CBT Assistant Pro vs Blueprint vs Upheal: An Honest Comparison for Therapists (2026)

Blueprint AI: Offers a free tier with limited sessions and AI Assistant features. Paid tiers start around $0.99 per session for measurement-based care features.

Upheal: Pricing starts around $1 per session, with a monthly cap (~$69) for unlimited use. Includes session transcription and SOAP/DAP note generation.

CBT Assistant Pro: Currently free during launch (May 2026). Future pricing: Starter at $15/month (includes ~165-250 AI actions/month worth $5 of usage), Professional at $39/month (includes ~300-450 actions worth $9), and Clinic tier with contact-us pricing for multi-clinician practices.

The key difference: Blueprint and Upheal price per session. CBT Assistant Pro prices per month with an AI usage allowance — better fit for therapists with variable caseloads or who want to use AI for multiple tasks per session (notes + formulation + assessment scoring + treatment planning).

All three platforms claim HIPAA compliance. Where they differ:

Blueprint AI: HIPAA compliant, signs BAAs for clinical accounts.

Upheal: HIPAA, GDPR, and SOC 2 compliant. Strong privacy positioning.

CBT Assistant Pro: HIPAA, PHIPA, PIPEDA, and GDPR compliant. AES-256-GCM at rest, TLS 1.3 in transit, zero audio retention (audio deleted after transcription), built-in anonymization tools (pseudonym-first client identifiers), and contractual guarantee that clinical data is never used for AI training.

For therapists practicing in Canada specifically, PHIPA and PIPEDA compliance matters — CBT Assistant Pro covers both explicitly.

Blueprint AI: Primarily focused on measurement-based care, treatment planning, and SOAP/DAP notes. Case formulation is supported but is not the central feature.

Upheal: Strong session transcription and progress note generation. Case formulation features are less developed than note workflows.

CBT Assistant Pro: Case formulation is the central feature. Supports both 5-P and 7-component Beck models, generates draft hypotheses from accumulated session data, includes a behavioral experiment builder, and versions every formulation so you can track clinical reasoning across treatment.

If case formulation is core to your practice — supervision, trainee programs, CBT accreditation — CBT Assistant Pro is purpose-built for this. If you primarily need notes and basic outcomes tracking, Blueprint or Upheal are also reasonable choices.

All three offer voice transcription:

Blueprint: AI Assistant generates structured notes from session audio.

Upheal: Records (with consent) and produces SOAP/DAP notes plus session summaries.

CBT Assistant Pro: Voice transcription for dictated notes (not full session recording by default — therapist controls when to record), supports SOAP/DAP/BIRP/GIRP and custom templates, and automatically deletes audio after transcription.

The audio retention policy is the meaningful differentiator. CBT Assistant Pro deletes audio immediately; Blueprint and Upheal retention policies vary by feature and tier.

Blueprint: Strong measurement-based care library covering most major scales with automated administration to clients.

Upheal: Limited built-in assessment library; relies more on session notes for outcome tracking.

CBT Assistant Pro: 37 validated, auto-scored assessment scales including PHQ-9, GAD-7, PCL-5, ISI, EAT-26, AUDIT, OCI-R, ASRS, WSAS, WHO-5, DASS-21, and many more. Scores trend over time and integrate with case formulations.

For measurement-based care, Blueprint and CBT Assistant Pro are roughly comparable; both have extensive scale libraries with automated scoring.

Blueprint: Primarily English.

Upheal: Available in multiple languages.

CBT Assistant Pro: Fully translated into 8 languages — English, Spanish, German, French, Polish, Portuguese, Russian, and Indonesian. Therapist and client can each set their own language independently.

For bilingual practices or non-English-speaking countries, CBT Assistant Pro has the broadest language support among the three.

Choose Blueprint if: Your practice is heavily measurement-based-care focused, you want a mature platform with extensive integrations, and you primarily practice in the U.S.

Choose Upheal if: You want strong session transcription with minimal setup, you primarily need SOAP/DAP notes, and pricing per session works for your caseload.

Choose CBT Assistant Pro if: Case formulation is central to your practice (CBT specialists, supervisors, trainees), you need PHIPA/PIPEDA coverage for Canadian practice, you want zero audio retention, you want a built-in client portal with worksheets and assessments, you practice in a non-English language, or you simply want the broadest CBT-specific feature set.