Therapists frequently struggle with managing patient records efficiently. In addition, scheduling conflicts, cumbersome documentation, and fragmented billing processes can lead to administrative stress. This is where a good EHR for therapists comes in. To help you choose the right solution, we have carefully curated a list of the best EHRs for therapists that streamline charting, simplify appointment management, and integrate seamlessly into daily practice.
To create this list, we evaluated dozens of EHR solutions, assessing usability, features, telehealth support, and customer satisfaction. In this guide, you’ll find trusted EHR options that save time, enhance patient care, and help your practice operate smoothly.
Software | Rating | Trial Info | Starting Price | Best For | Main Features |
Simple Practice (Editor's Choice) | 4/5 | 30-day free trial View Demo | $49/month/provider Get a Custom Quote | Fully integrated HIPAA‑compliant telehealth platform |
|
4.8/5 | 30‑day free trial View Demo | $69/month/provider Get a Custom Quote | clinical documentation |
| |
4.7/5 | 14‑day free trial View Demo | $19/month Get a Custom Quote | Powerful workflow automation system |
| |
4.7/5 | 14‑day free trial View Demo
| $49.95/month/provider Get a Custom Quote | Custom client site feature |
| |
3.9/5 | free trial View Demo | $55/month Get a Custom Quote | Streamlining the charting process |
| |
4/5 | 21‑day free trial View Demo | $29/therapist/month Get a Custom Quote
| Highly customizable clinical documentation |
| |
4.4/5 | 30‑day free trial View Demo | $23/month/user Get a Custom Quote | Automated reminder capability |
| |
4.3/5 | 30‑day free trial View Demo | $39/month Get a Custom Quote | Built-in teletherapy feature |
| |
4.1/5 | No Free Trial View Demo | Custom Pricing Get a Custom Quote | AI‑powered clinical documentation (AI Notes Assist) |
| |
4.2/5 | 30‑day free trial View Demo | $39/month/practitioner Get a Custom Quote | 2‑way calendar sync with external calendars |
| |
4.7/5 | No Free Trial View Demo
| $25/month Get a Custom Quote | Patient self-scheduling feature |
| |
4.3/5 | No Free Trial View Demo | $0.50 per encounter with a monthly minimum of $25 Get a Custom Quote | AI‑powered clinical assistant |
|
1. Simple Practice - Editor’s Choice
SimplePractice is a purpose-built cloud-based ‘Clinical First’ EHR engineered for behavioral health practitioners. Featuring an intuitive interface and feature rich client portal, it supports smoother clinical usability. Also, insurance claims and automated billing help maximize revenue, while AI-powered note-taking and Wiley Treatment Planners speed up documentation.
Pros | Cons |
Shared calendars enable coordinated, team-based client care Automation of repetitive administrative tasks saves time Integrated payment processing allows clients to pay conveniently by credit card | Advanced features comes with limited customization Certain templates could be improved |
Best For
SimplePractice is best suited for solo and small group health and wellness practices, especially therapists, counselors, SLPs, and allied-health clinicians.
Key Features
- Telehealth
- Insurance Claims
- Billing
- Client Portal
- Scheduling
Pricing
SimplePractice offers subscription plans with multiple tiers to suit solo and group practices:
- Starter – $49/month/provider
- Essential – $79/month/provider
- Plus – $99/month/provider
The platform also offers a 30-day free trial.
Disclaimer: The Pricing is subject to change.
Why We Like It
The platform excels in automated insurance claim management and customizable notes, which help therapists accelerate reimbursement processing and curtail errors. With in-depth clinical workflow automation and reporting functionalities, it enables data-driven decisions, making it the right fit for solo and small therapy clinics.
User Ratings
Holds a 4/5 rating from verified users. Users praise SimplePractice’s intuitive interface and easy scheduling, while some note that advanced reporting options could be more polished.
2. TherapyNotes
TherapyNotes is designed as a specialized mental health EHR centered on a unique ‘To-Do List’ driven workflow that organizes clinical operations. Through therapy-specific SOAP templates and the ePrescribe feature, it improves documentation efficiency and prescribes medication directly from the patient’s chart. Additionally, the platform focuses on compliance readiness and insurance claim scrubbing, simplifying the path to reimbursement and cutting down administrative tasks.
Pros | Cons |
Simple, beginner-friendly billing structure for practices Fully customizable client experience to match practice needs Easy, customizable note templates for interventions | Reporting functionality could be enhanced. Some advanced features are complex to customize |
Best For
TherapyNotes is best suited for solo and small behavioral health practices, providing secure, specialty-specific progress notes and treatment plan templates.
Key Features
- Telehealth
- E-Prescribing
- Medical Billing
- Appointment Scheduling
- Patient Portal
Pricing
TherapyNotes uses a subscription model with different plans tailored to practice size and clinician needs:
- Solo – $69/month/provider (For one user)
- Group – $79/month for the first clinician + $50/month for each additional clinician
- Enterprise – $79/month for the first clinician + $50/month for each additional clinician (requires 30+ users, included a designated account manager)
Also, TherapyNotes offers a 30‑day free trial.
Disclaimer: The Pricing is subject to change.
Why We Like It
We like TherapyNotes for its searchable DSM-5 and ICD-10 code lookup, which streamlines consistent and precise health documentation. The TherapyFuel AI assistance allows therapists and counselors to draft progress notes and session summaries, with no time spent on paperwork and sacrificing clinical detail.
User Ratings
Earns 4.8/5 on verified user reviews. Users highlight TherapyNotes’s client portal and stellar customer support, while a few mention that billing workflows can be slightly complicated compared with peers.
3. Healthie
Healthie is a modular EHR engineered for ‘virtual First’ practices. The platform sets itself apart through therapy-focused interaction features like patient journaling and mood tracking. The clinicians take help through real-time charting via a split-screen telehealth layout. Also, Integrated patient tools like a dynamic patient portal and secure messaging keep clients connected.
Pros | Cons |
Centralizes client data for easy access and efficient management Effectively supports client goal setting and progress tracking Offers customizable form templates to streamline the intake process Integrates seamlessly with external calendars like Google Provides reliable customer support focused on user success | The help section can feel overwhelming due to the large number of responses Marking appointments as completed requires multiple steps Reporting tools could offer more customization and detail |
Best For
Healthie is best suited for solo practitioners and multidisciplinary teams.
Key Features
- Scheduling
- AI Scribe
- Billing
- Patient Portal
- Telehealth And Webinars
Pricing
Healthie offers subscription plans with multiple tiers aimed at different practice scales and needs:
- Core – $19/month
- Essentials – $49/month
- Plus – $129/month
- Group – $149+/month
Healthie also includes a 14‑day free trial for their Plus plan.
Disclaimer: The Pricing is subject to change.
Why We Like It
Healthie stands out in wellness and therapy practices where managing multi-provider workflow and scaling care are essential. With features like AI-powered clinical documentation (AI Scribe) and auto-scored PHQ-9/GAD-7 assessments, the platform not only cuts charting time by generating draft notes instantly but also makes efficient clinical evaluation possible.
User Ratings
Earns a 4.7/5 rating from verified reviews. Users commend Healthie’s all‑in‑one platform for client management and scheduling, along with its user‑friendly design, though some feel customization and reporting could improve.
4. CounSol
CounSol is an EHR designed for mental health professionals, offering fully customizable client portals, treatment plan templates, and private journaling features. It emphasizes personalized onboarding and continuous support, helping therapists manage engagement and client progress efficiently. Its combination of customizable workflows and client communication tools makes it suitable for solo practitioners and group therapy practices.
Pros | Con |
Secure patient portal enables seamless clinician-patient communication Streamlined notetaking significantly boosts daily workflow efficiency Streamlines documentation while enhancing client collaboration | Customization can be complex Client dashboard is simple, may feel basic
|
Best For
CounSol is best suited for solo and small counseling practices, offering secure client portals, customizable forms, and scheduling tools for therapists, counselors, and clinical support teams.
Key Features
- Secure Messaging And Communication
- Telehealth
- Billing And Invoicing
- Online Appointment Booking
- Client Progress Notes
Pricing
CounSol.com delivers scalable subscription plans suited for both small practices and larger teams:
- Standard – $49.95/month/provider
- Standard Plus – $59.95/month/provider
- Premium – $64.95/month/provider
- Premium Plus – $69.95/month/provider
CounSol.com provides a 14‑day free trial.
Disclaimer: The Pricing is subject to change.
Why We Like It
CounSol excels in therapy practices where client engagement and workflow flexibility are priorities. Its customizable treatment plans and automated appointment reminders help reduce missed sessions and ensure consistent care tracking. These features allow solo and multi-provider practices to maintain efficiency and accuracy, positioning the software as a top pick for behavioral health professionals managing growing client loads.
User Ratings
Rated 4.7/5 according to verified user reviews. Users love CounSol’s responsive customer support and user‑friendly interface, though a few note that the learning curve and customization options could be improved.
5. ICANnotes
Built around menu-driven and fully preconfigured documentation, ICANnotes is a behavioral health EHR designed for therapy, counseling, and related disciplines. It comes with over 100 built‑in clinical rating scales, therapy note templates (individual, couples, group), and structured narrative note-taking.
Pros | Cons |
Web-based software allows access from any device Robust scheduling features help reduce no-shows Patient portal and secure messaging enhance communication | Charting tools have room for improvement Customization options are somewhat limited |
Best For
ICANotes is best suited for mental and behavioral health practices of all sizes.
Key Features
- Charting
- Patient Portal
- Billing
- Telehealth
- Security
Pricing
ICANotes provides role‑based subscription plans with pricing that varies by clinician type and feature set:
Full-time Clinicians:
- Full‑Time Notes Only – $55/month
- Full‑Time Non‑Prescribing – $75/month
- Full‑Time Prescribing – $213/month
Part-time Clinicians:
- Part‑Time Notes Only – $35/month
- Part‑Time Non‑Prescribing – $45/month
- Part‑Time Prescribing – $138/month
One‑time $99 activation fee applies to Prescribing plans.
Optional add‑ons like telehealth ($10/user/month) and AI scribe ($49/user/month) are available, and additional clinical or admin users can be added for a monthly fee.
ICANnotes also offers a free trial.
Disclaimer: The pricing is subject to change.
Why We Like It
What stands out about this platform is its menu-driven charting, which uses logic-based templates to generate narrative-style progress notes in minutes. Other than gaining speed and efficiency, therapists ensure audit-ready compliance through E/M coding, while overcoming blank page syndrome. It allows clinics to optimize billing output without compromising patient documentation.
User Ratings
Rated 3.9/5 based on verified reviews. Users praise the platform for streamlining documentation and solid billing support, yet some wish for more customization flexibility.
6. TheraNest
TheraNest is a cloud-based EHR designed for mental health practices, including solo therapists and group practices. It is included in our list of best EHRs for therapists due to features like AI-powered note enhancement and customizable forms. These tools help therapists streamline documentation and efficiently manage appointments while maintaining compliance across multi-clinician practices.
Pros | Cons |
Comprehensive telehealth feature broaden access to care Personalized forms and notes improve patient record management A unified platform streamlines all mental health operations | Certain documentation templates have room for improvement. Might not fully meet the needs of larger mental health practices with complex requirements
|
Best For
TheraNest is best suited for small to mid‑size behavioral health practices, offering treatment planning, billing, and client engagement tools for therapists.
Key Features
- Medical Billing Tools
- Counseling Progress Notes
- Client Portal
- E-Prescribing
- Scheduling
- Telehealth
Pricing
TheraNest structures its subscription plans with clear per‑therapist pricing to support practices of different sizes and stages:
- Essentials – $29/therapist/month
- Advanced – $59/therapist/month
- Premier – $89/therapist/month
TheraNest also includes a free 21‑day trial.
Disclaimer: The Pricing is subject to change.
Why We Like It
TheraNest excels in mental health practices where operational efficiency and revenue management are priorities. Its integrated Wiley Treatment Planner offers clinicians access over 1,000 pre-written objectives and goals for swift and more effective treatment planning. Similarly, with robust batch billing automation, insurance claim submission and invoice creation is just a click away.
User Ratings
Rated 4/5 on multiple reviews, users applaud software’s user-friendly and comprehensive practice management features, through several mention that support responsiveness and deeper customization can lag behind expectations.
7. Carepatron
As a community-driven EHR, Carepatron stands out for its highly collaborative workspace, where therapists and counselors can involve patients and their support networks. The platform's extensive library of 1,000+ clinical templates enhances documentation, while a unique AI scribe helps in the automation of session transcription. It improves accuracy and also saves time.
Pros | Cons |
Tracks invoices and payments for effortless accounting AI meeting notes save time on documentation Seamless documentation with pre-made or custom forms | Template downloads may require extra steps Form builder offers flexibility but may challenge beginners |
Best For
Carepatron is best suited for allied‑health and therapy practices of all sizes, providing unified scheduling, documentation, telehealth for clinicians and care teams.
Key Features
- Scheduling & Booking
- HIPAA Compliance
- Customizable Clinical Notes
- Telehealth
- Patient Portal
- Online Payments
- Billing
Pricing
Carepatron offers tiered subscription plans built to support practices from solo clinicians to growing teams:
- Free – $0/month
- Essential – $29/month/user
- Plus – $39/month/user
- Advanced – $49/month/user
The platform also offer a 30‑day free trial.
Disclaimer: The Pricing is subject to change.
Why We Like It
Carepatron is suitable for practices of all sizes. It integrates DSM-5 and ICD-10 coding directly into the clinical note-taking process, making sure that records are both billing-compliant and clinically precise. Through automated standardized assessments, the platform’s measurement-based care helps clinicians monitor clinical outcomes over time.
User Ratings
Commands a 4.4/5 rating based on verified reviews. Users appreciate easy scheduling and streamlined billing, while a few mention that advanced features could be more robust.
8. TheraPlatform
The platform is designed for mental health, speech, and occupational therapy practices, featuring built-in teletherapy with structured documentation and interactive tools that include outcome measures. In addition, Theraplatform offers a centralized client portal, supporting tracking client progress and virtual care delivery within a single, therapy-focused platform.
Pros | Cons |
All-in-one platform covering practice management, EHR, billing, and telehealth Streamlines workflows through customizable templates, scheduling, invoicing, and claims automation Scalable solution that accommodates unlimited users to support future growth | Learning all the modules and customizing settings can take some time, according to user feedback Data migration may be challenging for new users |
Best For
TheraPlatform is best suited for solo and small mental health, speech, and occupational therapy practices.
Key Features
- Virtual Therapy Sessions
- Scheduling
- Therapy Notes
- Billing And Invoicing
- Client Portal
- Claims Management
Pricing
TheraPlatform provides several subscription plans:
- Basic – $39/month
- Pro – $69/month (additional providers at $39/month each)
- Pro Plus – $79/month (additional providers at $49/month each)
A 30‑day free trial is also available.
Disclaimer: The Pricing is subject to change.
Why We Like It
The software is ideal for solo and small practices, as it sets itself apart by embedding interactive therapy tools, such as a library of therapeutic apps, and a built-in whiteboard, into its HIPAA-compliant video interface. These functionalities make TheraPlatform the right solution for clinicians seeking high client engagement during remote sessions.
User Ratings
Achieve a 4.3/5 rating from verified users. Users highlight TheraPlatform’s integrated telepath and intuitive client management tools as major strengths, yet some reviewers note that reporting capabilities are somewhat limited.
9. Valant
Built around measurement-based care, Valant supports behavioral health practices that rely on data-driven treatment decisions. It uses automated outcome measures and assessments to inform clinical workflows. Structured documentation converts inputs into compliant narratives, while the MYIO patient portal supports engagement, making it suitable for practices focused on outcomes tracking and long-term mental health care.
Pros | Cons |
Facilitates seamless and efficient virtual consultations. Provides robust support tailored for general psychiatry practices Simplifies scheduling across a team of providers | Occasional downtime may interrupt work temporarily Limited note personalization may slightly hinder workflow |
Best For
Valant is best suited for behavioral health practices and group clinics, offering outcomes tracking and revenue tools for therapists
Key Features
- Clinical Documentation
- Intake And Assessment Automation
- E-Prescribing
- Billing
- Patient Portal
Pricing
Valant provides custom pricing plans, tailored to each practice’s size, specialty, and specific requirements.
Why We Like It
With its integrated e-prescribing and PDMP access, it enables psychiatric providers to handle prescription monitoring and controlled medications from clinical notes. Moreover, the platform’s prospective ‘Claim Assist’ scrubbing checks claims against behavioral health rules, helping growing group practices maintain high clean-claim rates.
User Ratings
Reports a 4.1/5 score from verified user reviews. Users like the platform’s user-friendly interface and comprehensive behavioral-health workflows tools, yet some find the learning curve steep.
10. Sessions Health
Specifically built for mental health, the software focuses on therapist-client relationship. Featuring integrated, automated assessment scoring with immediate clinical interpretations, which helps in progress reporting. Likewise, ‘Load Last Note’ streamlined charting and pre-configured note templates. It also offers sliding scale fee structures through automated billing and custom rates.
Pros | Cons |
Flexible calendar with easy appointment management Streamlines workflow with integrated feedback and reminders Helps manage schedules with flexible calendar options | The client portal offers limited customization options Support relies on indirect channels, not phone |
Best For
Sessions Health is best suited for solo and small to mid‑size mental health practices, offering automated billing specifically for therapists and clinical teams.
Key Features
- Secure client portal
- Scheduling with automated reminders
- Billing automation
- Integrated telehealth functionality
- Customizable documentation & templates
Pricing
Sessions Health offers tiered plans designed to support practices of all sizes:
- Freemium – $0/month (up to 3 clients, 1 practitioner)
- Professional – $39/month/practitioner (unlimited clients)
Additional practitioners can be added at $29 per month each, and the optional telehealth add-on is available for $10 per practitioner per month.
Sessions Health offers a 30‑day free trial.
Disclaimer: The pricing is subject to change.
Why We Like It
Specifically tailored for small to mid-sized therapeutic practices, Sessions Health uses customizable documentation templates allowing therapists to adapt progress notes to specific modalities like SOAP or EMDR. This minimizes administrative burden and streamlines intake for solo practitioners. In addition, the DEI feature is a differentiator that separates legal names from chosen names to support client safety.
User Ratings
Users highlighted the software’s integrated documentation and easy scheduling, yet mentioned that some reporting and custom form options could be expanded.
11. Practice Better
Practice Better is an all-in-one EHR for therapists that brings together client accountability and clinical administration in a single system. Built-in syncing for wearables (Fitbit, Oura), along with Food, Mood, and lifestyle journaling, provides data-driven insights into patient progress. Other than that, offering HIPAA-compliant support for automated evergreen programs, it helps practitioners to extend their services beyond traditional individual sessions.
Pros | Cons |
Customizable notes enhance workflow efficiency and flexibility Highly customizable platform adapts to your needs Lab function enables seamless information sharing | Lab result tracking options are somewhat limited. Form mapping functionality could be improved.
|
Best For
Practice Better is best suited for solo and small nutrition, wellness, and allied‑health practices, offering habit tracking and integrated care planning for care teams.
Key Features
- Client Portal
- Telehealth
- Secure Messaging
- Charting
- Payments
Pricing
Practice Better delivers flexible monthly plans that scale from single‑clinician setups to full team practices:
- Starter – $35/month
- Professional – $69/month
- Plus – $99/month
- Team – $155/month
Disclaimer: The Pricing is subject to change.
Why We Like It
Practice Better stands out as a therapist EHR by offering appointment management with automated scheduling and reminders. The software’s Practice Better Payments feature manages payment plans and automated billing. Likewise, the floating ‘Client Hub’ helps providers with displaying medical history during live telehealth sessions, and AI-powered charting reduces documentation time.
User Ratings
Boasts a 4.9/5 according to verified user feedback. Users admire Practice Better’s automated scheduling and intuitive client management as major strengths, whereas some users note that the initial setup is a bit time‑consuming.
12. CharmHealth
CharmHealth is an EHR for therapists and mental health clinics that supports treatment planning, patient engagement, and clinical documentation. Featuring customizable SOAP templates, AI scribe assistance, and a patient portal for pre-visit forms and secure messaging, the platform allows practitioners to simplify charting, track interventions, and deliver consistent care.
Pros | Cons |
Intuitive interface simplifies daily workflow for providers Create and customize templates to save time Secure messaging enhances team communication efficiency Decision support tools improve patient care outcomes | Subscription cost may be higher compared to other EHRs Certain documentation templates could use improvement |
Best For
CharmHealth is best suited for small to mid‑size medical and specialty practices, offering cloud‑based EHR and e‑prescribing for physicians.
Key Features
- Clinical Decision Support
- Enhanced Mobility
- Real-Time Prescription Benefits
- Healthcare Messaging Solution
- Telehealth Capabilities
Pricing
CharmHealth EHR offers flexible subscription options:
- Free Plan – $0/month (limited to 50 encounters per month)
- Encounter Plan – $0.50 per encounter with a monthly minimum of $25
- Provider Plan – Around $200/month/provider
Disclaimer: Pricing is subject to change.
Why We Like It
CharmHealth stands out as an efficient EHR. It is included in the list for its AI-driven ambient listening, which automates clinical documentation. The platform’s Charting keeps sensitive psychotherapy notes secure, whilst the ‘use and pay’ pricing model provides a scalable and cost-effective way for growing clinics.
User Ratings
Rated 4.2/5 from user reviews, users frequently like CharmHealth’s customizable patient management and streamlined documentation, yet a few reviewers note that customer support responsiveness can be slow.
Finding the right EHR for therapists and counselors means choosing the right and purpose-built for mental and behavioral health practices. Look for platforms that streamline treatment planning, note-taking, and progress tracking while keeping client histories organized and easy to access
Avoid general EHRs that demand extensive customization and focus on solutions built specifically for therapy practices. Look for features like therapy-specific templates, telehealth integration, secure messaging, and billing tools aligned with mental health services.
The ideal systems reduce administrative load, ensure HIPAA compliance, and allow therapists to focus on client care, improving both clinical outcomes and practice efficiency.
How To Choose The Best EHR for Therapists
Start by assessing your practice type and size, whether you’re a multi-provider counseling center, solo therapist, or an outpatient mental health clinic. Select an EHR that suits your day-to-day operations. Also look for treatment planning tools, therapy-specific note templates, and progress tracking for various session types, along with secure messaging and integrated telehealth to enhance ongoing client engagement.
Ensure the system supports mental health claims, billing codes, and superbills accurately while staying HIPAA-compliant. Features like care coordination, referral management, and long-term record-keeping are also essential. Prioritize training, usability, and scalable pricing to reduce administrative burden. Considering these factors will help you choose the best EHR for your therapy practice.
