TherapyAppointment vs TherapyNotes
TherapyNotes scores 8.2/10 vs 6.8/10. 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 6.8/10. 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.
TherapyAppointment 
TherapyNotes Rank
#33 of 41
Rank
#3 of 41
Features
17/18
Features
17/18
Starting at
$10/mo
Starting at
$69/mo
User reviews
3.8/5 (107)
User reviews
4.4/5 (1052)
What they cost
| TherapyAppointment | TherapyNotes | |
|---|---|---|
| Starting at | $10 /mo | $69 /mo |
| Free trial | 30 days | 30 days |
| Number of plans | 4 | 3 |
What the pricing really means
At first glance, TherapyAppointment looks cheaper at $10/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 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 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 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
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?
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.
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 | TherapyAppointment | 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 TherapyAppointment's 6.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. TherapyAppointment is better if you need solo therapists or small practices that want straightforward scheduling and billing without paying for features they will never use.
TherapyAppointment starts at $10/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.
TherapyAppointment: Yes, 30-day free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
TherapyAppointment covers 17 of 18 features we track. TherapyNotes covers 17 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.
Yes, TherapyAppointment has a mobile app. TherapyNotes does too.
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 TherapyAppointment if...
Solo therapists or small practices that want straightforward scheduling and billing without paying for features they will never use.
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.