The Best Therapy Notes Software in 2026
We researched therapy notes software using vendors’ official websites, including pricing pages, plan tables, and product documentation. The rankings focus on the category’s core job, value for money, and features that could be verified from those sources. Compare options for documenting therapy sessions, managing clinical records, and supporting behavioral health workflows.
Our top picks
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Top ranked
TherapyNotes#1 of 258.8/10A full-service therapy EHR for practices that need clinical and administrative workflows together.
30-day trial
-
Runner-up
SimplePractice#2 of 258.7/10Scheduling, telehealth, intake, payments, and claims in one paid practice platform.
30-day trial
-
Top-ranked free plan
ICANotes#4 of 258.4/10Deep behavioral-health documentation with scheduling, telehealth, claims, and prescribing options.
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 25 tools, best first
-
Best forPractices wanting a full-service therapy EHR
A full-service therapy EHR for practices that need clinical and administrative workflows together.
- Telehealth
8.8/10★★★★☆Visit TherapyNotes -
Best forSolo therapists managing appointments and billing
Scheduling, telehealth, intake, payments, and claims in one paid practice platform.
- Telehealth
8.7/10★★★★☆Visit SimplePractice -
Best forPractices needing flexible scheduling and billing
Therapy practice software that brings scheduling, clinical records, billing, and telehealth together.
- Client portal
- Telehealth
8.5/10★★★★☆Visit TheraNest -
Best forClinicians who want behavioral-health documentation depth
Deep behavioral-health documentation with scheduling, telehealth, claims, and prescribing options.
- Client portal
- Telehealth
Free plan · 30-day trial Our ICANotes verdict → Visit ICANotesFor vendors Sponsor this spot · #4 · $69/mo →8.4/10★★★★☆Visit ICANotes -
Best forGrowing behavioral-health organizations
A broad behavioral-health EHR with scheduling, telehealth, claims, payments, and patient engagement.
- Client portal
- Telehealth
8.2/10★★★★☆Visit Valant -
Best forSolo clinicians starting with a free EHR
A capable free starting point for solo clinicians, with paid telehealth and practice tools.
- Telehealth
8.1/10★★★★☆Try Sessions Health -
Best forSolo and small practices seeking an integrated workflow
CounSol brings notes, scheduling, billing and client communication into one workflow.
- Client portal
- Telehealth
8.0/10★★★★☆Visit CounSol -
Best forSmall practices prioritizing scheduling and client access
Scheduling, client access, notes, payments, and telehealth in one cloud-based system.
- Telehealth
7.9/10★★★★☆Visit Owl Practice -
Best forSmall practices managing notes, telehealth, and claims
A broad practice platform for small therapy practices that need notes, telehealth, and claims.
- Client portal
- Telehealth
7.8/10★★★★☆Visit TheraPlatform -
Best forPractices wanting a broad EHR with mobile apps
A broad mental health EHR with mobile apps, plus separately priced telehealth and e-prescribing.
- Treatment plans
- Note templates
- Client portal
7.7/10★★★★☆Try My Best Practice -
Best forClinicians seeking AI assistance with an EHR option
A free-core EHR with optional AI support, or AI tools alongside an existing EHR.
- Telehealth
7.6/10★★★★☆Visit Blueprint -
Best forOpioid treatment programs needing specialized workflows
Specialized OTP workflows combine dosing, reporting, billing, and patient records.
- Telehealth
7.4/10★★★★☆Visit CurerTech -
Best forClinicians seeking AI notes plus practice tools
AI documentation and practice management, with a free plan and usage-based pricing.
- Treatment plans
- Note templates
- Client portal
7.3/10★★★★☆Visit Upheal -
Best forSolo clinicians seeking low-cost core practice tools
Low-cost core EHR tools for solo clinicians, with paid add-ons for telehealth and billing.
- Telehealth
7.2/10★★★★☆Visit TheraPrac -
Best forPractices focused on AI documentation and claims
A cloud behavioral health EHR centered on audio-based notes and insurance workflows.
- Note templates
- Client portal
- Telehealth
7.1/10★★★★☆Visit FidelityNotes -
Best forTherapists who mainly need AI-generated notes
A focused AI documentation tool for therapists who want flexible notes and EHR autofill.
- Treatment plans
- Note templates
7.0/10★★★★☆Visit Supanote -
Best forClinicians wanting AI notes across EHRs
Structured AI notes and planning for clinicians who want documentation alongside their EHR.
6.9/10★★★☆☆Visit Mentalyc -
Best forClinicians needing note audits and coding suggestions
A documentation and audit tool for clinicians who want coding suggestions and EHR note transfer.
- Treatment plans
- Note templates
- Telehealth
6.8/10★★★☆☆Visit TasiPsych -
Best forSolo practices needing notes and client management
A focused practice-management EHR for solo clinicians, with plans from $40 per month.
- Client portal
6.7/10★★★☆☆Visit Sessionably -
Best forBudget-conscious clinicians focused on AI note drafting
A focused AI note-drafting tool with a free plan and optional clinical suggestions.
- Treatment plans
- Note templates
6.6/10★★★☆☆Visit TheraPro AI -
Best forOrganizations seeking AI charting and interoperability
AI charting and interoperability headline a behavioral health records platform with sales-led access.
- Note templates
- Client portal
6.5/10★★★☆☆Visit MindHQ -
Best forPractices prioritizing scheduling and revenue-cycle tools
A scheduling-led EHR with patient self-booking, telemedicine, billing, and RCM options.
6.4/10★★★☆☆Visit NovoClinical -
Best forSmall practices seeking a straightforward EHR
A cloud-based EHR bringing records, notes, scheduling, billing and telehealth into one system.
- Telehealth
6.3/10★★★☆☆Visit TherapyZen -
Best forWindows users wanting self-hosted treatment planning
A self-hosted Windows EHR centered on structured mental-health treatment planning.
- Treatment plans
- Note templates
6.2/10★★★☆☆Visit TheraScribe -
Best forSolo clinicians and small practices exploring EHR options
A cloud EHR option for small therapy practices, with limited public product detail.
6.0/10★★★☆☆Visit Note Designer
No tools match those filters.
Compare at a glance
| # | Tool | Free plan | Paid from | Telehealth | Score |
|---|---|---|---|---|---|
| 1 | TherapyNotes | No | Yes | 8.8 | |
| 2 | SimplePractice | No | $49/mo | Yes | 8.7 |
| 3 | TheraNest | No | $319/user/yr | Yes | 8.5 |
| 4 | ICANotes | Yes | $25/user/mo | Yes | 8.4 |
| 5 | Valant | Yes | 8.2 | ||
| 6 | Sessions Health | Yes | $39/user/mo | Yes | 8.1 |
| 7 | CounSol | No | $69.95/mo | Yes | 8.0 |
| 8 | Owl Practice | No | Yes | 7.9 | |
| 9 | TheraPlatform | No | $39/mo | Yes | 7.8 |
| 10 | My Best Practice | No | $19/user/mo | Yes | 7.7 |
| 11 | Blueprint | Yes | Yes | 7.6 | |
| 12 | CurerTech | Yes | 7.4 | ||
| 13 | Upheal | Yes | $39/mo | Yes | 7.3 |
| 14 | TheraPrac | No | $15/user/mo | Yes | 7.2 |
| 15 | FidelityNotes | No | Yes | 7.1 | |
| 16 | Supanote | No | 7.0 | ||
| 17 | Mentalyc | No | $14.99/user/mo | 6.9 | |
| 18 | TasiPsych | No | $79/user/mo | Yes | 6.8 |
| 19 | Sessionably | No | $432/yr | No | 6.7 |
| 20 | TheraPro AI | Yes | €19/user/mo | 6.6 | |
| 21 | MindHQ | 6.5 | |||
| 22 | NovoClinical | No | 6.4 | ||
| 23 | TherapyZen | No | Yes | 6.3 | |
| 24 | TheraScribe | No | $500 one-time | 6.2 | |
| 25 | Note Designer | 6.0 |
Head-to-head All 11 comparisons →
- TherapyNotes vs SimplePractice
- TherapyNotes vs Owl Practice
- SimplePractice vs TheraNest
- SimplePractice vs Owl Practice
- TheraNest vs ICANotes
- TheraNest vs Valant
- TheraNest vs CounSol
- TheraNest vs Owl Practice
- ICANotes vs Owl Practice
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How we rank therapy notes 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