“stable telehealth”

Pros

Telehealth integration has been a standout for me. Connections feel solid and it's simple for clients to join without hassle. Automated appointment reminders have cut down on my no shows a lot. I also appreciate the customizable templates for progress notes they save time and keep my documentation consistent.

Cons

Support response times could be quicker. When something goes wrong, it can take a bit to reach an actual person for help which is a minor downside.

“Custom calendar is flexible”

Pros

I really liked having a calendar that actually works day to day especially because I could customize it to fit how I run things. It also comes with templates already set up which made starting out a lot quicker.

Cons

Creating my own documents was pretty difficult and the pricing felt extremely steep as my practice started growing. Also, getting in touch with customer service took way too long whenever something came up.

“documents and appointments vanish”

Pros

Honestly there's nothing I like about this program. If this site let me choose zero stars, I would. It doesn't feel worth the money at all.

Cons

Files and documents have a habit of disappearing even after they're saved and appointments vanish without any clear reason. Because we can't trust the system, our counselors end up reverting to hardcopy records. Every software update creates extra work for the company re entering information that was already entered before. Even simple actions like canceling an appointment get more complicated after updates, adding extra steps just to undo something. I also saw an incident where a biller at Theranest, based on a report we ran, deleted all Blue Cross insurance information. When I submitted a complaint with supporting documents, we never heard back. Customer support and follow ups also come across as blaming the user, with messages that feel like gaslighting instead of actually addressing the problem.

“Could be better”

Pros

It felt simple for staff workflow and did leave room for different areas of expertise and flexibility across parts of the process.

Cons

The system didn't seem to show much human understanding or compassion toward patients and customers especially around how the systems work and what the values are supposed to be.

“strong value for self pay EHR”

Pros

Pricing is a really good value and the platform works well as an EHR if you mainly serve self pay clients. It's also fairly user friendly for day to day use. Another plus is the pricing model for part time clinicians you only pay based on the number of clients which is helpful when you don't have full time staff across the board.

Cons

A few areas still feel light compared to other EHRs, with missing functionality on both the client side and the staff side. The client portal and the billing tools aren't as efficient as what you'd find in competing systems so you may have to work around those limits.

“friendly tools for practice management”

Pros

This platform feels very user friendly and the variety of built in tools makes it simple to manage our practice. I also appreciated how many workflows are already covered so day to day management doesn't require a ton of extra setup.

Cons

Invoices were a bit confusing at times and it was frustrating not being able to lock the financials by month. When corrections are needed, those changes ripple through past figures which can cause problems if staff need to adjust something without altering historical data.

“automation killed personal support”

Pros

A few years back (around 7 years ago), Theranest felt genuinely user friendly, with a solid overall user experience and customer service that was quick, responsive and very personal. When something went wrong, I'd end up talking to a real person and more often than not, I'd get the same representative again for the next issue which made it easier to build rapport. That level of care and consistency just doesn't match what's happening now and it hasn't felt that way for the last couple of years.

Cons

Over the last 7 years, the service has noticeably deteriorated especially the support. Customer service is no longer personal or live, it's heavily automated and feels like it leads to dead ends, with little accountability or real resolutions even for basic technical problems. Updates roll out frequently even when many providers aren't consistently supported by the changes and the communication/notice beforehand is often missing. Right now, the shift associated with the transfer to Ensora has left providers unclear about what it means for data use and privacy particularly around AI integrations, whether they can opt out of services they don't need, how pricing will change and how note taking and other ethical/clinical related areas will be handled. Their replies have also felt dismissive and uncaring, relying on generic blanket statements. Overall, it feels like a completely different company compared with the 5 7 year experience.

“fast navigation”

Pros

It runs quickly and Theranest is simple to navigate around.

Cons

Would be nice if there were notifications when families reply to reminders.

“so convenient”

Pros

Definitely it is so convenient to have all in one EHR software in one place.

Cons

Even though their initial response to problems is fast, getting things actually fixed takes an unusually long time. For example, my daily agenda was showing appointment times in PST even though I'm in EST and it took close to eight weeks to correct. Also, over the last four years they haven't provided my 1099K in a timely manner I usually have to submit repeated requests and I don't receive it until March.

“decent software”

Pros

It's pretty user friendly and the layout makes sense once you're navigating around.

Cons

Loading is painfully slow. I've tested it in a few different locations and it still takes forever to bring up pages. I end up hitting the reload button repeatedly especially when I'm trying to open the month calendar and it's also a struggle sometimes with the ledgers.

“user friendly but updates hurt”

Pros

TheraNest feels more user friendly than other EMR software I've tried previously which makes daily use less frustrating.

Cons

After Therapy Brands was acquired, the product quality seems to have slipped with each update and that decline is noticeable over time.

“It's good!”

Pros

Everything I need is covered, scheduling, reminders, CC billing, superbills, a telehealth platform and customizable intake forms.

Cons

The combined support experience isn't as strong as it used to be and a recent software update now prevents us from viewing or editing appointments more than 60 days out.

“makes work easier”

Pros

This tool feels adaptive to use and the assistive, supportive sections help me complete paperwork that's thorough without taking forever. The way it guides the process makes everything feel more organized and ends up being pretty quick while still staying detailed.

Cons

When I'm pulling up my caseload and trying to sort it alphabetically, I had to go through multiple clicks to get the order right.

“quite simple to navigate”

Pros

The biggest plus for me with TheraNest is how simple it is to navigate. Everything is laid out in a way that lets me find what I need without getting stuck or wasting time.

Cons

There isn't really anything I disliked about it.

“organized client records”

Pros

TheraNest works really well for mental health professionals. It keeps client information and documentation organized and the workflow feels organized from start to finish. A big plus is how quickly you can get to what you need creating initial assessments, writing case notes, setting up treatment plans and maintaining contact logs all happen without much friction.

Cons

Between the improved workflow efficiency and better record keeping, it's a strong option for therapists, counselors and other mental health practitioners. The only thing I'd add is AI capabilities which would be a great improvement.

“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.