Voice dictation for TherapyNotes: TherapyFuel or on-device dictation

TherapyFuel is the AI add-on for TherapyNotes. TherapyNotes describes it as an "integrated AI solution": you can use TherapyFuel Scribe or a session summary and have TherapyFuel draft your progress notes, and it also includes speech-to-text dictation and AI-drafted treatment plans. TherapyNotes says "TherapyFuel is covered under our BAA with you."

As of October 2026, TherapyFuel is listed at $40 per clinician per month on top of a TherapyNotes plan (Solo is $69 a month; Group is $79 a month plus $50 for each additional clinician). For a solo clinician that is $480 a year for TherapyFuel, for as long as you keep it.

It is a reasonable package if you want AI drafting built into the EHR you already use and are comfortable with that processing happening in TherapyNotes' cloud.

With an AI scribe or summary tool, software writes the first version of the note and you edit it. With plain dictation, you decide what goes in and say it; the software only turns speech into text. Some clinicians prefer the first, because it saves the most typing. Others prefer the second, because the note stays in their own words and the session is never recorded.

If you use a scribe that records sessions, professional codes require client permission: APA Standard 4.03, ACA Code B.6.b and NASW Code 1.03(h) all address recording, and some states require every party's consent. Dictating your own note after the session involves no recording of the client. We compare the two approaches in push-to-talk dictation vs AI scribes.

Sapience Med is a Mac and Windows desktop app. Open TherapyNotes in your browser as usual, click into any text field in a progress note or intake, hold the Sapience Med hotkey, speak, and release. The text appears in the field as if you had typed it.

There is no TherapyNotes plug-in or integration. Sapience Med types into whatever text field has focus, so your TherapyNotes templates keep working, and the same tool works in SimplePractice, Word or email. For example scripts, see how to dictate DAP, SOAP and BIRP notes.

Speech recognition runs entirely on your computer. The audio of your dictation is processed in memory and discarded, and nothing is sent to us, so Sapience Systems LLP is not a business associate. See why Sapience Med doesn't need a BAA.

You can use Apple Dictation or Windows voice typing in any TherapyNotes field for free. Both use general vocabularies, so psychiatric drug names often come out wrong. Apple Dictation runs on the Mac only when Keyboard settings say so and otherwise sends your words to Apple, which offers no BAA. Windows voice typing sends speech to Microsoft's cloud and is not on Microsoft's list of BAA-covered services. Details: Apple Dictation, Windows voice typing.

Yes. It doesn't care which EHR you use, because it types into whatever field has focus. If you change EHRs, or use different systems for different parts of your practice, the dictation tool stays the same. EHR add-ons like TherapyFuel or SimplePractice Note Taker only work inside their own EHR. For costs across tools, see best dictation for cash-pay therapists.