TherapyNotes vs Valant
TherapyNotes scores 8.2/10 vs 5.8/10. 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 5.8/10. 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 
Valant Rank
#3 of 41
Rank
#41 of 41
Features
17/18
Features
17/18
Starting at
$69/mo
Starting at
$100/mo
User reviews
4.4/5 (1052)
User reviews
3/5 (333)
What they cost
| TherapyNotes | Valant | |
|---|---|---|
| Starting at | $69 /mo | $100 /mo |
| Free trial | 30 days | No |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, TherapyNotes looks cheaper at $69/month vs $100/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 Valant wins
- 80+ built-in reportable outcome measures that auto-send, score, and graph over time, which is the deepest measurement-based care in the category
- E-prescribing with EPCS and PDMP integration included, so psychiatrists can prescribe controlled substances without a separate tool
- MYIO patient portal app for iOS and Android handles intake, payments, and appointment management from the client side
- Telehealth supports group sessions with up to 30 participants, screen sharing, and whiteboard, which is more than most competitors
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 Valant falls short
- G2 rating of 3.0/5 is among the lowest in the category, with complaints about navigation, glitches, and a steep learning curve
- No published pricing means you must contact sales for a quote, and reported costs of $100-300/mo make it one of the pricier options
- No free trial available, so you commit based on a demo rather than hands-on testing with your own workflows
- Multiple reviewers report that telehealth sessions drop or lag, and the patient portal setup is described as an administrative headache
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.
Valant
Target: 1-50 providers
Buy Valant if measurement-based care and psychiatry features like EPCS are non-negotiable for your practice. Skip if you want transparent pricing, a free trial, or reliable telehealth.
Feature comparison
| Feature | TherapyNotes | Valant |
|---|---|---|
| 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 Valant's 5.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Valant is better if you need behavioral health practices that need built-in measurement-based care with 80+ outcome scales and want to demonstrate treatment effectiveness to insurers.
TherapyNotes starts at $69/month. Valant starts at $100/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. Valant: No free trial. Always test with your actual workflow before committing to an annual plan.
TherapyNotes covers 17 of 18 features we track. Valant 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, TherapyNotes has a mobile app. Valant 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 Valant if...
Behavioral health practices that need built-in measurement-based care with 80+ outcome scales and want to demonstrate treatment effectiveness to insurers.