The Best Mental Health EHR Software in 2026
We researched mental health EHR software using official vendor websites, including pricing pages, plan tables and product documentation. Rankings focus on each product’s core clinical-record job, value for money and verified features relevant to mental health practices. Compare options for documentation, prescribing and practice workflows.
Our top picks
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Top ranked
ICANotes#1 of 218.9/10Broad behavioral health workflows, with plans from $25 per user monthly.
Free plan · 30-day trial
-
Runner-up
EHR Your Way#2 of 218.8/10Behavioral-health documentation and assessments with billing, telehealth, and data exchange.
Pricing on request
-
Top-ranked free plan
Sessions Health#7 of 218.3/10A web-based mental health EHR with a free three-client plan and a $39 monthly tier.
Free plan · 30-day trial
Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.
The full ranking 21 tools, best first
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Best forBehavioral health clinicians needing broad EHR workflows
Broad behavioral health workflows, with plans from $25 per user monthly.
- Client portal
Free plan · 30-day trial Our ICANotes verdict → Visit ICANotesFor vendors Sponsor this spot · #1 · $149/mo →8.9/10★★★★☆Visit ICANotes -
Best forPractices needing detailed clinical and interoperability
Behavioral-health documentation and assessments with billing, telehealth, and data exchange.
- Telehealth included
- E-prescribing
- Insurance billing
8.8/10★★★★☆Visit EHR Your Way -
Best forPractices wanting mobile access and connected workflows
A behavioral health EHR connecting clinical workflows, telehealth, claims and patient engagement.
- Client portal
8.7/10★★★★☆Visit Valant -
Best forMid-size and enterprise behavioral-health providers
A configurable EHR for behavioral-health agencies coordinating services, outcomes, and billing.
8.6/10★★★★☆Visit Foothold -
Best forPractices wanting a mature, full-featured practice EHR
A full-featured behavioral health EHR for solo clinicians and group practices.
8.5/10★★★★☆Visit TherapyNotes -
Best forSolo and small practices handling claims and telehealth
A counseling practice suite with claims and telehealth, priced for solo and small practices.
- Client portal
8.4/10★★★★☆Visit CounSol -
Best forSolo practitioners seeking a free starting plan
A web-based mental health EHR with a free three-client plan and a $39 monthly tier.
8.3/10★★★★☆Try Sessions Health -
Best forSmall practices needing mobile scheduling and intake
A mobile-friendly practice platform with scheduling, portal intake, telehealth, and billing tools.
8.2/10★★★★☆Visit SimplePractice -
Best forKipu EMR users needing dedicated revenue-cycle operations
Dedicated behavioral health billing operations that connect with Kipu EMR.
8.0/10★★★★☆Visit Kipu RCM -
Best forEnterprise behavioral-health organizations with complex care
An enterprise behavioral health EHR spanning clinical, financial, and residential workflows.
7.9/10★★★★☆Visit SmartCare -
Best forLarger providers needing templates and medication workflows
A broad behavioral health EHR for organizations with complex documentation and medication workflows.
- E-prescribing
- Mental health templates
- Client portal
7.8/10★★★★☆Contact Juno Health -
Best forSmall therapy practices seeking low-cost core workflows
Core therapy workflows start at $29 per therapist monthly, with billing tools in higher tiers.
- Telehealth included
- Insurance billing
- Mental health templates
7.7/10★★★★☆Visit TheraNest -
Best forPsychiatry practices needing specialized mobile workflows
A psychiatry-focused EHR combining clinical, patient, telehealth, and billing workflows.
- Mobile app
- Telehealth included
- E-prescribing
7.6/10★★★★☆Visit Osmind -
Best forMid-size and enterprise teams needing mobile EHR access
A broad behavioral-health EHR with mobile offline access, telehealth, billing, and reporting.
7.5/10★★★★☆Visit Welligent -
Best forTeams that value mobile notes and AI review
ThinkHealth combines behavioral health practice workflows with offline mobile note entry.
- Mobile app
- Insurance billing
- Client portal
7.4/10★★★★☆Visit ThinkHealth -
Best forBehavioral-health organizations needing end-to-end workflows
A cloud EHR and practice-management system spanning care, administration, and billing.
- Telehealth included
- E-prescribing
- Insurance billing
7.3/10★★★★☆Visit Behave Health -
Best forSolo therapists with light session volumes
A low-cost starting point for solo therapists who need scheduling, notes, and claims.
7.2/10★★★★☆Visit site -
Best forSmall practices prioritizing scheduling and revenue
A modular outpatient EHR that puts scheduling, patient access, and revenue workflows together.
7.1/10★★★★☆Visit NovoClinical -
Best forPractices seeking automated or managed claims operations
End-to-end claims operations and analytics within eCareHealth’s cloud platform.
6.8/10★★★☆☆Visit eCareHealth -
Best forBuyers evaluating a cloud behavioral-health platform
Cloud behavioral-health platform for mid-market and enterprise provider organizations.
6.1/10★★★☆☆Visit Sunwave -
Best forOphthalmology, optometry, and optical workflows
An eye-care EHR for ophthalmology and optometry, not mental-health practices.
6.0/10★★★☆☆Visit eClinicalWorks
No tools match those filters.
Compare at a glance
| # | Tool | Free plan | Paid from | Score |
|---|---|---|---|---|
| 1 | ICANotes | Yes | $25/user/mo | 8.9 |
| 2 | EHR Your Way | 8.8 | ||
| 3 | Valant | 8.7 | ||
| 4 | Foothold AWARDS | 8.6 | ||
| 5 | TherapyNotes | No | 8.5 | |
| 6 | CounSol | No | $69.95/mo | 8.4 |
| 7 | Sessions Health | Yes | $39/user/mo | 8.3 |
| 8 | SimplePractice | No | $49/mo | 8.2 |
| 9 | Kipu RCM | 8.0 | ||
| 10 | SmartCare | 7.9 | ||
| 11 | Juno EHR for Behavioral Health | 7.8 | ||
| 12 | TheraNest | No | $29/user/mo | 7.7 |
| 13 | Osmind | 7.6 | ||
| 14 | Welligent | No | 7.5 | |
| 15 | ThinkHealth | No | 7.4 | |
| 16 | Behave Health | 7.3 | ||
| 17 | TherapyAppointment | No | $10/mo | 7.2 |
| 18 | NovoClinical | No | 7.1 | |
| 19 | eCareHealth Revenue Cycle Management | No | 6.8 | |
| 20 | Sunwave | 6.1 | ||
| 21 | eClinicalWorks Vision | 6.0 |
Head-to-head All 22 comparisons →
- ICANotes vs EHR Your Way
- ICANotes vs Valant
- ICANotes vs Foothold AWARDS
- ICANotes vs TherapyNotes
- ICANotes vs CounSol
- ICANotes vs Sessions Health
- ICANotes vs SimplePractice
- EHR Your Way vs Valant
- EHR Your Way vs Foothold AWARDS
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How we rank mental health EHR software
Every tool on this page was researched by iTechGuides Editors from its official website — pricing pages, plan tables and product documentation. We rank on how well each one does this category's core job, what the free or entry plan includes, and where it falls short. Where we have enough verified facts, the score out of 10 is a rubric — job fit, value and how much we could verify — shown with its breakdown on every tool's page; a tool we have not verified enough to score yet shows its rank without a number. Scores are re-checked when a product changes its plans. Read the full editorial policy, or submit a tool we missed.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update