Confidant vs Twofold
Twofold is a cloud-based AI notes tool used across various medical professions. Confidant is built specifically for therapy, runs entirely on your computer, and costs $359 once — no third-party vendors, no servers, no required subscription. If you need a notes tool that works across various medical professions, Twofold offers that. Confidant does one thing: generates therapy notes privately, on your computer. Here's what that difference actually means.
Twofold is HIPAA compliant and offers a BAA. They state that audio is deleted after transcription and that session data is never used to train AI models. That's a meaningful commitment — but it's still a promise made by a company that receives your data, not a structural guarantee. Your session audio leaves your device, gets processed on their servers, and passes through the third-party AI infrastructure they rely on to generate notes. With Confidant, there are no third-party vendors. Nothing leaves your computer, so there's nothing to share.
Confidant has no servers. Your audio, transcripts, and notes never go anywhere — not because we have good security, but because there's nowhere for them to go. We can't sign a BAA because we're not a Business Associate under HIPAA. We never touch your clients' PHI. You can verify this by turning off your wifi. Confidant works exactly the same.
Cloud platforms' terms change — sometimes quietly, especially after an acquisition or a new round of funding. When they do, data already collected gets brought under the new terms. That's often how it gets monetized: a policy update lands in an inbox, nobody reads it, and the data quietly moves. Confidant is bootstrapped. Two people, no investors, no acquirer who might renegotiate what happens to your data. And more to the point: our architecture can't change without you noticing. Confidant runs on your computer. That's not a policy. It can't be overridden by a board decision.
Twofold costs $49/month billed annually — $588 per year — or $69/month if you pay monthly. Confidant costs $359 once. At the annual rate, Twofold costs more in year one than Confidant does for life. By year two, you'd spend more on Twofold than Confidant costs for life. Confidant's optional update plan ($179/yr) adds new software features after year one — but Confidant keeps working whether or not you add it. No monthly bill, no note caps, no tiers.
Try Confidant free for 14 days. No credit card required.
Common questions
Note: Pricing and feature information is based on publicly available data as of June 2026 and is subject to change. Please consult each company's website for current details. Disclaimer: This comparison is for informational purposes only and does not constitute legal or compliance advice. Consult professional guidelines and your relevant regulatory bodies for specific HIPAA requirements.