Alternatives
Mentalyc alternatives for therapists (2026)
Updated: July 2026 · Reviewed by the PR-TOP team
The best Mentalyc alternatives for therapists in 2026 fall in two groups. For AI session notes: Upheal, Twofold, Heidi, Supanote. For the space AI note-takers ignore — between-session client engagement via diary, exercises and crisis alerts inside Telegram — there is PR-TOP, which is EU-hosted and GDPR-first.
How to pick
Every tool below except PR-TOP stops at documenting the session. PR-TOP also stays with your clients between sessions — diary, exercises, crisis alerts — inside the messenger they already use every day. Decide first whether your bottleneck is writing session notes or keeping context between sessions, then pick from the group that matches.
If GDPR and EU data residency matter to you, see PR-TOP’s GDPR page and data-sovereignty notes. All prices below were verified against each vendor’s live site in July 2026 and are refreshed quarterly.
Comparison at a glance
| Product | Category | Pricing (from) | Best for |
|---|---|---|---|
| PR-TOP | Between-session assistant + AI notes | Free Trial, then €9/mo Basic, €19/mo Pro | EU / CIS / LATAM therapists who want between-session continuity and a client channel in Telegram. |
| Upheal | AI-native session-notes EHR | From ~$29/mo | US-based practices that want a single tool for notes, scheduling and billing. |
| Twofold | AI session notes | From ~$29/mo | Solo therapists who want AI notes with less UI friction. |
| Heidi | AI clinical scribe | Free tier + paid plans | Multidisciplinary practices that want one AI scribe across several clinical roles. |
| Supanote | AI session notes | From ~$25/mo | Therapists who want a lower-cost AI-notes tool with therapy templates. |
Sources: vendor pricing pages, July 2026. See per-item detail below for what each product wins and loses on.
1. PR-TOP
Between-session assistant with a Telegram client bot
- Category: Between-session assistant + AI notes
- Pricing (from): Free Trial, then €9/mo Basic, €19/mo Pro
- Where it wins: Only option with a Telegram client channel (diary, exercises, crisis alerts). EU-hosted, GDPR-first, application-layer encryption, EN/RU/UK/ES.
- Where it loses: No billing or scheduling. AI-notes templates less deep than Mentalyc or Upheal.
- Best for: EU / CIS / LATAM therapists who want between-session continuity and a client channel in Telegram.
2. Upheal
AI-native EHR for therapists (notes + scheduling + billing)
- Category: AI-native session-notes EHR
- Pricing (from): From ~$29/mo
- Where it wins: Broadest feature set of any AI note-taker — includes scheduling, invoicing and US insurance flows.
- Where it loses: US-first, no client channel, English-only, higher price.
- Best for: US-based practices that want a single tool for notes, scheduling and billing.
3. Twofold
Fast AI notes with a light UI
- Category: AI session notes
- Pricing (from): From ~$29/mo
- Where it wins: Clean, opinionated UX; fast turnarounds on note drafts.
- Where it loses: Narrower feature set than Mentalyc or Upheal; no client-facing app; US-market first.
- Best for: Solo therapists who want AI notes with less UI friction.
4. Heidi
Generic clinical AI scribe (broader than therapy)
- Category: AI clinical scribe
- Pricing (from): Free tier + paid plans
- Where it wins: Fast, works across many clinical specialties, generous free tier.
- Where it loses: Not therapy-specific; user reports of reliability issues at scale; no client channel.
- Best for: Multidisciplinary practices that want one AI scribe across several clinical roles.
5. Supanote
AI notes with therapy-focused templates
- Category: AI session notes
- Pricing (from): From ~$25/mo
- Where it wins: Therapy-specific templates, competitive pricing, growing feature set.
- Where it loses: Smaller ecosystem than Mentalyc or Upheal, no client channel, US-market first.
- Best for: Therapists who want a lower-cost AI-notes tool with therapy templates.
Frequently asked questions
What is the best alternative to Mentalyc for therapists?
It depends on the job. Upheal is the strongest AI-native EHR competitor. Twofold and Supanote are lighter AI note-takers with therapy templates. Heidi is a fast generic clinical scribe. PR-TOP is the only option in this list that owns the between-session channel via a Telegram client bot — diary, exercises, crisis alerts — instead of only drafting notes.
Is there a free alternative to Mentalyc?
Yes. PR-TOP has a free Trial tier with the encrypted dashboard, Telegram client bot, diary, exercises and SOS enabled. Heidi ships a generous free tier. Most other AI note-takers (Upheal, Twofold, Supanote) offer short trials rather than a permanent free plan.
Which Mentalyc alternative is best for EU / GDPR-first therapists?
PR-TOP is the most explicitly EU-native option: hosted on Hetzner (EU), application-layer encryption for Class A data (diary, transcripts, notes), DPA by default, self-hosted analytics with no third-party trackers. Mentalyc has a strong privacy posture but is US-registered and US-hosted; most other alternatives are US-first.
Which alternative also has a client-facing app?
Only PR-TOP. Every other tool on this page is therapist-facing only — an in-session recorder plus a note draft. If your clients are in markets where Telegram is dominant (EU, CIS, LATAM) and you want them to keep a diary, receive exercises or reach you during a crisis, PR-TOP is currently the only option that meets clients in the messenger they already use.
How often is this list updated?
Quarterly. Competitor pricing, features and positioning are re-verified against each vendor site every three months, and the comparison rows and the "Updated" date at the top are refreshed at the same time.
What did you not include in this list?
Enterprise-only tools (Eleos), pure practice-management suites without AI notes (SimplePractice, TherapyNotes) and dictation-only tools without therapy-specific templates. Those solve different problems and would make the list less useful for the specific "Mentalyc alternative" question.
Between-session continuity is what most of this list is missing
Every other product on this page stops at documenting your sessions. If preserving client context across the week is your real problem, PR-TOP is the only option here that solves it. Free Trial, no card, no lock-in.