The whole clinical record. Only on your Mac.

Rolltop is an AI scribe and clinical workbench for psychologists. It records the session, drafts the note, and keeps your treatment plans, assessments, screeners and letters in one place. All of it stays on your Mac. Rolltop never connects to the internet.

In the room

From the session to the note.

Record the session. Rolltop knows which voice is yours, writes the transcript on your Mac, and drafts the note. You edit it, sign it, and paste it wherever your records live.

Made-up session

  1. You How has the week been since we last met?
  2. Client Better at work. I spoke up in the Monday meeting. I've been avoiding that for months.
  3. You What happened when you did?
  4. Client My heart was racing. But nobody reacted the way I feared. I slept badly the night before, though.
  5. You Shall we keep going with the meetings this week?
  6. Client Yes. I'll try to speak once in each one.
S
Reports a better week at work. Spoke up in a Monday meeting the client had avoided for months. Noted a racing heart at the time and poor sleep the night before. The reaction they feared did not happen.
O
Engaged and forthcoming. Speech clear. Affect bright.
A
Approached a feared situation, and the feared outcome did not occur. Anxiety before the meeting remains, seen in poor sleep the night before.
P
Client to speak once in each meeting this week. Review at next session.

Audio deleted. Transcript locked.

Privacy

Private the whole way down.

Read the full privacy page

More than a note-taker

One place for the whole record.

Rolltop The seven we compared
Session notes ✓ All
Runs only on your Mac ✓ One
Treatment plans ✓ Most
Letters to the care team ✓ Most
Biopsychosocial assessment ✓ One
PHQ-9, GAD-7, PCL-5 and five more, scored over time ✓ One
Case formulation in CBT's own terms ✓ None
Know what changed since last session, checked against your notes ✓ Some
Follow a theme across every session ✓ One
A PIN on every transcript ✓ None
Sold only to licensed clinicians ✓ None

From their own websites, October 2026.

Questions

What people ask.

Is Rolltop an AI scribe?

Yes, and more. It records the session, writes the transcript on your Mac, and drafts the note. It also keeps each patient's treatment plan, assessment, screeners and letters.

Does my data ever leave my Mac?

Only when you export it. Rolltop never connects to the internet. A note, letter or document leaves when you copy or export it, and a backup goes wherever you save it.

Is it HIPAA compliant? Do I need a BAA?

You don't need a BAA. Under HIPAA, a business associate is someone who creates, receives, keeps or sends your patients' information for you. We never do any of those. Everything stays on your Mac, and we never ask for your record. HIPAA's other duties, like protecting your Mac, stay yours. Rolltop helps: transcripts take a PIN, and backups are sealed.

Does it work offline?

Always. It never needs the internet, not even to check your licence.

Which note formats?

Rolltop drafts SOAP, DAP, BIRP, GIRP, SIRP and narrative progress notes from the session. You can also write intake, mental status exam and risk notes.

Who can buy it?

Licensed clinicians, and trainees with a licensed supervisor. We check your licence and your ID before your copy is issued.

What Mac do I need?

A Mac with Apple Silicon (M1 or later) and 8 GB of memory or more.

Who made it.

I graduated first in my psychology class and meant to become a therapist. I went into software instead. I studied how clinicians work because I wanted to be one. Rolltop is the tool I'd have wanted on my side of the room.

Adam R.

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