TherapyDraft
TherapyDraft is a signed native macOS app that transcribes your session and drafts a SOAP, DAP, BIRP, or GIRP note — all on your own Apple Silicon. No cloud, no BAA, no subprocessor chain. Just a draft ready to paste into your EHR in under two minutes.
Apple Silicon · macOS 14+ · Signed & notarized · No network socket for audio or note text.
The problem
Every AI therapy scribe in the 2026 market — Mentalyc, Upheal, Blueprint, Freed, Supanote, CliniScripts — routes your client's audio through someone else's GPU. Their HIPAA story is contractual: a signed business associate agreement, and a promise not to train on your sessions. But a BAA doesn't un-breach a subprocessor, it doesn't un-subpoena a transcript, and it doesn't answer the quiet question every clinician is already asking: where does this audio actually go?
How it works
Drop a session recording or hit record live. Audio lands in your Mac's Application Support folder — no upload, no sync, no iCloud. The file path is disclosed in the app's Privacy screen.
whisper.cpp transcribes on your Apple Silicon GPU. A quantized 14B model (Qwen 2.5 or Llama 3.1 via MLX, 4-bit) drafts the note — matching the style of five of your own example notes you paste in once.
Copy the draft to clipboard or export PDF. Paste into SimplePractice, TheraNest, or TherapyNotes. Every inference writes a tamper-evident hash-chained log entry you can show a client on demand.
What you get
Session audio, transcripts, and draft text never open a network socket. Enforced by macOS network sandbox entitlements — not by a vendor promise. The only outbound traffic is Stripe license activation and an anonymous app-version check.
Paste five of your own past notes once. The model matches your phrasing, section order, and clinical voice. SOAP, DAP, BIRP, and GIRP templates ship by default — your style layered on top.
Every inference writes a hash-chained JSONL entry — model ID, prompt hash, output hash, timestamp, device ID. If a client ever asks "prove the AI only ran on your machine," you have the receipts.
Signed and notarized with an Apple Developer ID. Qwen 2.5 14B in 4-bit MLX. Sub-5-second real-time transcription on M2. The model is a swappable artifact — switch to a smaller one on an M1 Air, or bring your own fine-tune.
Pricing
$39/mo
Solo private practice · M-series Mac
Most popular
$29/seat/mo
Group practices, 3+ seats
Q3 2026
Supervisors + supervisees
Questions
HIPAA compliance is an obligation of the covered entity — that's you, the clinician. TherapyDraft is a tool that lets you meet your own HIPAA obligations because session audio, transcripts, and draft notes never leave your Mac. There's no vendor with access to your clients' PHI, so no vendor BAA is required. That's a different compliance model from cloud scribes — architectural rather than contractual. Full details on the privacy page.
Every cloud scribe uploads session audio to a vendor GPU, processes it there, and stores a transcript and draft in the vendor's cloud — protected by a BAA. TherapyDraft runs the entire pipeline on your own M-series Mac. That's the wedge. It means our note quality is "very close" rather than "identical" to a cloud-70B model, and that's the trade-off we built around: a note you edit for two minutes versus a transcript a vendor could subpoena in five years.
Apple Silicon M1, M2, M3, or M4 running macOS 14 Sonoma or later. 16 GB unified memory minimum; 24 GB+ recommended if you want to keep drafting while using your Mac for other work. Intel Macs are not supported — the MLX runtime requires Apple Silicon.
Windows is on the 2026 Q4 roadmap, swapping MLX for a GGUF + CPU stack. There is no web version and there never will be — a browser tab means a cloud round-trip, which breaks the entire architectural guarantee. If you're a Windows-based clinician, join the waitlist and say so in the survey — the more signal we get, the sooner we ship.
For a DAP, SOAP, BIRP, or GIRP drafted from a clean session transcript, the local 14B hits structural and clinical parity with cloud scribes about 85% of the time. The remaining 15% you edit — the same workflow every cloud scribe quietly admits to. We lean into that honestly: TherapyDraft drafts the note, you finalize it.
Private beta opens this quarter, capped at 100 solo practitioners for the first release. Get on the waitlist — we'll email when your invite is ready.
Get early access