Sessions Health 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.
Sessions Health 
TherapyNotes Rank
#7 of 41
Rank
#3 of 41
Features
15/18
Features
17/18
Starting at
$0/mo
Starting at
$69/mo
User reviews
4.6/5 (113)
User reviews
4.4/5 (1052)
What they cost
| Sessions Health | TherapyNotes | |
|---|---|---|
| Starting at | Free /mo | $69 /mo |
| Free trial | Free tier available | 30 days |
| Number of plans | 2 | 3 |
What the pricing really means
At first glance, Sessions Health looks cheaper at $0/month vs $69/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 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 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 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
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?
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.
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 | Sessions Health | 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 Sessions Health's 8.0/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Sessions Health is better if you need therapists who want a clean, modern ehr at $39/mo without the bloat of platforms built for hospital systems.
Sessions Health starts at $0/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.
Sessions Health: Free tier available. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Sessions Health 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, Sessions Health 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 Sessions Health if...
Therapists who want a clean, modern EHR at $39/mo without the bloat of platforms built for hospital systems.
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.