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AI Therapy Notes

AI therapy note tools generate SOAP, DAP, BIRP, and other note formats from session recordings, dictation, or summaries. The best tools are designed specifically for mental health workflows, support common therapy modalities (CBT, DBT, EMDR), and offer strong privacy guarantees, including a BAA and clear audio-retention and model-training terms. Integration ranges from built-in EHRs to browser extensions and copy-paste into platforms like SimplePractice and TherapyNotes.

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From the blog

AI Therapy Notes: guides and analysis

Comparisons

Upheal vs Mentalyc vs Blueprint vs Twofold: The Cheapest Therapy AI Depends on One Number

Four AI documentation tools for therapists, four incompatible pricing models, and no single winner. Upheal now sells unlimited AI notes for a flat $39/month, Blueprint gives away the EHR and meters the AI at $0.99 a session, Mentalyc's capped tiers are cheapest at low volume, and Twofold is flat. Here is the break-even math at four real caseloads — plus which of the four uses your sessions to train its AI by default.

Guides

NPs Benefit Most From AI Scribes. They Also Carry a Billing Risk Physicians Do Not.

The largest study of ambient AI scribes found advanced practice providers among the biggest beneficiaries. But an NP note also has to establish which billing pathway applies — incident-to, split/shared, or straight 85% — and no scribe writes that for you. With an OIG audit of incident-to payments underway, here is what your note has to say and how to configure your scribe to say it.

Industry News

Washington Spent 2026 Trying to Erase State AI Laws. The Ones That Reach Your Scribe Were Never on the List.

Executive Order 14365 does not mention healthcare once. Meanwhile Rhode Island and Louisiana wrote the ambient AI scribe into statute, five states rewrote what a therapist may do with one, and eight states put humans back in front of AI claim denials. Here is every 2026 healthcare AI law that actually binds a practice — and why preemption is not coming to save anyone.

Workflows

Your AI Scribe Only Heard Half the Telehealth Visit. The Other Half Is What Auditors Read.

Medicare telehealth is locked in through December 31, 2027 — but the DEA tele-prescribing flexibility expires December 31, 2026. Meanwhile ambient scribes are quietly missing the patient’s side of video calls (browsers suppress it), and no AI will write the five metadata lines that decide whether a telehealth claim survives. Here is the capture setup, the note template, and the modifier 93/95 and 98000-series traps.

Industry News

FDA's Generative AI Device Paper: What It Means for the AI Tools Your Practice Uses (Comments Due Oct. 19)

On August 18, 2026, FDA published its first detailed sketch of how it might regulate generative AI medical devices: a two-axis risk map, clinician-style competency testing, and more postmarket monitoring. It is not guidance and binds no one yet. Here is what it says, where scribes, CDS, patient chatbots and imaging tools land, what the first 'patient-facing LLM' clearance actually covered, and which of the 26 questions clinicians should answer before the October 19 deadline.