TherapyNotes vs Upheal
TherapyNotes scores 8.2/10 vs 7.5/10. 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 7.5/10. 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 
Upheal Rank
#3 of 41
Rank
#14 of 41
Features
17/18
Features
12/18
Starting at
$69/mo
Starting at
$0/mo
User reviews
4.4/5 (1052)
User reviews
— (66)
What they cost
| TherapyNotes | Upheal | |
|---|---|---|
| Starting at | $69 /mo | Free /mo |
| Free trial | 30 days | Free tier available |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, Upheal 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 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 Upheal wins
- The AI notes actually work. It listens to your session (or reads your uploaded recording) and drafts a SOAP, DAP, GIRP, or BIRP note that you edit in minutes instead of writing from scratch
- Pay-per-session pricing capped at $69/month means you only pay for what you use. A therapist seeing 15 clients a week maxes out at $69, not $150
- Free tier lets you try AI notes from text summaries and uploaded recordings without paying anything
- 30-day free trial of Premium with no credit card. You can test AI notes on real sessions before committing
- Session analytics show speech patterns and sentiment data, which gives you a different angle on client progress
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 Upheal falls short
- No insurance billing at all right now. If you take insurance, you need a separate billing tool. Insurance billing is on the roadmap for Q2 2026 but not shipped yet
- Very new product with minimal reviews on G2 and Capterra. You are an early adopter, with the risks that come with that
- No secure messaging feature. You cannot communicate with clients through the platform between sessions
- Group practice features are missing. This is built for solo therapists right now
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.
Upheal
Target: 1-10 clinicians
Buy Upheal if you are a solo therapist spending hours on session notes and want AI to draft them from the actual conversation. The $1-per-session model is fair and the cap at $69 keeps costs predictable. Skip it if you bill insurance or run a group practice, because those features do not exist yet.
Feature comparison
| Feature | TherapyNotes | Upheal |
|---|---|---|
| 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 Upheal's 7.5/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Upheal is better if you need therapists who spend too many evenings writing session notes and want ai to draft soap/dap notes from the actual session, not a template.
TherapyNotes starts at $69/month. Upheal starts at $0/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. Upheal: 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. Upheal covers 12 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. Upheal 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 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 Upheal if...
Therapists who spend too many evenings writing session notes and want AI to draft SOAP/DAP notes from the actual session, not a template