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TheraNest vs TherapyNotes

Dr. Claire Dave

A physician with over 10 years of clinical experience, she leads AI-driven care automation initiatives at S10.AI to streamline healthcare delivery.

TL;DR TheraNest vs. TherapyNotes? Our 2025 guide compares pricing, features, usability, and real user reviews to help you choose the best mental health EHR. Discover which is right for your practice and how S10.ai integration can automate your workflow.
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TheraNest vs. TherapyNotes: Which EHR is Right for Your Practice in 2025?

Choosing the right Electronic Health Record (EHR) system is one of the most critical decisions you'll make for your practice. It's the digital backbone of your clinical workflow, impacting everything from client scheduling to billing and documentation. Two of the most prominent names in the mental health space are TheraNest and TherapyNotes. But how do you decide which one is the best fit for your unique needs?

This comprehensive guide will walk you through a detailed comparison of TheraNest and TherapyNotes, drawing insights from real-world user experiences and expert analysis. We'll explore the nuances of each platform to help you make an informed decision that benefits both you and your clients. And, we'll discuss how emerging technologies like S10.ai are revolutionizing EHR integration, regardless of the platform you choose.

 

What Are the Core Differences Between TheraNest and TherapyNotes?

At a high level, both TheraNest and TherapyNotes offer robust solutions for mental health professionals. They provide essential features like scheduling, progress notes, billing, a client portal, and telehealth capabilities. However, their approach and execution of these features differ significantly.

TherapyNotes is often lauded for its structured and intuitive interface. It’s designed for efficiency and compliance, making it a favorite among practitioners who value a streamlined workflow and ease of use. Its all-in-one pricing model includes most of its features under a single price, which simplifies budgeting for your practice.

TheraNest, now known as Ensora Mental Health, positions itself as a more flexible and customizable option. It's particularly strong in its custom form builder, allowing therapists to tailor documentation to their specific clinical approach. TheraNest's pricing is typically based on caseload size, which can be a cost-effective option for smaller practices or those with a fluctuating number of clients.

 

How Do TheraNest and TherapyNotes Compare on Pricing?

Navigating the pricing structures of EHRs can be a challenge. Here’s a breakdown of what you can expect from TheraNest and TherapyNotes.

TherapyNotes Pricing:

TherapyNotes offers a straightforward pricing model based on the number of users. Their "Solo" plan is a popular choice for individual practitioners. A key advantage of TherapyNotes is that telehealth is included in all their plans, so you won't have to worry about that as an extra expense. They also offer a 30-day free trial, giving you ample time to explore the platform.

 

Plan Price Key Features
Solo $59/month 1 user, unlimited clients, integrated telehealth
Group $69/month for the first clinician Each additional clinician is $40/month
Enterprise Custom Pricing For large organizations with 30+ users

 

TheraNest (Ensora Mental Health) Pricing:

TheraNest's pricing is based on the number of active clients, which can be advantageous for practices that are just starting out. However, it's important to note that telehealth is an add-on feature, which can increase the overall cost. TheraNest offers a 21-day free trial.

 

Plan Price Key Features
Up to 30 clients $39/month  
Up to 40 clients $50/month  
Up to 50 clients $60/month  
Up to 80 clients $91/month  

 

The Bottom Line on Pricing:

For solo practitioners with a steady caseload, TherapyNotes might offer a more predictable and inclusive pricing model. For practices with a smaller or more variable client load, TheraNest's caseload-based pricing could be more economical.

 

Which EHR Offers a Better User Experience?

The user experience of an EHR can significantly impact your daily workflow and overall job satisfaction. This is an area where user feedback from platforms like Reddit and other medical forums can be particularly insightful.

TherapyNotes is frequently praised for its clean, intuitive, and user-friendly interface. Clinicians often report that it's easy to learn and navigate, which is a major plus when you're trying to run a busy practice. The platform is designed to be highly structured, which can help streamline your workflow and ensure that you're always in compliance with industry standards.

TheraNest, while also user-friendly, is known for its flexibility and customization options. This can be a double-edged sword. While it allows you to tailor the platform to your specific needs, it can also mean a steeper learning curve. Some users have reported that the interface can feel a bit clunky at times.

 

How Do Their Documentation Features Stack Up?

Documentation is a cornerstone of clinical practice, and your EHR's note-taking capabilities can either be a help or a hindrance.

TherapyNotes excels in this area with its pre-built templates for various session types and disciplines. This can save you a significant amount of time and ensure that your notes are always comprehensive and compliant. They also offer features like a "Quick History Review" and a DSM-5 diagnosis code search to further streamline the process.

TheraNest's strength lies in its custom form builder. This feature allows you to create your own intake forms, progress notes, and assessments, which is ideal for clinicians who have a specific documentation style or who work with niche populations. TheraNest also integrates with Wiley Practice Planners, which can be a valuable tool for developing in-depth treatment plans.

 

What About Telehealth and Client Engagement?

In today's digital world, telehealth and client engagement tools are more important than ever.

TherapyNotes includes a HIPAA-compliant telehealth platform in all of its plans. This integrated solution makes it easy to schedule and conduct virtual sessions without the need for a third-party application. They also offer a client portal for secure document sharing and scheduling.

TheraNest also offers a secure telehealth platform, but it's an add-on feature that comes at an additional cost. Their client portal is robust, allowing clients to schedule appointments, access telehealth sessions, and manage their billing and personal information.

 

How Can S10.ai Enhance Your EHR Experience?

Regardless of whether you choose TheraNest or TherapyNotes, you can supercharge your EHR with S10.ai. S10.ai offers universal EHR integration with AI-powered agents that can automate many of your administrative tasks.

Imagine this: you've just finished a session and your progress note is already drafted for you, thanks to an AI scribe. That's the power of S10.ai. It can listen to your sessions (with client consent, of course) and generate accurate, clinically sound progress notes in a fraction of the time it would take you to write them yourself.

This not only frees up your time to focus on what you do best – providing excellent clinical care – but it also reduces the risk of burnout. Explore how S10.ai's AI scribes can integrate with your chosen EHR and revolutionize your practice.

 

What Do Real Users Say About TheraNest and TherapyNotes?

When you're trying to decide between two EHRs, it's always helpful to hear from people who have actually used them. Here's a summary of what we've gathered from user reviews and forums:

TherapyNotes Users Praise:

  • Ease of use: Many users find the platform to be incredibly intuitive and easy to learn.
     
  • Customer support: TherapyNotes is known for its responsive and helpful customer support team.
     
  • All-in-one pricing: Users appreciate the predictability of the pricing model.
     

TheraNest Users Praise:

  • Customization: The ability to create custom forms is a major selling point for many users.
     
  • Flexibility: TheraNest is seen as a more flexible option that can be adapted to a variety of practice settings.
     
  • Affordability: The caseload-based pricing can be a more affordable option for smaller practices.
     

Which EHR is the Right Choice for You?

The truth is, there's no one-size-fits-all answer to this question. The best EHR for you will depend on your individual needs and preferences.

Choose TherapyNotes if:

  • You value a highly structured and intuitive interface.
     
  • You want an all-in-one pricing model with no hidden fees.
     
  • You prioritize ease of use and a streamlined workflow.
     

Choose TheraNest if:

  • You need a high degree of customization in your documentation.
     
  • You have a smaller or more variable caseload.
     
  • You want a flexible platform that can adapt to your practice's unique needs.
     

Before you make your final decision, we highly recommend taking advantage of the free trials offered by both platforms. This will give you a chance to get a feel for each EHR and see which one is the best fit for you. And remember, no matter which platform you choose, you can always enhance its capabilities with a tool like S10.ai. Consider implementing an AI scribe to see how it can transform your practice and help you reclaim your time.


 

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People also ask

Is TheraNest or TherapyNotes better for a solo practitioner concerned about monthly costs and telehealth fees?

For a solo practitioner focused on predictable monthly costs, TherapyNotes is often the preferred choice as it includes unlimited telehealth in its base subscription price. TheraNest, on the other hand, structures its pricing based on caseload size, which can be more affordable for those starting out, but telehealth is a separate add-on fee. When making your decision, consider your anticipated client load and how frequently you plan to use telehealth. To further optimize your budget and clinical hours, explore how universal EHR integration agents like S10.AI can automate your note-taking and administrative tasks, regardless of the platform you choose.

I need to create highly customized intake and progress notes; which EHR, TheraNest or TherapyNotes, offers more flexibility?

If your clinical workflow requires highly customized documentation, TheraNest is the stronger option due to its flexible 'Dynamic Form Builder.' This feature allows you to create unique intake forms, assessments, and progress notes tailored to your specific therapeutic approach. While TherapyNotes excels with its extensive library of pre-built, compliant templates designed for efficiency, it offers less freedom for customization. For clinicians who value this flexibility but still want to streamline the writing process, consider implementing an AI scribe from S10.AI that can populate your custom templates automatically.

I'm switching EHRs and worried about a steep learning curve; is TheraNest or TherapyNotes more user-friendly for someone who isn't tech-savvy?

Clinicians often report on forums and in reviews that TherapyNotes has a more intuitive and user-friendly interface, making the learning curve less steep for those who are not as tech-savvy. Its structured design simplifies daily workflows and makes navigation straightforward from the start. TheraNest is also user-friendly but its higher degree of customization can require more initial setup and learning. To ease the transition and reduce administrative burden on either platform, learn more about how S10.AI's universal integration can automate documentation and help you focus more on client care rather than software management.

TheraNest vs TherapyNotes