Upheal vs Mentalyc for Therapists

Upheal and Mentalyc both draft therapy notes from a session recording or from dictated or typed input, as listed on each company's pricing page (Upheal, Mentalyc, checked October 29, 2026). Going by their own pages, they differ most in what surrounds the note. Upheal's home page says: "Move your whole practice to Upheal's EHR when you're ready." Mentalyc's home page says it "works with any EHR, or none", and its pricing page lists alliance feedback, worksheet suggestions and supervision notes. Everything below about either company is quoted from, or listed as shown on, that company's own pages on the date checked.

What Upheal is

Upheal says, on its home page, that it "is an AI-native EHR for therapists and group practices." The same page says you can "Start with AI therapy notes alongside your current EHR" and, "When you're ready, move your whole practice to Upheal's EHR, with scheduling, insurance billing, client payments, telehealth and a client portal in one place." On capture, it says: "Record your session in person or online, or dictate afterward." Upheal's pricing page adds: "Dictate or type brief observations from your session to receive a structured note." As listed on those two pages (checked October 29, 2026), Upheal also offers 30+ note templates, custom templates built from "170+ preset note sections", "Treatment Plans with Golden Thread", a checker that reviews notes against payer requirements before you sign, analytics of "talking ratio, cadence, sentiment, and more", and an AI Assistant.

Privacy, in Upheal's words. Upheal's pricing page says: "For maximum privacy, all session audio is automatically deleted once you get your notes. Of course, you can still choose to save it." For its full statements, read Upheal's privacy page.

What Mentalyc is

Mentalyc says, on its home page, that it "works with any EHR, or none", and that "Every session updates clinical notes, plan, progress and alliance". Its capture options, in its words: "Record telehealth or in-person sessions (with consent), upload audio, dictate a recap, or type a short summary." The same page says Mentalyc "sends the finished note to the EHR you already use in one click" and names SimplePractice, TherapyNotes and Jane App among the EHRs it works with. As listed on Mentalyc's pricing page (checked October 29, 2026), it has four solo plans (Mini, Basic, Pro and Super) that step up in notes per month, client types and note formats. That page lists worksheets "recommended after each session" on every plan; treatment plans and Alliance Genie, its feedback on the therapeutic alliance, from Basic up; supervision notes from Pro up; and one-click EHR transfers at 20 a month on Mini and Basic, with no limit from Pro up.

Privacy, in Mentalyc's words. Mentalyc's security page says: "Mentalyc temporarily uses your session recording to create a transcript. The audio is deleted once your note is ready." For its full statements, read the rest of that page.

Upheal and Mentalyc side by side

Every cell below is as listed on each site, checked October 29, 2026; the last column links the pages each row comes from. Prices are in US dollars.

Where they differ most

• Your EHR. Upheal's home page offers its own EHR to "Run your whole practice in one place." Mentalyc's home page says it "can replace a basic therapy documentation system or work alongside your existing one."
• Pricing shape. Upheal's pricing page lists AI Notes at $39 a month, a "Flat monthly fee, unlimited sessions". Mentalyc's pricing page lists four solo plans from 40 to 330 notes a month, with client types and note formats added as the plans step up.
• Free use. Upheal's pricing page lists a $0 Free plan with "AI notes via text-to-note, dictation, and uploads only" for "Individual therapy only". Mentalyc's pricing page lists a "14-day free trial".
• Around the note. Both pricing pages list AI treatment plans and progress tracking across sessions (on Mentalyc, from Basic up). Beyond that, Upheal's pricing page lists analytics of "talking ratio, cadence, sentiment, and more", a note checker based on payer criteria, and practice management; Mentalyc's pricing page lists Alliance Genie alliance feedback, worksheet suggestions and supervision notes.

When Upheal is the better choice

• You want one system for the practice. Upheal's home page says its EHR brings "scheduling, insurance billing, client payments, telehealth and a client portal in one place."
• You want one flat price. Upheal's pricing page lists AI Notes at $39 a month, "Flat monthly fee, unlimited sessions", and a $0 Free plan for notes from text, dictation and uploads in individual therapy.
• You see couples and families. Upheal's pricing page lists "Individuals, couples, and families supported" on its $39 AI Notes plan. Mentalyc's pricing page lists couples and family therapy from Pro, at $69.99 a month or $59.99 a month billed annually.
• You want sentiment and cadence analytics. Upheal's pricing page lists "Measurements of talking ratio, cadence, sentiment, and more tracked along the session's timeline."

When Mentalyc is the better choice

• You want one-click transfer to your EHR. Mentalyc's pricing page lists an "EHR extension (one-click note transfer to your EHR)", at 20 notes a month on Mini and Basic and no limit from Pro up.
• You want the extras around the note. Mentalyc's pricing page lists "Clinically reviewed worksheets recommended after each session" on every plan, alliance tracking per session from Basic up, and supervision notes from Pro up.
• You run therapy groups. Mentalyc's pricing page lists "Group therapy notes, plus a note for each member" on Super, and group therapy on Team.
• You want a small fixed monthly price. Mentalyc's pricing page lists Mini at $14.99 a month billed annually, or $19.99 monthly, for 40 notes a month with individual adult clients. Upheal's pricing page lists AI Notes at $39 a month and its pay-as-you-go EHR at $1 a session.

Where Reframe fits

Reframe is a third option with a narrower job. It drafts progress notes from shorthand you type, with no recording, in SOAP, DAP, BIRP, GIRP, PIRP or narrative format, plus a saved custom format. It is a web app that runs in your browser. Reframe processes your session text to draft the note and does not store it on its servers. A free account includes 20 free notes every 30 days, with no credit card.