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:

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.