Looking for a Quill Alternative?Speed, Not Complexity.

Quill is strong for AI therapy notes. Reframe covers notes too, but adds personalized worksheets and session prep in the same workflow. If you want one system for documentation and client-facing materials, Reframe gives you broader coverage with therapist-built clinical framing.

Generate Your First Worksheet Free60 seconds. No credit card required.
Built by a therapistZero data retentionHIPAA-compliant

Quill

"Generate notes quickly from session context..."

Reframe Practice

"Notes, worksheet, and next-session prep in one place..."

Single-tool workflow vs fragmented tools

What is a Quill Alternative?

A Quill alternative is any tool that can replace or expand Quill's AI therapy note workflow. Most alternatives split into two groups: notes-only tools and broader therapist workflow stacks. Quill is in the notes-focused category. Reframe covers notes and adds worksheet generation plus session prep. If your team wants fewer disconnected tools, broader workflow coverage matters more than note speed alone.

Good. You should be skeptical of AI tools.

Most "AI for therapists" products store client data on servers, use vague HIPAA claims, and are built by tech people who read about therapy in market research. Reframe is different: zero data retention (processed in memory, immediately discarded), built by a Registered Psychotherapist who still sees clients, and designed to enhance your clinical judgment rather than replace it. You review everything before your client sees it.

Notes-only vs full therapist workflow

Quill for notes, Reframe for notes + worksheets + session prep

Feature
Reframe
Quill
Primary Purpose
Therapy workflow stack (notes + worksheets + prep)
AI therapy notes
Content Creation
Notes + personalized worksheets from client language
Notes-focused output
Pricing
$29/mo
~$20/mo
Data Retention
Nothing leaves the room
Platform storage for workflow
Worksheet Generation
Personalized AI worksheets included
Not core product focus
Built by
Registered Psychotherapist
General health tech team

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Why Speed and Personalization Matter: The Research

Faster documentation helps. Better outcomes come from combining documentation with personalized homework and session planning.

82.5%

Higher homework completion with personalized materials vs. generic templates

Kazantzis et al., 2016

60 sec

Average time to generate a personalized worksheet with Reframe

Internal metrics

$20

Quill monthly starting point (notes focus)

Public pricing references

89.4%

Client adherence when worksheets use their own language

Burns & Spangler, 2000

Quill Notes vs Reframe Workflow

Quill and Reframe both help with notes. Reframe extends beyond notes so you can move from documentation to client-ready intervention materials faster.

Quill: Notes-Focused

  • AI-assisted therapy note workflow
  • Lower entry price around $20/month
  • Good if notes are your only requirement
  • Limited breadth beyond documentation

Reframe: Broader Clinical Stack

  • AI notes plus personalized worksheets
  • Session prep and session guide support
  • Zero data retention architecture
  • Built by a Registered Psychotherapist

How Reframe Works

From session summary to note, worksheet, and next-session direction without juggling multiple products.

01

Describe Your Client

Share the presenting issue, their language patterns, key metaphors, and what you're working on. Use the words they use in session.

02

Choose Your Modality

Select CBT, DBT, ACT, IFS, EFT, or Somatic. Adjust strictness from Eclectic to Strict adherence. The AI adapts to your clinical approach.

03

Generate and Export

Get a personalized PDF worksheet in seconds. Client's exact language woven throughout. Ready for session or to send via secure link.

Generate Your First Worksheet Free

60 seconds. No credit card required.

Why Therapists Switch from Quill to Reframe

Quill is good for notes. Reframe is chosen when teams want documentation and clinical delivery in one workflow.

Single workflow, less context switching

Write notes, build a personalized worksheet, and prepare the next session without changing tools.

Notes plus intervention materials

The same clinical context can drive SOAP documentation and client-facing worksheet output.

Clinical frameworks built in

CBT, DBT, ACT, IFS, EFT, and Somatic approaches. Set your modality strictness from Eclectic to Strict. The AI follows your clinical lead.

HIPAA compliance you can trust

Zero-retention architecture means client descriptions are processed in memory and never stored. HIPAA-compliant by physics, not promises.

What Therapists Are Saying

Hear from clinicians who use personalized worksheets in their practice.

"

Quill helped with notes, but I still needed another system for personalized worksheets. Reframe let me keep those tasks together.

Psychologist, Private Practice

"

Quill worked for notes, but I still needed other tools for homework and prep. Reframe reduced that switching.

LCSW, Solo Practice

"

My client said the worksheet felt like I wrote it just for her. Because I essentially did. Her exact words about 'carrying bricks' showed up in the exercises.

DBT Therapist, California

Reframe Practice vs. Quill: A Detailed Comparison

If you're exploring digital tools for your therapy practice, you may have encountered both Quill and Reframe Practice. While both help therapists deliver better care, they approach the problem very differently.

Quill: Notes-Focused Product

Quill is generally positioned around AI therapy notes. If your main need is faster documentation, that can be enough. The pricing is accessible around $20/month, which makes it attractive for note-only workflows.

The limitation appears when you want outputs beyond notes. You still need additional tools for personalized worksheets, between-session homework material, and structured prep before the next appointment.

Reframe Practice: Full Session Workflow

Reframe covers documentation, worksheet generation, and session prep in one stack. Notes are generated from therapist text input with anti-hallucination safeguards, and worksheets use client language so material feels specific rather than generic.

Reframe is $29/month, which is higher than Quill's entry price. The tradeoff is breadth: you are paying for multiple clinical tasks in one environment instead of separate point solutions.

When to Use Each Tool

Choose Quill when: Your main requirement is lower-cost AI note assistance and you already have other systems for client homework and prep.

Choose Reframe when: You want one therapist-built tool for notes, CBT and DBT worksheet personalization, and session prep with zero-retention architecture.

Some therapists use both. Many switch fully to Reframe when they want fewer tools and tighter workflow integration.

The Privacy Difference

Reframe uses zero-retention architecture where worksheet and note inputs are processed in memory and discarded. This keeps PHI exposure lower for core generation workflows and supports a cleaner HIPAA compliance posture.

Frequently Asked Questions

What is the best Quill alternative?

The best Quill alternative depends on whether you need notes only or a broader workflow. Reframe is a strong choice when you want notes, worksheets, and session prep together.

What is the main difference between Reframe and Quill?

Quill is primarily notes-focused. Reframe includes notes and adds personalized worksheet generation plus session prep in one therapist-built product.

Is Reframe Practice HIPAA compliant?

Yes. Reframe uses zero-retention architecture where client descriptions are processed in memory and never stored. HIPAA-compliant by physics, not promises.

How much does Reframe cost compared to Quill?

Reframe is $29/month. Quill is around $20/month. Quill can be cheaper for notes-only usage, while Reframe includes a broader stack.

Can I use both tools together?

Yes. Some therapists keep Quill for notes and use Reframe for worksheets and prep, then later consolidate into one workflow.

What therapy modalities does Reframe support?

CBT, DBT, ACT, IFS, EFT, Somatic, and more. You can set modality strictness from Eclectic to Strict adherence.

How long does it take to create a worksheet?

Under 60 seconds with Reframe. Describe your client, choose modality, and generate. It is designed for fast delivery between sessions.

Is there a free trial?

Yes. Reframe offers 10 free worksheets with no credit card required. Try it with a real client and see the difference personalization makes.

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Built by a Registered Psychotherapist | Zero Data Retention | HIPAA Compliant