Head-to-head · Mental Health EHR Software
ICANotes vs Sessions Health
ICANotes leads on 1 check, Sessions Health on 0, and 2 are even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.
Our verdict
- Highest scoreICANotes · 8.9/10
- Lowest starting priceICANotes · $25/user/mo
- Free planboth
- Free trialboth
- Most featuresICANotes · 1 of 6
ICANotes scores higher on our rubric for mental health ehr software: 8.9 against 8.3 out of 10; our editors rank them #1 and #7.
ICANotes is cheaper to start at $25/user/mo against $39/user/mo.
ICANotes is the better fit for behavioral health clinicians needing broad EHR workflows. Sessions Health is the better fit for solo practitioners seeking a free starting plan.
- ICANotes fits best
Behavioral health clinicians needing broad EHR workflows
- Sessions Health fits best
Solo practitioners seeking a free starting plan
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Side by side
| Feature | ICANotes 8.9/10 Visit ↗ | Sessions Health 8.3/10 Visit ↗ |
|---|---|---|
| At a glance | ||
| Editor score | 8.9 | 8.3 |
| Ranking | #1 in Mental Health EHR Software | #7 in Mental Health EHR Software |
| Best for | Behavioral health clinicians needing broad EHR workflows | Solo practitioners seeking a free starting plan |
| Pricing model | Free plan + paid | Free plan + paid |
| Starting price | $25/user/mo (best) | $39/user/mo |
| Free plan | ✓ | ✓ |
| Free trial | 30 days | 30 days |
| Free trial length | 30 days · no card needed | 30 days · no card needed |
| Deployment | Cloud | Cloud |
| Platforms | Web | Web |
| Support | Email, Live chat, Phone, Tickets, Docs · 24/7 | Email, Docs |
| Compliance | HIPAA | HIPAA, 2FA |
| Integrations | 4 integrations | 5 integrations |
| Built for | Solo, Small business, Mid-market, Enterprise | Solo, Small business, Mid-market |
| Features ICANotes 1/6 · Sessions Health 0/6 | ||
| Telehealth included | Not checked yet | Not checked yet |
| E-prescribing | Not checked yet | Not checked yet |
| Insurance billing | Not checked yet | Not checked yet |
| Client portal | ✓ (best) | Not checked yet |
| Mobile app | Not checked yet | Not checked yet |
| Mental health templates | Not checked yet | Not checked yet |
| Our review | ||
| Pros |
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| Cons |
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| Our verdict | ICANotes is a cloud-based EHR and practice-management platform for behavioral health professionals, including therapists, psychiatrists, social workers, and group practices. It brings clinical documentation, treatment planning, scheduling,… Read the review → |
Sessions Health brings EHR and practice-management tools together for mental health professionals, including solo practitioners and group practices. Its web-based workspace covers scheduling, client communication, documentation, billing,… Read the review → |
Strengths and trade-offs
ICANotes — where it wins
- Behavioral health templates, treatment planning, and rating scales
- Combines scheduling, portal, telehealth, billing, and claims
- Prescribing plans include e-prescribing and medication management
Where it doesn't
- Prescribing plans cost substantially more than notes-only options
- No mobile apps
- Plan choices split by role, schedule, and prescribing needs
Sessions Health — where it wins
- Free plan includes core EHR and practice-management features for one practitioner.
- Clinical notes, assessments, treatment plans, intake forms, and e-signatures.
- Scheduling, optional telehealth, payments, and insurance claim workflows.
Where it doesn't
- The free plan is limited to three clients.
- Professional costs $39 per month; each additional practitioner costs $29 monthly.
- Web-only platform; mobile access is through a browser, with no native app verified.
- ICANotes8.9/10 · Free plan · 30-day trial
Broad behavioral health workflows, with plans from $25 per user monthly.
Visit ICANotesFull verdict → - Sessions Health8.3/10 · Free plan · 30-day trial
A web-based mental health EHR with a free three-client plan and a $39 monthly tier.
Try Sessions HealthFull verdict →
More comparisons
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- ICANotes vs SimplePractice
- EHR Your Way vs Sessions Health
- Valant vs Sessions Health
All mental health EHR software comparisons → · Full ranking →
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update







