MentalNote vs Twofold
Facts checked on 14 October 2026. Prices change, so check each vendor's page before you decide.
The short answer
- Choose Twofold if you want a lower monthly price, iPhone and Android apps, ICD-10 and CPT suggestions, and one scribe that also covers primary care and other specialties.
- Choose MentalNote if you are a solo therapist or a small practice and want a free plan you can keep using, therapy formats such as BIRP, GIRP and PIRP out of the box, or a Microsoft Word add-in.
Side by side
| MentalNote | Twofold | |
|---|---|---|
| Try it | Free plan: 5 web-app scribe sessions a month, no time limit, no credit card. | 7 days free with full access, no card. |
| Price | Premium $99 a month, or $990 a year ($82.50 a month). Unlimited note generation. | Personal: $19 for the first month on monthly billing, shown next to a crossed-out "Was $69/mo", or $49 a month billed yearly. Group pricing is custom. |
| Who it is built for | Therapists and other mental health clinicians. | Clinicians across primary care, mental health, specialists, nursing, allied health and more. |
| Note formats | SOAP, DAP, BIRP, GIRP, PIRP and Progress notes, plus Intake and Treatment Plan workflows. Custom instructions for your structure and style. | SOAP, DAP, BIRP, GIRP, intake and more, with editable templates and a Treatment Plan Assistant. |
| How you capture a session | Record in the browser, including a telehealth call in a browser tab. In Word, type a summary and get a draft. | Live session, dictated summary, typed notes or an uploaded recording, in person or on telehealth. |
| Apps | Browser app and an optional Word add-in. | Browser, plus iOS and Android apps. |
| Couples and family sessions | Not listed on our features page. | Twofold says it handles multiple speakers in joint sessions. |
| Getting the note into your EHR | Copy or export the reviewed draft. No direct EHR write-back. | Copy the finished note into any EHR. |
| HIPAA and BAA | MentalNote is HIPAA-compliant, with a BAA included on every plan. | Twofold says every account receives a signed BAA. |
Where Twofold is stronger
- Lower price. $49 a month billed yearly, against our $99 a month or $990 a year.
- Mobile apps. Native iOS and Android apps, with sync between phone and laptop.
- More ways to capture. Dictate a summary or upload a recording, as well as record live.
- Coding and joint sessions. ICD-10 and CPT suggestions, and support for couples and family sessions.
Where MentalNote is stronger
- A free plan that does not expire. 5 recorded sessions every month, against a 7-day trial.
- Microsoft Word add-in. Type a short summary in Word and get a structured note, with no recording.
- Note rules against filling gaps. MentalNote's note rules tell the AI to use only what was said in the session, to write "Not documented in session" where something was not covered, and not to add a diagnosis you did not state.
- Built around therapy formats. BIRP, GIRP and PIRP sit next to SOAP and DAP, with Intake and Treatment Plan workflows.
MentalNote is HIPAA-compliant, with a BAA included on every plan. Twofold says every account receives a signed BAA. So a BAA is not a reason to choose one over the other.
Which should you pick?
| If you... | Pick |
|---|---|
| Want unlimited notes for less than $99 a month (Twofold is $49 a month billed yearly) | Twofold |
| Want a native iPhone or Android app | Twofold |
| See couples or families and want joint-session support | Twofold |
| Want a free plan you can keep using | MentalNote |
| Write your notes in Microsoft Word | MentalNote |
| Want notes that write "Not documented in session" for gaps | MentalNote |
Frequently asked questions
Is Twofold free?
Twofold offers 7 days free with no card. After that, its homepage shows $19 for the first month on monthly billing, next to a crossed-out "Was $69/mo", or $49 a month billed yearly.
Is there a free alternative to Twofold for therapists?
MentalNote has a free plan with 5 web-app scribe sessions a month, no time limit and no credit card.
Is MentalNote HIPAA compliant?
MentalNote is HIPAA-compliant, with a BAA included on every plan.
Does MentalNote connect to my EHR?
Not directly. Review the draft, then copy or export it into your record system. Twofold also works by copying the note into your EHR.
Do I need my client's consent?
Yes, if you record. Before every recording, MentalNote asks you to confirm you have your client's consent.
Try it
Start free at app.mentalnote.ai: 5 scribe sessions a month, no credit card.
Try it freePrefer Microsoft Word? Get the free Word add-in. Installs from Microsoft AppSource.
More comparisons
Twofold is a trademark of its owner. This page compares public information as of 14 October 2026 and is not endorsed by Twofold. A clinician must review every AI draft. Spotted something out of date? Email support@mentalnote.ai and we will fix it.