TherapyNotes is a competent BH EHR. For a solo PMHNP, it costs $134/mo minimum before AI notes ($69 base plus $65 for ePrescribe). JotPsych is $135/mo all-in. The math matters before the feature list does.
TherapyNotes is a therapist-first EHR with a psychiatry module layered on top. It covers the basics: scheduling, insurance billing via Waystar, DSM-5 diagnosis search, and ePrescribe through DrFirst. For a PMHNP who primarily does medication management, the note templates are functional but not tailored. Every prescriber pays $65/mo for ePrescribe on top of the $69/mo base, then another $40/mo if they want AI notes via TherapyFuel. That is $174/mo for parity with what JotPsych delivers at $135/mo, with AI documentation as a core product rather than a series of bolt-ons.
Ratings based on publicly available product documentation, pricing pages, and verified user reviews as of May 2026.
| Feature | JotPsych | TherapyNotes |
|---|---|---|
| BH-specific design | Yes Built only for BH | Yes BH-only EHR |
| AI note generation | Yes Included at every tier | Partial TherapyFuel add-on (+$40/mo) |
| Note formats (AI-native) | Yes DAP, SOAP, BIRP, EMDR, Treatment Plans | Partial Psychiatry SOAP, SOAP, DAP, BIRP templates; EMDR not confirmed as AI output |
| Psychiatry-specific note | Yes Medication management, MSE, CPT suggestions embedded | Yes Dedicated psych note with meds, vitals, MSE, physical exam |
| ePrescribe | Not included Use your existing prescribing platform | Add-on $65/prescriber/mo via DrFirst |
| Pricing (solo PMHNP, AI included) | $135/mo All-in, no add-ons | $174/mo effective $69 base + $65 ePrescribe + $40 AI |
| Insurance billing pipeline | CPT suggestions, audit-ready formatting | Yes ERA/EOB, Waystar clearinghouse, auto charge posting |
| DSM-5 diagnosis search | Yes Embedded in note generation | Yes Built into intake and progress notes |
| HIPAA + BAA | Yes BAA included | Yes BAA in subscriber agreement, no separate signature |
| Free trial | Yes No credit card required | Yes 30 days, no credit card required |
| Mobile app | Yes | No Browser-only as of 2026 |
| API access | Yes | No Zero API access |
| Scheduling and patient portal | Not included Use your existing EHR | Yes Full scheduling and patient portal |
| Customer support | Responsive | Strong Live phone, short wait times |
| Pricing stability | Transparent, no contract | Increased December 2025 Solo went from $59 to $69 |
TherapyNotes' $69/mo base looks reasonable until you add what prescribers actually need. ePrescribe is not optional for a PMHNP running a medication management practice.
Pricing current as of May 2026. TherapyNotes pricing per therapynotes.com/pricing. JotPsych pricing per jotpsych.com/pricing.
Sourced from Capterra, G2, and aggregated third-party review roundups. We include the positive reviews because credibility requires honesty.
"The customer service is great. They are really responsive."
Capterra: Shaquita S., CEO PMHNP (4/5 stars)"The program is plagued with problems and is inconsistent... using the option in sessions extremely challenging."
Mentalyc review roundup (citing Trustpilot: Scott Soeder)"A year later they raised prices... it's hard to switch."
Mentalyc review roundup (citing G2: Amy M.)No credit card. No migration. No bolt-on pricing. Generate your first note in under 5 minutes and decide for yourself.
From $53/mo. No credit card required to start.