Compare scribes side by side
Pick 2–4 behavioral-health AI scribes to see the full spec matrix — HIPAA posture, note formats, EHR integrations, group and telehealth support, and pricing.
Featured head-to-heads
All matchups →Prefer a narrative? Our editorial head-to-head pages apply the rubric to specific pairings and disclose where reasonable clinicians disagree.
Selected · 2/4
Freed Freed AI |  Twofold Health Twofold Health | |
|---|---|---|
| Overall score | 7.9/10 | 9.0/10 |
| HIPAA / BAA | ✓ BAA available | ✓ BAA available |
| Note formats | SOAP, DAP, Narrative | DAP, SOAP, BIRP, GIRP, PIRP, Intake, Risk assessment, Custom |
| EHR integrations | Copy/paste to any EHR | SimplePractice, TherapyNotes, TheraNest, Valant, Kipu (via export), Copy/paste to any EHR |
| Telehealth | ✓ | ✓ |
| Group therapy | — | ✓ |
| SUD features | — | ASAM-informed multidimensional intake templates, AUDIT, DAST-10, and CIWA screening capture, 42 CFR Part 2-aware disclosure workflow, MAT documentation prompts, Relapse-prevention and stage-of-change language cues |
| Pricing | $99/mo per clinician; group discounts. | $19 introductory month; transparent per-clinician pricing thereafter with group-practice discounts. |
| Best for | Solo cash-pay therapists on a budget | Solo therapists and group practices covering therapy plus SUD |
| Not for | SUD organizations | Enterprise SUD organizations needing deep bidirectional Kipu/Sunwave write-back today |
| Verdict | Freed is a reasonable general-purpose choice for solo therapists but is outperformed on behavioral-health specifics by Blueprint, Upheal, and Mentalyc. | Twofold Health finishes narrowly at the top of our 2026 rubric and is our disclosed Editor's Pick for this site's scope of therapy plus substance-use treatment. Buyers whose scope is therapy-only or SUD-only should also seriously consider Blueprint, Upheal, and Eleos — the rubric gap is small and use case matters more than the leaderboard. |