
GestAI
GestAI is an Italian practice-management platform built for psychologists and psychotherapists. It combines scheduling, clinical records, invoicing and payments with a vertical AI assistant that transcribes sessions, drafts clinical notes and answers questions in context.
What is GestAI?
GestAI is an Italian practice-management platform for mental health professionals, published by 4Mee S.r.l., a company registered in Bomporto near Modena and described on the site as an innovative startup. It positions itself as the first Italian practice-management system built around an AI agent for psychotherapy, and it splits into two halves meant to work as one.
The first half is ordinary practice administration, done for the Italian market: an appointment book with single and recurring slots, online booking links, availability and automatic reminders; a digital clinical record holding case history, session diary, tests, consents and attachments; digital signature for consent forms; payment links; private invoicing; electronic invoicing through the SDI system; credit notes; tax settings; an accountant portal; and a statistics dashboard with filterable charts and data export.
The second half is the AI assistant, deliberately vertical rather than a general chatbot. Sessions can be recorded or uploaded; the platform transcribes them speaker by speaker, applies diarisation, and returns a clinical summary highlighting key themes and emotional markers. From there it builds a Quadro Clinico, an automatic snapshot of the patient, and offers two conversational surfaces: one scoped to a single session, one covering the whole treatment path. The assistant follows the context of the page in view — a session, a patient file, a document, or a general chat on theory and practice organisation — and retrieves from transcripts, notes and documents as needed.
Usage is metered by tier: 10, 50 or 100 analysable sessions a month, 600K, 1,500K or 3,000K AI chat credits, and 10, 50 or 100 GB of storage, with an advanced AI engine reserved for the top tier. Unlimited patients, unlimited invoices, European hosting, encryption and backups are included at every level.
The vendor is explicit about limits: AI output is organisational and documentary support, never diagnostic or autonomously decisional, and the therapist remains solely responsible. The homepage claims 85% less time on paperwork and three extra hours a week for patients — vendor figures, published without a supporting source.
What it does
- Transcribe and summarise therapy sessions automatically
- Draft clinical notes and pre-filled reports from each session
- Question an AI assistant about a session, a patient or a document
- Keep a digital clinical record with case history, diary and attachments
- Run the appointment book, online booking links and automatic reminders
- Issue private invoices and Italian electronic invoices through SDI
- Track practice activity through filterable statistics and data export
When to use GestAI / When not to
A quick filter to help you decide if GestAI is the right fit.
When to use GestAI
- Psychologists and psychotherapists in private practice in Italy, registered with their professional Order
- Ambulatory psychiatrists, neuropsychologists and counsellors who keep written session records
- Small group practices: the Professional tier adds one staff member, Premium up to three collaborators
- Practitioners bound by Italian electronic invoicing (SDI) and by the Sistema Tessera Sanitaria
- Clinicians who want session transcription and note drafting without sending material to a general-purpose chatbot
When not to use GestAI
- Patients and the general public: the terms rule out any non-professional account
- Practitioners outside Italy, whose invoicing and tax obligations the platform does not cover
- Anyone looking for telemedicine or a service that matches patients with therapists
- Teams that need a public API or a native mobile application, since neither exists
- Organisations that require a security certification held by the vendor itself, such as SOC 2 or ISO 27001
How to use GestAI
A typical end-to-end flow, from setup to results.
- Start the 30-day free trial, which asks for no credit card
- Register with an email address and password, or sign in with a Google account
- Declare professional use and supply a VAT or professional tax number plus your Order registration number
- Complete your professional profile; the site claims setup takes under two minutes
- Enable two-factor authentication, which is available and recommended
- Optionally connect Google Calendar, Zoom or Google Meet, revocable at any time
- Add patients and open a clinical record for each of them
- Switch on AI features patient by patient with explicit consent; they are off by default
- Record or upload a session, then review the transcript and the generated note
- Open the assistant in the side panel, which keeps the context of the page you were working on
Pros & Cons
Pros
- Genuinely vertical: designed for psychotherapy rather than adapted from a generic CRM
- Unusually thorough legal documentation for a young company: privacy notice, terms, DPA and a named subprocessor list
- No training on clinical data, stated in four separate documents rather than once in marketing copy
- Clinical components hosted inside the EU/EEA, with no extra-EU transfer of patient health data
- Thirty-day trial on the middle tier, without a credit card and without automatic conversion to a paid plan
- Accounts are not closed when the trial ends: they fall back to a permanent limited free state and data stay readable
- Complete Italian tax coverage — SDI, Sistema Tessera Sanitaria, Bonus Psicologo — plus an accountant portal
Cons
- Very young product: domain registered in April 2025, first real site archived in November 2025, commercial launch in June
- No named customer reference and no case study is published
- The 85% time saving and the three extra hours a week are vendor claims with no source or methodology
- Prices are absent from the pricing page's HTML and load only at runtime, which makes them hard to verify
- No native mobile application and no public API, despite the 'Web + Mobile access' wording
- The ISO 27001, 27017 and 27018 certifications quoted belong to the cloud providers; 4Mee holds none of its own
- Interface limited to Italian and English, and the legal documents exist in Italian only
Pricing & Plans
A permanent free tier exists, although it is reached rather than chosen: after the 30-day trial, or after a failed renewal, the account falls back to a 'Free Limitato' state offering the diary, session creation, manual notes, 1 GB of storage and a maximum of ten patients, with all AI features switched off. The cheapest paid entry point is the Starter plan at 24.00 EUR per month excluding VAT, or 228.00 EUR per year. These amounts were read on 31 August 2026 from the product's own first-party API, the pricing page itself not rendering them in its HTML.
- 10 AI analysis hours per month
- 600K AI chat credits
- 10 GB storage
- unlimited FE/TS invoicing
- unlimited patients
- everything in Starter plus 50 AI analysis hours
- 1
- 500K AI chat credits
- 50 GB storage and one staff member
- everything in Professional plus 100 AI analysis hours
- 3
- 000K advanced AI chat credits
- 100 GB storage and up to three collaborators
- diary
- session creation
- manual notes
- 1 GB storage
- ten patients maximum
- all AI features disabled
- Enterprise — price not published
- available on request under separately negotiated commercial agreements
Data, GDPR & hosting
A consolidated view of how GestAI handles your data.
GDPR overview
Implementation is detailed rather than declarative. The privacy notice (version 2.3, updated 1 July 2026) is drafted under Articles 13-14 GDPR and names 4Mee S.r.l., Via Carrate 42, Solara di Bomporto (MO), VAT 04262930367, Modena Companies Register, REA MO-456230. No DPO is appointed: the company documented an Article 37 assessment and designates an internal privacy officer reachable at privacy@gestai.it. A DPIA under Article 35 covers special-category health data and the use of AI, with an executive summary available to professional users on written request. An Article 28 DPA applies automatically on acceptance of the terms, and a named subprocessor list is published with 30 days' notice before any change. Rights under Articles 15-22 are answered within 30 days, complaints going to the Garante. Article 50 of the EU AI Act is addressed separately.
Who owns the data?
Two roles run in parallel. For the practitioner's own data — identity, billing, technical logs — 4Mee S.r.l. acts as data controller. For patient data the practitioner is the sole controller and 4Mee is a processor under Article 28 GDPR, acting only on instruction and never deciding purposes or means. The terms state that uploaded data remain the property of the user or of the rightful holders, the vendor receiving only a limited licence to run the service. Intellectual property in the platform itself stays with 4Mee. One clause deserves attention: feedback, suggestions and ideas submitted by users are assigned to the vendor free of charge and without limitation.
Reuse rights
Patient data are processed only to deliver the functions the practitioner asks for. Four separate documents — the privacy notice, the terms, the DPA and the subprocessor list — state that these data are never used to train, fine-tune or improve any AI model, whether the vendor's or a third party's, and are never sold, profiled or used for marketing. AI processing runs on Amazon Bedrock and Bedrock Data Automation for transcription, diarisation, summarisation and contextual retrieval. Under Article 22 GDPR no fully automated decision producing legal effects is taken: every AI output is support material that the clinician must review before use. Service improvement relies on aggregated or anonymous data only. Analytics and advertising tools run on the public marketing site alone and never inside the application, and Google Calendar data are excluded from all AI features. The applicable privacy notice is version 2.3, in force since 1 July 2026.
Data retention & training
Hosting summary
Clinical components are hosted inside the EU/EEA. Supabase provides the database, authentication, storage and edge functions from the West Europe (Frankfurt) region, with its legal seat in Singapore and extra-EU transfers covered by the EU Standard Contractual Clauses 2021/914. AWS handles infrastructure and AI processing — Bedrock and Bedrock Data Automation — in configured EU regions such as eu-central-1 Frankfurt, contracted through Amazon Web Services EMEA SARL in Luxembourg. Stripe keeps the EU as primary with a United States operational backup under the EU-US Data Privacy Framework and SCCs. Resend, used for transactional email, hosts in the United States with an EU region described as under evaluation, and handles no health data. Hotjar stays entirely within the EU. Google, Meta and LinkedIn operate on the public marketing site only. The vendor states that no patient health data is transferred outside the EU. Cloud servers carry ISO 27001, 27017 and 27018 certification — the providers' certifications, not 4Mee's. Data are encrypted in transit and at rest, databases are logically isolated per user, backups run daily and security logs are kept for at least twelve months.
Things to keep in mind
Risks and trade-offs to weigh before adopting GestAI.
- Leaning on generated summaries can erode the clinician's own habit of listening and note-taking; the vendor itself insists every output must be reviewed
- Recording a therapy session changes the therapeutic frame: consent must be obtained patient by patient, and that responsibility sits with the practitioner
- Transcription and diarisation errors carried into a clinical record are hard to spot once the note has been filed
- AI readings of emotional trends, stalls and regressions can be taken for objective data when they are statistical suggestions
- Feedback, suggestions and ideas submitted to the vendor are assigned free of charge and without limitation
- Liability is capped at the fees paid over the previous twelve months, and at 500 EUR for beta participants; payments are otherwise non-refundable
- The site contradicts itself on the trial length and on whether Sistema TS submission is live, so check the current terms before committing
Setup & Integrations
Technical difficulty
Low. Nothing is installed: GestAI is a cloud application reached with a username and password from any device. Registration takes an email address and password or a Google account, plus a VAT or professional tax number, an Order registration number and a declaration of professional use. The site claims profile setup takes under two minutes, and guided onboarding is on the roadmap. Optional integrations — Google Calendar, Zoom, Google Meet — are switched on by the user and revocable at any time. Modules and AI features are enabled selectively, and a dedicated team assists with activation and configuration.
Deployment
Integrations
Supported languages
Behind GestAI
Social
Resources
All the official URLs gathered for verification and reference.
Alternatives
Tools that compete with or complement GestAI.
Frequently asked questions
Who is GestAI for?
Is there a free trial, and what happens when it ends?
How much does it cost?
Is patient data used to train AI models?
Where is the data hosted?
Is a DPA available and are subprocessors disclosed?
Do I need to install anything?
How long is data kept?
What support is offered?
Should you pick GestAI?
GestAI makes a narrow bet and documents it unusually well. Rather than bolting a chatbot onto a generic scheduling tool, it builds the AI into the clinical record itself: sessions are transcribed speaker by speaker, summarised, and made searchable through an assistant that knows whether you are looking at one session, one patient or the whole practice. Around that sits a full Italian administrative stack — SDI electronic invoicing, Sistema Tessera Sanitaria, an accountant portal, digital consent signatures — that no international competitor is likely to replicate.
The legal apparatus is the surprise. A young company with 10,000 EUR of share capital publishes a versioned privacy notice, an Article 28 DPA, a named subprocessor list with country-by-country server locations, and a documented DPIA. The promise that clinical data never train any model is repeated across four separate documents.
The reservations are just as clear. The product is barely a year old, no customer reference is published, and the productivity figures on the homepage carry no source. There is no mobile app despite the 'Web + Mobile' wording, no public API, and no security certification held by 4Mee itself — the ISO numbers quoted belong to its cloud suppliers. The site also contradicts itself twice: the trial is 30 days in the terms but 15 in a blog article, and Sistema TS submission is marked coming soon on one page while listed as included on another.
For an Italian therapist who wants session notes to write themselves and invoicing to follow Italian rules, the 30-day trial costs nothing and answers the question directly. For anyone outside Italy, or anyone who needs an audited vendor, this is not yet the tool.
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