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Head-to-head · Mental Health EHR Software

ICANotes vs Sessions Health

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score ICANotes #1 in Mental Health EHR Software 8.9/10 Free plan · 30-day trial Free planFree trial✓ 1 of 6 features Visit ICANotes
Sessions Health #7 in Mental Health EHR Software 8.3/10 Free plan · 30-day trial Free planFree trial✓ 0 of 6 features Try 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

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.

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
  • Behavioral health templates, treatment planning, and rating scales
  • Combines scheduling, portal, telehealth, billing, and claims
  • Prescribing plans include e-prescribing and medication management
  • 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.
Cons
  • Prescribing plans cost substantially more than notes-only options
  • No mobile apps
  • Plan choices split by role, schedule, and prescribing needs
  • 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.
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 →
  1. ICANotesMental Health EHR Software 8.9Free plan · 30-day trial
  2. Sessions HealthMental Health EHR Software 8.3Free plan · 30-day trial

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.

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update