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Best Mental Health EHRs of 2023

Published: January 11, 2023
Published: 01/11/2023
Headshot of Matthew Church, Editor of Provider Technology at ChoosingTherapy.com
Written by:

Matthew Church, MS

Mental Health Tech Editor
Headshot of Benjamin Troy, MD
Reviewed by:

Benjamin Troy

MD
  • What is an EHR?Definition
  • Best Mental Health EHRs of 2023EHRs of 2023
  • Detailed Reviews of EHR’sDetailed Reviews of EHR’s
  • Final VerdictConclusion
  • Additional ResourcesResources
Headshot of Matthew Church, Editor of Provider Technology at ChoosingTherapy.com
Written by:

Matthew Church, MS

Mental Health Tech Editor
Headshot of Benjamin Troy, MD
Reviewed by:

Benjamin Troy

MD

Starting a mental health practice can be a daunting task. Choosing the best mental health EHR for your practice is something that takes careful consideration. That’s why we’ve rounded up and tested the seven best mental health EHRs available today.

What is an EHR?

An electronic health record (EHR) system provides a mental health practitioner with a solution for managing client records, both clinical and administrative. Many modern EHR systems allow practices to do more than simply manage notes and treatment plans, however. Most EHRs allow practices to manage schedules, conduct telehealth sessions, and bill for services, amongst other functions.

EHR Vs. PMS Vs. EMR: What’s the difference?

There isn’t much difference between EHR, PMS, and EMR systems and most of it is semantic. Each of these acronyms stands for electronic health record, patient management system, and electronic medical record, respectively. EHR and EMR are often used interchangeably, however, EHRs are often associated with mental health and other records, whereas EMR is not. A PMS is more administrative in nature, but the offerings we will discuss below integrate all of these features into one package. For brevity, we will exclusively be using the term EHR, as it is the most common in the industry.

Best Mental Health EHRs of 2023

Here’s our list of the seven best EHR platforms of 2023. Each one is classified by its stand-out feature to help you choose the right one for you.

  • Best Overall EHR – TherapyAppointment
  • Best EHR for New Mental Health Practices – SimplePractice
  • Best EHR for Solo Mental Health Practices – BreezyNotes
  • Best EHR for Telehealth Practices – TherapyAppointment
  • Best EHR for Mental Health Practices on a Budget – TherapyAppointment
  • Best EHR for Practices that Bill Insurance – SimplePractice
  • Best EHR for Mental Health Practices with a Small Caseload – TheraNest
  • Best EHR for Mental Health Group Practices – TherapyNotes
  • Best EHR for Psychiatrists – CounSol.com
  • Best EHR for ABA Therapy Practices – Behaviorsoft

Here’s a complete list of companies reviewed in this article listed in alphabetical order: BreezyNotes, CentralReach, CounSol.com, SimplePractice, TheraNest, TherapyAppointment, TherapyNotes.

Resources For Therapists

SimplePractice – EHR For Therapists has everything you need to run your practice—from  booking and scheduling to insurance and client billing. Try SimplePractice free for up to two months!* Free Trial


Heard – Bookkeeping & Taxes  – Easily manage your private practice finances. Plans for solo practices are $199 per month. Includes monthly bookkeeping and financial reports, quarterly tax estimates & annual personal and professional income tax filing (state and federal). Free Consultation


Choosing Therapy Directory (FREE) – Thousands of potential patients come to the directory each month. Once your profile on the Choosing Therapy Directory is active, you will have leads emailed to you when a potential client is interested. Profiles are free through 2023. Sign Up


Choosing Therapy partners with leading companies and is compensated for marketing by Heard and SimplePractice.* Offer valid only for new clients.

Detailed Reviews of EHR’s

TherapyAppointment – Best Overall EHR, Best for Telehealth Practices, Best for Practices on a Budget

TherapyAppointment is an EHR that is designed for use by therapists and other mental healthcare practices. It provides solutions for managing client charts, documenting clinical notes, telehealth, insurance billing, and tracking business data. Pricing for TherapyAppointment is based on the number of appointments completed and varies from $10 to $59+ monthly.

The greatest aspect of TherapyAppointment is its friendliness toward new and growing practices. Rather than hide premium features behind various pricing tiers, TherapyAppointment is based on client caseload and the number of appointments held each month. This allows new or small practices to access top-shelf features, without a high cost of entry.

TherapyAppointment provides an intuitive and sleek EHR to help reduce the common administrative pains felt by mental and behavioral health practitioners. Compared to premium options like SimplePractice, TherapyAppointment offers much of the same functionality at a fraction of the cost. Meanwhile, compared to more traditional services like CounSol, TherapyAppointment offers a breath of fresh air in terms of modernity and design quality. In particular, TherapyAppoinment’s telehealth solution is the best available. TherapyAppointment teamed up with Zoom Health to provide a stable, and comprehensive solution with plenty of premium features.

screenshot of therapyappointment practice dashboard

How Much Does TherapyAppointment Cost?

TherapyAppointment costs $10 – $59 monthly, depending on how many appointments you complete each month. Additional practitioners can be added at a rate of $10 – $39 monthly, depending on which subscription option the practice has chosen. A one-month free trial is included and a credit card is required for sign-up.

TherapyAppointment subscriptions/plans include:

  • Getting Started: $10 monthly for 10 or fewer monthly appointments with additional practitioners costing $10 each.
  • Gearing Up: $39 monthly for 11-39 monthly appointments with additional practitioners costing $39 each.
  • Established: $59 monthly for unlimited monthly appointments with additional practitioners costing $39 each.

TherapyAppointment Additional Add-Ons & Other Fees

  • Credit card processing – 2.89% plus $0.10 per transaction
  • Insurance claims – $0.17 per claim
  • Additional telehealth practitioners – $15 monthly per practitioner needing telehealth features.

Pros & Cons of TherapyAppointment

TherapyAppointment scored 4.5 out of 5 stars in our independent editorial review. A few pros and cons are addressed below, and for more detail you can read our comprehensive review of TherapyAppointment.

Pros

  • Great client management features
  • Easy and intuitive calendar
  • Beautiful design

Cons

  • Rudimentary customization
  • Note templates are difficult to customize
  • Only one pre-existing treatment plan template

Top Features of  TherapyAppointment

  • Unique Pricing: TherapyAppointment is a particularly alluring option for practices with small caseloads. Practices that are just starting out and have fewer than 10 appointments per month can get started for $10 monthly, which is incredibly affordable for mental health patient management systems. Granted, as your practice grows, that cost will increase, but it’s a great place to start.
  • Best-in-Class Telehealth: TherapyAppointment offers the most robust telehealth platform that I’ve seen out of any mental health EHR. Its partnership with Zoom Health gives it an unprecedented amount of features such as in-call text chat, screen share, a shared whiteboard, and recording functionality. The telehealth platform also offers a great deal of stability and reliability.
  • Automatic Intake Process: TherapyAppointment has a large array of helpful automated functions that make running a practice very simple. One of the standout features, however, is the intake process. All intakes can be sent to a client’s portal where a client can then fill out the pre-generated and fully customizable intake packets.

Limitations of TherapyAppointment

  • Free Trial Requires a Credit Card: It feels unnecessary, but TherapyAppointment does require a credit card to be entered at the time of sign-up. If you’re leery of giving out information, then this can be a red flag. Ultimately TherapyAppointment does not charge you for the trial and it is easy to cancel if you decide it isn’t for you.
  • No Support for Electronic Prescriptions: Psychiatric practices will be disappointed to learnTherapyAppointment has no features that support electronic prescriptions. If you plan to use this EHR for a medication practice, you will need to find an alternative piece of software to support prescription needs. As of yet, TherapyAppointment has no features to easily integrate third-party prescription software.
  • No Mobile App: If you are dead set on a mobile app, most mental health EHRs do not offer them. If you feel this is entirely necessary, then you’ll be better off selecting SimplePractice for your EHR needs.

How to Sign Up for TherapyAppointment

Users can sign up by visiting the TherapyAppointment website and following the directions to sign up for the free trial. The trial does require the input of a credit card, but there is no upfront charge.

SimplePractice – Best for New Mental Health Practices, Best for Practices that Bill Insurance

SimplePractice is an EHR designed for therapists, counselors, and mental health workers. SimplePractice is a simple and intuitive solution for client management, clinical and administrative documentation, and client billing. Premium features include access to a telehealth platform and business analytics. SimplePractice ranges in price from $29 to $99 monthly with additional fees.

SimplePractice lives up to its name when it comes to ease of use and its genuinely intuitive nature. Someone completely unfamiliar with EHR systems should be able to onboard and get SimplePractice running with no problem. Some highlights of SimplePractice include its robust set of features and useful add-ons, strong support and user forums, and a mobile app for clients and practitioners. In addition, the insurance billing tools included with the platform are some of the best we’ve tested. The integrated billing suite allows practitioners to easily submit electronic claims with minimal manual input – overall, the process is simple enough that someone with no billing experience should be able to handle it with no problems.

Screenshot of SimplePractice Wiley Treatment Plan

How Much Does SimplePractice Cost?

Pricing for SimplePractice ranges between $29 and $99 monthly for a solo practice, with prices being increased for group practices and various add-ons.

SimplePractice subscriptions/plans include:

  • Starter Plan: $29 monthly for unlimited clients, paperless intakes, client portal
  • Essential Plan: $69 monthly for more customization, appointment reminders, client messaging, analytics dashboard
  • Plus Plan: 99 monthly for client appointment requests, calendar sync, add staff, extra $59 monthly for each additional practitioner added

SimplePractice Additional Add-Ons & Other Fees

  • Staff practice managers – $39 monthly.
  • Electronic insurance claims – $0.25 per claim.
  • Credit card processing – 2.95% plus $0.30 per successful transaction.

Pros & Cons of SimplePractice

SimplePractice scored 4 out of 5 stars in our independent editorial review. A few pros and cons are addressed below, and for more detail you can read our comprehensive review of SimplePractice.

Pros

  • Excellent notes and treatment planning with Wiley
  • Lots of community support
  • Comprehensive business-building tools

Cons

  • Relatively expensive
  • Questionable reliability
  • Some add-ons should be included in base price

Top Features of SimplePractice

  • Easy to Learn, Quick to Deploy: SimplePractice’s best feature is described in its name. It really is one of the simplest and easiest to understand EHRs on the market. Due to this, and in my experience using SimplePractice, I believe that it would work particularly well for new practices or practitioners who are just starting out.
  • Intuitive Billing Tools: One of the most intimidating things about opening a practice is the learning curve around billing, both for insurance and client-pay. SimplePractice’s suite of billing tools is well-designed and intuitive to use, to help mitigate the learning curve.
  • Simple Notetaking with Advanced Customization: A highlight of SimplePractice is the way it handles treatment planning and notetaking. Both are highly customizable, yet intuitive enough to not be daunting. This process is further enhanced if a practice opts into Wiley Treatment Planners which makes treatment planning practically automatic.

Limitations of SimplePractice

  • High Cost: SimplePractice is not very affordable, especially for larger, more established practices. For many, this cost of entry will be well worth it for the simplicity of the product. However, for practices that are better established and can handle more difficult software, there are more cost-effective options available.
  • Questionable History: While SimplePractice has been on the market for 10 years, some time during that history, many users report that SimplePractice changed hands to a publicly traded company, and customer service quality, as well as pricing, suffered as a result.
  • Electronic Prescriptions: SimplePractice does not support electronic prescriptions, and may not be a great fit for psychiatrists or other medication providers.

How to Sign Up for SimplePractice

You can sign up for a SimplePractice free trial on the SimplePractice website. You can download the SimplePractice for Clinicians App from the Apple App Store or Google Play Store, but you must register your practice through your web browser on the SimplePractice website first.

Do you bill insurance or plan to bill insurance?

SimplePractice is the top rated EHR for practices that bill insurance.* It has everything you need to run your practice—from booking and scheduling to insurance and client billing. Try SimplePractice free for up to two months!**

Choosing Therapy is compensated for marketing by SimplePractice. *According to Best Mental Health EHRs For 2023. **Offer valid only for new clients.

Free Trial

BreezyNotes – Best for Solo Mental Health Practices

BreezyNotes is a unique mental health EHR that takes a very modular approach to its features. Rather than paying a total price for features the practice may or may not need, Breezynotes allows practices to choose which features fit their needs. Aside from this, BreezyNotes also manages to keep its base prices affordable by adding a per-processed-note fee.

At its core, BreezyNotes intends to make the actual process of client documentation as easy as possible, boasting a streamlined and simplified user interface to get practitioners from one step to the next in a very intuitive manner.

BreezyNotes offers a suite of tools to help mental health practices run efficiently, including core EHR functions, a client portal, insurance and client billing, and business management tools. Unlike many other EHRs available, BreezyNotes does not offer telehealth functionality and offers a slightly lessened degree of integration between its various features. Nonetheless, if a practice is not looking for a huge degree of functionality, the service can be employed for a great price.

Assuming a practice has a relatively low volume of clients, it would be possible to get up and running for cheaper than most competitors thanks to BreezyNotes’ system of a la carte pricing. However, once you start adding premium services, the price can become rather daunting. For this reason, BreezyNotes makes an appealing option for solo practices with low volume.

How Much Does BreezyNotes Cost?

Base prices for BreezyNotes range between $19 and $189 monthly, however, BreezyNotes has a pricing system that is an oddity among mental health EHRs. Practices pay based on how much they are using the platform, and other fees can vary significantly depending on the size of the practice and the volume of clients served.

BreezyNotes subscriptions/plans include:

  • Solo: $19 monthly + $0.50 per note for one practitioner, unlimited notes, core EHR functionality
  • Starter: $59 monthly + $0.43 per note for unlimited practitioners, up to 100 monthly notes, electronic insurance claims capability
  • Enterprise: $99 monthly + $0.38 per note for starter features, up to 750 monthly notes
  • Unlimited: $189 + $0.34 per note for all features, plus unlimited notes, and client portal
  • BreezyBilling: Pricing by quote only – All EHR functionality, plus managed insurance billing

BreezyNotes Add-Ons & Other Fees

Similar to its base pricing, add-ons, and fees are priced depending on the size of the practice.

  • Credit card processing – integrated through Stripe – 2.9% + $0.30 per transaction
  • Insurance claims – $10 per month, included on some plans
  • Real-time eligibility checks – $0.20 each
  • SMS and Phone appointment reminders – $19 monthly + $0.15 per reminder, included or discounted on some plans.
  • Client portal – $20-$50 monthly, depending on plan

Pros & Cons of BreezyNotes

Pros

  • Simplified design
  • Quick note completion times
  • Relatively inexpensive, depending on plan

Cons

  • No telehealth features
  • Billing features prices aren’t clearly stated
  • Difficult to get free trial

Top Features of BreezyNotes

  • Very Affordable for Solo Practices: Solo practices and new practices with a small caseload of 20 or fewer would likely benefit from BreezyNotes’ unique pricing system. Rather than pay a large flat rate, users with BreezyNotes will pay-per-use, which could lead to significant savings if the practice is not too large.
  • Simple User Interface: BreezyNotes is an EHR that offers a very simple user interface which makes the actual process of completing documentation a breeze.

Limitations of BreezyNotes

  • Lack of Features: BreezyNotes is definitely a more bare-bones offering in terms of modern mental health EHRs. It lacks a telehealth platform, and many features, like a client portal, that are standard features in other offerings are costly add-ons with BreezyNotes. Granted, this is likely intentional, given the nature of BreezyNotes’ pricing structure.
  • Unorthodox Pricing Method: The unusual pricing method that BreezyNotes offers may not be a good fit for every practice. It greatly depends on what features your practice needs – a careful examination of cost is definitely necessary before getting started, as pricing with BreezyNotes can be tricky to understand at first.

How to Sign Up for BreezyNotes

To sign up for a free trial with BreezyNotes, navigate to the BreezyNotes website and click the button labeled “Try It Out.”

TheraNest – Best EHR for Mental Health Practices with a Small Caseload

TheraNest is an EHR designed specifically for behavioral health practitioners. It offers a customizable set of features that allow users to manage their clients, records, scheduling, billing, and staff in one place. TheraNest’s pricing ranges from $39 to $91 monthly depending on the number of active clients seen, plus billing fees. A 21-day free trial is also offered.

TheraNest really stands out when it comes to customer service responsiveness, quality of training offered, and ability to customize features and forms. However, deep levels of customization require extensive training in the software. TheraNest currently offers a cloud-based web app, but no dedicated desktop or mobile apps. Ultimately, TheraNest features were found to be unintuitive and difficult to use.

TheraNest is designed for both solo and group practices but offers pricing that favors practices with small to midsize caseloads. A unique aspect of their pricing structure is that it allows users to choose which features work best for them, and pay only for those they need. Due to the pricing structure, TheraNest is an excellent choice for many small practices, but especially so for practices with a low volume of clients.

TheraNest Review 2022 - Image of the Expandable Telehealth Window

How Much Does TheraNest Cost?

TheraNest’s basic plan prices range from $39 to $91 monthly, depending on the size of the practice. There is no cost to add additional practitioners, however add-on services are an additional monthly cost per practitioner. Practitioners can cancel their membership at any time and will be refunded any membership fees paid in advance. TheraNest also offers a 21-day free trial membership that does not require a credit card in order to get started.

TheraNest subscriptions/plans include:

  • Up to 30 active clients – $39 monthly
  • Up to 50 active clients – $60 monthly
  • Up to 80 active clients – $91 monthly
  • Over 80 clients – Price variable on case-by-case basis

TheraNest Add-Ons & Other Fees

  • Telehealth – $12 monthly per practitioner; Group telehealth capabilities: $25 monthly per practitioner
  • Wiley Treatment Planner – $25 monthly per practitioner.
  • Client Portal – included for the account holder and $6 monthly per additional practitioner

Managed Billing- ranges from $7 – $15 per claim, with pricing that varies state to state.

Pros & Cons of TheraNest

TheraNest scored 3.5 out of 5 stars in our independent editorial review. A few pros and cons are addressed below, and for more detail you can read our comprehensive review of TheraNest.

Pros

  • Excellent customer service
  • Great practice management and reports
  • Reliable, with a long tenure

Pros

  • Excellent customer service
  • Great practice management and reports
  • Reliable, with a long tenure

Top Features of TheraNest

  • Low Cost for Small Practices: Pricing with TheraNest is done by caseload, so practices that have a small caseload will be able to secure some great functionality at a very affordable rate.
  • Solid Customer Support: While customer service in TheraNest is not as strong as CounSol, it is needed far less often. Still, the customer service offered has excellent one-on-one support and a very nice onboarding process.

Limitations of TheraNest

  • Troublesome Billing: Both insurance billing and managing client payments are in need of improvements in TheraNest. In a couple of examples of design flaws, insurance billing is a chore, and client payment methods have to be re-entered every time a transaction is made.
  • Odd Pricing Model: Somewhat similar to BreezyNotes, TheraNest offers a more a la carte pricing method than many competitors. While this may be advantageous for some practices, a bit of consideration is needed to determine if it will be right for you.

How to Sign Up for TheraNest

To start the free 21-day trial membership, go to the TheraNest website, fill in the necessary basic information, create a login, and click on “Try TheraNest for Free.” No credit card is required for the free trial.

TherapyNotes – Best for Group Mental Health Practices

TherapyNotes is an EHR that is designed for use by behavioral health practitioners. TherapyNotes is a one-stop-shop for managing a behavioral health practice that offers robust patient management features, documentation resources, a billing system, and a telehealth platform. TherapyNotes EHR costs start at $49 monthly and a 30-day free trial is offered.

TherapyNotes is a well-thought-out EHR that is suited to those that would like to establish a new practice quickly. The software can be learned swiftly and implemented without much support. However, due to being so user-friendly, it is lacking in some areas in terms of customization and reporting. TherapyNotes lacks a dedicated desktop or mobile app, as well as the inability to quickly enter large batches of client information at once. Transitioning an existing caseload from a different EHR would be a slow and manual process.

Many EHR prices begin to climb unreasonably high when converting to a group practice from solo, but TherapyNotes manages to keep prices low, comparatively allowing as much functionality as software like SimplePractice at a much lower cost.

screenshot showing the details of the therapynotes client intake form

How Much Does TherapyNotes Cost?

TherapyNotes costs $49 monthly for solo practices. Meanwhile, group practices start at $59 monthly for the first practitioner and $30 added for each additional practitioner.

TherapyNotes subscriptions/plans include:

  • $49 monthly for full EHR access for 1 practitioner
  • $59 monthly + $30 for each additional practitioner

TherapyNotes Add-Ons & Other Fees

  • Credit card processing – 2.7% plus $0.10 per transaction
  • Insurance claims – $0.14 per electronic claim, $0.49 per paper claim
  • Real-time eligibility checks – $0.14 each
  • SMS and Phone appointment reminders – $0.14 each
  • Electronic prescriptions – First month free, then $65 monthly

Pros & Cons of TherapyNotes

TherapyNotes scored 4 out of 5 stars in our independent editorial review. A few pros and cons are addressed below, and for more detail you can read our comprehensive review of TherapyNotes

Pros

  • Intake process is well-designed
  • Good fit and finish
  • Valuable add-ons and premium features

Pros

  • Lackluster practice management and reports
  • Poorly designed client payment methods features
  • Basic telehealth platform

Top Features of TherapyNotes

  • Out of the Box Functionality: Out of many of the EHRs I’ve had the experience of testing, TherapyNotes offers an excellent degree of functionality with minimal setup.
  • Excellent Features for Group Practices: TherapyNotes offers a great set of features for managing larger or group practices. Reports, while not the most extensive, are very well thought out, and the ability to assign various roles to staff is a bit more intensive than other EHRs on the market.

Limitations of TherapyNotes

  • Limited Customization: While TherapyNotes offers terrific set up times, the software can grow a bit tedious in regard to customization of things like progress note templates and intake forms. While not impossible, creating forms from scratch is easier done in software like TherapyAppointment.
  • No Support for Data Imports: If you have a lot of existing client data that needs to be imported to your new EHR, it may be best to steer clear of TherapyNotes. The software offers no support for migrating large batches of data into the system. Instead, clients have to be entered one at a time, line by line. If you have a lot of existing client data that needs to be imported to your new EHR, it may be best to steer clear of TherapyNotes. The software offers no support for migrating large batches of data into the system. Instead, clients have to be entered one at a time, line by line.

How to Sign Up for TherapyNotes

Signing up for TherapyNotes is a quick and easy process. Simply navigate to the TherapyNotes sign-up page and enter all relevant information. TherapyNotes does not require a credit card to access the free trial, and there is no pressure to commit to a subscription at sign-up

Heard – Bookkeeping & Taxes For Therapists

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CounSol.com – Best for Psychiatric Practices

CounSol.com is an EHR designed for counselors, psychologists, and behavioral health practices. With CounSol, practices can manage their client caseloads, schedule appointments, handle billing, and more. CounSol.com can be a one-stop shop for virtually every aspect of running a behavioral health practice. CounSol.com costs $49.95 – $69.95 depending on which subscription is chosen.

CounSol.com offers a great set of features at an affordable cost. It is a very customizable suite of tools that would scale well with a growing practice. Outstanding customer service is one of the hallmarks of CounSol’s brand, and is much-appreciated, as there are a few design problems and bugs that can cause problems with a practice’s use of CounSol.com.

With CounSol.com’s support of electronic prescriptions – a rarity in mental health EHRs –as well as its unparalleled customer service, it is an alluring choice for psychiatrists and other medication providers. The managed prescription add-on allows an extra layer of support in electronic prescriptions and could prove exceptionally useful in avoiding prescription errors.A view of the CounSol practice dashboard

How Much Does CounSol.com Cost?

CounSol.com costs range from $49.95 – $69.96 monthly. The base price supports one practitioner, and each additional practitioner that is added to a practice is an extra $45 monthly. Non-clinical staff can be added at no cost. A one-month free trial is included.

CounSol.com subscriptions/plans include:

  • Standard: $49.95 monthly for unlimited in-person sessions and offers basic EHR access
  • Standard Plus: $59.95 monthly for standard features, plus unlimited insurance billing
  • Premium: $64.95 monthly for standard features, plus live chat and telehealth sessions
  • Premium Plus: $69.95 monthly offers all of the above features

CounSol.com Add-Ons & Other Fees

For an additional fee, CounSol.com offers these premium features:

  • Credit card processing -2.85%, plus $0.25 per transaction
  • Square credit card processing – 2.90%, plus $0.30 per transaction
  • Wiley Treatment Planners – $20 monthly per user
  • ePrescribing non-controlled substances – $50 monthly per user
  • ePrescribing controlled substances – $60 monthly per user
  • ePrescribing agent – $25 monthly

Pros & Cons of CounSol.com

CounSol.com scored 4 out of 5 stars in our independent editorial review. A few pros and cons are addressed below, and for more detail you can read our comprehensive review of CounSol.com.

Pros

  • Excellent customer service
  • Reliable and well-tenured
  • Good relative cost

Cons

  • Serious design and usability flaws
  • Calendar system is difficult to use
  • Bland and uninspired telehealth platform

Top Features of CounSol.com

  • Electronic Prescriptions: A rare feature found in mental health EHRs are the ability to send electronic prescriptions. It is rarer still that the electronic prescription feature works well. CounSol is an EHR that has mastered providing electronic prescriptions, which is why it is our top choices for psychiatric providers.
  • Robust Customization: Pretty much everything about CounSol.com’s software can be changed to suit the needs of the practice, right up to the look and feel of the website. What’s more is, if you have many custom documents you’d like added to the system, your dedicated customer service agent will do it for you.
  • Best-in-Class Customer Service: From the minute you send the signup form for CounSol.com’s free trial, you are greeted warmly by a dedicated account manager that will manage the customer service for your practice. CounSol has the best customer service of any EHR I’ve seen, and of most companies I’ve dealt with in general.

Limitations of CounSol.com

  • Outdated Design: CounSol.com’s design both looks dated, and the flaws in it seep into the usability of the software. A glaring example of this, is the calendar system which can be very difficult to read and understand quickly. There are many shining examples of great design in mental health EHRs that are much better designed than CounSol.com, such as SimplePractice and TherapyAppointment.
  • Difficult to Set Up: While having a dedicated customer service agent is fantastic, it would be even better if they weren’t needed as much. CounSol is a chore to set up, and offers nothing close to the out of the box functionality of something like SimplePractice or TherapyNotes.

How to Sign Up for CounSol.com

It is easy and straightforward to sign up for CounSol, but there are a few extra steps that other platforms don’t require. To sign up for the free trial, navigate to the CounSol website, and select “Try Us Free.” You will then be able to enter your practice’s information and select your ongoing subscription plan. No credit card is required to access the trial.

Behaviorsoft by CentralReach – Best for Applied Behavior Analysis (ABA) Practices

Behaviorsoft by CentralReach is a more specialized EHR than the rest of the offerings on this list. It is optimized for use by applied behavior analysis (ABA) therapy and similar practices. Behaviorsoft boasts that it is the only software specifically designed for practices that treat autism and intellectual and developmental disability (IDD). Behaviorsoft offers a suite of tools for small practices, enterprise practices, as well as special education programs and neurodiverse employment programs.

Behaviorsoft by CentralReach is one-of-a-kind for ABA and adjacent practices. In addition to the expected array of EHR features for managing clinical and administrative needs, CentralReach – Behaviorsoft’s parent company – also offers solutions for those in the ASD and IDD space, such as software for managing staff education, precision learning, and assessment management.

Given the specialized nature of CentralReach’s offerings, pricing is negotiated on a case-by-case basis and interested practices must reach out to CentralReach for a demo and quote.

How Much Does Behaviorsoft Cost?

Company costs are negotiated based on the size of the practice as well as the specific solutions that are needed. For more information on pricing, visit CentralReach’s website to book a demo.

Pros & Cons of Behaviorsoft

Pros

  • Simple interface
  • Interactive forms specific to ABA
  • Excellent practice management features

Cons

  • Hidden prices
  • Very specific niche audience
  • No telehealth features

Top Features of Behaviorsoft

  • Dedicated Software for ABA Therapists: Behaviorsoft provides a custom-tailored suite of tools to manage any ABA or ABA-adjacent practice. This eliminates the need for ABA therapists to shoehorn their practices into EHRs that weren’t designed with them in mind.
  • Wide Variety of Software: Behaviorsoft offers a variety of software solutions. These include clinical and administrative software for small practices, large enterprise practices, as well as non-clinical programs such as special education programs and neurodiverse employment initiatives.

Limitations of Behaviorsoft

  • Not for Every Practice: Behaviorsoft was created with ABA practices in mind. Practices that do not practice ABA, or do not treat Autism Spectrum Disorder (ASD) or IDD will need to look elsewhere. Platforms like TherapyAppointment or SimplePractice are great alternatives.
  • Hidden Costs: CentralReach is not upfront about the cost of any of their software, requiring prospective users to schedule a demo to find out anything related to cost. This is not a great first step as it does not help to establish customer trust.

How to Sign Up for Behaviorsoft

Visit CentralReach’s website and fill out a form to schedule a demo of the software.

Final Verdict

In my experience using all of these EHRs, it is clear to me that there is one standout. TherapyAppointment is my personal favorite to use, and after carefully analyzing it in terms of our quanititiave scoring criteria, it has earned the title of Best Overall EHR. We hope our best EHR of 2023 list provides insight and guidance for your journey in managing your mental health practice. Remember, it isn’t about what’s the most popular or the most expensive software on the market, it’s all about identifying your personal preferences and needs.

EHR NameBase PricesBest For Award
TherapyAppointment$10-$59+ monthlyBest Overall EHR, Best EHR for Telehealth Practices, Best EHR for Mental Health Practices on a Budget
SimplePractice$29-$99+ monthlyHonorable Mention - Best Overall EHR, Best EHR for New Mental Health Practices, Best EHR for Practices that Bill Insurance
BreezyNotes$19-$189+ monthlyBest EHR for Solo Mental Health Practices
TheraNest$39-$91+ monthlyBest EHR for Practices with a Small Caseload
TherapyNotes$49-$59+ monthlyBest EHR for Group Mental Health Practices
CounSol$49.95-$69.96 monthlyBest EHR for Psychiatrists
CentralReachNegotiableBest EHR for ABA Therapy Practices

Additional Resources

Bookkeeping & Taxes 

Heard enables you to easily manage your private practice finances. Plans for solo practices are $199 per month. Includes monthly bookkeeping and financial reports, quarterly tax estimates & annual personal and professional income tax filing (state and federal). Free Consultation

EHR For Therapists

SimplePractice has everything you need to run your practice—from  booking and scheduling to insurance and client billing. Try SimplePractice free for up to two months!* Free Trial

Therapist Newsletter

Sign up for Choosing Therapy’s free Therapist Newsletter. Receive encouragement, info, and tips on building your private practice. Twice-weekly newsletter.

Free Directory Listing

Choosing Therapy Directory – Thousands of potential patients come to the directory each month. Once your profile on the Choosing Therapy Directory is active, you will have leads emailed to you when a potential client is interested. Profiles are free through 2023. Sign Up

Practice Website

Squarespace – Squarespace makes it easy to register a domain (www.domain.com), create a great-looking website for your practice, and have a professional email address for $23 per month or less. Visit Squarespace

Business Bank Account

Novo – Free and secure business checking account built for your mental health practice. Trusted by 160,000+ small businesses. Easy to use App. Apply Now

Remote “Part Time” Counseling Opportunities

Talkspace – Work virtually with clients and gain flexible hours and extra income. Apply Now

Choosing Therapy partners with leading companies and is compensated for marketing by Heard, SimplePractice, Squarespace, Novo, and Talkspace.*Offer valid for new clients only.

For Further Reading

  • TherapyAppointment Review 2022: Pros & Cons, Cost,  & Who It’s Right For
  • SimplePractice Review 2022: Pros & Cons, Cost & Who It’s Right For
  • TheraNest Review 2022: Pros & Cons, Cost,  & Who It’s Right For
  • TherapyNotes Review 2022: Pros & Cons, Cost,  & Who It’s Right For
  • CounSol Review 2022: Pros & Cons, Cost,  & Who It’s Right For
1 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Citations follow APA style: https://www.mendeley.com/guides/apa-citation-guide

    DMS5, Org, association, gov, edu – EAT-friendly w/ full names and lists, linked

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Mental Health Tech Editor
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Reviewed by:

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  • What is an EHR?Definition
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