OptiMantra vs TherapyNotes
TherapyNotes scores 8.2/10 vs 8.0/10. Best for: Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.
TherapyNotes scores higher overall at 8.2/10 vs 8.0/10. Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
OptiMantra 
TherapyNotes Rank
#6 of 41
Rank
#3 of 41
Features
15/18
Features
17/18
Starting at
$99/mo
Starting at
$69/mo
User reviews
4.9/5 (96)
User reviews
4.4/5 (1052)
What they cost
| OptiMantra | TherapyNotes | |
|---|---|---|
| Starting at | $99 /mo | $69 /mo |
| Free trial | 0 days | 30 days |
| Number of plans | 1 | 3 |
What the pricing really means
At first glance, TherapyNotes looks cheaper at $69/month vs $99/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 OptiMantra wins
- Purpose-built charting for integrative modalities. Acupuncture point charts, supplement databases with 100,000+ items, custom compounding formulas, and IV protocol templates all come out of the box
- Inventory tracking handles supplement lot numbers, expiration dates, and quantities. If you sell supplements from your office, this actually tracks it properly
- 4.8 on Capterra and 4.9 on G2. Small review count but nearly perfect scores from practitioners who match the target market
- Student, part-time, and community clinic discounts (20-50% off) make it accessible if you are just starting a practice
- ePrescribing with EPCS for controlled substances is included as an add-on ($38/month), not a separate product
Where TherapyNotes wins
- Purpose-built for behavioral health notes with structured templates that match how therapists actually document, not generic medical forms bolted on
- Insurance billing and ERA posting are genuinely good, with electronic claim submission and automated payment reconciliation
- E-prescribing with EPCS included in the base price, so psychiatrists do not need a separate add-on
- Capterra 4.7 with nearly 1,000 reviews is one of the highest satisfaction scores in the category
Where OptiMantra falls short
- $99/month starting price is higher than therapy-focused competitors. If you are a solo talk therapist, you are paying for modality features you will never touch
- No free trial. You have to commit to paying before you can test it with real patients
- The interface has a real learning curve. Multiple reviewers say it is not intuitive and takes weeks of support calls to get comfortable
- Setup and data migration can cost $1,000-$10,000+ depending on practice complexity. That is a significant upfront investment on top of the monthly fee
Where TherapyNotes falls short
- No open API, so you cannot connect to tools they have not pre-built integrations for
- Per-text reminder charges of $0.14 each add up fast if you send confirmations and follow-ups to every client
- Premium telehealth is a $15/clinician/mo add-on on top of the base price, while competitors include it
- Mobile app only launched January 2026 and is still maturing compared to SimplePractice's years-old app
Who is each product built for?
OptiMantra
Target: 1-15 practitioners
Buy OptiMantra if you practice integrative, functional, or multi-modality medicine and need charting templates for acupuncture, supplements, and compounding alongside standard scheduling and billing. Skip it if you are a talk therapist who just needs notes and insurance claims, because you will be paying for features you never use.
TherapyNotes
Target: 1-50 clinicians
Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
Feature comparison
| Feature | OptiMantra | TherapyNotes |
|---|---|---|
| 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
TherapyNotes scores 8.2/10 vs OptiMantra's 8.0/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. OptiMantra is better if you need integrative and functional medicine practitioners who need charting templates for acupuncture, naturopathy, and supplement protocols in the same system as their scheduling and billing.
OptiMantra starts at $99/month. TherapyNotes starts at $69/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
OptiMantra: No free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
OptiMantra covers 15 of 18 features we track. TherapyNotes covers 17 of 18. TherapyNotes has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, OptiMantra does not have a mobile app. TherapyNotes does have one.
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 OptiMantra if...
Integrative and functional medicine practitioners who need charting templates for acupuncture, naturopathy, and supplement protocols in the same system as their scheduling and billing
Pick TherapyNotes if...
Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.