Lyssn vs Upheal
Lyssn scores recorded counseling sessions against more than 75 quality measures (vendor figure), including Motivational Interviewing empathy and CBT agenda setting, and sells by quote only. Its buyer is a county behavioral health agency that reports fidelity to a funder. Upheal writes progress notes for individual therapists: a free plan, $39 per month billed monthly for unlimited AI notes, $1 per session for the built-in EHR and $99 per month for EHR Pro. It states SOC 2 Type II and signs a BAA at sign-up, and its own figures are 70,000-plus providers and 800-plus organizations. Upheal documents no fidelity scoring, which rules it out for that agency. A therapist in private practice who wants notes, telehealth and billing under one login has no use for Lyssn's session scoring. What separates them is the unit of purchase: Lyssn is an organization-level quote, Upheal a $39 monthly subscription.
Mental health · Reviewed November 1, 2026
When to pick each one
Lyssn
- Scores Motivational Interviewing empathy, CBT agenda setting
- Fidelity reporting for funders
- Recordings kept 90 days, then de-identified
Upheal
- Free plan, $39 per month unlimited notes
- Built-in EHR, telehealth and billing plans
- SOC 2 Type II stated, 30-day money-back guarantee
Score
Each row shows points earned of points available under the published rubric.
Lyssn
36of 100
Upheal
32of 100
| Dimension | Lyssn | Upheal | Difference |
|---|---|---|---|
| FDA clearance | 0 / 6 | 0 / 6 | 0 |
| HIPAA / SOC2 / BAA | 0 / 13 | 13 / 13 | -13 |
| EHR integrations (count) | 0 / 7 | 0 / 7 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 4 | 0 / 4 | 0 |
| Bidirectional write-back | 0 / 2 | 0 / 2 | 0 |
| Peer-reviewed papers | 9.8 / 14 | 0 / 14 | +9.8 |
| RCT / meta-analysis / systematic review | 6 / 6 | 0 / 6 | +6 |
| Funding & adoption signal | 6 / 12 | 6 / 12 | 0 |
| Pricing transparency | 5 / 5 | 5 / 5 | 0 |
| Years in market | 0 / 6 | 0 / 6 | 0 |
Scroll horizontally to see every column.
Pricing
Lyssn
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Plan | n/a | n/a | Enterprise. |
Upheal
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Free | n/a | n/a | Free plan on the pricing page. No credit card required for the trial, trial length not stated. |
| AI Notes | $39 | n/a | Flat price, unlimited sessions. Assistant Pro add-on is +$39 per month. 30-day money-back guarantee. |
| EHR | n/a | n/a | Pay as you go, billed on the 1st of the following month. |
| EHR Pro | $99 | n/a | Flat price. |
Evidence
Lyssn
Peer-reviewed
4 PubMed records name Lyssn.
- Using Artificial Intelligence to Identify Effective Components of Computer-Assisted Cognitive Behavioural Therapy. (opens in new tab)
- Improving the quality of counseling and clinical supervision in opioid treatment programs: how can technology help? (opens in new tab)
- Harnessing Innovative Technologies to Train Nurses in Suicide Safety Planning With Hospital Patients: Formative Acceptability Evaluation of an eLearning Continuing Education Training. (opens in new tab)
Upheal
No FDA decision, peer-reviewed study or community post in our record.
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Lyssn | Upheal |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | n/a | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
Common questions
Open the full mental health comparison
Two distinct markets in one category: provider tools (therapy-scribes, supervision AI, session analytics) and patient tools (CBT chatbots, mood trackers, AI companions). We separated them.