Mentalyc is a cloud-based AI note-taking tool positioned mainly at US solo therapists, with published starting pricing around $29/month. As with most SaaS pricing, the number on the homepage is the entry point — what you pay depends on session volume, add-ons, and whether you need features gated to a higher tier.
What the starting tier typically includes
Cloud AI scribes at this price point generally include a capped number of monthly sessions, standard note formats (SOAP, DAP, BIRP), and basic EHR integration. Heavier users — solo therapists seeing 20+ clients a week — often find themselves needing a higher tier to cover session volume.
What can push you to a higher tier
- Session volume above the base plan's cap
- Additional integrations with specific EHR systems
- Multi-user access if you bring on an associate
- Extended history/storage as your client base grows
The annual reality
$29/month is $348/year at the base tier — before any upgrades. Over three years, that's over $1,000, recurring, with no ownership of anything at the end of it: the moment you stop paying, you stop having access to the tool.
Where Mentalyc fits well
To be fair to the tool: Mentalyc is built specifically for US solo practitioners with HIPAA as the primary compliance target, and its EHR integrations are a real convenience for therapists already embedded in that ecosystem. If your caseload is exclusively US-based, English-speaking, and you value deep EHR integration over data locality, it's a reasonable option.
Where it doesn't fit
Mentalyc is a cloud tool — your session data is processed and stored on its servers. If you practice internationally, need multilingual note generation, or want your patient data to never leave your own device (a stronger compliance position under GDPR and similar regimes), it isn't built for that use case.
The on-device alternative
Eclio runs the same category of AI note generation — transcription, formatted clinical notes — entirely on your own computer, with no monthly server-rental cost passed on to you. It's free during its beta period. See the full comparison: Eclio vs Mentalyc.