Nabla vs Scriber — AI Medical Scribes for Mental Health Practices

Nabla is a French-founded AI clinical documentation platform with multilingual support and a broad-medicine approach to ambient note generation. Scriber is an AI medical scribe built specifically for behavioral health — therapists, LCSWs, LMFTs, psychiatrists, and SUD counselors in US mental health practices. Both tools occupy the self-serve AI scribe market, but they are designed for different clinical contexts.

This comparison covers the key differences in note formats, compliance architecture, language support, and where each tool genuinely wins for mental health practices.

Quick verdict

Choose Nabla if multilingual clinical documentation is a primary requirement for your practice — treating patients whose first language is not English, working in multilingual community health settings, or operating in international clinical environments. Nabla's multilingual depth is a genuine differentiator. Choose Scriber if your practice is US-based mental health, psychiatry, or SUD treatment and you need deep behavioral health template coverage (20+ formats), a BAA available at signup, direct Doxy.me telehealth integration, and note generation trained on therapeutic and psychiatric clinical language rather than general medicine. For US mental health practices, Scriber's behavioral health specialization produces more directly usable draft notes.

Side-by-side comparison

Feature	Nabla	Scriber
Country of origin	France (US available)	United States
Target customer	General medicine, multilingual practices	Behavioral health, psychiatry, mental health, SUD
Pricing	Self-serve plans available; enterprise tiers	Self-serve plans; 7-day trial
BAA at signup	Verify directly with Nabla for current status	Yes, all tiers
Primary specialties	General medicine, multilingual clinical settings	Behavioral health, psychiatry, therapy, SUD
Note formats	SOAP, general clinical documentation	DAP, BIRP, GIRP, SIRP, SOAP, biopsychosocial, MSE, intake, treatment plan, psychotherapy, psychiatry (20+)
Behavioral health depth	Generalist	Core focus — CBT, DBT, EMDR modality support
Multilingual support	Strong — dozens of languages, core differentiator	Yes — engine-dependent (Azure, Deepgram multilingual)
Telehealth integration	General audio capture	Yes — direct Doxy.me integration
STT engine choice	Proprietary	7 engines (xAI, Azure, MAI, Speechmatics, Deepgram, AssemblyAI, Microsoft AI)
EHR compatibility	Copy-paste + select integrations	Copy-paste compatible; Doxy.me direct
HIPAA-first architecture	Available — verify BAA terms	Yes — BAA at signup, HIPAA-first design

Where Nabla wins

Nabla's advantages are most visible for multilingual practices and clinicians in international clinical settings.

Multilingual documentation as a core feature. Nabla was built with multilingual clinical documentation as a foundational capability, not an add-on. It supports ambient documentation across dozens of languages, which makes it a genuine option for multilingual community health centers, federally qualified health centers serving immigrant communities, or international clinical environments where English is not the primary clinical language. For a clinician who sees patients in Spanish, Mandarin, Haitian Creole, or another primary language, Nabla's multilingual investment is real product depth. Scriber offers multilingual transcription through its engine selection — Azure Speech and Deepgram both have multilingual capabilities — but multilingual documentation is not a primary design axis for Scriber's product.

General medicine breadth. Nabla's note generation covers a wide range of general medicine specialties — primary care, internal medicine, pediatrics, dermatology. For clinics with a mixed specialty structure where some clinicians are in behavioral health and others are in general medicine, Nabla's broader specialty coverage may be more convenient than maintaining separate tools. Scriber specializes in behavioral health depth rather than general medicine breadth.

European clinical context. For clinical practices operating in Europe or with European data residency requirements, Nabla's French origins and EU data infrastructure may be relevant. Scriber is designed for US clinical practice and US compliance requirements (HIPAA, 42 CFR Part 2, state mental health privacy laws).

Where Scriber wins

For US-based mental health practices, Scriber's advantages cover the core documentation workflow.

Deeper behavioral health template library. Scriber has 20+ templates built specifically for behavioral health and psychiatric documentation: DAP, BIRP, GIRP, SIRP, biopsychosocial assessments, mental status exams, intake assessments, treatment plans, discharge summaries, psychotherapy progress notes, and psychiatry medication management notes. Within those templates, Scriber handles the clinical vocabulary of behavioral health practice — DSM-5 diagnostic language, suicidality and risk assessment phrasing, trauma-informed documentation conventions, and modality-specific language for CBT, DBT, EMDR, and ACT. Nabla's documentation reflects general medicine formatting conventions rather than behavioral health depth. A therapist who reviews an AI-generated BIRP note will notice the difference between a tool trained on psychiatric and therapeutic language versus one optimized for general medicine.

HIPAA-first architecture with BAA at signup. Scriber's architecture is built around HIPAA compliance as a foundational requirement, not a compliance layer added to a general product. The BAA is available at signup across all plan tiers — free, starter, and professional — without requiring an enterprise conversation or tier upgrade. For US behavioral health clinicians, HIPAA compliance and BAA availability are non-negotiable requirements. Nabla is available in the US and offers compliance documentation, but clinicians should verify current BAA terms and coverage directly with Nabla for their specific plan tier and use case.

Direct Doxy.me telehealth integration. As of April 2026, Scriber has a direct integration with Doxy.me — the most widely used telehealth platform in behavioral health. The clinician starts the Doxy session from inside Scriber; audio routes into the transcription pipeline automatically. Nabla does not have a Doxy.me integration. For mental health clinicians who see patients via Doxy — a large and growing segment of the behavioral health market — this integration eliminates the most common workflow friction point in telehealth documentation.

Seven STT engines with clinician control. Scriber exposes seven speech-to-text engines with the ability to switch per session. xAI processes a 50-minute session in approximately 3 seconds in internal benchmarks. Mental health patients often have specific speech characteristics — trauma-related speech patterns, medication effects on speech, quieter voices in clinical settings — that benefit from engine choice rather than a single proprietary pipeline. Clinicians can test different engines for their specific patient population and audio conditions.

US compliance depth for mental health. Scriber is designed for US mental health compliance requirements: HIPAA BAA at signup, 42 CFR Part 2 compatibility for SUD practices (audio deleted after note generation, no retention for training), and compatibility documentation for state mental health privacy laws in California, New York, Illinois, and Massachusetts. For US mental health practices navigating these requirements, Scriber's US compliance architecture is directly relevant.

Pricing

Nabla offers self-serve pricing tiers and enterprise options — check their current pricing for exact figures, as it varies by region and tier. Scriber offers a 7-day trial of all paid features; see scriberapp.com/pricing for current Scriber plan pricing.

Compliance

Scriber provides a BAA at signup across all plan tiers. Both tools delete session audio after note generation. For US behavioral health clinicians, verify Nabla's current BAA availability and terms for your specific plan tier directly with Nabla.

For SUD practices subject to 42 CFR Part 2, or clinicians in states with stricter mental health privacy laws, review specific requirements with your compliance officer.

When to choose Nabla over Scriber

Multilingual clinical documentation is a primary requirement — treating patients whose first language is not English, working in multilingual community health settings, or operating in international clinical environments.
Your clinic has a mixed specialty structure where both general medicine and behavioral health clinicians need a shared documentation platform.
You have European data residency requirements or operate in European clinical settings.

When to choose Scriber over Nabla

Your practice is US-based mental health, psychiatry, SUD treatment, or behavioral health where DAP, BIRP, biopsychosocial, and mental status exam formats are core daily documentation.
You need a BAA available immediately at signup across all plan tiers, with HIPAA-first architecture designed for US mental health compliance.
You use Doxy.me for telehealth and want a direct integration.
You want a deeper behavioral health template library (20+ formats) with clinical vocabulary trained on therapeutic and psychiatric language rather than general medicine.
You want seven STT engine options with per-session control.

Try Scriber for 7 days

Scriber offers a 7-day trial of all paid features. For mental health clinicians evaluating AI scribes, the most useful test is draft note quality on your own sessions — your patient population, your preferred note format, your clinical vocabulary.

Start a 7-day trial at scriberapp.com/register. BAA is available at signup.