Therapy-first documentation vs a business meeting bot
An honest, fact-checked-where-possible comparison — not a takedown.
Written by Kshitij Domadia, Founder, MyKaya
Published June 24, 2026
The short answer
Fathom is a general business meeting assistant, whereas MyKaya is a clinical scribe built specifically for therapists. Fathom primarily sends a visible bot into your calls, generates basic business transcripts, and provides a blanket BAA for HIPAA compliance. MyKaya records silently from your desktop, formats transcripts into structured therapy notes (SOAP, DAP), and tracks safety measures like PHQ-9 and GAD-7.
Feature comparison: MyKaya vs Fathom
| Criteria | MyKaya | Fathom |
|---|---|---|
| Recording method | Browser-based, bot-free desktop recording with manual session audio upload. | Sends a visible bot to join Zoom, Google Meet, or Microsoft Teams (with a desktop application available for bot-free local recording). |
| Language support | Global languages + 22+ Indic languages, handling code-switching natively. | Supports 38 languages for transcription, but does not specialize in Indic code-switching (like Hinglish or Tanglish). |
| Clinical safety layer | Standardized PHQ-9, GAD-7, and C-SSRS alerts built in. | None; business summary action items and transcripts. |
| Core focus | Mental health clinical documentation and safety outcomes. | Business meeting transcripts and collaborative notes. |
| Compliance & Security | Built with client privacy first: session data is encrypted and isolated per practice, using secure, healthcare-grade cloud infrastructure. | SOC 2 Type II, GDPR, and HIPAA compliant (provides a blanket BAA incorporated by reference in Terms of Service). |
| Trust & Credibility | Trusted by mental health professionals from institutes like NIMHANS. | Used by corporate teams and sales professionals for business meetings. |
| Pricing | 14-day free trial, then flat-rate INR plans: Compass at ₹999 (30-day pass) or the flagship Atlas subscription at ₹2,999/mo (or ₹29,999/yr). | Generous free plan (unlimited recordings but 5 AI summaries/mo); Premium starts at ~$24/user/month (or ~$16/user/month billed annually). |
| Best for | Therapy practices that need private, secure session notes and clinical tracking. | Business teams looking to transcribe standard office meetings and sync with CRMs. |
Recording method
Browser-based, bot-free desktop recording with manual session audio upload.
Sends a visible bot to join Zoom, Google Meet, or Microsoft Teams (with a desktop application available for bot-free local recording).
Language support
Global languages + 22+ Indic languages, handling code-switching natively.
Supports 38 languages for transcription, but does not specialize in Indic code-switching (like Hinglish or Tanglish).
Clinical safety layer
Standardized PHQ-9, GAD-7, and C-SSRS alerts built in.
None; business summary action items and transcripts.
Core focus
Mental health clinical documentation and safety outcomes.
Business meeting transcripts and collaborative notes.
Compliance & Security
Built with client privacy first: session data is encrypted and isolated per practice, using secure, healthcare-grade cloud infrastructure.
SOC 2 Type II, GDPR, and HIPAA compliant (provides a blanket BAA incorporated by reference in Terms of Service).
Trust & Credibility
Trusted by mental health professionals from institutes like NIMHANS.
Used by corporate teams and sales professionals for business meetings.
Pricing
14-day free trial, then flat-rate INR plans: Compass at ₹999 (30-day pass) or the flagship Atlas subscription at ₹2,999/mo (or ₹29,999/yr).
Generous free plan (unlimited recordings but 5 AI summaries/mo); Premium starts at ~$24/user/month (or ~$16/user/month billed annually).
Best for
Therapy practices that need private, secure session notes and clinical tracking.
Business teams looking to transcribe standard office meetings and sync with CRMs.
Fathom feature details reflect public positioning at the time of writing and may have changed — confirm directly with Fathom before deciding.