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Head-to-head · Mental Health Software

TherapyNotes vs PracticeQ

  • Updated Oct 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score TherapyNotes #2 in Mental Health Software 8.6/10 30-day trial Free trial✓ 1 of 6 features Visit TherapyNotes
PracticeQ #6 in Mental Health Software 7.6/10 14-day trial Free trial✓ 0 of 6 features Visit PracticeQ

TherapyNotes leads on 0 checks, PracticeQ on 0, and 2 are 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 scoreTherapyNotes · 8.6/10
  • Free trialboth
  • Most featuresTherapyNotes · 1 of 6

TherapyNotes scores higher on our rubric for mental health software: 8.6 against 7.6 out of 10; our editors rank them #2 and #6.

TherapyNotes is the better fit for established therapy practices wanting mobile access. PracticeQ is the better fit for small practices needing claims and broad integrations.

  • TherapyNotes fits best

    Established therapy practices wanting mobile access

  • PracticeQ fits best

    Small practices needing claims and broad integrations

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 TherapyNotes 8.6/10 Visit ↗ PracticeQ 7.6/10 Visit ↗
At a glance
Editor score 8.6 7.6
Ranking #2 in Mental Health Software #6 in Mental Health Software
Best for Established therapy practices wanting mobile access Small practices needing claims and broad integrations
Pricing model Paid Paid
Starting price — $59.90/mo
Free plan — —
Free trial 30 days 14 days
Free trial length 30 days 14 days · no card needed
Deployment Cloud, Mobile Cloud
Platforms Web, iOS, Android Web
Support Phone, Email · 24/7 Email, Phone, Docs
Compliance HIPAA, 2FA HIPAA, 2FA
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market
Features TherapyNotes 1/6 · PracticeQ 0/6
Telehealth sessions ✓ (best) Not checked yet
Clinical notes Not checked yet Not checked yet
Patient portal Not checked yet Not checked yet
Appointment scheduling Not checked yet Not checked yet
Billing and claims Not checked yet Not checked yet
HIPAA features Not checked yet Not checked yet
Specs
Mobile apps Not checked yet Not checked yet
Our review
Pros
  • Combines scheduling, clinical notes, payments, and insurance billing
  • Client portal supports forms, appointment changes, and telehealth
  • Web and mobile access, with phone and email support 24/7
  • Combines scheduling, EHR charting, notes, billing, claims, and telehealth
  • Supports secure messaging, online intake, reminders, and patient portals
  • Connects with Trizetto, Office Ally, Zoom, Google Calendar, Zapier, and more
Cons
  • Appointment reminders and card processing have separate usage fees
  • Premium Telehealth is an optional add-on
  • Solo plan is a single-user subscription
  • No permanent free plan; paid plans start at $59.90 monthly
  • Each plan includes one free practitioner/admin account
  • Cloud deployment may not suit teams requiring on-premises hosting
Our verdict

TherapyNotes brings practice management and electronic health records together for behavioral health providers, from solo practitioners to group practices. Its core workflow covers recurring and one-time appointments, clinical…

Read the review →

PracticeQ is a cloud-based practice management and EHR platform for physical and occupational therapy clinics. Its feature set covers appointment scheduling, online booking, automated reminders, patient records, customizable charting,…

Read the review →
  1. TherapyNotesMental Health Software 8.630-day trial
  2. PracticeQMental Health Software 7.614-day trial

Strengths and trade-offs

  • TherapyNotes — where it wins

    • Combines scheduling, clinical notes, payments, and insurance billing
    • Client portal supports forms, appointment changes, and telehealth
    • Web and mobile access, with phone and email support 24/7

    Where it doesn't

    • Appointment reminders and card processing have separate usage fees
    • Premium Telehealth is an optional add-on
    • Solo plan is a single-user subscription
  • PracticeQ — where it wins

    • Combines scheduling, EHR charting, notes, billing, claims, and telehealth
    • Supports secure messaging, online intake, reminders, and patient portals
    • Connects with Trizetto, Office Ally, Zoom, Google Calendar, Zapier, and more

    Where it doesn't

    • No permanent free plan; paid plans start at $59.90 monthly
    • Each plan includes one free practitioner/admin account
    • Cloud deployment may not suit teams requiring on-premises hosting

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update