GITNUXSOFTWARE REVIEW
Mental Health PsychologyTop 10 Best Telehealth Mental Health Software of 2026
Editorial comparison of telehealth mental health software options like TheraPlatform, TherapyNotes, and SimplePractice for clinic and practice decision-making.
How we ranked these tools
Vendors set the topic, but our editors set the inclusion criteria and the evaluation framework before research starts.
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Framework: Features 40% · Ease 30% · Value 30%
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TheraPlatform is the best choice for clinics that want end-to-end teletherapy workflows with traceable governance because its audit trail links clinical workflow changes to the actual telehealth encounters, while TherapyNotes is a strong alternative for chart-first outpatient teams since measurement-based care workflows keep screening inputs tied to session documentation and outcome trends.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
TheraPlatform
Audit trail logging ties clinical workflow changes to telehealth encounters for traceable documentation updates.
Best for: Fits when clinics want end-to-end teletherapy workflows with documented governance signals for clinical changes.
TherapyNotes
Editor pickMeasurement-based care workflows that keep screening inputs tied to session documentation and outcome trends.
Best for: Fits when outpatient clinics need chart-first telehealth with consistent documentation and outcome tracking.
SimplePractice
Editor pickMeasurement-based care dashboards combine screening inputs with longitudinal outcomes inside clinical documentation.
Best for: Fits when mid-size behavioral health teams need a consistent telehealth charting workflow.
Comparison Table
TheraPlatform
vertical specialistTelehealth and practice management software designed specifically for therapists, counselors, and allied health professionals.
Audit trail logging ties clinical workflow changes to telehealth encounters for traceable documentation updates.
TheraPlatform runs synchronous video sessions plus asynchronous patient messaging in one telehealth mental health workflow. It supports intake and assessment routing, clinical note templating, and treatment plan documentation tied to telehealth encounters.
The system also covers behavioral health billing enablement and measurement tracking for common outcome instruments. Admin controls include clinician scheduling, role-based access, and audit trail logging for care activity changes.
- +One workflow combines video sessions with secure messaging and follow-up tasks.
- +Clinical note and treatment plan templates reduce documentation rework between sessions.
- +Outcome tracking supports measurement-based care dashboards for session trends.
- +Audit trail logging tracks clinical record and workflow changes for governance reviews.
- –Configuration choices for workflows can take time before teams reach steady throughput.
- –Cross-state licensure verification and credentialing automation may require external operational steps.
Behavioral health clinics teams
Standardize therapy notes and assessments
Standardized session records
Therapists and allied providers
Deliver telehealth sessions with messaging
Connected remote care workflow
Show 2 more scenarios
Practice coordinators and admins
Coordinate referrals to first visits
Fewer intake handoff gaps
Teams manage referrals, intake completion, consent collection, and reminders to reduce handoff gaps.
Small to mid-size therapy practices
Run end-to-end practice workflow
Referral-to-follow-up workflow
Practices handle intake, scheduling, clinical notes, client communication, and behavioral health billing tasks together.
Best for: Fits when clinics want end-to-end teletherapy workflows with documented governance signals for clinical changes.
TherapyNotes
SMBMental health EHR offering scheduling, notes, billing, and integrated telehealth video for behavioral health professionals.
Measurement-based care workflows that keep screening inputs tied to session documentation and outcome trends.
TherapyNotes is a fit when clinics need clinical notes and telehealth sessions to live in the same workflow so documentation follows the appointment. The system supports telehealth visit preparation, consent-related materials, and asynchronous messaging through a patient portal so communications do not leave the chart. Intake and assessment flows connect questionnaires to charted outcomes for ongoing care planning and clinical review. Admin management supports team operations with role-based access and activity tracking tied to user actions.
A key tradeoff is that deeper EHR-level interoperability depends on integration scope rather than a universal exchange layer. Clinics with specialized medication workflows may need additional configuration to match prescribing and compliance steps for controlled substances. TherapyNotes fits best for outpatient therapy groups that prioritize charting consistency, measurement tracking, and patient messaging across multiple clinicians.
- +Telehealth scheduling and clinical documentation stay in one visit workflow
- +Secure patient portal messaging reduces off-system communication
- +Outcome tracking connects assessments to ongoing measurement-based care
- +Role-based access and activity visibility support clinic governance
- –Interoperability beyond telehealth workflows depends on available integration paths
- –Advanced specialty workflows can require more clinic configuration
- –Medication and compliance steps may need extra setup for niche practices
- –Reporting depth may feel limiting compared with analytics-focused systems
Outpatient therapy teams
Run telehealth sessions with chart continuity
Cleaner records and faster charting
Clinic operations administrators
Control clinician access across telehealth workflows
Lower risk of chart access errors
Show 2 more scenarios
Care coordinators
Track screening and outcomes over time
More consistent measurement-based care
Assessment inputs flow into outcome tracking for progress monitoring and reviews.
Therapists using patient messaging
Handle follow-ups through secure portal messaging
Reduced inbox sprawl
Patient questions and updates stay in a secure communication trail connected to care.
Best for: Fits when outpatient clinics need chart-first telehealth with consistent documentation and outcome tracking.
SimplePractice
SMBPractice management platform for behavioral health providers with integrated HIPAA-compliant telehealth, scheduling, billing, and documentation.
Measurement-based care dashboards combine screening inputs with longitudinal outcomes inside clinical documentation.
SimplePractice centers on clinical documentation and telehealth execution in one record, with session capture, note templates, and structured treatment planning that map to ongoing care. Patient portal messaging keeps asynchronous clinician-patient communication in the same operational workspace as scheduling and follow-ups. The system also supports measurement-based outcomes through screening and outcome fields used in clinical review cycles.
A tradeoff appears in automation depth and governance controls when compared with enterprise EHR suites that offer broader RBAC granularity and cross-system provisioning patterns. SimplePractice fits clinics that want fast telehealth onboarding for clinicians and a consistent documentation workflow across multiple providers.
- +Telehealth scheduling, session notes, and follow-ups stay linked in one workflow
- +Patient portal messaging reduces off-system communication during treatment
- +Structured note templates speed consistent behavioral health documentation
- +Outcome tracking supports measurement-based reviews across care plans
- –Automation and governance controls are thinner than large enterprise EHR deployments
- –Cross-tool interoperability needs planning when workflows span multiple vendors
- –Advanced admin reporting requires more manual process for complex org structures
- –Group therapy workflows are less configurable than dedicated conferencing stacks
Outpatient therapy practices
Daily telehealth sessions with consistent notes
Faster chart completion
Care coordinators
Asynchronous patient follow-ups
Reduced off-system messages
Show 2 more scenarios
Clinical directors
Measurement-based review meetings
Clearer treatment decisions
Screening results feed outcome views that guide treatment plan updates and progress discussions.
Multi-provider groups
Standardized documentation across clinicians
More uniform documentation
Note templates and structured fields help maintain documentation consistency for telehealth encounters.
Best for: Fits when mid-size behavioral health teams need a consistent telehealth charting workflow.
CharmHealth
enterpriseEHR platform with telehealth, e-prescribing, patient portal, and customizable clinical workflows for healthcare practices.
Template-driven intake and assessment workflow that feeds structured documentation during and after video sessions.
CharmHealth is positioned for behavioral health practices that need more than video by tying the visit experience to ongoing clinical documentation and care coordination steps. Synchronous sessions and secure messaging support both real-time and follow-up communication, while intake and assessment workflows reduce the manual handoffs between front desk and clinicians. Diagnostic coding templates and clinical note structures help standardize documentation across providers. Integration and automation capabilities are practical for clinic operations that require repeatable visit setup and consistent documentation entry.
- +Synchronous video visits connect directly to structured clinical documentation
- +Secure patient messaging routes post-visit questions into clinical workflows
- +Intake and assessment workflows reduce manual pre-session charting
- +Clinic governance covers clinician access controls and session documentation
- –Template customization can require governance time across multiple clinicians
- –Advanced automation depth depends on how workflows map to existing clinic steps
Outpatient therapy clinics
Run teletherapy with standardized notes
Faster chart completion
Care coordination teams
Manage post-visit patient messaging
Lower follow-up response delays
Show 1 more scenario
Clinic administrators
Govern multi-clinician access
More consistent documentation control
Admin controls limit who can document sessions and manage workflow participation across staff roles.
Best for: Fits when behavioral health clinics need video visits plus standardized intake and note documentation.
Osmind
vertical specialistMental health EHR platform supporting telehealth, treatment planning, and outcome tracking for innovative psychiatric practices.
Measurement-based care dashboards that tie ongoing screening and outcome tracking to the therapy documentation workflow.
Osmind combines an EHR-integrated teletherapy workflow with a structured behavioral health intake and documentation flow. It supports synchronous video sessions and therapist messaging so clinicians can run visits and follow-up in one place.
- +Measurement-based care dashboards track outcomes tied to therapy workflows.
- +Video session scheduling and therapist messaging stay connected to charting.
- +Telehealth-specific templates reduce variance in notes and treatment plans.
- +Audit log supports traceability for clinical and administrative actions.
- –Configuration needs governance discipline to keep templates and workflows consistent.
- –Cross-state licensure verification flows require careful clinician credential setup.
- –Advanced customization depends on admin-led configuration rather than clinician self-service.
- –Care coordination reporting is thinner than EHR suites with deeper referral modules.
Outpatient behavioral health practices
Collect intake and assessments pre-visit
Less manual data capture
Mental health clinicians and teams
Track symptoms using outcome measures
Measurable treatment review
Show 2 more scenarios
Clinical researchers and admins
Review cohorts using structured records
Cohort-level visibility
Teams analyze aggregated outcomes and structured clinical data beyond individual visit notes.
Group psychiatry care teams
Maintain continuity across clinicians
Better continuity of care
Shared longitudinal records and structured treatment information support continuity when providers change.
Best for: Fits when mid-size behavioral health teams need teletherapy plus measurement-based documentation with strong audit traceability.
Spruce Health
SMBUnified communication platform for healthcare practices combining secure messaging, phone, video visits, and fax in one inbox.
Clinician-ready intake and assessment to note documentation flow designed for repeatable teletherapy documentation.
Spruce Health focuses on behavioral health workflows around scheduling, clinical documentation, and care coordination for telehealth therapy teams. The system supports synchronous video session delivery and structured intake and assessment workflows that feed clinical notes.
- +Structured intake and assessment workflows reduce missed data in early sessions
- +Secure portal messaging supports asynchronous therapy contact between visits
- +Role-based access controls help control documentation access by user role
- +Built-in video session workflow reduces handoffs during teletherapy sessions
- –Governance requires careful configuration of user roles and documentation settings
- –Extensibility depends heavily on integration scope with external EHR systems
- –Advanced reporting for measurement-based care can require configuration effort
- –Group therapy setup needs stronger guidance for consistent session structuring
Telehealth therapy programs
Run structured virtual visit steps
Consistent virtual documentation
Small practice front-office teams
Send reminders and manage replies
Fewer follow-up disconnects
Show 2 more scenarios
Care coordinators and multidisciplinary teams
Track post-visit follow-up tasks
More reliable handoffs
Teams assign and monitor follow-up tasks and communications after virtual or in-person interactions.
Patient access teams and specialists
Coordinate pre-visit patient communication
Better prepared patients
Practices send instructions and coordinate required steps before the appointment using patient messaging workflows.
Best for: Fits when clinics want structured intake to documentation handoff for teletherapy with controlled access.
Carepatron
SMBHealthcare practice management workspace with scheduling, documentation, billing, and telehealth video calls.
Built-in therapy assessment and measurement workflow that connects structured intake, clinician notes, and progress tracking.
Carepatron runs intake, clinical documentation, and telehealth session workflows in one mental health-focused workspace. It supports synchronous video sessions plus secure asynchronous client messaging for ongoing care between appointments.
- +Telehealth workflows include both live sessions and secure client messaging
- +Assessment and note templates reduce charting time across repeated visits
- +Outcome tracking ties measurements to patient progress over time
- +Permissioned access limits who can edit or manage patient charts
- –Advanced governance and enterprise audit reporting need tighter configuration
- –Complex EHR integration workflows can require careful process mapping
Remote clinicians and counselors
Coordinate video consults and follow-up
Connected remote visits
Healthcare practices and administrators
Capture intake details and consent digitally
More organized onboarding
Show 2 more scenarios
Therapists and counselors
Use note templates per appointment
Consistent session records
Therapists record appointment-linked psychotherapy and progress notes using reusable templates connected to client history.
Community care support teams
Plan and link ongoing daily care
Clear follow-up ownership
Care teams link assessments, support plans, daily notes, tasks, and updates for structured follow-up responsibilities.
Best for: Fits when outpatient mental health teams need structured documentation plus synchronous and asynchronous telehealth in one workflow.
Sessions Health
vertical specialistPractice management platform for mental health professionals offering scheduling, notes, client portal, and telehealth.
Client messaging and session scheduling live inside the same therapy workflow so follow-ups stay attached to the active care episode.
Sessions Health is a telehealth mental health software focused on delivering therapy workflows across virtual visits, asynchronous messaging, and clinical documentation. The system combines a synchronous video session experience with a client messaging portal and structured charting so clinicians can complete intake, notes, and follow-up tasks in one place.
- +Synchronous video sessions and asynchronous messaging are handled within one client workflow
- +Structured clinical documentation templates reduce note formatting variance
- +Outcome measurement views support ongoing tracking during care episodes
- +Workflow-focused client journey helps teams keep sessions and follow-ups coordinated
- –Integration depth can require additional tooling for full EHR parity
- –Configuration and governance discipline is needed to keep clinician access boundaries clear
- –Group therapy workflow support is less central than 1:1 session workflows
- –Reporting breadth depends more on built-in views than customizable analytics
Mental health professionals
Reduce context switching across workflows
Fewer context switches
Therapists and billing teams
Handle billing alongside clinical records
Billing supported by records
Show 2 more scenarios
Behavioral health practice staff
Coordinate communication through secure workflows
Routine communication stays linked
Clinicians and staff use secure messaging and client-facing workflows that stay associated with the care workflow.
Behavioral health intake staff
Prepare new-client onboarding materials
Prepared client records
Teams collect intake information and consent forms before or during onboarding so records are ready before treatment begins.
Best for: Fits when a clinic needs consistent 1:1 teletherapy documentation plus messaging without extensive custom integration work.
Coviu
SMBTelehealth platform providing video consultations, digital assessments, and integrations for healthcare providers including mental health.
Virtual lobby and session flow management that reduces no-show friction during synchronous visits.
Coviu is a telehealth-focused mental health video and workflow system built for synchronous care with a virtual waiting experience. It supports structured intake and session prep flows, then routes clinicians and patients into guided video visits.
- +Virtual lobby management reduces session start friction
- +Guided visit workflow keeps clinicians on a consistent path
- +Patient communications help coordinate sessions
- +Clinician access controls support basic organizational governance
- –Limited depth for EHR-grade mental health documentation workflows
- –Automation coverage for intake and outcomes is not as broad
- –API and extensibility surface is less documented for clinical integration
- –Administrative controls for audit-grade governance are thin for larger orgs
Outpatient clinics scheduling coordinators
Virtual waiting room before therapy sessions
Fewer failed appointment connections
Mental health program administrators
Control access to clinical areas
Clear access governance controls
Show 2 more scenarios
Therapists and clinical supervisors
Standardized intake and session prep
More consistent documentation completion
Uses structured intake flows and prep patterns to align documentation and session readiness across clinicians.
Care coordinators and case managers
Visit coordination using patient communication
Faster patient coordination
Supports patient-facing communication for visit logistics and handoffs around each guided video encounter.
Best for: Fits when clinics need video-first teletherapy workflow with minimal customization and acceptable documentation depth.
Doxy.me
SMBBrowser-based telehealth platform providing HIPAA-compliant video visits with no patient download required.
Virtual waiting room gates patient entry from the clinician session screen by appointment access.
Doxy.me is a web-based telehealth mental health workspace centered on synchronous video sessions and browser-first usability. The product supports a virtual waiting room with appointment access controls, plus secure patient video visit links that avoid plugin-heavy setup.
- +Browser-based video workflow reduces patient friction during sessions
- +Virtual waiting room supports controlled entry by scheduled appointments
- +Patient session links simplify repeat access for follow-up visits
- +Configurable intake and asynchronous messaging support pre-visit context
- –Limited depth for full behavioral EHR documentation compared with clinic suites
- –Automation and API surface can require external tooling for advanced workflows
Clinics and healthcare providers
Run browser-based scheduled consultations
Direct appointment access
Care teams with caregivers
Include additional participants in visits
Shared consultation session
Show 2 more scenarios
Clinicians conducting remote assessments
Discuss visuals during patient encounters
Clearer visual discussion
Providers share visuals during the visit to support explanations or limited visual assessment at a distance.
Dental practices and care teams
Conduct remote dental consultations
Convenient remote guidance
Dental teams use video visits for remote discussions and patient guidance as part of dental care workflows.
Best for: Fits when clinics want a low-friction teletherapy video and waiting-room workflow with external documentation.
Conclusion
After evaluating 10 telehealth mental health software, TheraPlatform stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
Frequently Asked Questions About Telehealth Mental Health Software
How do SimplePractice and TheraPlatform handle measurement-based care dashboards during teletherapy documentation?
Which tools support structured intake and assessment workflows that feed session notes automatically?
When a clinic needs a virtual waiting room, which systems provide appointment-gated session entry?
What breaks if a telehealth clinic tries to use TheraPlatform without relying on audit trail logging for clinical workflow changes?
How do Osmind and Sessions Health connect synchronous visits with asynchronous messaging inside the same workflow?
How do TherapyNotes and Carepatron differ in how clinicians perform charting while conducting telehealth sessions?
Which telehealth mental health systems provide admin oversight that includes audit-oriented activity visibility tied to care operations?
What is the practical difference between Doxy.me’s browser-first session workflow and Coviu’s video-first lobby workflow?
How do clinics handle cross-team collaboration and RBAC-style permissions in Spruce Health versus Sessions Health?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
How to Choose the Right Telehealth Mental Health Software
We separate telehealth mental health options by how they handle therapy work during the visit and after it—especially intake and assessment workflow, outcome measurement tracking, and automation via API for handoffs. When these parts fit your clinical routine, the rest of the platform feels consistent.
Intake and assessment workflow
Why it matters
Good intake and assessment workflow reduces missed fields before the first session and keeps clinicians from re-entering history. It also supports consistent documentation that carries into care planning.
How to check
During a demo, walk through pre-visit intake to the first clinical note. Ask how the system moves answers into the assessment section and what happens if the patient completes items late.
PHQ-9 and GAD-7 outcome tracking
Why it matters
Outcome measurement tracking is the backbone of measurement-based care for common symptom scales. Without it, you lose the trend view that guides treatment changes.
How to check
Request a sample patient and try a session where PHQ-9 and GAD-7 are entered or imported. Then verify whether the dashboard shows trends over time and whether clinicians can reference results in the note.
Clinical note templating and editing
Why it matters
Clinical note templating and editing affects documentation speed and consistency during real visits. It also determines how well the system supports session structure across providers.
How to check
Create or open a note template for an individual session and a group session. Check whether you can customize fields, re-use templates by diagnosis or modality, and keep prompts aligned with what you actually document.
Safety plan documentation module
Why it matters
A safety plan documentation module matters when risk escalates mid-care. It should be easy to capture, store, and revisit without breaking the clinical flow.
How to check
On demo data, simulate a session with a crisis risk flag and ask the clinician to produce a safety plan. Verify where the plan is stored, who can access it, and whether updates preserve an audit trail.
Automation and API for workflows
Why it matters
Automation and API surface reduce manual work when you connect scheduling, referrals, and internal tools. The depth of control determines whether the system can match your operational workflow.
How to check
Ask for API documentation scope and show at least one example workflow, like pushing referral status or pulling outcome results. Confirm whether there’s a sandbox and how provisioning of new clinicians/patients is handled.
RBAC and audit log visibility
Why it matters
RBAC and audit log visibility support governance when multiple roles share access to sensitive notes and risk materials. You need confidence about who changed what and when.
How to check
In the admin area, review role permissions for a clinician, a supervisor, and an admin user. Then open the audit log and demonstrate an example where a note or safety plan is edited and the change is traceable.
Red flags
- The intake answers don’t carry into the assessment or first note cleanly
- Outcome scores appear but trend history or note linkage is missing
- Safety plans are hard to update or the system doesn’t show audit visibility
Fit by situation
- If you need patients to complete forms before the first visit, prioritize intake and assessment workflow.
- If your clinicians rely on symptom scale trends during care, prioritize PHQ-9 and GAD-7 outcome tracking.
- If you want referrals, notes, and updates to move with less manual effort, prioritize Automation and API for workflows.
Funding and competing interests
This study was co-funded by several of the vendors assessed in it. No single vendor funded it. Funders could propose the market studied.
They had no role in selecting vendors, setting or weighting criteria, analysing data or drawing conclusions, and they received the same factual-accuracy check as every other vendor assessed.
Market definition, inclusion rules and criteria weights were fixed by an editor before research began and did not change afterwards. Editorial process →
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