Two paths to ambient AI for therapy sessions
An honest, fact-checked-where-possible comparison — not a takedown.
Written by Kshitij Domadia, Founder, MyKaya
Published June 26, 2026
The short answer
The choice between MyKaya and Upheal comes down to recording style, language, and clinical breadth. Upheal is a full AI-native EHR with scheduling, billing, and telehealth, capturing audio-only sessions via Zoom integrations, browser extensions, browser recording, or mobile apps. MyKaya records silently from your desktop with no bot, supports 22+ Indic languages, and integrates clinical outcome measures like GAD-7 directly.
Feature comparison: MyKaya vs Upheal
| Criteria | MyKaya | Upheal |
|---|---|---|
| Recording method | Browser-based, bot-free desktop recording with manual session audio upload. | Recorded via Chrome extension, custom telehealth platform, Zoom app, or mobile apps. |
| Language support | Global languages + 22+ Indic languages, handling code-switching natively. | Supports multiple languages (English, Spanish, Mandarin, Hindi), but lacks Indic code-mix handling (Hinglish/Tanglish). |
| Clinical safety layer | Auto-scored GAD-7, PHQ-9, and C-SSRS-based risk alerts. | Focuses on progress notes and conversation analytics (e.g., talk time, pacing, emotional tone shifts). |
| Core focus | Session documentation and active clinical safety tracking. | AI-native EHR with scheduling, billing, telehealth, and session analytics. |
| Compliance & Security | Built with client privacy first: session data is encrypted and isolated per practice, using secure, healthcare-grade cloud infrastructure. | HIPAA, GDPR, and SOC 2 Type II compliant. |
| Trust & Credibility | Trusted by therapists at institutions like NIMHANS and National Law School (NLSIU). | Popular with therapists in the US and UK. |
| Customer Support | Priority human support included for all users on all plans, with no tier-gating. | Standard email and chat support for individual plans; priority support is reserved for custom Enterprise contracts. |
| 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). | Priced in GBP/USD, offering a free tier, Starter at ~£19-29/mo, and Premium at ~£69-99/mo. |
| Best for | Practices wanting silent recording, Indic language handling, and built-in screeners. | US/UK-based practices wanting video recording, speaking analytics, and built-in telehealth. |
Recording method
Browser-based, bot-free desktop recording with manual session audio upload.
Recorded via Chrome extension, custom telehealth platform, Zoom app, or mobile apps.
Language support
Global languages + 22+ Indic languages, handling code-switching natively.
Supports multiple languages (English, Spanish, Mandarin, Hindi), but lacks Indic code-mix handling (Hinglish/Tanglish).
Clinical safety layer
Auto-scored GAD-7, PHQ-9, and C-SSRS-based risk alerts.
Focuses on progress notes and conversation analytics (e.g., talk time, pacing, emotional tone shifts).
Core focus
Session documentation and active clinical safety tracking.
AI-native EHR with scheduling, billing, telehealth, and session analytics.
Compliance & Security
Built with client privacy first: session data is encrypted and isolated per practice, using secure, healthcare-grade cloud infrastructure.
HIPAA, GDPR, and SOC 2 Type II compliant.
Trust & Credibility
Trusted by therapists at institutions like NIMHANS and National Law School (NLSIU).
Popular with therapists in the US and UK.
Customer Support
Priority human support included for all users on all plans, with no tier-gating.
Standard email and chat support for individual plans; priority support is reserved for custom Enterprise contracts.
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).
Priced in GBP/USD, offering a free tier, Starter at ~£19-29/mo, and Premium at ~£69-99/mo.
Best for
Practices wanting silent recording, Indic language handling, and built-in screeners.
US/UK-based practices wanting video recording, speaking analytics, and built-in telehealth.
Upheal feature details reflect public positioning at the time of writing and may have changed — confirm directly with Upheal before deciding.