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Head-to-head · Mental Health EHR Software

ICANotes vs TherapyNotes

  • Updated Oct 2026
  • Both researched from official sources
  • 2 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
TherapyNotes #5 in Mental Health EHR Software 8.5/10 30-day trial Free trial✓ 0 of 6 features Visit 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

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 ↗ 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
  • Behavioral health templates, treatment planning, and rating scales
  • Combines scheduling, portal, telehealth, billing, and claims
  • Prescribing plans include e-prescribing and medication management
  • 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
Cons
  • Prescribing plans cost substantially more than notes-only options
  • No mobile apps
  • Plan choices split by role, schedule, and prescribing needs
  • There is no free plan
  • Appointment reminders and card processing have separate usage fees
  • Premium Telehealth is an additional paid add-on
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 →
  1. ICANotesMental Health EHR Software 8.9Free plan · 30-day trial
  2. TherapyNotesMental Health EHR Software 8.530-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
  • 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

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update