Head-to-head · Mental Health EHR Software
ICANotes vs TherapyNotes
ICANotes leads on 1 check, TherapyNotes on 0, and 1 is even. Who comes out ahead on the 2 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
- Free planonly ICANotes
- Free trialboth
- Most featuresICANotes · 1 of 6
ICANotes scores higher on our rubric for mental health ehr software: 8.9 against 8.5 out of 10; our editors rank them #1 and #5.
ICANotes offers free plan; TherapyNotes doesn't.
ICANotes is the better fit for behavioral health clinicians needing broad EHR workflows. TherapyNotes is the better fit for practices wanting a mature, full-featured practice EHR.
- ICANotes fits best
Behavioral health clinicians needing broad EHR workflows
- TherapyNotes fits best
Practices wanting a mature, full-featured practice EHR
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Side by side
| Feature | ICANotes 8.9/10 Visit ↗ | TherapyNotes 8.5/10 Visit ↗ |
|---|---|---|
| At a glance | ||
| Editor score | 8.9 | 8.5 |
| Ranking | #1 in Mental Health EHR Software | #5 in Mental Health EHR Software |
| Best for | Behavioral health clinicians needing broad EHR workflows | Practices wanting a mature, full-featured practice EHR |
| Pricing model | Free plan + paid | Paid |
| Starting price | $25/user/mo | — |
| Free plan | ✓ (best) | — |
| Free trial | 30 days | 30 days |
| Free trial length | 30 days · no card needed | 30 days |
| Deployment | Cloud | Cloud, Mobile |
| Platforms | Web | Web, iOS, Android |
| Support | Email, Live chat, Phone, Tickets, Docs · 24/7 | Phone, Email · 24/7 |
| Compliance | HIPAA | HIPAA, 2FA |
| Built for | Solo, Small business, Mid-market, Enterprise | Solo, Small business, Mid-market, Enterprise |
| Features ICANotes 1/6 · TherapyNotes 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 → |
TherapyNotes brings practice management and electronic health records together for behavioral health providers, from solo practitioners to group practices. Its scope covers recurring and one-time appointments, clinical documentation,… 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
TherapyNotes — where it wins
- Combines scheduling, clinical notes, billing, and claims management
- Client portal supports intake forms and online appointment changes
- Includes basic telehealth, with mobile apps and 24/7 support
Where it doesn't
- There is no free plan
- Appointment reminders and card processing have separate usage fees
- Premium Telehealth is an additional paid add-on
- ICANotes8.9/10 · Free plan · 30-day trial
Broad behavioral health workflows, with plans from $25 per user monthly.
Visit ICANotesFull verdict → - TherapyNotes8.5/10 · 30-day trial
A full-featured behavioral health EHR for solo clinicians and group practices.
Visit TherapyNotesFull verdict →
More comparisons
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- EHR Your Way vs TherapyNotes
- Valant vs TherapyNotes
All mental health EHR software comparisons → · Full ranking →
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update







