Comparing AirNote and Nabla
Nabla alternatives for AI therapy notes
Comparisons

Nabla is one of the most established names in ambient AI clinical documentation. It is designed for healthcare at scale: clinicians, care teams, provider organisations, EHR-connected workflows, and large deployments across many specialties. Its language is broad and ambitious: reducing documentation burden, restoring human connection, and embedding AI into clinical practice across healthcare organisations. Nabla reports use across tens of thousands of clinicians, millions of encounters, and over 100 healthcare organisations.
AirNote comes from a different starting point.
It is not trying to be the AI assistant for every clinician, every specialty, and every care setting. It is built specifically for therapists in private practice, especially therapists using a Mac. Its focus is narrower: recording therapy sessions, transcribing them locally, drafting Clinical Notes and Process Notes, creating client and professional documents, and helping therapists build a clearer record of the therapeutic work over time.
Both products live in the AI scribe category. But they are shaped by different assumptions about who the clinician is, what kind of work they do, and what kind of workflow they need.
For therapists comparing the two, that distinction is probably more useful than a generic feature checklist.
Is AirNote or Nabla better for therapy-specific documentation?
Nabla is a broad ambient AI assistant for healthcare. It supports clinical documentation, dictation, EHR integration, and workflows across roles and care settings. Nabla’s public materials emphasise its use by healthcare organisations and its integration into existing systems, including enterprise features such as SSO, SAML, SCIM, SMART on FHIR login, customizable retention policies, and compliance certifications including HIPAA, GDPR, ISO 27001, and SOC 2 Type II.
That breadth is a strength if the buyer is a health system, a multidisciplinary clinic, a medical group, or a clinician who wants a scribe that fits into a larger healthcare infrastructure.
Therapy documentation has a different centre of gravity.
A GP appointment, dermatology consult, or cardiology follow-up may often be structured around symptoms, history, assessment, plan, medication, investigations, and next steps. A therapy session can include those things, but it is usually also tracking something slower and more relational: emotional process, attachment patterns, avoidance, rupture and repair, risk shifts, therapeutic stance, client meaning-making, and the evolution of formulation over time.
AirNote is designed around that kind of work. It separates the concise Clinical Note from the richer therapist-facing Process Note. The Clinical Note is the formal record: brief, factual, neutral, and proportionate. The Process Note is for the therapist’s own clinical thinking: themes, interventions, client responses, therapeutic process, continuity, and what may be useful to pick up next time.
That separation is easy to underestimate. For therapy, not everything clinically useful belongs in the formal record. And not everything in the formal record is enough to help the therapist prepare well for the next session.
Nabla can be used for mental health documentation as part of a broader clinical workflow. AirNote is built from the premise that therapy documentation itself deserves a dedicated product shape.
Is AirNote or Nabla better for larger teams and healthcare organisations?
Nabla has the clearer fit here.
It is designed for healthcare organisations, teams, EHR-connected environments, and larger deployments. Nabla’s positioning extends beyond simple note generation into ambient documentation, dictation, coding, integrations, workflow support, and an increasingly agentic clinical assistant across roles and care settings.
For a large provider group, the value of that is obvious. A health system may care about EHR embedding, central administration, security certifications, user provisioning, enterprise support, SSO, governance, custom workflows, and deployment across many clinicians.
AirNote is intentionally smaller in scope. It is designed for the solo or small-practice therapist who wants a focused therapy documentation workflow rather than a broad healthcare AI platform.
That does not make one approach universally better than the other. It means they are solving different versions of the documentation problem.
Nabla is built for clinical scale.
AirNote is built for therapeutic focus.
Is AirNote or Nabla better for solo private practice pricing?
This is one of the biggest practical differences.
Nabla’s paid individual pricing is commonly listed at $119 per month for individual clinicians or small practices. Nabla’s own comparative material also references Nabla at $119 per seat per month, while third-party software listings describe paid plans starting around the same level.
For a clinician in a high-volume medical practice, that price may make sense. If a tool saves hours of documentation every week, integrates with an EHR, supports coding, and sits inside a larger clinical operation, $119/month may be easy to justify.
For many private-practice therapists, the calculation feels different.
Therapists often pay personally for their software stack: scheduling, notes, accounting, insurance, supervision, professional memberships, CPD, directories, websites, room rental, and sometimes an EHR. A subscription that feels modest in a medical organisation can feel substantial in solo practice.
AirNote is priced at $9.99 per month, with unlimited sessions, notes, documents, Ask AirNote, client linking, templates, practice analytics, and the Mac desktop app included in one plan.
That difference is not just a marketing point. It reflects a different product model. AirNote is focused on therapy documentation and uses local transcription on Apple Silicon Macs to reduce ongoing cloud transcription costs. Nabla is a broader healthcare AI platform built for a wider clinical market, including larger teams and enterprise workflows.
The therapist’s question is not simply, “Which product has more infrastructure behind it?” It is, “Which cost structure fits the way I actually practise?”
Is AirNote or Nabla better for audio privacy?
Therapy audio is unusually sensitive.
A raw recording of a session contains more than clinical facts. It captures the client’s voice, pauses, emotion, uncertainty, names, personal history, relational dynamics, and the full texture of a private conversation. For many therapists, audio handling is therefore one of the most important parts of evaluating any AI scribe.
Nabla’s public enterprise materials include privacy and security commitments such as no model training on customer data, customizable data retention policies, HIPAA and GDPR compliance, ISO 27001 certification, and SOC 2 Type II certification. That is a serious security and compliance posture, especially for healthcare organisations.
AirNote’s distinction is architectural. Session audio is recorded on the therapist’s Mac and transcribed locally on-device. The raw audio is not uploaded to AirNote servers for transcription, and it is deleted after transcription. The transcript and relevant text-based session material can then be used for note generation, but the most sensitive raw source material stays on the clinician’s device.
That is a different privacy philosophy.
Nabla’s model is built for secure clinical AI at scale.
AirNote’s model asks: what can we avoid sending to the cloud at all?
For some therapists, especially those already comfortable with secure healthcare cloud systems, Nabla’s approach may feel appropriate. For others, the fact that AirNote keeps audio transcription local may be a meaningful deciding factor.
Is AirNote or Nabla better for EHR-connected medical workflows?
Nabla has the advantage for EHR-connected healthcare environments.
It supports EHR integration and is explicitly oriented toward fitting into existing healthcare systems. Its Epic integration materials describe features such as SSO, SAML, SCIM, SMART on FHIR login, no model training on user data, customizable retention policies, and healthcare compliance credentials.
For clinicians who need AI documentation embedded into a hospital, clinic, or large medical workflow, that matters. The scribe does not just need to create a good note; it needs to fit into the wider system of patient records, identity, security, governance, and administration.
AirNote is not trying to be an enterprise EHR layer. It is a Mac-native therapy documentation app. It is more suited to therapists who want to create, review, edit, store, search, and export their therapy records in a focused local-first workflow.
That may be less useful for a hospital system. It may be exactly the point for a private-practice therapist who does not want the weight of a broad medical platform.
Is AirNote or Nabla better for ongoing therapeutic continuity?
Therapy is cumulative.
A therapist may need to remember what happened last session, but also what has been happening across the last ten. A client’s words this week may matter because of a pattern that began months ago. A small emotional shift may be clinically meaningful because of the client’s history, goals, risk, or formulation.
Nabla is excellent at the ambient documentation problem: listen to an encounter, structure it, and help the clinician save time. It is built for the clinical visit as a central unit of work.
AirNote is designed around the therapy relationship as the central unit of work. Previous sessions inform the current note and related documents. The product is built around client linking, session context, Clinical Notes, Process Notes, and therapist-facing continuity.
That difference matters because therapy notes are not only about what was said. They are also about what is emerging.
A general healthcare scribe may help a therapist finish today’s note. A therapy-focused documentation tool can also help preserve the thread of the work.
Is AirNote or Nabla better for AI support beyond the note?
Nabla is moving beyond simple scribing into a broader clinical assistant. Its materials describe ambient documentation, dictation, real-time coding, and an agentic platform across roles and care settings.
For medical organisations, that can be powerful. Documentation is one part of a larger administrative and clinical workflow. Coding, EHR integration, dictation, and organisational tooling can all matter.
AirNote’s AI support is narrower, but more therapy-specific. Ask AirNote is designed as a therapist-facing assistant grounded in the session material. A therapist might ask what themes stood out, what to pick up next time, how to think about the session from a CBT or psychodynamic perspective, or how to draft a short client summary.
The emphasis is not coding or enterprise workflow automation. It is clinical reflection, documentation support, and continuity.
Again, the distinction is not simply capability. It is orientation.
Nabla asks: how can AI support healthcare workflows at scale?
AirNote asks: how can AI help therapists document, reflect, and return to the work with more clarity?
Is AirNote or Nabla better for therapists overall?
The more helpful answer is: they are built around different worlds.
Nabla is a strong fit for clinicians and organisations that want a mature ambient AI assistant for healthcare. It is especially relevant for larger teams, EHR-connected workflows, enterprise deployments, multidisciplinary clinical settings, and practitioners who want broad medical documentation support.
AirNote is a focused fit for therapists who work primarily from a Mac, want local audio transcription, prefer a lower monthly price, and care about therapy-specific notes, process documentation, client continuity, and therapist-reviewed drafts.
For a therapist comparing the two, the practical questions are simple:
Do I need a broad healthcare AI platform, or a therapy documentation app?
Do I work inside a large EHR-connected organisation, or mostly in solo private practice?
Do I need enterprise controls and team deployment, or a calm Mac-native workflow?
Does $119/month make sense for my documentation needs, or is $9.99/month more proportionate?
Do I want the raw audio to stay on my device for transcription?
Do I need coding and enterprise workflow support, or Clinical Notes, Process Notes, and therapy continuity?
The best choice depends on the shape of the practice.
For therapists, an AI scribe should not only save time. It should fit the emotional, ethical, and practical reality of therapy: sensitive material, long-term relationships, careful records, proportionate sharing, and the need to stay present with clients rather than buried in admin.
FAQ
Is Nabla designed for therapists?
Nabla can support mental health and behavioural health documentation, but it is a broader ambient AI assistant for healthcare providers across many clinical settings. Its product direction includes clinical documentation, dictation, real-time coding, EHR integration, and larger organisational workflows.
Is AirNote designed specifically for therapists?
Yes. AirNote is designed for therapists in private practice, with a focus on therapy sessions, Clinical Notes, Process Notes, client documents, client linking, and continuity across sessions.
How much does Nabla cost?
Nabla’s paid individual pricing is commonly listed at $119/month or $119 per seat per month, with enterprise pricing available for larger organisations.
How much does AirNote cost?
AirNote is priced at $9.99/month, with unlimited sessions, notes, documents, Ask AirNote, client linking, templates, practice analytics, and the Mac desktop app included.
Which product is more suitable for larger healthcare teams?
Nabla is more naturally positioned for larger healthcare organisations, EHR-connected environments, and multidisciplinary clinical teams.
Which product is more focused on solo therapy practice?
AirNote is more narrowly focused on solo private-practice therapists, especially Mac users who want local transcription and therapy-specific documentation.
Does Nabla integrate with EHR systems?
Yes. Nabla supports EHR-connected workflows and has specific materials for Epic integration, including SSO, SAML, SCIM, SMART on FHIR login, retention controls, and healthcare compliance credentials.
Does AirNote upload session audio?
No. AirNote transcribes session audio locally on the Mac. Raw audio does not leave the device for transcription and is deleted after transcription.
Which product is more privacy-led for therapy audio?
Both products take privacy seriously. Nabla has a strong healthcare compliance and enterprise security posture. AirNote’s distinctive privacy choice is local audio transcription, which avoids uploading raw therapy audio for transcription in the first place.
Which product is better for therapy continuity across sessions?
AirNote is designed around therapy as an ongoing process, with client linking, session context, Clinical Notes, Process Notes, and the ability to use relevant previous-session context where enabled.




