ICANotes vs TherapyAppointment
TherapyAppointment scores 6.8/10 vs 6.5/10. Best for: Solo therapists or small practices that want straightforward scheduling and billing without paying for features they will never use.
TherapyAppointment scores higher overall at 6.8/10 vs 6.5/10. Buy TherapyAppointment if you are a low-volume solo therapist who wants to start at $10/mo and grow into higher tiers naturally. Skip if you want a modern interface or need telehealth and claims included in the base price.
ICANotes 
TherapyAppointment Rank
#37 of 41
Rank
#33 of 41
Features
16/18
Features
16/18
Starting at
$35/mo
Starting at
$10/mo
User reviews
3.8/5 (130)
User reviews
3.8/5 (107)
What they cost
| ICANotes | TherapyAppointment | |
|---|---|---|
| Starting at | $35 /mo | $10 /mo |
| Free trial | 0 days | 30 days |
| Number of plans | 5 | 4 |
What the pricing really means
At first glance, TherapyAppointment looks cheaper at $10/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 TherapyAppointment wins
- Pricing starts at $10/mo and scales with your caseload, so you only pay more when you actually book more sessions
- 30-day free trial with full access to every feature, no credit card required upfront
- Built-in telehealth option at $15/mo per provider, or bring your own Zoom for Healthcare at $5/mo
- Been around since 2006, which means fewer surprise shutdowns or feature pivots compared to newer startups
- E-prescribing available for $65/mo per prescriber, keeping psychiatrists on the same platform
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 TherapyAppointment falls short
- Telehealth, e-prescribing, and claims are all paid add-ons, so costs stack up fast once you leave the base plan
- Capterra rating of 4.1 with 12% negative reviews points to real frustration, especially around interface design
- No open API, so you cannot connect it to tools like Zapier or your own automations
- Interface looks dated compared to newer competitors like Sessions Health or Blueprint
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.
TherapyAppointment
Target: 1-15 clinicians
Buy TherapyAppointment if you are a low-volume solo therapist who wants to start at $10/mo and grow into higher tiers naturally. Skip if you want a modern interface or need telehealth and claims included in the base price.
Feature comparison
| Feature | ICANotes | TherapyAppointment |
|---|---|---|
| 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
TherapyAppointment scores 6.8/10 vs ICANotes's 6.5/10 in our ranking. TherapyAppointment is the better pick for 1-15 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. TherapyAppointment starts at $10/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. TherapyAppointment: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
ICANotes covers 16 of 18 features we track. TherapyAppointment covers 16 of 18. Both are tied on 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. TherapyAppointment 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 TherapyAppointment if...
Solo therapists or small practices that want straightforward scheduling and billing without paying for features they will never use.