Our team used over a dozen mental health practice management systems to identify the top eight options. All the behavioral health EHR software in my list offer affordable features for managing your therapy notes, billing insurance, and seeing clients virtually. The best mental health EHR platforms provide thoughtful automation to make running your practice effortless.
Our Favorite EHR Systems
- Best Overall - My Best Practice | Read review
- Most Affordable - TherapyAppointment | Read review
- Most Comprehensive - SimplePractice | Read review
- Easiest to Use - Sessions Health | Read review
- Best Telehealth Platform - TheraPlatform | Read review
- Best for Small Caseloads - TheraNest | Read review
- Best for Group Practices - TherapyNotes | Read review
- Best for Extra Features - Practice Better | Read review
Best Options At a Glance
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Very customizable notes and forms -
Large library of assessments
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Telehealth costs extra -
Insurance billing is lackluster
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Budget-friendly -
Approachable, easy-to-use design
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Not much customization -
May be too simple for some practices
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All-in-one practice management -
Wiley Treatment Planner integration
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Relatively expensive
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Incredibly simple and easy to use -
All features included in a single price
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May be too simple for some practices
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Uniquely comprehensive telehealth platform -
Wiley Treatment Planner integration
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Overall design is somewhat unpolished
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Great practice management and reports -
Excellent training and customer support
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Limited forms and templates library -
Customization is time-consuming
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Relatively affordable -
Easy to use and set up
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Underwhelming telehealth platform -
Not very customizable
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Very strong extra features -
Includes AI-assisted notetaking -
Supports courses and groups for clients
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May be too many features for some practices
Why Trust Us
300+
Companies Reviewed
2,350+
Hours of Testing
1,150+
Data Points AnalyzedChoosing Therapy’s reviews are fair, honest, thorough and based on firsthand experience. To date, we’ve reviewed mental health solutions offered by more than 300 companies. That has involved more than 2,350 hours of firsthand use and consideration of over 1,150 data points. Our editorial policies outline a rigorous review process, but they all boil down to this: produce reviews that our own friends and family can rely on. Learn more here.
Detailed Company Reviews
Price: $39+ monthly
Insurance e-Claims? Yes
Telehealth Platform? Yes
My Best Practice is behavioral health EHR software that offers simple, intuitive tools and science-backed features designed to save practitioners time. It stood out to me for its balance of ready-to-use functionality and customizable options, making it easy to streamline workflows while adapting to your practice’s unique needs.
Pros & Cons
Pros - Session notes are intuitively designed and promote quick workflow during sessions
- Large library of assessments, with the ability to add custom forms
- Robust customization options for clinical documentation
- Impressive reporting and analytics options
- Electronic prescription functionality
Cons - Telehealth and electronic prescriptions incur extra fees
- Billing is less innovative than certain competitors
- Some fees are hidden, or difficult to find
- Lackluster telehealth platform
Cost
Pricing for My Best Practice begins at $39 monthly for a single practitioner, with an added $19 monthly fee for each additional user. The base plan includes essential features, while optional add-ons, such as telehealth ($20 monthly) and electronic prescriptions ($99 monthly), allow you to expand your capabilities even further.
Review pricing details in our review of My Best Practice.
Overview
My Best Practice is one of the best behavioral health EHR systems we’ve tested. Its all-in-one platform supports client management, clinical documentation, billing, a client portal, telehealth, and electronic prescriptions. These tools are designed to help practices of any size streamline their operations from a single, intuitive interface.
One thing that sets My Best Practice apart is its focus on automation and efficiency, enabling clinicians to spend less time on administrative tasks and more time helping clients. With robust features like Wiley integration for clinical documentation and tracking, this behavioral health EHR empowers both new and established practices to manage their work with ease.
After using My Best Practice over the last few years, we’ve found its seamless integration of features and user-friendly design to be among the best we’ve reviewed. It’s an excellent choice for mental health practices looking for a well-rounded option.
Learn more in our full My Best Practice review.
Price: $10 – $59+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
TherapyAppointment is the most affordable behavioral health practice management software we’ve used. Starting at just $10 per month, it’s perfect for new practices looking to launch with minimal barriers. While it lacks the advanced customization of some competitors I’ve seen, its intuitive design makes it a smooth and hassle-free solution.
Pros & Cons
Pros - Budget-friendly
- Approachable, easy-to-use design
Cons - Limited customization options
- May be too simple for some practices
Cost
TherapyAppointment costs $10 monthly for less than 10 appointments per month, $39 monthly for 11-49 appointments, and $59 monthly for unlimited appointments. Additional practitioners can be added at a rate of $39 monthly per practitioner if a practice is on the unlimited plan. Additional practitioners only cost $10 monthly if they have fewer than 10 sessions in a month.
Review pricing details in our review of TherapyAppointment.
Overview
TherapyAppointment is a behavioral health EHR designed to simplify practice management for therapists and counselors. It includes features for client charting, clinical notetaking, telehealth, insurance billing, and business data tracking. What really sets TherapyAppointment apart from other mental health EMR platforms is its accessibility for new and growing practices. Instead of locking premium features behind costly pricing tiers, the platform uses a scalable pricing model based on client caseload and monthly appointments. This ensures small or solo practices can access EHR tools without a hefty upfront investment.
While TherapyAppointment lacks Wiley integration and some more advanced customizability, its core features are strong and well-implemented. For practices prioritizing affordability and usability over advanced customizability, our team thinks TherapyAppointment is an excellent choice.
View more insights in our full review of TherapyAppointment.
Price: $49 – $99+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
SimplePractice provides a comprehensive suite of tools designed to simplify every aspect of running a behavioral health practice. From scheduling and billing to treatment planning with Wiley integration, it covers the essentials beautifully. Additional extras like a website builder and marketing features make it the best all-in-one therapy practice management solution.
Pros & Cons
Pros - Excellent notes and treatment planning with Wiley
- Lots of community support
- Comprehensive business-building tools
Cons - Relatively expensive
Cost
SimplePractice offers subscription plans ranging from $49 to $99 monthly for solo practices. Pricing is tiered across several plans, with optional add-ons available to customize your experience.
Review pricing details in our review of SimplePractice.
Overview
SimplePractice is a leading mental health EHR system with tools for scheduling, documentation, telehealth, and business management. Optional features like directory profiles, Wiley Treatment Planners, and a website builder make it a versatile toolkit for practices of all sizes.
We’ve regularly found SimplePractice to be one of the best mental health EHR platforms, thanks to its intuitive design and thoughtful automation. Tasks like client intake, documentation, and billing are streamlined to save time and reduce administrative burdens.
While its cost can add up quickly with premium features, SimplePractice’s intuitive design and well-rounded tools make it your best choice for an all-in-one solution.
Learn more about whether it’s right for your practice in our full SimplePractice review.
Price: $0 – $39+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
Sessions Health delivers a straightforward and simple EHR platform at an affordable price. While it lacks some advanced features of other platforms my team has used, its intuitive design makes it an excellent choice for those seeking a hassle-free option. Plus, the flat pricing structure ensures consistent costs, no matter the size of your caseload.
Pros & Cons
Pros - Very clean, simple, and easy to use
- All features included in a single price
- Good selection of forms and assessments
- Easy-to-use form customizer
- Base price includes unlimited clients, storage, and sessions
Cons - Form customization is a bit basic
- Somewhat barebones, compared to other EHRs
- Occasional glitches that can lead to lost work
- No support for electronic prescriptions
Cost
Sessions Health offers a refreshingly straightforward pricing model at $39 monthly for a solo clinician, covering unlimited clients and full access to all features. Additional clinicians can be added for $29 monthly each. There are no hidden fees or tiered plans, and a 30-day free trial lets you test the platform risk-free.
For a more detailed look at cost, visit our full Sessions Health review.
Overview
Sessions Health is a behavioral health EHR designed to simplify records and practice management. It streamlines core tasks like managing client caseloads, scheduling, and clinical documentation, making it an excellent option for solo practitioners or small practices looking for an easy-to-use solution.
While it doesn’t have cutting-edge features, Sessions Health stands out for its clean, intuitive design and ease of use. Its straightforward pricing model, which avoids complex tier structures, adds to its appeal for those prioritizing simplicity and affordability.
Learn more about our team’s experience using it in our full Sessions Health review.
Price: $39 – $79+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
TheraPlatform is a unique mental health EHR system that stands out for its feature-rich telehealth platform. Its user-friendly video platform is particularly effective for engaging younger clients, offering tools and games designed to keep kids focused and involved during sessions.
Pros & Cons
Pros - Very unique telehealth platform
- Wiley Treatment Planner included as an add-on
- Good form creator and customization tools
Cons - Lackluster design overall
- No electronic prescriptions
Cost
TheraPlatform costs start at $39 monthly for a single provider. This secures access to basic EHR functionality including client management features, basic telehealth functionality, and base-level progress note and treatment plan templates.
Details about other pricing plans can be found in our full review of TheraPlatform.
Overview
TheraPlatform is a mental health EHR designed for therapists, as well as occupational, physical, and speech therapists. TheraPlatform provides various features including client management, telehealth, billing, and practice management tools. Monthly costs for TheraPlatform range from $39 – $59+ monthly.
TheraPlatform won’t be for everyone. TheraPlatform can’t keep up in terms of clinical documentation quality and automation, but for providers that primarily run video sessions, TheraPlatform’s telehealth system is the best available. Useful integrations and in-session tools are thoughtfully designed, and the ability to play therapy-related games with children during a session might just make the difference in keeping attention up.
Learn more in our full TheraPlatform review.
Price: $42 – $98+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
TheraNest is a mental health practice management system that excels in customer support and onboarding. Its pricing structure is particularly beneficial for smaller practices, offering great value without overwhelming costs while providing all the essential tools for running your practice smoothly.
Pros & Cons
Pros - Excellent customer service
- Great practice management and reports
- Reliable, with a long tenure
Cons - Limited forms and templates library
- Customization is time-consuming
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. TheraNest offers a 21-day free trial membership, no credit card required.
Review pricing details in our review of TheraNest.
Overview
TheraNest is a mental health EMR platform designed to streamline practice management with tools for client records, scheduling, billing, and staff coordination. Its flexible pricing structure is based on the number of active clients, making it quite favorable for small to midsize practices.
The base plan allows management of up to 30 active clients, with no limit on archived clients. However, only the primary provider has access to the client portal and messaging system. Administrative features include the ability to add staff, manage their schedules, and handle practice-wide billing, making it a comprehensive yet cost-effective option for growing practices.
Learn more in our full TheraNest review.
Price: $59 – $109+ monthly
Insurance e-Claims? Yes
Telehealth platform? Yes
TherapyNotes offers a cost-effective solution for group practices, keeping pricing competitive even as your practice grows. Unlike many other EHR systems that significantly raise prices when converting from solo to group use, TherapyNotes maintains affordability while providing features comparable to more expensive platforms like SimplePractice.
Pros & Cons
Pros - Intake process is well-designed
- Good fit and finish
- Valuable add-ons and premium features
Cons - Lackluster practice management and reports
- Poorly designed client payment methods features
- Basic telehealth platform
Cost
TherapyNotes charges $59 monthly for solo practices. For group practices, the cost starts at $59 for the first practitioner, with an additional $30 per practitioner. There are extra fees for credit card processing, insurance claims, electronic prescriptions, and appointment reminders, which are billed separately.
Review pricing details in our review of TherapyNotes.
Overview
The TherapyNotes EHR system is specifically designed for mental and behavioral health practices, offering comprehensive features like psychotherapy documentation, as well as options for couples and family therapy templates. It also supports e-prescriptions, making it an excellent EHR choice for psychiatrists.
After using TherapyNotes several times, it stands out as a solid, reliable option for practices of all sizes. Its straightforward user interface enhances accessibility and ease of use, even if it lacks some advanced customization options. TherapyNotes’ practice management and reporting capabilities make it particularly beneficial for multi-provider practices.
View more of our insights in our full TherapyNotes review.
Price: $25 – $145 monthly
Insurance e-Claims? Yes
Telehealth Platform? Yes
Practice Better is a versatile practice management platform with unique features like AI-driven note-taking, client journaling, and educational courses. With a focus on automation and client engagement, it stands out for its extra functionalities, earning our pick for Best for Extra Features.
Pros & Cons
Pros - Very strong selection of extra features
- Includes AI-assisted notetaking
- Supports courses and groups for clients
Cons - May be too many features for some practices
Cost
Practice Better offers pricing between $25 and $145 monthly, depending on your chosen plan and the number of clients you serve. The cost varies based on the features you need, with additional charges for extras like AI chart summaries and other premium tools.
Visit Practice Better for more details on pricing.
Overview
Practice Better is a highly versatile practice management system designed for healthcare providers, including therapists, dietitians, and other wellness professionals. It stands out for its wide range of features aimed at enhancing client engagement and streamlining administrative tasks. The platform includes customizable intake forms, scheduling, billing, and telehealth capabilities, making it a well-rounded solution for solo practitioners and group practices alike.
What truly sets Practice Better apart from the pack are its advanced extra features. These include AI-driven chart summaries, automated appointment reminders, and a robust client portal with journaling tools. For practitioners looking to engage clients beyond therapy sessions, Practice Better offers a built-in course creation feature, allowing you to deliver educational content directly within the platform. These tools not only boost client satisfaction but also save time for practitioners, enabling them to focus on delivering care instead of managing logistics.
To see all the details, visit Practice Better’s website.
Compare Our Picks
| Free Trial | 30-days | 30-days | 30-days | 30-days | 30-days | 21-days | 30-days | 14-day |
| Monthly Cost | $39+ | $10 - $59+ | $29 - $99+ | $39+ monthly | $39 - $59+ | $39 - $91+ | $49 - $89+ | $25 - $145 monthly |
| Telehealth |  |  | Extra Fee | Extra Fee |  | Extra Fee |  |  |
| Insurance Billing |  |  |  |  |  |  |  |  |
| Free Trial | |||||||
| 30-days | 30-days | 30-days | 30-days | 30-days | 21-days | 30-days | 14-day |
| Monthly Cost | |||||||
| $39+ | $10 - $59+ | $29 - $99+ | $39+ monthly | $39 - $59+ | $39 - $91+ | $49 - $89+ | $25 - $145 monthly |
| Telehealth | |||||||
 |  | Extra Fee | Extra Fee |  | Extra Fee |  |  |
| Insurance Billing | |||||||
 |  |  |  |  |  |  |  |
Other EHRs Worth Considering
Our list of the best behavioral health EHR platforms covers a wide range of needs, but some other options may be particularly well-suited for specific types of practices. For example, CounSol.com stands out with its strong features ideal for psychiatric practices and medication providers.
Price: $49.95 – $69.95+ monthly
Insurance e-Claims? Yes
Telehealth Platform? Yes
Learn MoreShow less
CounSol.com is well-suited to practices of all sizes, with a robust suite of tools that could support anything from a single provider with a handful of clients up to a practice of 5 providers. With CounSol.com’s support of electronic prescriptions and unparalleled customer service, it’s an alluring choice for psychiatrists and other mental health providers. The managed prescription add-on allows an extra layer of support in electronic prescriptions and could prove exceptionally useful in avoiding prescription errors.
Learn more in our full CounSol.com review.
Final Verdict
My Best Practice is the best overall choice for its balance of features and value. If affordability is your priority, TherapyAppointment offers the best price. SimplePractice is the most comprehensive EHR platform, while Sessions Health stands out for its simplicity and ease of use. TheraPlatform excels as the best telehealth platform, and TheraNest is perfect for practices with small caseloads. TherapyNotes is the best pick for group practices, offering robust tools at an excellent price. Finally, Practice Better offers the best selection of extra features for those who need advanced functionality.
ChoosingTherapy.com 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.
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Church, M. (July 2024). “My Best Practice Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/my-best-practice-review/
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Church, M. (July 2024). “TherapyAppointment Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/therapyappointment-review/
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Church, M. (May 2024). “SimplePractice Review: Pros & Cons, Pricing, & Alternatives” Retrieved from: https://www.choosingtherapy.com/simplepractice-review/
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Church, M. (May 2024). “Sessions Health Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/sessions-health-review/
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Church, M. (May 2024). “TheraPlatform Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/theraplatform-review/
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Church, M. (May 2024). “TheraNest Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/theranest-review/
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Church, M. (May 2024). “TherapyNotes Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/therapynotes-review/
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Church, M. (July 2024). “CounSol.com Review: Pros & Cons, Cost, & Who It’s Right For” Retrieved from: https://www.choosingtherapy.com/counsol-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Melissa Boudin, PsyD (New author)
Medical Reviewer: Kristen Fuller (No medical reviewer)
Primary Changes: Updated pricing plan details for SimplePractice from $29-$99 monthly to $49-$99 monthly.
Author: Melissa Boudin, PsyD (New author)
Medical Reviewer: Kristen Fuller (No medical reviewer)
Primary Changes: Complete rewrite of article. Fact-checked all information and reconsidered/made changes to the recommendations list based on research and product testing. Updated where necessary to improve factual accuracy and readability. Companies removed from list: CounSol.com. Companies added to list: Practice Better.
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Full rewrite, reevaluated all entries and updated star ratings, updated awards, changed order, rewrote for clarity.
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added key takeaways; reviewed features; rewrote sections for readability; overall revamp of entire style
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
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