TherapyNotes Review 2025: Strengths, Weaknesses & Best Alternative

TherapyNotes remains one of the most widely trusted mental health EHRs, especially for clinicians who value structure, predictable workflows, and exceptional customer support.
Its To-Do List system and streamlined documentation make day-to-day operations straightforward for solo and group practices alike.

But despite its strengths, TherapyNotes also has clear limitations in clinical innovation, mobile experience, outcome tracking, and total cost of ownership—especially as add-ons like e-prescribing ($65/month) and AI tools ($40/month) quickly increase the monthly cost.

To help clinicians understand whether TherapyNotes is the right choice in 2025, we published a full review covering:

Key strengths and weaknesses
Workflow, documentation, billing, and portal features
Where TherapyNotes excels
Where it falls behind modern EHRs
Pricing transparency and hidden costs
Best alternative for fully automated MBC and mobile-first care: CarePaths

Key Takeaways

TherapyNotes → excellent support, reliable workflows, strong billing, but limited mobile capabilities and outdated clinical tools.
Major constraints → no native app, basic outcome measures, expensive add-ons, and dated interface.
Best alternative → CarePaths, offering FREE MBC, native mobile apps, automated weekly assessments, AI notes included, and a full EHR for $49/month.