Here’s My Favorite Alternative to SimplePractice
If you’ve been searching for SimplePractice alternatives lately, you’re not alone. A lot of therapists I know have found themselves doing the same thing — opening their invoice, raising an eyebrow at the total, and quietly wondering if there’s something better out there.
SimplePractice isn’t a bad platform. It does pretty much everything, it’s polished, and most of your colleagues have heard of it. But the pricing has crept up over the years, the add-ons have multiplied, and plenty of practitioners are paying for features they never actually use.
I went looking at the alternatives and ended up landing on TherapyStack — more on why in a minute. But first, here’s the honest rundown of the other options I seriously considered.
Best SimplePractice Alternatives
These are all legitimate options, and depending on your practice, one of them might fit you better than the one I landed on.
- TherapyStack is the newest name here and the one I ended up recommending. Two straightforward tiers ($25/mo Basic, $35/clinician Plus), modern interface, built specifically for mental health. I’ll spend the rest of this article explaining why it edged out the others.
- TherapyNotes is the reliable veteran. It’s been around forever, it’s solid, and it’s a little cheaper than SimplePractice. But the interface shows its age. If you value stability over polish, it’s a safe bet.
- Jane has a cult following, and it’s easy to see why. The design is nice, customer support gets glowing reviews, and it’s particularly strong for multidisciplinary practices where therapists work alongside chiropractors or massage therapists. The downside: it’s priced accordingly, and solo mental health practitioners end up paying for breadth they won’t use.
- TheraNest (now part of Ensora Health) is somewhere in between. It covers the basics. But it recently moved to per-therapist pricing, and users regularly flag limited customization and a dated feel. If price is your only axis, it’s worth a look.
- Sessions Health positions itself as a budget-friendly SimplePractice alternative, and the pricing is genuinely attractive — starts at $39/month. It also has some thoughtful touches, but overall it felt somewhat dated compared to others I tested. If you prioritize modern design and smooth workflows, the savings may not feel worth it.
- Practice Better is decent — for health coaches, nutritionists, and wellness practitioners. If you’re a licensed therapist doing mental health work, it’s not really built for you, so it’s probably not the perfect choice.
Jane came genuinely close, and a few of the others deserve a spot on your shortlist depending on your priorities. But here’s why TherapyStack won me over.
The Pricing Is Straightforward

TherapyStack has two tiers: Basic at $25/month and Plus at $35/clinician. That’s it.
Basic covers a solo practitioner with the essentials — scheduling, documentation, client portal, billing. Plus is where you go when you need to add clinicians, integrated telehealth, or calendar sync, and it also unlocks team scheduling, role-based access control, and clinician split reporting.
What surprised me is the product itself doesn’t feel like a compromise. Low price usually means something’s missing — fewer features, worse support, an interface designed on a napkin. That’s not the case here.
It Actually Does the Things You Need It to Do
Here’s what TherapyStack actually has: HIPAA-compliant telehealth, clinical documentation with customizable templates, scheduling with client self-booking, a client portal, secure messaging, integrated billing, and an analytics dashboard that tells you useful things like your revenue trends and client retention rates. Electronic claims and eligibility checks are currently in beta but will be available as add-ons when you need them.
In other words, it’s the full practice management suite. Scheduling, notes, billing, telehealth, client communication, reporting. The boring stuff that keeps your practice alive.
The interface is clean and modern in the way SimplePractice was when it first came out, before it started feeling like it was designed by three different teams who never talked to each other. Someone at TherapyStack clearly cares about making the software pleasant to use, which sounds like a low bar until you remember how many EHRs feel like they were built in 2008 and never updated.
Who It’s Actually For
I’ll be honest about the fit. TherapyStack is best for:
- Solo practitioners who want a full-featured platform without the premium price tag.
- Group practices tired of watching the bill balloon every time they add a clinician.
- Large practices that need serious reporting — the analytics dashboard surfaces revenue trends, clinician performance, client retention, and forecasting in a way that actually helps you make decisions, not just fill out spreadsheets.
- Therapists who want modern, intuitive software without a steep learning curve.
- Anyone who’s been on SimplePractice for years, watched the price climb, and is quietly ready to jump ship.
Who it might not be for: therapists outside the mental and behavioral health space — physical therapists, occupational therapists, speech-language pathologists, and similar disciplines will find the templates and workflows aren’t built for them (Jane might be a better fit). It’s also not the right pick if you need an open API for deep custom integrations with other software; TherapyStack is designed to be the full stack, not a component in someone else’s stack.
For most mental health practices — solo, group, or large — TherapyStack is the one.
The Bottom Line
SimplePractice built a great product, charged accordingly, and earned its market share. TherapyNotes, Jane, TheraNest, and Sessions Health are all legitimate alternatives with their own strengths. But overall TherapyStack is the best SimplePractice alternative you can

