TheraNest Reviews

“Well-designed software

Pros

Everything feels laid out in the right place so using the interface is very simple. The way the information is organized and presented is thoughtfully designed.

Cons

At this point, I really don't have any complaints. The software feels well built and gives me everything I need right now.

“simple once it clicks

Pros

It takes a bit of time to learn at the beginning but once you understand the basics, it becomes very simple to operate.

Cons

There's a small learning curve at first and it can take a little while to fully understand but after that it's very simple to use. I'd recommend it.

“Fantastic charting system

Pros

The therapist charting tools are simple to use and make daily documentation much more efficient. Notes are faster to complete which saves time and helps the overall workflow run better every day.

Cons

A recurring problem is that the system freezes whenever I use the built-in therapy grading scales, including GAD-7 and PHQ-9. That interruption breaks up the workflow and ends up wasting time.

“Well laid out

Pros

Everything feels well laid out so getting around the platform doesn't take much effort. The task-based links are a big help because they take you right where you need to go without wasting time clicking around. The calendar tools are useful and make scheduling much more efficient and the notes area is clean and organized which makes it simple to document and look back on important details.

Cons

invoicing feature could be better especially with adding more flexible time frame options to support different billing needs.

“Solid first EHR for practice

Pros

When I began my practice, it turned out to be a solid EHR. I had already spent a few years using TN as an employee so switching over to the provider side felt like a very natural transition.

Cons

A few years ago, moving between screens in TN could feel a bit clunky. It also really requires proper training to make full use of all its features.

“Responsive staff

Pros

Using it has been very simple and the support team is responsive, available and genuinely helpful whenever needed.

Cons

There's honestly very little to complain about. If I had to point to one thing, I'd really like to see more options in the intervention section of the treatment planning area.

“feels secure

Pros

It made documenting client sessions quick and simple which I really appreciated. I also felt confident relying on the platform when it came to keeping sessions confidential and secure.

Cons

Overall I didn't run into any major problems with it. The only real issue came during the transition to Ensora, when some very important notes seemed to disappear, including older treatment plans and documents from 2021-2022. I contacted the Ensora support team but they weren't able to figure out what happened and those notes are still missing.

“Everything in one place

Pros

Everything feels well organized and every item has its own place. It makes my work much simpler when I can click into one section and have everything I need right there.

Cons

At times, my drafts don't auto-save which can be stressful when it happens. I really wish it would save consistently every time.

“useful info

Pros

Getting around the platform feels very convenient and it provides a lot of helpful information. Managing the upgrade process has also been simple although finding the calendar can be a bit difficult.

Cons

It hasn't been as productive for me as I expected because I'm still unable to link my appointments to my calendar.

“Workflow changes added extra steps

Pros

Earlier versions worked really well for us because the system was simple to use. My office manager could quickly switch between the agenda view and a therapist's individual calendar when setting appointments.

Cons

Since the workflow changes, scheduling has become more complex. My office manager now has to open each person's calendar to look for an available time for the client, then return to the agenda and manually select every counselor again to see all appointments in one view. Before these updates, choosing a calendar didn't affect the agenda display. Now it adds extra steps for every single client and ends up taking more time.

“clean navigation

Pros

It feels very simple and the recent updates have made important functions easier to locate. Overall the layout and flow work really well.

Cons

At times, there are connection hiccups or problems with changes saving especially when I'm switching back and forth between multiple tabs.

“User-friendly and convenient

Pros

This tool has been really convenient especially with how busy my schedule usually is. The platform is very user-friendly and that makes a big difference when I need something quick and simple to work with.

Cons

One thing that could be improved is what happens after I finish updating a client. It takes me back to the main page that shows everyone's clients instead of only mine. I'd really prefer an option to keep my own client list visible at all times.

“Dependable solution

Pros

I really appreciate that it's dependable and usually works without issues. That said the new layout feels a lot less user-friendly and it's been frustrating trying to locate things like the treatment plan and assessment since they seem to be placed in odd spots. I'd really like to see that improved.

Cons

Since the redesign, it doesn't feel as user friendly as it used to. Finding intake assessment forms and treatment plans feels awkward and harder to remember because of where they're located. I'm also frustrated that there's still no option to schedule a recurring telehealth appointment.

“polished interface

Pros

The interface looks polished and is simple to handle. Most tasks only take a few steps so getting through a process usually feels pretty simple.

Cons

The telehealth feature has been glitchy in several ways. The biggest problem is when a client tries to connect a Bluetooth device like headphones since it hardly ever works.

“Helpful for therapists

Pros

Everything feels well organized which makes it really helpful for therapists who want to deliver efficient service. The system is simple to use and the appointment scheduling feature is especially useful.

Cons

There are no drawbacks.

“Professional staff

Pros

Appointment scheduling, note-taking and assessments all work really well and the whole system feels user-friendly. The staff has also been enjoyable to work with and the overall workflow fits nicely into my day-to-day use.

Cons

I've genuinely enjoyed using it overall. The only adjustment was when the charts and notes were moved to the top of the page but I'm getting used to that change now.

“excellent value for money

Pros

Getting started with it was simple for both therapists and therapy operations and it handles appointment scheduling, staff coordination and overall workflow really well. Compared with other EHRs out there, it has offered excellent value for the money.

Cons

On a few occasions, getting a clear and concise follow-up from customer support after calling in has been difficult. I've especially noticed this when trying to get answers about insurance claim questions.

“Worth every penny

Pros

It has been well worth the cost. The customer support is excellent whenever an issue comes up and the platform is very user-friendly.

Cons

I really do not have any complaints. The only additional feature that would help me would be the ability to verify clients' insurance.

“frequent updates

Pros

It's been really helpful having so many parts of the system tied together that would otherwise feel disconnected. Another plus is that the platform is updated and improved on a regular basis which shows they're continuing to invest in it.

Cons

Even after the scheduling process was redesigned, that's still the area I use the most and it continues to fall short in a lot of ways. Because of that, it ends up taking more time than it really should.

“clear scheduling and notes

Pros

Working as an independent contractor, I'm not involved with billing, insurance, staffing or workflow so I can only speak from the therapist side. From that perspective, the system is very simple to use and it's clear how to schedule sessions, reschedule them and create and write notes.

Cons

One area that could be clearer is the treatment plan section especially around target dates and whether the plan should be signed when it's first created or only after it's completed. I ended up testing it myself to figure out what worked and learned that signing it at the time of creation is acceptable.

“Top-notch service

Pros

Their customer service has been the best part for me. Whenever something comes up, I reach out through chat and every single time the conversation ends with the issue fully resolved.

Cons

I can't say there's really anything I dislike overall though I have run into a few issues with the notes feature and pulling in previous notes.

“Plenty of helpful information

Pros

We found it easy to use and I've been working with it for years now. Whenever I wasn't sure how to do something, there was plenty of helpful information available to guide me.

Cons

The only slight frustration has been needing to switch back and forth between the agenda and the schedule though that may just come down to me learning a better workflow that fits how I use it.

“Well-trained support staff

Pros

The value has been solid and the platform is simple to use especially for billing by credit card. Scheduling is a major reason I rely on it and being able to send paperwork directly to clients is also a big benefit. Customer support has been professional, attentive and quick to respond which has definitely been a plus.

Cons

Scrolling function often stops working on my Android phone. This never used to happen when I first started using the software but over the past year I've had to reach out to IT multiple times to try to fix it. The solutions seem to help temporarily, then the problem comes back again. It's very inconsistent too. Sometimes the schedule will not scroll and right now it happens when I'm trying to write notes, it scrolls briefly and then freezes. That problem alone has made me seriously question whether I should keep using the product because it really needs to be dependable and fully compatible with smartphones. On top of that, this year I received a 1099 under my personal name instead of my company name. I believe that may have been related to the change from Vantage to Ensura but I'm still not sure how it happened. After several emails, it sounds like it should be corrected by the next tax cycle but it was another frustrating issue. I don't really care who processes the credit card payments but having it not match my company name felt like something important was missed. I can let it go as long as my 2026 tax documents are accurate.

“uncluttered layout

Pros

Its so easy to manage. The layout is very simple and when I log in, I only see the clients assigned to me which keeps everything focused and uncluttered.

Cons

The part I'm least satisfied with is the EMR since it feels like it could use a more modern update to make patient charts quicker and easier for users to access.

“Superb AI support for notes

Pros

AI support has noticeably improved the quality of my notes. It also does a really good job helping create appropriate treatment plans based on the client's diagnosis.

Cons

Telehealth side can be frustrating at times because it sometimes runs into issues during sessions. It also feels pretty limited overall in terms of what the platform can do.

“scheduling changes made it frustrating

Pros

The AI quality is impressive and it makes my written notes sound more polished and sophisticated. Scheduling used to be one of the better parts of the system but that hasn't felt true since the recent changes.

Cons

The recent abrupt scheduling update has been really frustrating. It feels complex, not very clinician-friendly and far more complicated than it needs to be.

“Fair pricing system

Pros

Its pretty user-friendly and once you understand how the overall system is laid out, it's fairly simple to use. The pricing model has also been a big plus since it's based on the number of clients rather than the number of staff members. That made a real difference for us when we were first starting out.

Cons

One thing that still bothers me is how group sessions need to be scheduled. It's also frustrating that when someone is removed from a group, they can still appear on the progress notes list. Even though the system does show that they were removed from the group, it still ends up being an annoyance for our staff.

“Handy update notifications

Pros

Quite convenient to use and it makes managing my time slots much simpler. I also really appreciate the update notifications because they clearly explain what changed and how those changes are meant to improve workflow, quality of work and overall time management.

Cons

Every now and then, the system bugs out and creates duplicate time slots. This has happened several times when I set up recurring sessions for clients over multiple days or weeks. The appointments do not always save the way they should so I end up having to go back and enter them manually. I am also not a fan of the new billing system since it feels less efficient than the old one. The previous process was more direct, while now I have to open a separate page every time I bill a client which feels unnecessary compared with how simple it used to be.

“amazing AI support for documentation

Pros

I find it to be user-friendly and the month-at-a-glance calendar makes scheduling simple to review quickly. The notes area also includes AI support which helps create accurate documentation while typing.

Cons

When I switch between screens some of the information I already entered can disappear. That means I end up having to type parts of my responses over again.

“Tech support is easy to reach

Pros

Getting around it feels easy, the documentation is clear and client demographic information is simple to locate. Customer service and tech support are also easy to reach when needed.

Cons

Every now and then, the microphone or video stops working. Usually I have the client log out and back in and that fixes it though I'm not sure whether it's their internet connection since it seems to happen fairly often.

“incredible dropdown menus

Pros

Entering most information is pretty simple and the available options make the process more useful. The dropdown menus are especially helpful and I appreciate having different choices when putting together reports for my clients. It also helps me meet insurance carrier requirements so I can focus on counseling my clients appropriately.

Cons

A few pages, like the Locus and discharge pages, still appear even though they are no longer being used. It's frustrating to click into them only to realize they shouldn't be there. I'm also not a fan of the scheduling section because it can double-book or even triple-book a client. Then I have to go back through the calendar and fix each appointment one by one which is really bothersome.

“Tidy interface

Pros

Right from the start, it has been simple to work with and the interface feels clean and user-friendly. I appreciate that it keeps everything simple instead of packing in a bunch of unnecessary features or overly complicated tools. It does a good job of helping me stay organized throughout my daily therapy sessions and keeps important tasks in front of me. The reminders for treatment plans and progress notes are especially useful when it comes to staying on top of documentation. I also appreciate that the system flags notifications when there's an issue with a client's file which helps keep things from falling through the cracks.

Cons

Every now and then, there are small issues with telehealth sessions. Sometimes the video quality is inconsistent or a client has trouble getting into the session although it doesn't happen very often.

“AI note feature saves time

Pros

It is uncomplicated and userfriendly. Booking appointments is simple and updating my schedule is quick and hassle-free whenever I need to make changes. The AI note feature has also been a big help because it lets me finish documentation faster and saves me a lot of time.

Cons

The AI note feature doesn't work for the initial assessment and having it available there too would be really useful. I'd also rather see the "Reminder Log" as its own tab instead of tucked inside a drop-down menu since that would make it faster and more convenient to find.

“Lets us communicate with multiple people

Pros

The user-friendly layout made it comfortable to work with and being able to communicate with several people at the same time is a big plus. I'm particularly happy with the appointment tools and related features.

Cons

Honestly there isn't much for me to complain about. The only time I get tripped up is when the page layout changes since it takes me a little while to adjust but that feels more like my own learning curve than a problem with the software.

“Budget-friendly option

Pros

Its been a great experience because both my clients and I can use it without any trouble. We also appreciate being able to access it easily from our phones and the pricing makes it a very cost-effective option.

Cons

There is very little I dislike about it though like many online apps, it can occasionally glitch or feel a bit slow on certain days.

“works well for us

Pros

Works really well for clinical use, helps a lot with daily tasks and supports office management. It's also simple to use.

Cons

Nothing felt disappointing to the user. The trial went very well and the implementation in the clinic was smooth for the professionals.

“Ideal choice for smaller practices

Pros

Having everything in one place is a big advantage. It covers scheduling, billing, documentation and other key tasks without needing separate systems. The pricing is flexible which makes it a solid fit for smaller practices and the customer support team has been helpful with quick response times.

Cons

the mobile app still doesn't offer all the same features you get on the desktop version. Customization is also somewhat limited and a few of the templates could use more flexibility.

“not happy with support and billing contracts

Pros

There are definite positives about the EHR. As I keep thousands of clients in the platform and it performed reliably under its previous ownership. However since the new company took over, the experience has not been nearly as good.

Cons

I am really frustrated with the support especially when it comes from people at the director level as their help has been of no use. I feel like a very unhappy customer now. They are forcing me into a billing contract that seems unnecessary, even though I have repeatedly told them they are not fulfilling their responsibilities. I've contacted the insurance companies we bill multiple times and each time they say they never received claims that TheraNest claims were submitted.

“automated appointment reminders

Pros

One thing I really like is the telehealth integration as now it is reliable and simple for my clients to connect with. The automated appointment reminders have noticeably cut down my no-shows and I also find the customizable progress-note templates very handy for keeping records consistent.

Cons

Customer support can be slow to respond. When I run into a problem, it often takes a while to reach a real person, which is a bit of a downside when I need help quickly.

“Difficult to create documents with rising fees

Pros

I like how well the calendar works and that I can tailor it to fit my workflow. The platform also comes with pre-built templates so I didn't have to start from scratch.

Cons

In my experience I found it difficult to create my own documents. Plus the fees rise a lot as my practice expands and I struggled to get in touch with customer support when problems came up.

“Clear layout!

Pros

It's seriously easy to find your way around. The layout is so clean and logical everything you need is right where you'd expect it, which makes the whole experience feel smooth and effortless.

Cons

They could make it more affordable for small businesses. That change would be really beneficial.

“We've lost a lot of money!!

Pros

Ever since Ensora replaced Theranest, it has been a nightmare.

Cons

A glitch in their system has caused financial losses and they remain unable to explain why it happened or why it still happens intermittently. In all the years using Theranest, nothing like this ever happened. After the switch, six clients have canceled with under 24 hours' notice and nobody can tell us why. In this line of work, cancellation rules are standard but some kind of bug introduced after Ensora's takeover now lets clients cancel within 24 hours, something that never used to be allowed. That bug has led to repeated schedule chaos and lost income and it's frustrating that after all this time there's still no clear reason or fix.

“too many disruptive updates

Pros

Logging into the app is super fast. The calendar is really useful and you can jump back or forward to see past or upcoming sessions which makes planning or switching plans simple. There's a note feature that lets you add and edit entries.

Cons

Those constant updates are really annoying. At first we thought it was just a name change but they're happening way too often. After some updates things seem altered and documents go missing or become hard to locate because of the updates.

“Don't waste your money on it!

Pros

We really dislike everything about this program. Definitely not worth the money.

Cons

Docs disappear after they're saved and appointments vanish for no reason so our counselors have to keep paper copies because this program can't be trusted. Every update creates more work since past data must be re-entered. Cancelling an appointment became more complicated after an update. Extra steps are needed to fully remove it. A biller at TheraNest as confirmed by a report, erased all Blue Cross insurance entries and after filing a complaint with proof we never got a response. The company then sends messages blaming customers, basically gaslighting us about what we should've done.

“User-friendly software

Pros

I found it userfriendly, it makes scheduling and editing appointments simple and overall helps coordinate daily workflows for multiple staff members.

Cons

There seems to be a gap between Ensora and the actual authorization deadlines when handling insurance claims and the guidance on when to finish progress notes so new authorizations get submitted and treatment files can stay open.

“Ideal for Part time staff and Self pay clients

Pros

This is the perfect EHR system especially if you mostly deal with self pay clients. Its pretty easy to use and also ideal if you have a team of part time clinicians because you pay based on the number of clients. So this one is for you if you have self pay clients and part time staff!

Cons

There are a few features missing on both the client and staff sides that could definitely use some improvement. The client portal and billing functions arent as strong as other programs Ive used.

“Suitable for small scale

Pros

I find the software is very easy to use and it comes with a bunch of tools that make managing a practice much more convenient.

Cons

Sometimes the invoicing was a bit confusing and it was frustrating that we couldnt lock the financials to a specific month. If someone needed to make a correction it would mess up entire data.

“Disappointed at the downfall!

Pros

From my experience of seven years Theranest was easy to use, had great overall user experience and an amazing customer service. Whenever I had an issue I could speak directly to someone and often Id get the same person which was great for building rapport. Sadly thats not the case anymore. Over the past two years I have seen the service go down significantly. Theyve upset users multiple times with unnecessary changes. Customer support is now automated and unhelpful and the price hikes have been constant. I would not recommend it to anyone at this point!

Cons

The service has gone downhill over the years. Everything used to be so good. Customer support used to be always available. Now its all automated with no real solutions to basic tech problems. They keep rolling out changes that arent always supported by providers and they dont give any heads up. Recently they made a major shift to Ensora and now providers are completely in the dark about what this means for data usage and privacy regarding AI integrations, opting out of unnecessary services, price hikes, note taking and other ethical and clinical issues. The responses I get are dismissive and generic. This company feels nothing like it did back in the day.

“Pretty helpful

Pros

I love how fast Theranest works! It's really responsive and I never find myself waiting for things to load. Plus, it's so easy to use. Whether I need to access client information, create new notes or schedule appointments, everything is right where I need it. It really streamlines my workflow and I appreciate how smooth everything is.

Cons

I really wish we had notifications when families respond to reminders. It would be so much easier to keep track of everything and not miss important responses. Right now, it feels like I have to manually check if they've replied and it would be so much more convenient to have that automatically pop up.

“Often falls short

Pros

The convenience of having comprehensive EHR software in one place has been a game-changer for me. Before Theranest, I had to juggle multiple systems to keep track of everything, like scheduling, billing and client notes. But now it's all integrated.

Cons

While the response time to issues is quick, it sometimes feels like resolving them takes forever. For example, I had an issue where my appointment times were showing up in PST instead of EST and it took almost 8 weeks to get that sorted out.