden. The time savings alone make it worth every penny.

Laura Mendez
Laura Mendez NP

Cut my charting time in half. I can actually leave the office on time now. This tool is a genuine game-changer for work-life balance.

Rebecca Santos
Rebecca Santos PA-C

solo primary care, panel of about 1100. a1c trends, weights, BPs — all just there when i open the chart. don't know how i did this job before tbh

DH
Devon Hayes FNP-BC

Family med is wild. Chronic care visit, then a sick toddler, then a Medicare wellness — all in one afternoon. Twofold just keeps up. I'm not picking templates anymore.

AR
Aisha Robinson MD

Was honestly skeptical. Three weeks in, my charts were caught up for the first time in like, years? Now i tell every new partner about it on day 1.

TV
Tomás Vela MD

my follow-ups are usually 5–6 problems deep and the A&P comes out structured per dx without me babysitting it. coding suggestions are usually right too which is wild.

JW
Jordan Whitaker MD

Hospitalist work is just a wave of admissions all day. With this I'm done before signout. That used to be unthinkable.

EV
Elena Vasquez DO

AGNP, panel north of 1200. The med rec alone gives me back like an hour a day — every dose change carries forward visit to visit and i don't have to dig through old notes.

SK
Saanvi Krishnan AGNP-C

Worked through a PE rule-out yesterday and the note basically wrote itself. Cardiopulm exam, d-dimer reasoning, the whole dispo. Saved me at least 20 min on a busy shift.

MR
Mateo Reed PA-C

discharge summaries used to ruin my Fridays. now i dictate the hospital course on the way to the parking lot and twofold handles the rest. it's a different job

DC
Daniel Cho MD

Bright Futures language, growth percentiles, anticipatory guidance — all of it ends up in the right section automatically. I'm out the door on time, which is wild for peds.

RP
Ramona Park MD, FAAP

peds visits are SHORT and full of family voices and twofold attributes parents vs patient correctly every single time. that alone is worth it honestly

MS
Maya Sharma CPNP

Well-checks, sick visits, asthma follow-ups — all in the same morning. Asthma action plans come out clean and parents leave with the printed copy without me opening a template.

BD
Brett Donovan MD

triage and immunization docs are way faster. lot numbers, VIS dates, all structured for our IIS — i was dreading immunization clinic days and now they're fine

SD
Sara Donaghue RN, CPN

Adolescent visits with sensitive content (depression screens, sexual health) — Twofold handles the confidentiality framing well. I don't worry about a parent reading something they shouldn't. I trust it.

NP
Naomi Patel PA-C

I do integrated psych evals. Twofold handles the formulation, MSE and plan in a structure that holds up to peer review — and the case-conceptualization narrative still sounds like me, not a robot.

RB
Renée Boudreaux PsyD

half my caseload is trauma. the PE/CPT-aligned language is actually thoughtful, not just keyword stuffing. saves me from rewriting every note which i used to do constantly

AA
Adesola Ajayi LMHC

Med-management used to bleed into my evenings every single day. Now MSE, risk assessment, prescribing rationale come out structured the way i'd write them. I have evenings again. real ones.

SL
Sasha Lee MD

heavy panel — twofold tracks meds, side effects, PHQ-9 trends visit-over-visit so i can actually look at the patient instead of the chart. that part shouldn't be revolutionary but it kinda is

TJ
Trevor Johnson PMHNP

as a resident, getting clean H&Ps that my attending signs without re-writing? unreal. made my last inpatient month tolerable

NF
Noor Foster MD, PGY-3

Controlled-substance documentation is structured exactly the way my state board wants it — PDMP review, treatment agreement, risk-benefit. I stopped dreading audits.

ET
Eli Tanaka MD

ROM, MMT, special tests — all there exactly the way i'd write them. my initial evals are done before i leave the treatment room. that did not used to be true

OT
Olivia Tran PT, DPT

Twofold actually understands rehab docs — outcome measures, plan of care, recerts, all in a Medicare-compliant structure. No more nightly chart catch-up. I stopped working from my couch.

MR
Marcus Reed PT, DPT, OCS

ADL/IADL assessments come out in the format i use for OT evals. The time i get back goes back to my patients, full stop.

RB
Riya Bennett OTR/L

daily treatment notes used to be 20 min per patient. now it's 3. same compliance, same detail, way less typing. ngl this changed my whole workflow

TE
Tom Ellis PTA

Documentation finally feels like part of treatment instead of the thing i have to do after. Game-changer for SNF work.

TL
Tomas Lawson COTA/L

i bounce between a clinic, a high school, and a college program. mobile capture means i'm not chained to a desk — notes get done on the bus ride home which is where i'd rather do them anyway

RC
Riley Chen ATC

Artic and language goals used to mean endless copy-paste. Twofold tracks cueing level and percent accuracy cleanly visit to visit, so my progress reports actually show progress.

AR
Abigail Reyes MS, CCC-SLP

school sessions with mixed groups are finally documentable without chaos. attendance, target goals, and homework all land in the right place — i can run six kids in 30 min and still have the note done

CH
Connor Hale SLP

For dysphagia follow-ups it captures PO trials and compensatory strategies in a structure my rehab team can actually use. They stopped DMing me asking what i meant.

IB
Imani Brooks MA, CCC-SLP

as a CF, writing strong plans was my bottleneck. twofold gives me a solid first draft that still sounds like me. saved my sanity tbh

LM
Lucas Meyer SLP-CF

Cognitive-comm sessions are nuanced and the tool actually captures real functional progress instead of generic template language. That's rare.

NF
Nadia Farouk CCC-SLP

outpatient peds and adults in the same day used to wreck me. twofold adapts without me switching formats every hour

PV
Peter Vaughn MS, CCC-SLP

nutrition counseling notes are finally fast AND consistent. assessment, intervention, monitoring — done in one pass. feels like cheating

LM
Leah Morgan RD, LD

For DM follow-ups it captures carb goals and adherence barriers exactly how I actually discuss them with patients. Doesn't scrub the personal stuff out which is the whole point.

DK
Darren Kim RD, CDCES

telehealth visits move fast. twofold keeps pace and i'm closing charts before the next session starts which is genuinely a first for me

HO
Helena Ortiz MS, RDN

Behavior-change plans used to get buried in free text. Now goals, barriers, next steps are obvious to the whole care team — my MA actually reads my notes again.

SG
Samir Gupta CNS

weight-management documentation is so much cleaner now. trend lines that i can actually point at during a visit. patients respond to that better than my old word salad

JW
Jocelyn Wade RD

I cover oncology nutrition — i need precise, practical notes. Twofold saves me time without losing clinical detail, which i was worried about going in.

MA
Miguel Alvarez RD, CSO

Latch assessments are clearer and faster now. I finish charting while the feeding plan is still fresh in my head — i used to forget the small stuff by the end of the day.

NR
Naomi Rivera IBCLC

home visits used to be impossible to document on time. now i capture positioning changes and parent coaching right there in the room. parents don't even notice

EC
Erin Caldwell CLC

For postpartum follow-ups it organizes symptoms, transfer observations and next-step guidance in a chart-ready format. The whole care team's on the same page now.

MP
Monica Price RN, IBCLC

i love that it captures exactly what education i covered with families. continuity between visits is so much better — i'm not asking the same questions over and over

CS
Caroline Shaw IBCLC

In our busy postpartum unit, doc speed matters a lot. Twofold helps me keep notes complete without staying late. That's everything for me right now.

TN
Tessa Nguyen CNM, IBCLC

when feeds are complicated i need detail and structure both. this gives me both, no extra clicks. i don't remember what i did before

AF
Alyssa Ford PA-C, CLC
Try for free No credit card required · BAA at signup · 5-min setup
FAQ

FAQs

AI therapy notes are clinical documentation generated by artificial intelligence that's specifically designed for mental health sessions and therapeutic interventions. They're essential because:

  • They capture therapeutic interventions, client responses, and treatment progress accurately
  • They reduce documentation time from hours to minutes, preventing therapist burnout
  • They ensure consistent structure across sessions for better treatment tracking
  • They support payer requirements and licensing board compliance automatically
  • They allow therapists to be fully present during sessions instead of taking notes

Mental health providers can focus entirely on the therapeutic relationship while maintaining thorough documentation for continuity of care.

AI therapy notes recognize and document various therapeutic approaches with specialized formatting for each modality:

  • Cognitive Behavioral Therapy - Captures thought patterns, behavioral interventions, and homework assignments
  • EMDR Sessions - Documents target memories, processing phases, and resource installation
  • Family Systems - Tracks family dynamics, communication patterns, and systemic interventions
  • Dialectical Behavior Therapy - Records skills training, distress tolerance techniques, and mindfulness practices
  • Solution-Focused Therapy - Emphasizes strengths, exceptions, and goal-setting language

The AI understands therapeutic terminology and formats interventions according to your preferred treatment model.

Explore EMDR treatment planning

Therapy documentation focuses on psychological assessment, therapeutic process, and behavioral change rather than medical diagnosis and treatment:

  • Progress tracking - Monitors emotional regulation, coping skills, and therapeutic goals vs vital signs
  • Risk assessment - Documents suicidal ideation, self-harm behaviors, and safety planning vs medical symptoms
  • Therapeutic alliance - Captures session dynamics, client engagement, and treatment rapport
  • Intervention documentation - Records specific therapeutic techniques, client responses, and homework assignments
  • Treatment planning - Focuses on behavioral goals, skill development, and psychological wellness

AI therapy notes understand these distinctions and format documentation appropriately for mental health practice requirements.

See therapy documentation best practices

BIRP, DAP, SOAP for mental health, Progress, and Intake notes with specialized mental health formatting.

Yes, with clean speaker identification for multiple participants in joint sessions, both in-person and telehealth.

Yes, converts session content into structured treatment goals, objectives, and timelines that you can customize and adjust.

Most therapy notes ready in 2-3 minutes, allowing you to complete documentation between sessions instead of staying late.

Yes, fully HIPAA compliant with automatic BAA, encryption, and specialized consent resources for mental health practices.

No. Session recordings are processed immediately and deleted from our servers after note generation.

No. Your client information and session content never leave your secure workspace or contribute to model training.

Yes, add custom instructions so notes match your therapeutic style, preferred terminology, and documentation approach.

Yes, full-featured mobile apps for iOS and Android with seamless syncing across devices for office or telehealth sessions.

Yes, works with all major mental health EHR systems through simple copy-paste functionality.

Yes, provides patient consent forms and verbal scripts specifically designed for therapy practices and AI documentation.