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 24, 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. |
| 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.
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.