The Best Therapy Software in 2026
We researched therapy software using vendors’ official websites, including pricing pages, plan tables, and product documentation. Our rankings focus on the category’s core job, value for money, and verified features that help therapists and practices manage clinical and administrative work.
Our top picks
-
Top ranked
SimplePractice#1 of 158.9/10A broad EHR suite covering scheduling, telehealth, intake, payments, and insurance claims.
30-day trial
-
Runner-up
Zanda#2 of 158.9/10A broad practice toolkit with a $19 monthly entry plan and workflows for larger teams.
14-day trial
-
Top-ranked free plan
Sessions Health#3 of 158.8/10A free-to-start practice platform with scheduling, clinical records, payments and claims workflows.
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 15 tools, best first
-
Best forEstablished solo and small practices wanting a full suite
A broad EHR suite covering scheduling, telehealth, intake, payments, and insurance claims.
- Telehealth
8.9/10★★★★☆Visit SimplePractice -
Best forPractices needing broad integrations and flexible workflows
A broad practice toolkit with a $19 monthly entry plan and workflows for larger teams.
- Telehealth
8.9/10★★★★☆Visit Zanda -
Best forSolo clinicians seeking a free starting plan
A free-to-start practice platform with scheduling, clinical records, payments and claims workflows.
- Telehealth
Free plan · 30-day trial Our Sessions Health verdict → Try Sessions HealthFor vendors Sponsor this spot · #3 · $79/mo →8.8/10★★★★☆Try Sessions Health -
Best forSmall practices prioritizing booking and client workflows
A broad cloud workflow for small mental-health practices with paid plans and a 14-day trial.
- Telehealth
8.6/10★★★★☆Visit Owl Practice -
Best forGrowing practices needing mobile access and APIs
A broad behavioral-health EHR with telehealth, portal, claims, payments, and mobile access.
- Client portal
- Telehealth
8.5/10★★★★☆Visit Valant -
Best forPractices wanting broad workflows and phone support
A broad clinical workflow suite for practices that want scheduling, documentation, billing, and telehealth.
- Telehealth
8.4/10★★★★☆Visit TherapyNotes -
Best forClinicians wanting a free plan and mobile workflows
A mobile-friendly practice platform with a free plan and paid team workflows.
- Telehealth
8.3/10★★★★☆Visit Carepatron -
Best forLarger behavioral-health organizations with complex programs
A configurable behavioral-health EHR for multi-program organizations managing complex care workflows.
8.1/10★★★★☆Visit Foothold -
Best forBehavioral-health clinicians needing prescribing
A broad behavioral-health EHR with notes, telehealth, billing and prescribing options.
- Client portal
- Telehealth
7.9/10★★★★☆Visit ICANotes -
Best forSolo practices handling claims and ERA workflows
CounSol combines scheduling, client care, billing, and insurance workflows for small practices.
- Client portal
- Telehealth
7.5/10★★★★☆Visit CounSol -
Best forSmall practices needing teletherapy and insurance billing
Web-based therapy practice software combining telehealth, documentation, payments, and insurance claims.
- Client portal
- Telehealth
7.4/10★★★★☆Visit TheraPlatform -
Best forSolo clinicians with lower monthly session volumes
A web-based therapy practice platform with session-based solo pricing and telehealth as an add-on.
- Telehealth
7.3/10★★★★☆Visit site -
Best forGroup-focused practices needing claims and outcome tracking
A cloud behavioral-health EMR combining group-care workflows with revenue-cycle tools.
7.2/10★★★★☆Visit Ritten -
Best forLarger care organizations needing mobile documentation
A broad care platform for complex provider organizations, with AI-supported records and mobile documentation.
- Insurance billing
- Appointment reminders
- Mobile app
7.1/10★★★★☆Visit Core Solutions -
Best forBehavioral-health organizations focused on revenue-cycle
A behavioral-health RCM platform with deep billing automation and Kipu EMR connectivity.
6.4/10★★★☆☆Visit Kipu RCM
No tools match those filters.
Compare at a glance
| # | Tool | Free plan | Paid from | Telehealth | Score |
|---|---|---|---|---|---|
| 1 | SimplePractice | No | $49/mo | Yes | 8.9 |
| 2 | Zanda | No | $19/mo | Yes | 8.9 |
| 3 | Sessions Health | Yes | $39/user/mo | Yes | 8.8 |
| 4 | Owl Practice | No | Yes | 8.6 | |
| 5 | Valant | Yes | 8.5 | ||
| 6 | TherapyNotes | No | Yes | 8.4 | |
| 7 | Carepatron | Yes | $31/user/mo | Yes | 8.3 |
| 8 | Foothold AWARDS | 8.1 | |||
| 9 | ICANotes | Yes | $25/user/mo | Yes | 7.9 |
| 10 | CounSol | No | $69.95/mo | Yes | 7.5 |
| 11 | TheraPlatform | No | $39/mo | Yes | 7.4 |
| 12 | TherapyAppointment | No | $10/mo | Yes | 7.3 |
| 13 | Ritten | 7.2 | |||
| 14 | Cx360 | No | Yes | 7.1 | |
| 15 | Kipu RCM | 6.4 |
Head-to-head All 9 comparisons →
- SimplePractice vs Foothold AWARDS
- Zanda vs Owl Practice
- Zanda vs Valant
- Zanda vs Foothold AWARDS
- Owl Practice vs Valant
- Owl Practice vs Carepatron
- Owl Practice vs Foothold AWARDS
- Valant vs Carepatron
- Carepatron vs Foothold AWARDS
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How we rank therapy 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