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TherapyNotes Review 2026: Pros & Cons, Cost, & Who It’s Right For

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Author: Matthew Church, M.S.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Matthew Church M.S.

Matt has 7+ years of mental health experience. As Mental Health Technology Editor, he’s spent the past two years testing online therapy platforms, EHRs, practice management tools, and more to help providers and clients make informed choices

See My Bio Editorial Policy
Headshot of Melissa Boudin, PsyD

Medical Reviewer: Melissa Boudin, PsyD Licensed medical reviewer

Headshot of Melissa Boudin, PsyD

Melissa Boudin PsyD

Dr. Boudin, a clinical psychologist with 15+ years experience, specializes in depression, anxiety, trauma, and grief, with additional focus on improving mental health access and resources.

See My Bio Editorial Policy
Published: January 29, 2026

ChoosingTherapy.com may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • Detailed ReviewDetailed Review
    • Client Records & Data ManagementClient Records & Data Management
    • Scheduling & Calendar ManagementScheduling & Calendar Management
    • Intake & AssessmentIntake & Assessment
    • Clinical Documentation & Treatment PlanningClinical Documentation & Treatment Planning
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    • Customer Support, Onboarding, & TrainingCustomer Support, Onboarding, & Training
  • Cost & Pricing PlansCost & Pricing Plans
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    • SimplePracticeSimplePractice
    • My Best PracticeMy Best Practice
    • Sessions HealthSessions Health
    • Practice BetterPractice Better
  • History & NewsHistory & News
  • FAQSFAQS

I used TherapyNotes again as part of the 2026 updates to our EHR reviews, testing it along with several other widely used mental health EHRs. TherapyNotes continues to stand out for its structured workflows, dependable insurance billing, and strong compliance tools, making it especially well suited to solo clinicians and small therapy practices. Costs start at $69 monthly for a solo therapist.

Rather than prioritizing deep customization or automation, TherapyNotes is built around consistency and clarity. Its documentation, scheduling, and billing tools follow clearly defined workflows that are easy to learn and repeat, which helps reduce errors and training overhead. The platform’s prebuilt forms and templates are especially well suited to adult, one-on-one therapy, making it a strong fit for clinicians working in traditional outpatient settings.

For practices that want to get up and running quickly with minimal configuration, TherapyNotes remains a reliable long-term option. That said, larger groups or practices seeking advanced automation, flexible customization, or more modern client engagement tools may find the system more limiting than newer alternatives.

TherapyNotes At a Glance

therapynotes logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: $69–$79+ monthly
Best for: Solo and small group mental health practices that want a reliable, structured EHR with strong insurance billing, compliance tools, and minimal setup complexity.

Get Started Now!

Visit TherapyNotes

Pros & Cons of TherapyNotes

Pros Icon Pros
  • One-month free trial
  • Easy to learn and quick to implement
  • Good clinical documentation systems
  • Includes a listing in TherapyNotes’ directory
Cons Icon Cons
  • Fewer automation features than some competitors
  • Not as customizable as some EHRs

Preview TherapyNotes

Image of TherapyNotes main dashboard
Image of TherapyNotes calendar
Image of TherapyNotes sample client face sheet
Image of TherapyNotes practice to-do list
Image of TherapyNotes sample treatment plan
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TherapyNotes is a mental health EHR built to support the core operations of therapy practices, including documentation, scheduling, telehealth, and billing. Pricing starts at $69 per month for solo providers, with group plans beginning at $79 per month for the first clinician and $50 per additional provider. A full 30-day free trial makes it easy to evaluate before committing.

TherapyNotes is especially well suited to solo practitioners and small group practices that want a dependable, easy-to-learn system with strong insurance billing and compliance tools. The interface is clean, setup is fast, and workflows are highly structured, which helps reduce administrative errors and keeps daily tasks organized.

TherapyNotes is especially well suited to solo practitioners and small group practices that want a dependable, easy-to-learn system with strong insurance billing and built-in compliance tools. Features like automatic audit logs, and clear documentation safeguards help support billing and regulatory compliance. The interface is clean, setup is fast, and workflows are highly structured, which helps reduce administrative errors and keeps daily tasks organized.

However, TherapyNotes is less flexible than many newer platforms. Larger group practices or clinicians who rely heavily on automation, deeply customizable documentation, advanced reporting, or client engagement tools may find it limiting as they scale. Our full guide to the best mental health EHRs explores those alternatives in detail.

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SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.

7-day Free Trial and 50% Off For 4 Months Visit SimplePractice
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My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.

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Detailed Review of TherapyNotes

TherapyNotes earned 4 out of 5 stars
Overall rating of 4 out of 5 possible.
View Details
Detailed Scoring Breakdown
Rated 4 out of 5 possible for
Client Records & Data Management (4 out of 5)
Rated 4 out of 5 possible for
Scheduling & Calendar Management (4 out of 5)
Rated 3 out of 5 possible for
Intake & Assessment (3 out of 5)
Rated 3 out of 5 possible for
Telehealth & Client Engagement Tools (3 out of 5)
Rated 5 out of 5 possible for
Clinical Documentation & Treatment Planning (5 out of 5)
Rated 4 out of 5 possible for
Billing & Payments (RCM) (4 out of 5)
Rated 3 out of 5 possible for
Reporting & Administrative Tools (3 out of 5)
Rated 5 out of 5 possible for
Pricing, Value, & Transparency (5 out of 5)
Rated 3 out of 5 possible for
User Experience & Accessibility (3 out of 5)
Rated 2 out of 5 possible for
Integrations & Interoperability (2 out of 5)
Rated 5 out of 5 possible for
Support, Onboarding, & Training (5 out of 5)
Rated 5 out of 5 possible for
Security, Compliance, & Trust (5 out of 5)

Review our scoring criteria for EHRs, EMRs, and PMS for therapists.
Review our complete editorial policies here.

TherapyNotes is a comprehensive electronic health records (EHR) platform built for mental health professionals. It includes tools for clinical documentation, scheduling, telehealth, and billing, with pricing starting at $69 per month and scaling based on practice size and selected features.

Client Records & Data Management

TherapyNotes provides a well-organized and reliable system for managing client records, with a design that prioritizes clarity, compliance, and day-to-day usability. Client profiles centralize demographics, insurance details, documentation, and billing activity in a way that’s easy to navigate for both clinicians and administrative staff.

One of TherapyNotes strongest features is the built-in task system, which automatically tracks overdue notes, unsigned treatment plans, supervision tasks, and billing follow-ups. This structured approach helps prevent missed steps and supports compliance-focused workflows, especially in practices that value clear guardrails.

Image of TherapyNotes patient list
Image of TherapyNotes adding a patient
Image of TherapyNotes sample client face sheet
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Adding new clients is quick and can be done either from the client list or during appointment scheduling. Search tools allow records to be located by name, date of birth, phone number, or account number, and client lists can be exported for external review. Inactive clients are archived automatically, with manual archiving available when needed. Role-based permissions allow practice owners to control access to sensitive information.

A recent improvement worth noting is that TherapyNotes now assists with batch demographic and insurance data imports during onboarding, which meaningfully reduces the effort required to migrate from another EHR.

Scheduling & Calendar Management

TherapyNotes offers a clean, reliable scheduling system that covers the fundamentals well without overcomplicating things. The calendar interface is easy to read and navigate, with filters for location, telehealth, and date ranges that work well for solo clinicians and smaller group practices.

Image of TherapyNotes calendar
Image of TherapyNotes staff work schedule settings
Image of TherapyNotes client portal scheduling
Image of TherapyNotes adding a group therapy appointment
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Clinicians can set working hours and allow clients to request appointments through the client portal. TherapyNotes supports individual and group sessions, and appointments can be created directly from the calendar using existing clients or by adding new ones on the fly. External calendar syncing is available, with privacy-friendly placeholders used to avoid exposing client names.

TherapyNotes’s calendar shows its age a bit in its flexibility and efficiency. Rescheduling is not drag-and-drop, bulk appointment actions are limited, and multi-location or high-volume scheduling can feel more manual than in newer EHRs (plus it’s visually just a bit dated). That said, the system is stable, predictable, and easy to learn, which many clinicians value over more complex automation.

TherapyNotes also includes automated appointment reminders. Email reminders are free, while SMS and phone reminders are available as a paid add-on at $0.14 per message or call.

Overall, TherapyNotes earns 4 out of 5 stars for Scheduling & Calendar Management. It’s dependable and intuitive for everyday use, but lacks some of the modern scheduling efficiencies found in more automation-forward platforms.

Intake & Assessment

TherapyNotes takes a structured approach to intake and assessment. New client charts are automatically paired with a built-in to-do list that highlights required items like intake notes, treatment plans, and outstanding paperwork. These reminders appear both on the main dashboard and within the client record, which helps keep documentation on track, especially in insurance-based workflows.

The core intake experience centers on TherapyNotes’ psychotherapy intake note, which combines dropdown fields with limited free-text sections. One helpful feature is the ability to carry forward selected historical data into new notes, reducing repetitive entry while maintaining continuity across sessions.

Image of TherapyNotes client to-do list
Image of TherapyNotes new portal form
Image of TherapyNotes client history form in client portal
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Clients complete intake paperwork through the included client portal, where they can fill out and e-sign standard forms such as demographics, consent documents, and common screeners like the PHQ-9 and GAD-7. TherapyNotes also allows practices to upload custom PDFs or build basic digital forms, but customization is relatively rigid. Specialty templates for couples, families, or pediatric practices are limited, often requiring manual workarounds.

Overall, TherapyNotes delivers a reliable and well-organized intake system that prioritizes structure. However, compared to more flexible or automation-driven platforms, it lacks depth in form customization, conditional logic, and specialty workflows, earning TherapyNotes 3 out of 5 stars for Intake & Assessment.

Clinical Documentation & Treatment Planning

Treatment planning in TherapyNotes is clear and standardized. Templates include defined fields for diagnoses, goals, objectives, and interventions, helping ensure documentation meets payer and audit expectations. While the underlying structure of treatment plan templates can’t be fully redesigned, clinicians can customize intervention libraries and reuse plans across clients, which keeps planning efficient without sacrificing clinical rigor.

Progress notes follow a structured SOAP-style format that blends dropdowns, checkboxes, and free-text fields. This approach significantly reduces documentation time while still allowing clinicians to add narrative detail where needed. One particularly helpful feature is the ability to pull forward selected information from previous notes, maintaining continuity while avoiding repetitive data entry.

Image of TherapyNotes sample treatment plan
Image of TherapyNotes progress note
Image of customizing interventions in TherapyNotes progress note
Image of TherapyNotes activity log
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TherapyNotes also performs exceptionally well in group practices and supervisory settings. Multiple clinicians can collaborate within the same client record, supervisors can easily review and co-sign intern notes, and all activity is tracked through detailed audit logs. These features make TherapyNotes especially well-suited for practices with supervision requirements, interns, or multi-provider workflows.

In recent updates, TherapyNotes has expanded its AI-powered documentation tools. The AI note assistant (dubbed TherapyFuel) can help generate draft progress notes based on session data, with pricing currently set at $40 per clinician per month, which is fairly standard compared to competitors.

Overall, TherapyNotes earns 5 out of 5 stars for Clinical Documentation & Treatment Planning.

Telehealth & Client Engagement

TherapyNotes includes a built-in, HIPAA-compliant telehealth platform that’s reliable and easy to use, especially for practices that want virtual sessions tightly integrated with scheduling and documentation. Sessions launch directly from the calendar or client portal, and clients can join without friction, making setup straightforward for both clinicians and patients.

All TherapyNotes accounts include access to a free telehealth tier, which supports up to two participants with standard-definition video, a virtual waiting room, guest access, and a session timer. This works well for occasional telehealth use or solo practitioners who primarily see clients in person. For clinicians running frequent virtual sessions or groups, Premium Telehealth is available for an additional $15 per clinician per month. The premium tier unlocks HD video, support for up to 16 participants, screen sharing with sound, noise cancellation, and customizable backgrounds—features that materially improve the experience for group or fully remote practices.

Outside of live sessions, client engagement tools are more limited. TherapyNotes includes a secure client portal where clients can complete intake forms, sign documents, request appointments, exchange secure messages, and view or pay bills. These features cover the essentials, but engagement largely stops there. There are no built-in tools for journaling, homework tracking, asynchronous check-ins, or structured between-session engagement.

Overall, TherapyNotes earns 3 out of 5 stars for Telehealth & Client Engagement Tools. Its telehealth offering is dependable and well-integrated—especially with the premium upgrade—but client engagement features remain basic. It’s a solid fit for practices that view telehealth as a delivery method rather than an ongoing engagement strategy, but less compelling for clinicians seeking richer between-session interaction or modern engagement tools.

Billing & Payments

TherapyNotes offers a well-structured, reliable billing system that covers the full revenue cycle for both insurance-based and private-pay practices. While it doesn’t offer fully managed billing services or advanced automation, it does a good job supporting clinicians who want hands-on control with minimal friction.

On the insurance side, TherapyNotes supports both electronic and paper claim submission. Electronic claims cost $0.14 per claim, and batch submissions make it manageable for group practices processing higher volumes. The platform automatically generates CMS-1500 forms, flags unpaid or denied claims in the built-in to-do list, and allows clinicians to track claim status directly from the client record. Real-time eligibility checks help reduce rejections, and payments can be auto-applied when ERAs are received, reducing manual posting.

Setting up payers is straightforward, with preconfigured insurance lists and support for custom fee schedules. TherapyNotes also handles write-offs and payer adjustments cleanly, which is especially helpful for practices dealing with variable reimbursement rates.

For client payments, TherapyNotes includes integrated credit card processing. Practices can accept credit, debit, and HSA/FSA cards at 3.1% + $0.30 per transaction, with support for manual entry or card swiping. Clients can view invoices, receive payment reminders, and pay balances directly through the client portal. Superbills and customizable invoices are easy to generate, making out-of-network reimbursement workflows smooth for clients.

Overall, TherapyNotes earns 4 out of 5 stars for Billing & Payments. It delivers dependable insurance and client payment workflows with strong task tracking and compliance support, but lacks the deeper automation and advanced reporting found in more billing-focused or enterprise-level systems.

Reporting & Administrative Tools

TherapyNotes provides solid practice management fundamentals, especially around user roles, supervision workflows, and day-to-day administrative organization. Practice owners can assign role-based permissions for clinicians, billers, schedulers, and supervisors, ensuring staff only access what’s relevant to their responsibilities. Supervision tools are particularly strong, with support for note co-signing, intern review workflows, and clear audit trails.

For solo clinicians and small practices, TherapyNotes keeps administration simple. The built-in to-do list remains one of the platform’s most useful features, automatically tracking overdue notes, pending treatment plans, billing tasks, and claim follow-ups. This task-based approach helps keep practices organized without requiring additional workflow configuration or automation setup.

Where TherapyNotes falls behind competitors is in reporting and analytics. While the platform includes basic operational reports and insurance-related tools, it lacks modern dashboards, customizable financial reporting, productivity metrics, and visual analytics. There’s no built-in way to easily track clinician utilization, revenue trends, or practice performance over time without exporting data and analyzing it externally.

TherapyNotes offers customers a listing on TherapySearch, a therapist directory,  included with all subscriptions. While it’s a welcome addition in theory, the directory is still in beta and currently drives minimal traffic compared to established options like GoodTherapy or SimplePractice’s Therapy Finder. At present, it functions more as a supplemental listing than a main client acquisition tool.

Overall, TherapyNotes’ practice management tools are dependable and well-organized, but its reporting capabilities remain basic. It earned a 3 out of 5 star rating in this category of our scoring criteria.

Customer Support, Onboarding, & Training

Customer support is one of TherapyNotes’ strongest and most consistently praised areas. Onboarding is largely self-directed but smooth, with an interface that’s intuitive enough that many users need minimal assistance to get started. During setup, TherapyNotes provides helpful onboarding emails, guided walkthroughs, and invitations to live webinars that ease the transition for new users.

The platform maintains a robust help center with clear documentation, FAQs, and step-by-step guides, along with a well-maintained YouTube library covering common workflows, billing scenarios, and administrative tasks. These resources make it easy to troubleshoot issues independently without opening support tickets.

When direct help is needed, TherapyNotes offers unlimited 24/7 phone and email support, a rarity among EHRs. Support staff are generally knowledgeable and responsive, particularly for billing, documentation, and compliance-related questions. Across user reviews and community discussions, live phone support is frequently cited as a major differentiator and a reason clinicians stick with the platform long-term.

TherapyNotes also offers structured onboarding support for practices migrating from another EHR. Data import tools allow clinicians to bring over client demographics, appointments, and select documentation from supported platforms, helping reduce disruption during the transition. While migrations aren’t fully hands-off and may require some manual cleanup (particularly for custom forms or historical notes) the process is well-documented and supported, making it manageable for most solo and small group practices.

TherapyNotes earns 5 out of 5 stars for Support, Onboarding, & Training, standing out as one of the best support experiences in the EHR space.

Cost & Pricing Plans

TherapyNotes uses a straightforward, clinician-based pricing model that’s easy to understand and predictable over time. Most solo clinicians will land on the Solo plan at $69 monthly, which includes all core features including documentation, scheduling, client portal access, and basic telehealth. Group practices pay $79 per month for the first clinician, plus $50 per additional provider, making TherapyNotes competitively priced compared to many alternatives. A free trial lets you try out TherapyNotes for a full 30 days.

TherapyNotes has a handful of additional costs to keep in mind:

  • Electronic insurance claims: $0.14 per claim and $0.14 per ERA
  • Eligibility checks: $0.14 each
  • SMS/phone appointment reminders: $0.14 per message
  • Premium Telehealth (HD video, screen sharing, and larger group sessions): $15 per clinician per month
  • TherapyFuel AI Scribe: $40 per month, per provider
  • Electronic prescribing: $65 per month

TherapyNotes Pricing in Real-World Scenarios

For a solo, cash-pay therapist offering both in-person and telehealth sessions, TherapyNotes costs $69 monthly.

If that same solo clinician begins billing insurance and processes around 40 insurance sessions per month, TherapyNotes typically totals about $80 monthly once claim and ERA fees are included.

For a three-clinician practice, billing roughly 200 insurance sessions monthly, TherapyNotes comes in at approximately $235 monthly.

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SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.

7-day Free Trial and 50% Off For 4 Months Visit SimplePractice
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My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.

Try it for free for 14 days Start Your Free Trial

User Reviews

Across review platforms and clinician communities, TherapyNotes receives largely positive feedback, particularly from solo practitioners and small group practices. Users most often praise its reliability, structured documentation, and 24/7 live customer support. Taken as a whole, user feedback positions TherapyNotes as a dependable, compliance-focused platform that prioritizes stability and support over rapid innovation, with some trade-offs around flexibility, scalability, and customization.

Trustpilot | 4.9 out of 5 stars | ~2,400+ reviews

Positive reviews on Trustpilot frequently highlight TherapyNotes’ customer support, ease of use, and reliability. Many users emphasize the value of 24/7 live phone support, describing quick access to representatives who can walk them through billing issues, setup questions, or technical problems in real time. Clinicians also regularly mention that note-taking is fast once workflows are established, and that the platform feels stable and predictable compared to some competitors.

Critical reviews, while less common, tend to focus on rigidity and cost creep. Some users describe frustration with having to follow TherapyNotes’ prescribed workflows closely, particularly around documentation and billing. Others point to add-on costs for features like ePrescribing, AI tools, or text reminders, noting that the platform can become more expensive over time than the base pricing suggests (although this is hardly anomalous in the EHR space). A small number of reviewers report isolated support frustrations or account access issues, though these experiences do not appear representative of overall sentiment.

Read More

SoftwareAdvice | 4.7 out of 5 stars | ~950 reviews

Reviews on SoftwareAdvice are overwhelmingly positive and tend to emphasize clinical usability. Users consistently praise TherapyNotes for structured documentation, DSM-aligned note templates, and workflows that support compliance and billing accuracy. Many clinicians report spending only a few minutes per progress note once familiar with the system, and appreciate features like carry-forward information, drop-downs, and supervisor co-signing workflows.

Critical feedback on SoftwareAdvice is relatively limited and generally centers on flexibility rather than reliability. Some reviewers note that customization options for forms and workflows feel constrained compared to newer or more design-forward platforms. Others mention the lack of a native mobile app or more advanced reporting and analytics. These critiques are typically framed as limitations rather than deal-breakers, especially for smaller practices.

Read More

Reddit | r/therapists, r/psychotherapists

On Reddit, sentiment around TherapyNotes is generally positive but more nuanced. In comparison threads clinicians frequently cite affordability, strong billing fundamentals, and exceptional customer support as reasons for choosing TherapyNotes. Many users describe it as straightforward, reliable, and easy to learn, particularly for solo private practices or clinicians who prefer structured workflows.

Critical perspectives on Reddit tend to focus on rigidity, scalability, and billing complexity for larger or insurance-heavy group practices. Some users report preferring alternatives due to better reporting, scalability, or flexibility in documentation and scheduling. Overall, Reddit discussions reinforce the view that TherapyNotes excels for smaller, traditional therapy practices, while becoming less compelling as practice complexity increases.

Read More

Alternatives & Competitors

TherapyNotes is a reliable, compliance-focused EHR, but it’s not the best fit for every practice. Depending on your priorities, you may prefer a platform with more flexibility, stronger automation, lower costs, or more client engagement tools. Below are the most relevant alternatives to TherapyNotes, based on workflow style, scalability, and pricing approach.

SimplePractice

SimplePractice Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $49 – $99+ monthly
Compared to TherapyNotes: Offers more flexibility, marketing tools, and integrations, but usually costs more over time and relies heavily on tiered plans and add-ons.

SimplePractice takes a broader approach to practice management. In addition to core EHR features, it includes a website builder, therapist directory (notably larger than TherapyNotes’ directory), client announcements, and robust mobile apps for both clinicians and clients. This makes it appealing for practices that want growth and client experience tools built directly into their EHR.

To learn more about how these two platforms differ take a look at our review of SimplePractice and our full comparison of TherapyNotes vs. SimplePractice.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Great customization options
  • Includes web builder and directory listing
  • More intuitive interface than TherapyNotes
Cons Icon Cons
  • Higher long-term costs, especially for group practices
  • Complex pricing with frequent add-ons
  • Less emphasis on structured documentation and compliance-driven workflows
Get Started Now!

Visit SimplePractice

See full Review

My Best Practice

Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: $39+ monthly
Compared to TherapyNotes: Offers more flexibility in documentation and session structure, with fewer constraints on how clinicians work day to day.

My Best Practice prioritizes fast, intuitive session documentation and structured clinical workflows. Its tools are designed to support session planning, outcome tracking, and efficient note completion without overwhelming users with add-ons.

Check out our detailed review of My Best Practice for more insight.

Pros & Cons

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Pros Icon Pros
  • Exceptionally well-designed session notes that support efficient workflows
  • Strong assessment and outcome tracking tools
  • High level of customization for documentation and workflows
Cons Icon Cons
  • Smaller overall feature ecosystem
  • Relatively high insurance billing costs
Get started now!

Visit My Best Practice

See full Review

Sessions Health

Sessions Health logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: ~$39 monthly for a solo practice
Compared to TherapyNotes: Easier to use and more modern-feeling, but offers fewer tools for structured documentation, automation, and reporting.

Sessions Health focuses on simplicity and approachability. Most clinicians can get started quickly with minimal setup, and pricing is straightforward. It covers the essentials without trying to be overly complex.

Check out our detailed review of Sessions Health for more insight.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Simple, intuitive interface
  • Affordable pricing for solo practices
  • Easy onboarding with minimal configuration
Cons Icon Cons
  • Limited automation and workflow customization
  • Limited reporting and analytics
Get Started Now!

Visit Sessions Health

See full Review

Practice Better

Practice Better Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $65/month for a solo clinician on the Professional plan
Compared to TherapyNotes: Practice Better includes more client engagement and program tools, but usually costs significantly more.

Practice Better goes beyond traditional therapy workflows like TherapyNotes focuses on, offering tools for courses, habit tracking, journaling, and wellness-oriented client engagement. These features support hybrid therapy-plus-wellness practices well.

Learn more in our full review of Practice Better.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Strong client engagement and program tools
  • Supports courses, groups, and wellness tracking
  • Flexible for non-traditional practice models
Cons Icon Cons
  • Insurance billing adds additional cost
  • Less focused on therapy-specific documentation structure
  • Higher overall cost for most practices
Get started with a 14-day free trial

Visit Practice Better

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Why You Can Trust My Review

“I’ve spent extensive time testing TherapyNotes hands-on as part of our EHR review process, using it alongside other leading platforms to evaluate how it performs in real-world therapy workflows. This included working through scheduling, documentation, billing, and client management to understand how intuitive and reliable the system feels in day-to-day use.

My reviews focus on how an EHR actually supports clinicians in practice. I look at workflow efficiency, usability, pricing transparency, and whether the platform meaningfully reduces administrative friction. The goal is to assess not just what TherapyNotes offers, but how well it fits into the realities of running a modern mental health practice.”

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot Matthew Church, M.S.

History & News

therapynotes logo

Year Founded: 2010
Founders: Dr. Debra Pliner, Brad Pliner

According to TherapyNotes’s About page, TherapyNotes was launched in 2010 by Dr. Debra Pliner and her husband Brad. With Dr. Pliner’s experience in psychological services and Brad’s expertise in information technology, the duo created a suite of products designed to help behavioral health practitioners run a practice easily and efficiently.1 Since then, the company has expanded to over 100 employees. While frequently updating the functionality of TherapyNotes, the company also runs a blog dedicated to helping clinicians start their own businesses.

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Frequently Asked Questions

Is TherapyNotes Legit?

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Yes. TherapyNotes is a well-established, widely used EHR platform for mental health providers in the U.S. It’s been on the market for over a decade and is commonly used by solo clinicians, group practices, and insurance-based providers who need reliable documentation, scheduling, and billing tools.

How Much is TherapyNotes Per Month?

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TherapyNotes pricing starts at $69 per month for solo clinicians, with costs increasing for group practices, additional providers, or certain add-on features. Pricing is subscription-based and not tied to client volume.

How Secure is the TherapyNotes Portal?

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TherapyNotes is built to meet healthcare security standards, including HIPAA compliance, encrypted data storage, and secure client portals. The platform includes role-based permissions, audit logs, and secure messaging to help protect sensitive client information and maintain compliance.

Is TherapyNotes HIPAA-Compliant?

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Yes, TherapyNotes states that it is compliant with HIPAA. This includes features like encrypted data storage, audit logs, role-based access, and secure client communication. Like any EHR, though, HIPAA-compliance depends on how the tool is implemented.

Does TherapyNotes Have A Client Portal?

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Yes, Practitioners can prompt any client to sign up for client portal access, which allows them to participate in telehealth sessions, as well as view their documents, and upcoming sessions.

How Do I Cancel My TherapyNotes Subscription?

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Canceling your TherapyNotes subscription is easy and straightforward. Simply navigate to the setting page in your account, select “TherapyNotes Subscription”, and click cancel. TherapyNotes’ customer service team can be emailed directly if you run into problems.

Sources Update History

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.

  • TherapyNotes (n.d.). About TherapyNotes, LLC. Retrieved from https://www.therapynotes.com/company/

  • TherapyNotes Help Center (n.d.) TherapyNotes Help Center. Retrieved from: https://support.therapynotes.com/hc/en-us

  • Church, M. (2026). My Best Practice Review 2026: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/my-best-practice-review/

  • Church, M. (2026). SimplePractice Review 2026: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/simplepractice-review/

  • Church, M. (2026). Sessions Health Review 2026: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/sessions-health-review/

  • Church, M. (2026). Best Mental Health EHRs 2026: Top Picks for Therapists & Practices. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/

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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.

Update: January 29, 2026
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Entire article updated with fresh hands-on testing, revised pricing and insurance cost analysis, and structural/verbiage improvements for clarity. We refreshed user review insights, updated comparisons to key alternatives, and refined the article to better reflect real-world practice workflows and long-term value.
Update: February 27, 2025
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Used software and updated our experience throughout. Updated Therapy pricing from $49–$59+ monthly to $59–$69 monthly, updated card processing fee to reflect current rate. Checked and added recent insights from user reviews. Added comparison to My Best Practice in the Alternatives & Competitors section. Fact-checked and reviewed all information; updated where necessary to improve factual accuracy and readability. Added more screenshots of our experience using the platform.
Update: July 8, 2023
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added article summary block and new format for star rating breakdown.
Original Publish Date: November 9, 2023
Author: Matthew Church, MS
Medical Reviewer: Melissa Boudin, PsyD
Show more Click here to open the article update history container.

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