AfterSession vs Upheal
AfterSession is the lightweight notes companion; Upheal is the full practice system. AfterSession turns a short typed or spoken post-session recap into structured notes (SOAP, DAP, BIRP, GIRP, PIE) with unlimited note generation: Founding Clinician Program $29.95 per month for the first clinician plus $19.95 per additional clinician, or Standard $49.95 plus $29.95 per additional clinician, per the current tool record. It deliberately has no scheduling, billing or full EHR integration and does not record live sessions. Upheal, per the official review on 2026-11-02, is Free $0 per month, AI Notes $39 per month flat with unlimited sessions, pay-as-you-go EHR $1 per session, or EHR Pro $99 per month flat; the older $69 monthly cap figure is not in the current record and is dropped. Pick AfterSession if you like your current EHR and just want notes done; pick Upheal if you want notes, scheduling and billing in one login. This comparison does not constitute medical advice. No hands-on testing was done.
| Decision point | AfterSession | Upheal |
|---|---|---|
| Best suited to | Licensed clinicians who want structured therapy notes from a short post-session recap, without recording sessions. | Getting AI therapy notes in minutes and running a therapy practice in one place. |
| Plans and cost | Founding Clinician Program, for a limited number of early practices and locked in for life: $29.95 per month for the first clinician plus $19.95 per month for each additional clinician. Standard pricing, which applies once Founding Clinician Program spots are filled: $49.95 per month for the first clinician plus $29.95 per month for each additional clinician. Both plans include unlimited note generation, SOAP, DAP, BIRP, GIRP, and PIE formats, typed or brief voice-note input, custom AI prompts, secure note storage, export to PDF or text, and a Business Associate Agreement on paid plans. A free trial is offered with no credit card required. | Free $0 per month; AI Notes $39 per month flat with unlimited sessions; Pay-as-you-go EHR $1 per session; EHR Pro $99 per month flat. |
| Limitations | AfterSession is note generation only: it has no full EHR integration, scheduling, or billing, and it does not record or transcribe live sessions. The free trial does not include a Business Associate Agreement. | Free plan limits AI notes to past sessions and caps AI Assistant chat monthly; card and claim fees apply per use. |
Use the same input
Run a full week of sessions through each. In AfterSession, export the notes into your current EHR; in Upheal, run the whole week inside it. Compare total admin time at week's end.
What a successful result must preserve
The tool must fit a therapist's existing practice, cut documentation time, and keep client data under HIPAA-grade controls; the EHR price must be the current flat or per-session figure, not a superseded cap.
Evidence and test status
Comparison of the vendors' published positioning and the current tool records reviewed 2026-11-01/02. No hands-on test was run; no quality winner is declared.
- AfterSession — AfterSession | AI Therapy Notes in Minutes ↗, Pricing | AfterSession ↗
- Upheal — Official Upheal homepage and pricing ↗ (reviewed 2026-11-02)