The best AI therapy notes apps in 2026 are Eclio, Mentalyc, Upheal, Berries, and Klarify. The right choice depends mostly on where you practice: US-based therapists tied to an EHR tend to prefer Upheal or Mentalyc, while therapists who work internationally, across languages, or under GDPR need a tool built for that — like Eclio. Most of these tools cut documentation time from 15–20 minutes per note to 2–3 minutes.
How we evaluated these tools
We compared each app on six criteria that actually change a therapist's day-to-day:
- Note quality — does it produce usable clinical notes, not generic summaries?
- Compliance — HIPAA (US), GDPR (EU), PIPEDA/PHIPA (Canada)
- Languages — can it write notes in a language other than English?
- Note formats — SOAP, DAP, BIRP, and beyond
- Practice management — note generator only, or full client management?
- Price — and whether there's a free tier
Disclosure: Eclio is our product. We've stated that openly and based the comparison on publicly available information about the other tools as of June 2026. Pricing and features change — verify on each vendor's site before deciding.
Quick comparison
| Tool | Best for | Compliance | Languages | Starting price |
|---|
|---|---|---|---|---|
| Eclio | Privacy-first, international & multilingual therapists | Local-first · GDPR · HIPAA · Any jurisdiction | Any language | Free (beta) |
|---|---|---|---|---|
| Upheal | Group practices wanting an EHR | HIPAA | English | ~$69/mo |
| Berries | US clinicians with an EHR | HIPAA | English | Paid |
| Klarify | Canadian therapists | HIPAA + PIPEDA/PHIPA | EN / FR | Paid |
| Supanote | Budget-conscious solo therapists | HIPAA | English | ~$19/mo |
The best AI therapy notes apps in 2026
1. Eclio — best for international and multilingual therapists
Eclio is the only AI therapy notes app that runs entirely on your computer — no cloud, no server, nothing ever leaving your device. Transcription (WhisperX), note generation (local LLM), and your entire clinical database all stay on your local machine. This makes it compliant with GDPR, HIPAA, and any healthcare data regulation by architecture, not by policy. It also generates clinical notes in any language, regardless of session language, and includes full client management, multi-session progress reports, and a local AI agent.
Best for: therapists who prioritize data privacy, have EU or international clients, work with multilingual caseloads, or need compliance with any healthcare regulation.
2. Mentalyc — best for US solo therapists
Mentalyc is a polished, focused note generator with a strong US user base. It does one thing well: transcribe a session and produce a clean SOAP or DAP note. It's English-only and HIPAA-focused, which is fine if your entire practice lives in the US.
Best for: US-based, English-speaking solo therapists who only need note generation.
3. Upheal — best for group practices
Upheal is closer to a full EHR, with scheduling, billing, advanced analytics, and outcome measurement (PHQ-9, GAD-7). That power comes with a higher price and a steeper learning curve.
Best for: group practices that want analytics and multi-clinician infrastructure.
4. Berries — best for US clinicians with an EHR
Berries integrates with 30+ US EHR systems and pushes notes directly into your existing workflow. It's trusted by thousands of US clinicians but is architected for HIPAA, not GDPR.
Best for: US therapists embedded in an existing American EHR.
5. Klarify — best for Canadian therapists
Klarify is built around Canadian privacy law (PIPEDA, PHIPA) and supports English and French. If you practice exclusively in Canada, that focus is an advantage.
Best for: therapists practicing only in Canada.
6. Supanote — best budget option
Supanote is one of the more affordable HIPAA-compliant note generators, aimed at price-sensitive solo therapists in the US.
Best for: US solo therapists on a tight budget.
How to choose the right AI notes app
Work through four questions in order:
- Where are your clients, and how strict are your privacy requirements? EU clients mean GDPR is non-negotiable. If data sovereignty matters — or if you want compliance with any jurisdiction without configuration — choose a local-first tool. US-only with standard requirements? Most tools here work.
- What language do you document in? If it's ever something other than English, you need multi-language note generation, which rules out most US tools.
- Do you need full practice management, or just notes? If you already pay for an EHR, a note-only tool may be enough. If not, an all-in-one saves a second subscription.
- What's your budget? Solo therapists generating 20–30 notes a month should weigh per-month cost against time saved.
Are AI therapy notes safe?
Used correctly, yes — but the tool matters. Consumer chatbots like ChatGPT are not HIPAA or GDPR compliant and should never receive client information. Purpose-built clinical tools sign a BAA (US) or Data Processing Agreement (EU). For the highest level of data protection, a local-first tool like Eclio eliminates server risk entirely — patient data never leaves your device, making a breach structurally impossible. We cover this in depth in Is It Safe to Use AI for Therapy Notes?.
Deep-dive comparisons
If you've narrowed it down, these head-to-head breakdowns go further:
The bottom line
There's no single "best" AI notes app — there's the best one for your practice. If you practice in the US in English and already use an EHR, Mentalyc, Berries, or Upheal are strong. If any part of your practice crosses a border, a language, GDPR, or if patient data privacy is non-negotiable, Eclio is the only tool that runs entirely on your device — no cloud anywhere in the pipeline.