2026 comparison
Mentalyc is Standalone AI clinical-notes tool for therapists. No practice management or scheduling. SignalEHR is the AI-first clinical intelligence + practice management platform — $199/practitioner/month, all-inclusive, dual-country (US + Canada), with Amelia AI receptionist and real-time emotion analysis built in.
Best for: Therapists who want one platform that handles AI clinical notes, dropout prediction, AI receptionist, full practice management, and dual-country insurance billing — at $199/practitioner/month all-inclusive.
Trade-off: Newer to market than incumbents; native mobile apps still in development.
Best for: Solo therapists who love their current EHR and just want a fast, well-formatted AI scribe layer that supports many note formats.
Trade-off: Mentalyc is a notes-only tool. You still need a separate EHR for scheduling, billing, insurance, telehealth, and client communication. The stacked cost typically exceeds Signal's all-inclusive $199. Mentalyc also lacks emotion analysis and dropout prediction.
Pricing: $49–$199/month per practitioner, scaling with session volume.
| Capability | Signal | Mentalyc |
|---|---|---|
| AI clinical notes (multiple formats) | 8 formats, modality-aware (CBT, EMDR, EFT, Gottman, etc.) | SOAP, DAP, BIRP, PIE — wide format coverage |
| Real-time voice emotion analysis | Yes — sub-200ms latency, per-speaker | No |
| Practice management (calendar, billing) | Full multi-clinic platform | No — notes only |
| AI receptionist (chat + phone) | Amelia for web chat, SMS, and phone | No |
| Dropout / no-show prediction | 8-factor self-learning model | No |
| Insurance billing (US + Canada) | Unlimited via Stedi + TELUS eClaims | Not included |
| Couples therapy with dyadic analysis | Dual-channel, per-partner indices | Generic notes for couples sessions |
| Total cost for solo therapist + EHR | $199 all-inclusive | $49–199 + SimplePractice $99 + AI scribe = $200–$350 |
Yes. Signal includes everything Mentalyc does (AI clinical notes in multiple formats) plus the full clinic platform Mentalyc deliberately doesn't build — scheduling, billing, insurance, telehealth, AI receptionist, and dropout prediction. For therapists currently stacking Mentalyc + a separate EHR, Signal replaces both at lower total monthly cost.
Yes. Both platforms generate SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE notes. Signal adds custom-template support and modality-specific note engines (different note shape and intervention detection for CBT vs EMDR vs EFT vs Gottman, etc.) that Mentalyc treats as a single generic format.
Mentalyc transcribes session audio and uses an LLM to produce a structured clinical note. Signal does both transcription AND real-time emotion analysis: each utterance is mapped to clinical indices like therapeutic alliance, emotional variability, and risk flags. Those clinical signals feed Signal's dropout-prediction model, session-prep cards, and treatment-plan updates. Mentalyc's notes are static; Signal's note is part of a live clinical-intelligence loop.
Yes. Signal is HIPAA-compliant in the US and PIPEDA-aligned in Canada, with SOC 2-aligned infrastructure on Google Cloud Platform, AES-256 encryption in transit and at rest, BAAs available for every clinic, and per-session audio that is not retained after analysis. Every AI-generated note requires therapist review and approval (human-in-the-loop).
Full features, no commitment. Most clinics finish migrating from Mentalyc inside one billing cycle, and Signal's migration tools handle client roster, intake forms, and insurance data automatically.