3 TherapyNotes Alternatives You Should Consider

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TherapyNotes is No. 1 in our ranking of the most popular mental health software options as measured by customers, users, and social presence.

People like its user interface, customer support, and workflow. And, starting at $59/month, it’s in the middle of the pack on pricing.

Mental health software helps mental and behavioral health providers offer the best care possible to their patients. Appointment scheduling, reminders, assessments, treatment plans, billing capability, and more allow therapists to focus less on their practice, and more on their patients.

TherapyNotes is a great choice, but it’s not for everyone. Some reviewers say they’d like to be able to personalize the notes and forms a little more. Others want intake to be more automated.

Let’s take a look at some core functions you should be looking at in your mental health software system and then explore how these three alternatives stack up against TherapyNotes, focusing on the most common capabilities.

This article looks at three TherapyNotes alternatives. See the full list of TherapyNotes alternatives here.

What should you look for in mental health software?

These are the core offerings of any good mental health software platform. We’ll be comparing products here by looking at these specific capabilities.

Patient portal with secure messaging

A patient portal with secure messaging facilitates instant and secure information transfer between providers and patients/clients.

Patient portals have become nearly ubiquitous among EHRs, in part because they’re incentivized under Meaningful Use. But they’re not all created equal. For instance some reviewers find TherapyNotes’ portal to be a bit threadbare.

Ideally, patients should be able to view their chart, treatment plan, diagnosis, appointment history, vaccination records, lab results, and outstanding balances in the portal. In addition, patients should be able to request refills and contact your practice directly through the portal.

Online appointment booking

Most mental health software now offers integrated scheduling tools that connect directly to your practice calendar. This is an absolute must-have, unless you’re using separate medical practice management software. For the most part, TherapyNotes shines here, according to reviews.

Solid customer support

Poor support can leave you with a system that’s poorly set up, hard to use, or malfunctioning for weeks while you wait for a reply from support. User reviews for software consistently mention the support and training.

Look for mental health software with an efficient onboarding process and responsive customer support. As we mentioned above, TherapyNotes has excellent customer support.

Intuitive user interface (UI)

A hard-to-use, hard-to-learn system is going to be less helpful than one that’s easy to learn and use. TherapyNotes also has high marks in this area, with a UI that’s reportedly easy-to-navigate.

3 TherapyNotes Alternatives

Now that we’ve covered what to look for, we’ll compare three alternatives to TherapyNotes. The first two, Kareo and SimplePractice, are the two most-reviewed platforms in our mental health software directory.

The third, WeCounsel, is a telemedicine platform. I’ve included it here because I feel it’s important that providers to look into expanding their practices to offer telemedicine.

1. Kareo


TherapyNotes might be the most popular, but Kareo is no slouch; its EHR claims 35,000 users. Mental health providers can take advantage of a full-featured, cloud-based EHR aimed at mental health practices.

One thing Kareo has on the other alternatives is medical billing software functionality. You can use the software to verify insurance eligibility, send e-claims, receive e-insurance payments, manage collections, store documents online, and print custom reports.

Kareo also offers a patient portal with secure messaging and online appointment booking.


Customer service is Capterra reviewers‘ biggest complaint about Kareo. One writes that Kareo provided the “worst customer service I have experienced,” which is pretty representative of other unhappy customers, as well.

Webinars, in-person support, and remote live support are available during business hours.


Users are fairly happy with Kareo’s user interface, as well as its training and onboarding. One reviewer writes that Kareo “provides beautiful EHR templates for charting,” and “scheduling in the EHR is easy to use.”


Starts at $74.50/month/user.

2. SimplePractice


SimplePractice is web-based practice management software intended for behavioral health providers and practices. Its medical billing features include credit card processing, CPT codes, and insurance e-filing. On the EHR side, it offers custom notes templates, ICD-10 auto-complete, CMS1500, and document storage.

With SimplePractice, your patients can log into a portal with secure messaging and book their appointments online. You can also use the system to send appointment reminders to patients via email, text, or phone call.


The consensus among Capterra reviewers is that SimplePractice’s customer support is solid, but they find it frustrating that you can’t speak to anyone on the phone.

One reviewer writes that they reached out to customer service on a number of occasions: “The instant chat worked great, someone responded right away and was very helpful. My emails were also answered in a prompt manner, however I wasn’t able to talk directly to anyone. It might’ve been easier to troubleshoot with someone over the phone.”

Users also say the user training and onboarding are high-quality. And free data migration is also a plus. During business hours, SimplePractice offers webinars, in-person support, and remote live support.


Overall, users like the way SimplePractice is laid out. There aren’t many complaints among reviewers about usability or the system being hard to learn. “The scheduling and paperless intakes are great,” one reviewer writes. “It is SO user friendly, once you get a good overview.”

However, there are a few complaints about billing being confusing and intake forms not working the way users wanted them to.


Starts at $35.00/month/user.

3. WeCounsel


WeCounsel is cloud-based practice management software. It allows mental health professionals to provide HIPAA-compliant telemedicine, and even share their screen with clients.

Practice management functionality includes online appointment scheduling and appointment reminders, along with online payment, insurance eligibility checks, and insurance claim submission.

On the EHR side, WeCounsel stores notes and documents about your clients, which you can share with any provider in your practice.


What keeps coming up in Capterra reviews are the great customer service and user onboarding and education WeCounsel provides. It offers daily provider training and will do a test call with you whenever you need one, in an effort to help you succeed with the software.


A lot of users complain that they couldn’t use WeCounsel without help from customer support due to bugs. However, most find support easy to get in touch with and helpful.


Starts at $24.99/month/user.

Next steps

There may not be any reason to stray from TherapyNotes—it’s popular for a reason. But, if you want to switch, Kareo, SimplePractice, and WeCounsel are all great options, depending on your needs and preferences.

If you’re considering experimenting with telemedicine—which I recommend—then WeCounsel is a good option. If not, Kareo is a fuller-featured option than SimplePractice, but SimplePractice’s friendly, competent, responsive customer support is worth its weight in gold when you need it.

To compare more mental health software options, check out our directory.

Looking for Medical Practice Management software? Check out Capterra's list of the best Medical Practice Management software solutions.

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About the Author


Cathy Reisenwitz

Cathy Reisenwitz is a former Capterra analyst.


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