Voice to Text for Therapists
You spend your day listening to clients, not staring at keyboards. But after every session, there are notes to write — progress updates, treatment plans, insurance documentation. Blurt lets you speak your clinical notes while they're fresh. Hold a button, talk through what happened in the session, release. Text appears wherever your cursor is — in your EHR, Word document, or notes app. Your thoughts become documentation in seconds.
The Typing Problem
Writing session notes after back-to-back clients
You just finished your fourth session of the day with a 10-minute break before the next one. You need to document what happened while it's still fresh, but typing takes too long. You jot down a few keywords hoping you'll remember later. By 7pm, you're staring at cryptic notes trying to reconstruct conversations from six hours ago.
Treatment plans that take longer than the session itself
Insurance requires detailed treatment plans with specific goals, interventions, and timelines. You know exactly what you want to say — you could explain it out loud in two minutes — but typing it in the required format takes 20 minutes. You start dreading treatment plan days more than difficult clients.
Progress notes piling up at the end of the week
Monday's notes are still unwritten by Friday. You've seen 25 clients this week and each one needs documentation. The details are blurring together. Was it Sarah or Jennifer who mentioned the conflict with her mother? You spend your weekend catching up on paperwork instead of recovering from an emotionally demanding week.
Insurance documentation that feels like a second job
The prior authorization needs clinical justification. The claims require specific diagnostic codes and treatment descriptions. Every word matters for reimbursement, but you didn't become a therapist to write insurance appeals. Hours disappear into administrative work that doesn't help a single client.
Typing during sessions breaks therapeutic rapport
Some therapists type while clients talk, but the keyboard creates a barrier. Your eyes are on the screen instead of your client. They notice. The moment you start typing, something shifts in the room. You've chosen connection over documentation, but that choice costs you hours of catch-up work.
How It Works
Blurt works in every system therapists use — your EHR, Word, Google Docs, email, anywhere you type clinical documentation.
Hold your hotkey
Press your chosen shortcut. A small indicator shows Blurt is listening.
Talk through your notes
Speak naturally about the session, treatment goals, or clinical observations.
Release and done
Text appears at your cursor. Edit if needed, then move to your next client.
Real Scenarios
Dictating session notes between clients
Your 2pm just left and your 2:30 is in the waiting room. In that 10-minute window, you hold the button and talk through what happened: 'Client presented with increased anxiety related to upcoming job interview. We practiced cognitive restructuring around catastrophic thinking. Client identified three alternative interpretations and reported decreased distress by end of session. Plan to continue exposure hierarchy next week.' Done in 45 seconds. Notes complete before your next client sits down.
Writing treatment plans in half the time
Treatment plan due for insurance. Instead of typing through each section, you speak: 'Long-term goal: reduce frequency of panic attacks from daily to less than twice weekly within 90 days. Short-term objective one: client will identify physical symptoms of panic onset in 80 percent of episodes by week four. Intervention: psychoeducation about fight-or-flight response and interoceptive awareness training.' The plan that usually takes 30 minutes is done in 10.
Catching up on progress notes during lunch
Three sessions this morning, all undocumented. While eating lunch, you hold the button and dictate each one. 'Session with Michael focused on grief processing. Explored complicated feelings about father's death, including relief and guilt. Client tearful but engaged. Homework: journal about three positive memories.' All three notes done before your sandwich is finished.
Writing insurance appeals and prior authorizations
The insurance company denied continued treatment. You need to write an appeal with clinical justification. Instead of agonizing over each sentence, you speak naturally: 'Continued treatment is medically necessary because client continues to meet criteria for major depressive disorder with suicidal ideation. Discontinuation of therapy at this time would pose significant risk of decompensation.' Your clinical expertise comes through clearly when you speak it instead of typing it.
Documenting crisis sessions immediately
A client just disclosed suicidal ideation. You completed your safety assessment and they've left with a safety plan. Documentation for this session is critical — legally and clinically. You speak through everything while it's fresh: risk factors, protective factors, interventions used, safety plan details, consultation notes. Nothing gets forgotten because you documented it immediately, not hours later from memory.
Responding to referring providers quickly
A psychiatrist needs an update on your shared patient. You could type a careful email, or you could hold the button and speak: 'Hi Dr. Chen, wanted to update you on our patient Maria Rodriguez. She's responding well to the SSRI adjustment. Mood has improved significantly over the past three weeks. Sleep is still disrupted but less so. I'm noticing reduced anxiety in our sessions. Let me know if you'd like to discuss.' Email sent in 30 seconds instead of 5 minutes.
Dictating intake assessments
New client intake means pages of documentation — history, presenting problem, mental status exam, diagnostic impressions, treatment recommendations. After a 90-minute intake, you're exhausted. Instead of typing for another 45 minutes, you talk through each section naturally. Your clinical observations flow better when spoken than when typed. The intake note that usually takes until dinner is done by 5pm.
Why therapists choose Blurt over built-in dictation
| Blurt | macOS Dictation | |
|---|---|---|
| Activation | Single hotkey, instant start | Click microphone icon or double-tap keyboard |
| Speed | Text appears in under 500ms | 2-3 second delay before transcription starts |
| Clinical terms | Handles therapeutic vocabulary accurately | Often misses DSM terminology and clinical terms |
| Reliability | Consistent accuracy across sessions | Frequently fails silently or stops listening |
| Privacy | No audio stored, text only | Apple may process audio on their servers |
Frequently Asked Questions
Start Typing Faster Today
Free to try — no credit card required
Download Blurt