TherapyNotes vs TheraSoft Online
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.
TherapyNotes 
TheraSoft Online Rank
#3 of 41
Rank
#34 of 41
Features
17/18
Features
16/18
Starting at
$69/mo
Starting at
$69/mo
User reviews
4.4/5 (1052)
User reviews
— (309)
What they cost
| TherapyNotes | TheraSoft Online | |
|---|---|---|
| Starting at | $69 /mo | $69 /mo |
| Free trial | 30 days | Free tier available |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, TheraSoft Online looks cheaper at $69/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 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 TheraSoft Online wins
- Insurance billing is genuinely thorough. Electronic claims, ERA/EOB processing, and eligibility checks all live in one place instead of three separate tools
- The ePrescribe tier includes EPCS for controlled substances, which most therapy-focused competitors do not offer at all
- Customer support gets personal. Multiple reviewers mention reps who walk them through setup one-on-one, not just a knowledge base link
- Free version available for therapists just starting out, so you can try it without commitment
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
Where TheraSoft Online falls short
- The interface feels corporate and dated. Navigation is not intuitive and takes real time to learn
- Frequent glitches reported by users, especially around billing and calendar sync, which is exactly where you cannot afford bugs
- No mobile app. If you want to check your schedule or respond to a client message from your phone, you are using a browser
- Pricing jumps sharply from $99 to $199 for ePrescribing, which is steep for a solo therapist
Who is each product built for?
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.
TheraSoft Online
Target: 1-15 therapists
Buy TheraSoft if you need full insurance billing with electronic claims and ePrescribing in one behavioral health platform. Skip it if you value a modern, glitch-free interface or need to manage your practice from your phone.
Feature comparison
| Feature | TherapyNotes | TheraSoft Online |
|---|---|---|
| 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 TheraSoft Online's 6.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. TheraSoft Online is better if you need behavioral health therapists in solo or small group practice who need insurance billing and clinical documentation in one system.
TherapyNotes starts at $69/month. TheraSoft Online starts at $69/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
TherapyNotes: Yes, 30-day free trial. TheraSoft Online: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
TherapyNotes covers 17 of 18 features we track. TheraSoft Online covers 16 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.
Yes, TherapyNotes has a mobile app. TheraSoft Online does not.
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 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.
Pick TheraSoft Online if...
Behavioral health therapists in solo or small group practice who need insurance billing and clinical documentation in one system