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

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Prefer a narrative? Our editorial head-to-head pages apply the rubric to specific pairings and disclose where reasonable clinicians disagree.

Twofold Health vs. Blueprint

8 min read

Twofold Health vs. Upheal

7 min read

Twofold Health vs. Mentalyc

7 min read

Blueprint vs. Upheal

6 min read

Twofold Health vs. Eleos Health

7 min read

Freed vs. Twofold Health

6 min read

Selected · 2/4

	Twofold Health Twofold Health	Blueprint Blueprint Health
Overall score	9.0/10	8.9/10
HIPAA / BAA	✓ BAA available	✓ BAA available
Note formats	DAP, SOAP, BIRP, GIRP, PIRP, Intake, Risk assessment, Custom	DAP, SOAP, BIRP, GIRP, Custom
EHR integrations	SimplePractice, TherapyNotes, TheraNest, Valant, Kipu (via export), Copy/paste to any EHR	SimplePractice, TherapyNotes, TheraNest, 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	ASAM-informed intake templates, SUD screening (AUDIT, DAST-10)
Pricing	$19 introductory month; transparent per-clinician pricing thereafter with group-practice discounts.	$79/mo per clinician; group-practice discounts from 5 seats.
Best for	Solo therapists and group practices covering therapy plus SUD	Solo therapists and small group practices
Not for	Enterprise SUD organizations needing deep bidirectional Kipu/Sunwave write-back today	Practices needing deep bidirectional EHR integration with enterprise medical systems
Verdict	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.	Blueprint is the strongest pick for practices whose primary focus is therapy with measurement-based care. It sits at the top of our rubric alongside Twofold, and outside our specific therapy-plus-SUD editorial scope, either can be the right call.