Confidant vs Upheal
Upheal is a full therapy platform — notes, telehealth video, and session analytics in one subscription. Confidant is a focused notes tool that runs entirely on your computer and costs $359 once. If you need telehealth video and session analytics built in, Upheal offers that. Confidant does one thing: generates your notes privately, on your computer. Here's what that difference actually means.
Upheal is HIPAA compliant and provides a BAA. But their privacy documentation states that de-identified session data is used to improve their product — and that you can opt out. The opt-out option is real. The default, however, is opt-in. Unless you find the setting and turn it off, your session data — stripped of the identifiers HIPAA defines as protected — is being used to train or improve Upheal's AI. De-identified is not the same as anonymous. Therapy sessions carry enough contextual detail that re-identification is often possible when cross-referenced with other sources. Confidant never receives your session data in the first place. The architecture makes collection structurally impossible.
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.
Upheal's main plan runs $69/month — $828 per year. Confidant costs $359 once. In year one, Upheal costs more than twice what Confidant does for life. By year two, you'd spend more on Upheal 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.