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 — $59/practitioner/month, all-inclusive, dual-country (US + Canada), with Amelia AI receptionist and real-time voice signal 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 $59/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 covers notes, treatment plans, progress tracking and alliance reports, and works beside your EHR. You still need a separate EHR for scheduling, billing, insurance, telehealth, and client communication. Mentalyc lists no voice signal analysis or dropout score.
Pricing: $15–$100/month billed annually, or $20–$120 month to month, by notes per month. Team seats are listed separately.
| Capability | SignalEHR | Mentalyc |
|---|---|---|
| AI clinical notes (multiple formats) | 7 formats plus your own template, modality-aware (CBT, EMDR, EFT, Gottman, etc.) | SOAP, DAP and intake on every plan; BIRP, GIRP, SIRP, PIRP and PIE from Pro |
| Real-time voice signal analysis | Yes — per-speaker, affect shifts shown during the session | No |
| Practice management (calendar, billing) | Full multi-clinic platform | No — works beside your EHR |
| AI receptionist (chat + phone) | Amelia for web chat, SMS, and phone | No |
| Dropout / no-show prediction | 8-factor risk score (fixed weights) | No |
| Insurance billing (US + Canada) | Unlimited via Stedi + TELUS eClaims | Not included |
| Couples sessions, each partner tracked separately | Dual-channel, each partner tracked separately | Couple and family clients from the Pro plan; no per-partner tracking listed |
| Total cost for solo therapist + EHR | $59 all-inclusive | $15–$100 + SimplePractice Plus $99 = about $115–$200/month |
Yes. SignalEHR covers AI clinical notes in multiple formats and adds the full clinic platform Mentalyc does not build — scheduling, billing, insurance, telehealth, AI receptionist, and dropout prediction. For therapists currently stacking Mentalyc + a separate EHR, SignalEHR replaces both at lower total monthly cost.
Yes. Both platforms generate SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE notes. Both support custom templates. SignalEHR has modality-specific note engines (different note shape and intervention detection for CBT vs EMDR vs EFT vs Gottman, etc.); Mentalyc lists EMDR, play therapy and psychiatry notes from its Pro plan.
Mentalyc produces notes after the session, and its Alliance Genie reports on therapeutic alliance from its Basic plan up. SignalEHR transcribes too, and adds voice signal analysis during the session, showing affect shifts per speaker while it is still running.
Yes. SignalEHR 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. The client importer creates one chart per client from a SimplePractice, Jane or TherapyNotes export.