Comparison
PR-TOP vs Upheal — comparison for therapists
Updated: July 2026 · Reviewed by the PR-TOP team
Upheal is an AI-native EHR for therapists built around session notes, scheduling and billing, from roughly $29/mo and US-market-oriented. PR-TOP is a therapist-controlled between-session assistant: an encrypted dashboard plus a Telegram client bot for diary, exercises and one-tap crisis alerts. GDPR-first, EU-hosted, four languages (EN/RU/UK/ES). Different jobs — many practices use both.
Different jobs, not a head-to-head
AI note-takers like Upheal document your sessions. PR-TOP also stays with your clients between sessions — diary, exercises, crisis alerts — inside the messenger they already use every day (Telegram). If your main pain point is writing session notes faster, Upheal is a strong choice. If your main pain point is preserving client context and reducing double-documentation across the week, PR-TOP is built for exactly that.
Both products can coexist: an EU practice can run Upheal (or a local EHR) for documentation and PR-TOP for the client-facing channel, because their scopes barely overlap.
Feature and price comparison (2026)
| Category | Upheal | PR-TOP |
|---|---|---|
| Category | AI-native session-notes EHR | Between-session assistant + Telegram client bot |
| Pricing (from) | ~$29/mo (Starter), scales up per feature | Free Trial, then €9/mo Basic, €19/mo Pro |
| AI session notes | Core product — deep, mature, SOAP/DAP/etc. | Yes (Whisper + configurable providers), simpler templates |
| Client-facing app | No native client app | Telegram bot (voice/text/video diary, exercises, SOS) |
| Between-session diary | Not in scope | Yes — voice / text / video, encrypted |
| Crisis / SOS alerts | Not in scope | One-tap client SOS with multi-channel therapist notify |
| Scheduling & billing | Yes (calendar, invoicing, US insurance flow) | Not included — pair with a local EHR |
| Encryption model | TLS + at-rest; enterprise-grade | Application-layer AES for Class A data (diary, transcripts, notes) |
| Hosting / data residency | US-centric | EU-only (Hetzner) |
| Languages | English (primary) | English, Russian, Ukrainian, Spanish |
| Where it wins | Depth of AI notes, EHR features, US-market fit | Between-session continuity, EU/GDPR, client channel |
| Where it loses | No client channel, US-centric compliance context, higher price | No billing/scheduling, notes templates less deep than Upheal |
| Best for | US-based practices needing a full AI-notes EHR | EU/CIS/LATAM therapists wanting between-session context + a client channel |
Upheal figures verified against upheal.io/pricing in July 2026. Numbers refresh quarterly.
When to choose Upheal
- You are a US-based practice that needs AI-generated notes in SOAP/DAP/BIRP formats out of the box.
- You want scheduling, invoicing and (optionally) insurance flows in one tool.
- Your clients meet with you on Zoom or in person and you do not need a between-session engagement channel.
When to choose PR-TOP
- You want your clients to keep a real-time diary (voice, text, video) between sessions.
- You want a one-tap crisis / SOS channel from the client’s phone to your inbox.
- You want to assign exercises and see whether the client actually did them.
- You are in the EU or CIS and prefer GDPR-first, EU-hosted software with a DPA by default.
- You want your interface (and your clients’ interface) in Russian, Ukrainian or Spanish, not only English.
Frequently asked questions
Is PR-TOP a replacement for Upheal?
Not directly. Upheal is an AI-native EHR built around session documentation, scheduling and billing. PR-TOP is a between-session assistant: it does not replace an EHR. Many EU therapists use PR-TOP alongside a lightweight local practice-management tool because their compliance context is GDPR, not US HIPAA.
Which is cheaper — Upheal or PR-TOP?
PR-TOP starts free (Trial), then Basic is €9/mo and Pro €19/mo. Upheal starts at about $29/mo and scales up per feature set. On a like-for-like AI-notes-only comparison Upheal has more depth; on total client-engagement surface (bot + diary + exercises + alerts) PR-TOP is broader for less money.
Does Upheal work with Telegram?
No. Upheal is a browser + mobile app that sits between the therapist and their session recordings. PR-TOP is Telegram-native for the client side: clients keep a diary, receive exercises, and can trigger a crisis alert directly inside the messenger they already use every day.
Is Upheal GDPR-compliant for EU therapists?
Upheal publishes a GDPR page and a DPA, but hosting and go-to-market are US-centric. PR-TOP is EU-hosted (Hetzner), ships a Data Processing Addendum by default, encrypts Class A data (diary entries, transcripts, private notes) at the application layer, and runs self-hosted analytics with no third-party trackers.
What does PR-TOP not do that Upheal does?
PR-TOP does not currently ship insurance billing, calendar/scheduling with automated reminders, or a US-market EHR feature set. If those are your top priorities, Upheal (or SimplePractice) is the better fit. PR-TOP focuses on the between-session channel and encrypted client context, not full practice management.
Can I try PR-TOP without a credit card?
Yes. PR-TOP has a free Trial tier with all core features enabled for a limited number of clients. There is no credit card required to start, and no automatic conversion to a paid plan — you choose when to upgrade.
Related
Try PR-TOP alongside your current tools
The free Trial takes about ten minutes to set up. No credit card. If you decide it does not fit your workflow, you can export your data and leave with no lock-in.