Top 5 Mental Health EHR Companies

1. OmniMD Mental Health EHR

At OmniMD, we believe that Mental Health EHR is not just another vertical. It is the frontier of human-centered health technology. It demands systems that honor complexity, preserve dignity, and deepen the patient-provider bond.

Since our founding in 2001 as a comprehensive healthcare technology provider, we’ve witnessed the evolution of digital health firsthand. But as care models rapidly advanced and mental health rightfully took center stage in global discourse, our mission sharpened. We chose not just to follow the trend but to lead with intention, transforming our focus toward building a digital sanctuary for mental wellness professionals and the communities they uplift.

Over the years, we’ve woven that purpose into our technology, integrating features that empower personalized, compassionate care, from customizable therapy templates and intelligent clinical decision support to outcome-driven analytics and secure telepsychiatry designed for true continuity.

Prominent Features

• AI-Charting: Automatically generates structured notes from voice recordings, transcripts, or free-form text. Summarizes therapy sessions using natural language processing trained on behavioral health taxonomies. Reduces documentation time by up to 70%.
• Smart, Contextual Templates with Conditional Logic: Equipped with a comprehensive library of templates designed for DSM-5 conditions. Uses conditional logic to auto-populate only relevant questions. Minimizes cognitive load, reduces clerical error, and improves treatment integrity.
• End-to-End Telepsychiatry Suite: Multi-factor authenticated, HIPAA-compliant sessions. Embedded audio/video/text session documentation. Interactive whiteboards and context-aware recommendations for therapeutic collaboration.
• RPM for Mental Health: Monitors mood cycles, sleep trends, and anxiety levels. Pulls biometric data from wearables and enables just-in-time intervention.
• Secured and Compliant Architecture: Encrypted messaging and secure cloud infrastructure. Data masking and granular access control. Full audit trails and regulatory compliance.

2. TherapyNotes

In 2010, CEO Brad Pliner, with a background in software engineering, co-founded TherapyNotes with his wife, Dr. Debra Pliner, a licensed clinical psychologist.

Since the platform is the brainchild of a mental health practitioner with several years of experience in private practice, it isn’t another EHR that pivoted into behavioral health. Nor are its workflows, templates, note types, and billing methods later add-ons. They were designed from scratch as part of the platform’s core, unlike many other EHRs that offer a ‘behavioral health module’ as an add-on component.

What sets TherapyNotes apart is its rich offline documentation capabilities. While most cloud-based EHRs only work online, TherapyNotes offers tools to access and enter documentation even in low-connectivity areas. For example, notes and session templates can be auto-filled and saved locally, syncing later, making it a quiet favorite for rural therapists and clinicians working in disaster relief settings.

Prominent Features

• TherapyFuel AI: Simplifies documentation with intelligent SOAP suggestions generated from session summaries or audio captured by TherapyFuel Scribe. Transcripts are stored temporarily during note drafting and deleted upon finalization to maintain confidentiality. Clinicians can also review session highlights, quickly scan Patient History Forms, and generate Contact Notes from secure messages.
• Outcome Measures and Assessments: Supports measurement-based care with an extensive library of auto-scored tools like the PHQ-9 and GAD-7, available in English and Spanish. Patients can complete assessments on demand or as part of intake and ongoing care, directly through a secure portal. Results populate instantly in the chart, allowing clinicians to track progress, screen timely, and strengthen payer reporting.
• Scheduling and Task Management: Features an intuitive calendar for setting up recurring or one-time sessions, with direct access to notes and billing from appointment entries. Clinicians can filter schedules by user or location and toggle between multiple calendar views. Mobile sync ensures on-the-go access, while automated to-do lists and appointment reminders keep documentation, renewals, and client follow-ups on track.
• Privacy and Data Security: Built on a privacy-by-design framework, all data remains within the secure platform and is never used to train third-party models. Role-based access, encrypted storage, and audit logging ensure that every feature meets behavioral health compliance standards.

3. SimplePractice

While SimplePractice is widely recognized as a top-tier EHR platform for behavioral health professionals, its co-founder, Howard Spector, was once on the path to becoming a therapist himself. Spector left a successful tech career to pursue a master’s degree in psychology. However, the lack of intuitive digital tools for therapists during his training gave him the empathy and technical clarity needed to build SimplePractice in 2012.

In 2021, SimplePractice was acquired by EngagedMD’s parent company, EngageSmart Inc., a publicly traded software firm with a portfolio that includes invoicing, scheduling, and patient communication products. This broader ecosystem strategy allowed SimplePractice to tap into shared infrastructure while keeping its brand and product roadmap focused on behavioral health.

We believe one of SimplePractice’s less visible strengths is its design language, which draws heavily from consumer mobile apps. The platform’s UX/UI gives a clean, uncluttered feel that appeals to therapists accustomed to using iPhones and Google Docs.

Prominent Features

• Telehealth (Native and Mobile-Optimized): Offers a HIPAA-compliant, one-click telehealth platform built directly into the system; no downloads or third-party apps are required. Sessions launch from a browser or mobile, and patients receive automated video links. The platform also allows screen sharing, which is rare in native EHR telehealth solutions.
• Patient Self-Scheduling: Enables Patients to schedule, reschedule, or cancel appointments online based on availability settings set by the clinician. Integrated with the calendar, this feature reduces back-and-forth communication and empowers patients without compromising scheduling control.
• Mobile App for Clinicians and Patients: Offers fully functional mobile apps for both providers and patients. Clinicians can document sessions, review patient charts, and manage billing directly from their phone or tablet, while patients can attend telehealth sessions, message securely, and manage appointments via the app.
• Paperless Insurance Claim Setup: Offers a self-guided insurance setup tool that walks providers through enrollment for electronic claims submission (EDI) and remittance (ERA), removing the need for clearinghouse support calls or outside billing services during setup. It’s designed for solo and small group practices transitioning from private pay to insurance.

4. ICANotes

ICANotes began in the late 1990s, a period when many clinicians in psychiatry, psychology, social work, and counseling were either handwriting notes, using Word documents, or cobbling together workarounds in general medical EHRs that lacked psychiatric terminology and behavioral workflows.

Founded by Ira Richard Morgenstern, MD, and Don Morgenstern, in its early stages, the company was not marketed as a full-fledged EHR. Rather, it was branded as a ‘clinical note generator for psychiatrists’. This niche identity actually helped it gain traction.

As the healthcare industry moved toward digitization, particularly with the HITECH Act of 2009 and Meaningful Use incentives, ICANotes evolved from a note generator to a full EHR system.

Prominent Features

• Charting: Utilizes a point-and-click interface with clinically structured fields, enabling the generation of billable, narrative-rich documentation without manual typing. Offers discipline-specific templates (psychiatry, individual, group, couples, family therapy, etc.) pre-configured for DSM-driven assessments, SOAP notes, treatment plans, and discharge summaries. Enables progress notes and assessments to be completed in 2–3 minutes via modular content insertion and context-driven prompts.
• Practice Management: Provides a centralized appointment scheduling system with configurable availability and provider-specific views. Includes SMS/email reminder systems to reduce missed appointments and improve attendance metrics. Facilitates fully embedded HIPAA-compliant video conferencing solutions allowing remote sessions directly linked to patient records.
• Integration: Consolidates patient communication into a single, cohesive interface. Enables real-time, role-based access to patient records, fostering collaborative care and reducing data silos. Designed to support external care coordination through structured note-sharing, enabling compliance with inter-provider communication protocols.

5. Valant EHR

Valant was founded in 2005 by Dr. David Lischner, a practicing psychiatrist based in Seattle, Washington. In the mid-2000s, when the mental health EHR market was still in its infancy, Valant differentiated itself by focusing on a cloud-based architecture. The choice was strategic as it allowed small and solo practices, which make up a significant portion of the behavioral market, to avoid costly on-premise server setups.

The company was also among the early adopters of measurement-based care tools, embedding standardized screening instruments like the PHQ-9 and GAD-7 directly into the patient chart. At the time, few competitors had this functionality.

What sets Valant Mental Health EHR apart is its resistance to serving broader specialties. While many EHRs started as behavioral health-focused, such as AdvancedMD and Kareo, they later expanded into general practices to capture more market share. Valant resisted this temptation and doubled down on its mental health specialty, believing that the behavioral health community required and deserved purpose-built software.

Prominent Features

• Intake and Assessment Automation: Delivers structured digital intake and assessment forms directly through a secure patient portal (MYIO). Forms are customizable with drag-and-drop tools, logic branching, and embedded signatures, fully HIPAA-compliant and reusable. Automatically sends out outcome measures like PHQ-9 and GAD-7 based on patient type or session context, scoring them instantly upon submission and populating results into the EHR.
• Group Therapy Management: Simplifies group documentation with a single-entry workflow that generates individualized progress notes for each participant. Providers can mark attendance, assign outcome measures, and generate billing codes in bulk. Supports both rolling and fixed enrollment models, links directly to HIPAA-compliant telehealth sessions, and includes embedded interactive tools for engagement.
• Prospective Patient Management: Captures webform submissions and routes them through rules-based logic to match patients with the right clinicians based on licensure, specialty, or payer compatibility. Administrators can track every step of the intake journey, from initial inquiry to scheduled session, via a centralized pipeline dashboard. Validates insurance coverage in real-time to reduce scheduling delays.
• Performance Reporting: Offers real-time dashboards with drill-down views segmented by provider, service type, or location. A drag-and-drop interface lets practices define custom KPIs across clinical, billing, and operational metrics. Automatically flags unsigned notes, overdue tasks, and non-billable encounters to keep documentation workflows compliant and efficient.