Therapy & mental health practices · Updated 2026-08-16
The best therapy practice management software in 2026
Therapists need software that stays out of the way: notes done before the next client arrives, telehealth that just works, and a portal that lets clients book and pay themselves. The market leaders differ more in philosophy — breadth vs rigor vs price — than in checklists. We compared the platforms practices actually run on, with indicative pricing and no paid placements.
The picks at a glance
| Software | Best for | Indicative pricing |
|---|
| SimplePractice | Solo and small-group practices that want everything in one place | tiered, from ~$49/month |
| TherapyNotes | Practices that prioritize structured documentation and billing | from ~$69/month for a solo clinician |
| TheraNest (Ensora Mental Health) | Growing groups with part-time clinicians | tiered by client count |
| Sessions Health | Solo therapists who want modern software at a low price | tiered plans |
| Jane | Multi-disciplinary clinics that include therapy services | from ~$54/month per practitioner |
Pricing is indicative, checked at the date above — plans change; always confirm with the vendor. We have no paid relationship with any editor listed here.
The contenders, in detail
1. SimplePractice
Pricing : tiered, from ~$49/month
Solo and small-group practices that want everything in one place
SimplePractice is the best-known platform for solo and small-group therapy practices: notes, telehealth, client portal, scheduling and billing in one subscription. Its breadth made it the default many therapists start with.
Strengths
- +Covers notes, telehealth, portal and billing in one subscription
- +Client portal and self-scheduling clients handle themselves
- +Large template library and knowledge base
Watch out for
- −Per-clinician cost climbs as the group grows
- −Support is mostly self-serve
2. TherapyNotes
Pricing : from ~$69/month for a solo clinician
Practices that prioritize structured documentation and billing
TherapyNotes is known for strong structured notes and reliable billing, with a loyal following among practices that value clinical rigor. It favors doing the core well over chasing every feature.
Strengths
- +Structured note templates that guide solid clinical documentation
- +Billing and claims handling with a strong reputation
- +Loyal user base and responsive support
Watch out for
- −Fewer customization options than rivals
- −Corners of the interface feel dated
3. TheraNest (Ensora Mental Health)
Pricing : tiered by client count
Growing groups with part-time clinicians
TheraNest — rebranded to Ensora Mental Health in 2025 by parent company Ensora Health (formerly Therapy Brands), though marketing has since reverted to the TheraNest name while support portals still say Ensora — prices by client count rather than per clinician, which suits growing group practices with part-time therapists. It covers notes, scheduling, billing and a client portal with room to add on.
Strengths
- +Client-count pricing can beat per-clinician models for groups
- +Covers notes, billing and portal for multi-therapist practices
- +Flexible roles for supervisors and interns
Watch out for
- −Interface is aging
- −Several capabilities arrive as paid add-ons
- −Branding is inconsistent since the Ensora rebrand — expect the product and support portal to use different names
4. Sessions Health
Pricing : tiered plans
Solo therapists who want modern software at a low price
Sessions Health is a modern, affordable EHR for therapists with clean notes, scheduling and a client portal. It deliberately keeps the product simple and the price low.
Strengths
- +Clean, modern note-taking and scheduling
- +Among the most affordable serious options
- +Simple enough to set up without help
Watch out for
- −Younger vendor than the established names
- −Lighter feature set — fewer bells, fewer whistles
5. Jane
Pricing : from ~$54/month per practitioner
Multi-disciplinary clinics that include therapy services
Jane is a multi-disciplinary clinic platform with a great user experience, popular where therapists share a clinic with other professions. Booking, charting, telehealth and payments feel consistently polished.
Strengths
- +Consistently excellent user experience
- +One platform across professions in a shared clinic
- +Online booking and payments clients use without friction
Watch out for
- −US insurance workflows require higher plans
- −Not therapy-specific — mental-health features are generic
Free shortlist
Not sure which one fits your business?
Tell us about your setup — we compare your case against the market and send you a personalised shortlist within 24 hours. Free, no sales call attached.
How to choose
01Progress notes and treatment plans
Note templates should match how you actually document — SOAP, DAP, free-form — and link to treatment plans without re-entry. Write a real session note in the trial before judging anything else.
02Telehealth built in
A session link inside the same tool as your calendar and notes beats juggling a separate video account. Check session quality, waiting rooms and whether telehealth costs extra on your plan.
03Client portal and self-scheduling
Every intake form typed for a client and every appointment booked by email is admin time you are not paid for. The portal should handle intake, scheduling, payments and secure messaging.
04Insurance claims vs private pay
If you bill insurance, claims submission, ERA posting and eligibility checks are core — TherapyNotes and SimplePractice are strong here. Private-pay practices can skip that machinery and pay less.
Frequently asked questions
Which platform should a solo therapist start with?
SimplePractice (tiered, from ~$49/month) is the common default for its breadth; TherapyNotes appeals when structured notes and billing rigor matter most; Sessions Health is the value pick for private-pay solos. Trial two before committing.
Are these platforms HIPAA compliant?
All five offer HIPAA-supporting infrastructure and sign business associate agreements. But HIPAA compliance remains the clinician’s responsibility regardless of tool — device security, access habits and disclosure policies are yours to manage.
Can I move my client records if I switch?
Demographics and appointment history import routinely; full clinical notes often export as PDFs rather than editable records. Before signing anywhere, confirm how you would export everything — the answer tells you a lot about the vendor.
Why did SimplePractice and TherapyNotes get so much more expensive?
Both raised prices within the last year — SimplePractice’s entry tier jumped roughly 69% in March 2025 with about a month’s notice, and TherapyNotes increased its solo-clinician price in December 2025. Neither is unique to this market, but budget for further increases and re-check the current published price before signing, since the figures on this page can go stale between updates.
Do any of these platforms offer AI note-taking now?
Yes — this shifted fast through 2025-2026. SimplePractice shipped an AI “Note Taker” feature, and Jane added a paid AI Scribe add-on (roughly $15/month on top of the base plan). Dedicated AI-scribe specialists outside this list are also emerging. If ambient note-taking matters to you, ask each vendor what’s included versus billed as an add-on — it is not yet standard across the board.