Best Mental Health Software (2026): Top 6 Compared

SimplePractice is a cloud practice management and EHR platform aimed at therapists and other private-practice clinicians. Its pricing page states that more than 20 million clients and 250,000 practitioners use the platform, a figure that is the vendor's own. The product covers the administrative cycle of a small practice: client intake, scheduling and reminders, notes and treatment plans, billing and insurance claims, and a client-facing portal.

The plans are tiered by feature set. All three solo plans list unlimited clients, Insurance Essentials, telehealth, online payments, progress notes, paperless intake documents, a client portal website and an EHR mobile app. Higher tiers add items such as integrated measurement-based care, online appointment requests, a template library, appointment reminders, calendar sync, customizable treatment plans, Wiley Treatment Planners and secure client messaging. Plus adds group appointments, group telehealth, a premium support phone line, an appointment request widget and the ability to add clinicians.

AI tools are sold separately. Care Aide bundles Note Taker, which drafts progress notes from recorded or dictated sessions, with Session Sidekick, a beta Treatment Planner and client summaries. Note Taker can also be bought alone. ePrescribe handles prescriptions and refills for prescribing clinicians, and an Insurance Navigator service, listed as coming soon, will charge per claim filed.

Group practices of six or more practitioners are routed to a sales consultant for custom pricing, onboarding and support.

TheraNest is the mental health EHR sold by Ensora Health, which also sells Fusion for rehabilitation therapy. Ensora's pricing page describes TheraNest as software built for therapists and states that every plan includes unlimited clients. The product covers scheduling, a secure client portal with documents, appointments and online payments, intake forms, clinical case management with ICD-10 tools, and appointment, clinical and billing reports.

Plan differences centre on intake, documentation and billing. The entry plan includes basic intake forms, scheduling, calendar sync, core reports and multi-factor authentication. Higher plans add custom intake forms, online booking for individual and group appointments, secure messaging, custom client, case and progress notes, group practice reports, insurance billing automation and Ensai notes enhancement, an AI tool for polishing progress notes.

Credentialing is the feature that most separates TheraNest from other self-serve products here. Ensora states that a specialist team prepares, submits and follows up on payer enrollments, with no commission taken from sessions. The pricing page lists one payer enrollment per therapist on one plan and two on another, each rising by one on annual billing.

Claims processing, eligibility checks and text or phone reminders include 50 free items per practice per month on lower plans, then $0.23 per claim, $0.25 per eligibility check and $0.10 per reminder; the Premier column lists these as unlimited, subject to a fair-usage policy. Revenue cycle management is available as a separately priced service.

ICANotes is a behavioral health EHR founded in 1999. Its homepage addresses psychiatrists, therapists, psychologists, social workers, nurse practitioners, group therapists and addiction specialists, in solo, group and integrated care practices, and states that more than 20,000 clinicians use it. The vendor lists ONC certification, HIPAA compliance and readiness for CARF and Joint Commission requirements.

Documentation is the product's main emphasis. ICANotes uses menu-driven templates for SOAP, BIRP, DAP, group, case management and discharge notes, and its homepage claims notes can be completed in under three minutes; that is the vendor's figure. The platform includes more than 100 clinical rating scales and an ambient AI scribe that drafts notes from sessions.

The plan ladder separates note-taking, practice management and prescribing. Notes Only provides pre-configured clinical templates for progress notes, treatment plans and assessments. Non-Prescribing adds scheduling with automated reminders, secure messaging, a client portal, billing tools for non-prescribing services and outcome reporting. Prescribing adds ePrescribing with integrated medication management and lab ordering and results. Each tier has a full-time and a part-time rate, and the part-time rates cap monthly notes.

Billing features listed on the homepage include insurance verification, electronic claims, auto-posted payments and claim scrubbing, with optional outsourced revenue cycle management. ICANotes also continues to sell its older Classic platform under separate pricing.

TherapyAppointment is a practice management and EHR platform for solo and group therapy practices, with separate offers for university counseling and training centers. Its site states that more than 40,000 practices use it, which is the vendor's own figure. The company prices on volume rather than features: every plan includes every feature, and the monthly fee depends on how many sessions a practice books.

Included features cover the core practice workflow. The pricing page lists free administrative accounts, free appointment reminders, a free secure client portal with unlimited messaging, automated intake with e-signatures, client self-scheduling, customizable calendar availability, support for multiple locations, two-way calendar sync with Google, iCal and Outlook, paperless assessments and progress notes, free SOAP and HIPAA templates, financial reporting, free ERA posting, problem-claim notifications and free live support. A free listing in its Therapist Finder directory is included.

The Group plan adds a payroll report summary, clinician matching by best fit and earliest availability, reports by clinician and location, custom staff access settings, clinical supervisor sign-off, custom claim settings per clinician, new-client triage and single sign-on at $5 per staff member per month.

Paid extras are mainly transactional. AI Notes drafts session notes, treatment plans and summaries per chart note, with unlimited free edits. Payments cost 2.9% plus 30 cents per transaction, and an integrated Zoom option costs $5 per month per provider plus the practice's own HIPAA-compliant Zoom licence. Non-profit and education pricing is by quote.

Sessions Health is a cloud EHR and practice management system for therapists, with features organised around solo practitioners, group practices and billers. Its site highlights insurance-based therapists, and the billing feature set reflects that focus. The pricing page states there are no long-term contracts and that core features are included in every plan.

Both plans share the same core: a HIPAA-compliant online EHR, payment processing and insurance billing, scheduling with calendar integration, custom forms and note templates, a secure client portal and unlimited document storage. Documentation features include a library of form templates, auto-scored assessments, treatment plans, questionnaires and the option to load content from a previous note.

Billing features listed for both plans include integrated card payments with stored methods and AutoPay, automated superbills, electronic claims with batch processing, ERAs, real-time eligibility reports, secondary claims, incident-to billing and out-of-network courtesy billing. The client portal handles paperless intake with e-signature, secure messaging and online scheduling, and supports minors, couples and conjoint clients. Scheduling covers two-way and one-way calendar sync, email and SMS reminders and client time-zone handling.

Telehealth is browser-based, supports up to four participants, and includes a waiting room, screen sharing and in-session chat. AI Assist adds AI notes generated from session summaries and from integrated telehealth sessions, with in-person scribing listed as coming soon. Claim fees fall from $0.25 to $0.19 as monthly volume passes 200, 500, 800 and 1,000 claims.

Valant is a behavioral health EHR that combines clinical documentation, practice management, patient engagement and revenue cycle management. Its homepage addresses psychiatry clinicians, psychiatric nurse practitioners, therapy clinicians, practice managers, owners and billers, across solo therapy and psychiatry practices, small and large groups, multi-practice or franchise organisations and billing agencies.

The product's range extends further than the self-serve tools on this page. Valant names outpatient programs and acute outpatient levels of care, including intensive outpatient programs and partial hospitalization programs, as settings it supports. Its clinical module lists documentation, AI Notes Assist, intake and assessment automation, ePrescribing, group therapy software, PDMP, treatment planning, eLabs, clinical reporting and telehealth.

Practice management covers billing, utilization review, scheduling, prospective patient management, integrated card processing, consent and intake forms, performance reporting, an integrated clearinghouse, eligibility checking, API management and Claim Assist. Patients use the MYIO portal for telehealth, online bill pay and communications. Valant also sells revenue cycle management as a service, staffed by a dedicated behavioral health billing team.

Pricing is quoted. The plans-and-pricing page explains that the number and type of licenses, practice size, specialty and add-ons determine the quote, and that a product specialist reviews options after a request. Practices comparing it with self-serve products should request a written quote covering add-ons and any implementation fees.