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May 12, 2025
Selecting the right Electronic Health Records (EHR) system is an important decision for mental health professionals.
The ideal platform streamlines administrative tasks, simplifies documentation, ensures compliance, and ultimately allows therapists to focus more on client care and less on paperwork. This comprehensive guide examines the top EHR options for therapists in 2025, highlighting their strengths, limitations, and pricing to help you make an informed decision.
Pricing and information are relevant as of May 6, 2025.
What to Look for in Therapy EHR Software
Before diving into specific recommendations, it's important to understand the key features that make an EHR system valuable for mental health practices:
HIPAA compliance and security: Protecting client information is required and non-negotiable
Intuitive documentation tools: Progress notes, treatment plans, and assessment capabilities
Efficient scheduling and reminders: Reducing no-shows and managing your calendar
Billing and insurance management: Streamlining claims and payment processing
Telehealth integration: Supporting virtual sessions with reliable video capabilities
Client portal functionality: Enabling secure messaging and document sharing
Customization options: Adapting to your specific therapeutic approach
Mobile accessibility: Managing your practice on the go
Our Top EHR Picks for 2025
Best Overall: TherapyNotes
TherapyNotes has consistently earned its reputation as the gold standard for mental health EHR systems, and in 2025, it continues to lead the pack.
Pros
Exceptionally intuitive interface with minimal learning curve
Comprehensive note templates specifically designed for mental health
Robust scheduling system with automatic appointment reminders
Integrated billing with excellent insurance claim processing
Reliable customer support with quick response times
Cons
Limited customization for documentation templates
Higher price point for solo practitioners
No native mobile app (though a mobile-responsive website)
Cost
TherapyNotes starts at $59/month for solo practitioners, with additional costs of $30/month per clinician for group practices. They offer a 30-day free trial for new users.
Overview
TherapyNotes excels by focusing specifically on mental health practitioners' needs. The platform's clean design and purpose-built features make daily tasks remarkably efficient.
For established practices looking for a reliable, all-in-one solution, TherapyNotes delivers exceptional value despite its higher price point.
Most Affordable: TherapyAppointment
For therapists watching their budget while still needing comprehensive functionality, TherapyAppointment offers an impressive balance of features at a lower cost.
Pros
Budget-friendly pricing structure
Strong insurance billing capabilities
Unlimited document storage
Simple, clean user interface
Free training and setup assistance
Cons
Fewer customization options
Less robust reporting features
Occasional performance issues during peak usage times
Cost
TherapyAppointment uses a transparent, tiered pricing model based on the number of sessions booked each month.
30-Day Free Trial: All features are available free for the first 30 days.
$10/month: For up to 10 sessions per month.
$39/month: For 11 to 39 sessions per month.
$59/month: For 40 or more sessions per month (standard rate).
Group Practices: $59/month for the first provider, plus $39/month for each additional provider
Overview
TherapyAppointment provides excellent value for therapists seeking a straightforward, reliable system without premium pricing. While it may lack some advanced features found in higher-priced competitors, it covers all the essentials needed to run an efficient practice.
Most Comprehensive: SimplePractice
For therapists who want extensive features and customization options, SimplePractice continues to be the most comprehensive platform available in 2025.
Pros
Highly customizable documentation
Advanced client portal with intake forms and secure messaging
Superior telehealth integration
Comprehensive reporting and analytics
Excellent mobile app functionality
Cons
Steeper learning curve
Higher price point that reflects the platform’s extensive capabilities
Provides a robust suite of tools that may take time for new users to fully explore and leverage
Cost
SimplePractice Professional has 3 subscription options:
Starter: Starting at $49/month.
Essential: Starting at $79/month.
Plus: Starting at $99/month.
Additional clinicians are billed per user:
$74/month per clinician for 2–5 clinicians
$72/month per clinician for 6–15 clinicians
$69/month per clinician for 16+ clinicians
Overview
SimplePractice stands out for practices that need extensive customization and robust features. The platform's powerful functionality spans everything from detailed outcome measurements to advanced billing workflows. While the learning curve is steeper, the platform rewards users with exceptional efficiency once mastered.
Easiest to Use: Sessions Health
For therapists prioritizing simplicity and ease of use, Sessions Health offers a streamlined experience without sacrificing essential functionality.
Pros
Extremely intuitive interface requiring minimal training
Clean, distraction-free design
Quick note-taking templates
Excellent calendar management
Fast performance even on older devices
Cons
Fewer advanced features
Limited reporting capabilities
Less robust insurance billing tools
Cost
Sessions Health offers a simple pricing structure at $45/month for individual providers, with small group discounts available for practices with 3+ clinicians.
Overview
Sessions Health prioritizes user experience above all else. The platform excels at making day-to-day tasks straightforward and efficient, allowing therapists to focus on client care rather than navigating complex software. Ideal for solo practitioners or those less comfortable with technology.
Best for Telehealth: TheraPlatform
In 2025, telehealth remains crucial for many therapy practices, and TheraPlatform offers the most robust virtual care experience.
Pros
Outstanding HD video quality even with variable internet connections
Built-in interactive therapy tools and games
Screen sharing and collaborative whiteboard
Seamless transition between documentation and sessions
Excellent waiting room experience for clients
Cons
Higher cost compared to basic EHR systems
Some features have a learning curve
Occasionally resource-intensive on older computers
Cost
TheraPlatform offers three main subscription tiers, each designed to suit different practice needs. They also offer a 50% discount for the first 3 months.
Basic: $39/month (solo only)
Pro: $69/month (+$39/additional provider)
Pro Plus: $79/month (+$49/additional provider)
TheraPlatform offers a 30-day free trial with no credit card required.
Overview
TheraPlatform stands out for practices heavily invested in telehealth. Beyond just video sessions, it provides interactive tools designed specifically for virtual therapy engagement. For practices conducting the majority of their sessions remotely, TheraPlatform's specialized features justify its premium pricing.
Comparing EHR Features
When evaluating EHR options, consider how each platform performs in these essential areas:
Feature | TherapyNotes | TherapyAppointment | SimplePractice | Sessions Health | TheraPlatform |
Documentation | ★★★★☆ | ★★★☆☆ | ★★★★★ | ★★★★☆ | ★★★★☆ |
Scheduling | ★★★★★ | ★★★★☆ | ★★★★☆ | ★★★★☆ | ★★★☆☆ |
Billing | ★★★★★ | ★★★★☆ | ★★★★☆ | ★★★☆☆ | ★★★☆☆ |
Telehealth | ★★★☆☆ | ★★★☆☆ | ★★★★☆ | ★★★★☆ | ★★★★★ |
Client Portal | ★★★★☆ | ★★★☆☆ | ★★★★★ | ★★★☆☆ | ★★★★☆ |
Mobile Access | ★★★☆☆ | ★★★☆☆ | ★★★★★ | ★★★★☆ | ★★★☆☆ |
Customization | ★★★☆☆ | ★★☆☆☆ | ★★★★★ | ★★☆☆☆ | ★★★★☆ |
Ease of Use | ★★★★☆ | ★★★★☆ | ★★★☆☆ | ★★★★★ | ★★★☆☆ |
Other Noteworthy EHR Options
CounSol.com
CounSol.com continues to be a solid contender in the therapy EHR space, particularly for practices that need strong client engagement tools.
Pros
Comprehensive client portal functionality
Strong appointment reminder system
Unlimited document storage
Good value for smaller practices
Cons
Less intuitive interface
Limited customization options
Customer support response times can vary
Cost
CounSol.com has a tiered pricing system:
Standard $49.95
Standard Plus $59.95
Premium $64.95
Premium Plus $69.95
Free 14-day trial with no credit card required
Additional clinicians: $35–$45/month each, depending on plan
Practice Better
For therapists who incorporate nutritional counseling or wellness coaching into their practice, Practice Better offers specialized features not found in traditional mental health EHR systems.
Pros
Excellent client engagement tools
Resource library for sharing handouts and worksheets
Nutrition and lifestyle tracking capabilities
Group program management tools
Cons
Less focus on traditional therapy documentation
Limited insurance billing capabilities
Higher learning curve for traditional therapists
Cost
Practice Better offers a flexible, tiered pricing structure suitable for solo practitioners or group practices.
14-day free trial for any paid plan; 30-day free trial for the Team plan
Free plan for students and recent grads
Solo Starter: $25
Solo Profesional: $59
Plus (1 admin + up to 3 users) $89
Team (2 admin + up to 20 users) $145
Bottom Line
The best EHR system for your therapy practice depends on your specific needs, size, and priorities:
Solo practitioners with budget concerns should consider TherapyAppointment for its balance of affordability and functionality.
Established individual practices seeking comprehensive capabilities would benefit most from SimplePractice.
Technology-averse clinicians will appreciate Sessions Health's straightforward interface and minimal learning curve.
Telehealth-focused practices should invest in TheraPlatform's superior virtual session tools.
Group practices will find TherapyNotes' team management features invaluable for coordinating multiple providers.
Regardless of which platform you choose, take advantage of free trials to ensure the system fits your workflow before committing. The ideal EHR should integrate smoothly into your daily operations, enhancing efficiency and supporting quality care without introducing unnecessary complexity or disruption.