ICANotes vs Sessions Health
Sessions Health scores 8.0/10 vs 6.5/10. Best for: Therapists who want a clean, modern EHR at $39/mo without the bloat of platforms built for hospital systems.
Sessions Health scores higher overall at 8.0/10 vs 6.5/10. Buy Sessions Health if you want the cleanest interface in the category at the lowest price and your reviews confirm that matters to you. Skip if you need a native mobile app or e-prescribing.
ICANotes 
Sessions Health Rank
#37 of 41
Rank
#7 of 41
Features
16/18
Features
15/18
Starting at
$35/mo
Starting at
$0/mo
User reviews
3.8/5 (130)
User reviews
4.6/5 (113)
What they cost
| ICANotes | Sessions Health | |
|---|---|---|
| Starting at | $35 /mo | Free /mo |
| Free trial | 0 days | Free tier available |
| Number of plans | 5 | 2 |
What the pricing really means
At first glance, Sessions Health looks cheaper at $0/month vs $35/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where ICANotes wins
- Point-and-click note builder genuinely reduces documentation to 2-3 minutes per session, which users consistently confirm in reviews
- Over 100 built-in clinical assessments with automatic scoring and trend tracking tied directly to treatment plans
- E-prescribing with EPCS and lab integration on the Prescribing plan, so psychiatrists can handle everything in one system
- Part-time pricing starts at $35/mo for clinicians with lighter caseloads, which is rare in behavioral health EHRs
Where Sessions Health wins
- Free tier with up to 3 active clients lets you test the entire platform with real workflows before paying anything
- Capterra rating of 4.9 across 113 reviews is the highest in the behavioral health EHR category, with 98% positive sentiment
- Customer support gets constant praise in reviews for fast responses and actually listening to feature requests
- At $39/mo for the first practitioner and $29/mo for each additional, it undercuts SimplePractice and TherapyNotes significantly
- Unlimited admin staff included at no extra charge, which matters for growing group practices
Where ICANotes falls short
- Interface looks like it was built in the 1990s and has not had a visual refresh, which multiple Capterra reviewers call out
- No native mobile app, so mobile access requires Microsoft Remote Desktop or a browser, which is clunky
- Telehealth is a $10/mo per user add-on, not included, and the $99 activation fee on prescribing plans adds up
- Appointment scheduler is reported as slow by multiple reviewers, with lag when booking or rearranging sessions
Where Sessions Health falls short
- No native mobile app, so you are using a browser on your phone which is workable but not ideal between sessions
- Telehealth is a $10/mo add-on per practitioner, while competitors like Blueprint include it in the base price
- No e-prescribing support, so psychiatrists or prescribers need a separate tool
- Smaller review count (113) compared to SimplePractice (2,900+) means less community knowledge and fewer third-party guides
Who is each product built for?
ICANotes
Target: 1-30 clinicians
Buy ICANotes if speed of documentation is your top priority and you will trade a modern interface for 3-minute progress notes. Skip if you care about design, need a mobile app, or want telehealth included.
Sessions Health
Target: 1-10 clinicians
Buy Sessions Health if you want the cleanest interface in the category at the lowest price and your reviews confirm that matters to you. Skip if you need a native mobile app or e-prescribing.
Feature comparison
| Feature | ICANotes | Sessions Health |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Sessions Health scores 8.0/10 vs ICANotes's 6.5/10 in our ranking. Sessions Health is the better pick for 1-10 clinicians. ICANotes is better if you need behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
ICANotes starts at $35/month. Sessions Health starts at $0/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
ICANotes: No free trial. Sessions Health: Free tier available. Always test with your actual workflow before committing to an annual plan.
ICANotes covers 16 of 18 features we track. Sessions Health covers 15 of 18. ICANotes has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, ICANotes does not have a mobile app. Sessions Health does not have one either.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick ICANotes if...
Behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
Pick Sessions Health if...
Therapists who want a clean, modern EHR at $39/mo without the bloat of platforms built for hospital systems.