8 Best Free Mental Health Practice Management Tools

  • Last updated November 13, 2026
  • 8 options compared
  • Prices checked on official sites
Quick answer

Carepatron, Sessions Health, and Practice Better offer free plans with real limits, while the other tools on this list offer a free trial with no free plan. A free plan can cover scheduling, notes, telehealth, and a client portal for a very small caseload, but insurance billing, reminders, and storage often sit on a fee-based plan. Starting prices range from $9.50 per practitioner per month for Zanda to $69 per month for TherapyNotes Solo, before add-ons and per-claim fees.

We compared 8 options for best free mental health practice management tools. Each profile below lists the price, free plan, pros and cons as published by the company.

On this page
  1. Comparison table
  2. 1. Carepatron
  3. 2. Sessions Health
  4. 3. Practice Better
  5. 4. TheraNest
  6. 5. SimplePractice
  7. 6. TherapyNotes
  8. 7. Noterro
  9. 8. Zanda
  10. How we chose
  11. How to choose by team size and budget
  12. FAQ
  13. Sources

Best free mental health practice management tools: comparison table

Swipe the table sideways on a phone to see every column.

#NameBest forStarting priceFree plan / trialLink
1CarepatronSolo clinicians who want a free start$39 per user per monthYesVisit
2Sessions HealthNew solo practices with up to 3 clients$39 per monthYesVisit
3Practice BetterStudents and new practices with 3 clients$35 per monthYesVisit
4TheraNestSolo therapists who want low entry pricing$29 per therapist per monthFree trial (21 days)Visit
5SimplePracticeMental health practices that bill insurance$49 per monthFree trial (30 days)Visit
6TherapyNotesInsurance-heavy behavioral health practices$69 per monthFree trial (30 days)Visit
7NoterroSolo practitioners who want low seat pricing$33 per monthFree trial (14 days)Visit
8ZandaLean practices that want the lowest entry price$9.50 per practitioner per monthFree trial (14 days)Visit

The 8 best best free mental health practice management tools, in detail

1

Carepatron

Best for: Solo clinicians who want a free start

Carepatron is a useful first choice for a clinician who wants to start without a monthly subscription, because the free plan covers the core work of a small mental health practice. The vendor pricing page lists unlimited clients, telehealth, 1GB of storage, a client portal, automated online payments, and an AI scribe and note taker on the free plan for daily use. The limit to plan around is storage and billing depth.

Pricing$39 per user per month (billed monthly)
Free plan / trialYes
  • A free plan with 1GB of storage can fill up once documents, forms, and uploaded files build up over time.
  • The vendor pricing page shows a price range of $0 to $49, and the Plus plan is listed at $39 per user per month on monthly billing in vendor pricing s

Pros

  • Free plan includes unlimited clients, telehealth, and a client portal
  • AI scribe and note taker are listed on the free plan
  • no credit card is required for the 14-day trial

Cons

  • Free plan storage is limited to 1GB
  • insurance billing and group features are not part of the free plan

Visit Carepatron →

2

Sessions Health

Best for: New solo practices with up to 3 clients

Sessions Health keeps its pricing simple, and that simplicity helps a new practice see the real cost before signing up. The vendor pricing page lists a Freemium plan at $0 per month for up to 3 clients and a Professional plan at $39 per month with unlimited clients. Core features listed for all plans include scheduling, custom forms, a secure client portal, secure messaging, and unlimited document storage.

Pricing$39 per month
Free plan / trialYes
  • The trade-off is that telehealth and AI notes are add-ons, so the $39 base price is not the full cost for every clinician.
  • Integrated telehealth costs $10 per practitioner per month, AI Assist costs $35 per practitioner per month, and electronic claims start at $0.25 per c

Pros

  • Free plan covers up to 3 active clients with no time limit stated on the pricing page
  • Professional plan includes unlimited clients and unlimited document storage
  • no long-term contract is stated on the pricing page

Cons

  • Free plan is limited to 3 active clients
  • integrated telehealth costs $10 per practitioner per month as an add-on

Visit Sessions Health →

3

Practice Better

Best for: Students and new practices with 3 clients

Practice Better is a good fit for a clinician at the start of a practice, because the free Sprout plan is built for students and recent graduates who need a small, working system rather than a short demo. The vendor pricing page describes Sprout as ideal for students and those just getting started, and the feature comparison lists 3 clients and 100MB of storage for Sprout. The next step up is clear, but it also shows how fast client limits can push a growing practice to a higher plan.

Pricing$35 per month
Free plan / trialYes
  • The Professional plan costs $69 per month and covers 300 clients and 5GB of storage, while the Plus plan costs $99 per month and covers unlimited clie
  • The Team plan costs $155 per month and covers 2 practitioner licenses, with extra practitioners at $50 each.

Pros

  • Free Sprout plan covers 3 clients with scheduling, telehealth, and secure messaging
  • Starter plan includes telehealth video chat and integrated billing and payments
  • superbills are listed on every tier in vendor help material

Cons

  • Sprout is aimed at students and those just getting started, with 100MB of storage
  • Starter is limited to 10 clients and 1GB of storage

Visit Practice Better →

4

TheraNest

Best for: Solo therapists who want low entry pricing

TheraNest, by Ensora Health, is one of the lowest-cost entry points for a mental health practice that wants a dedicated EHR without a free plan. The Essentials plan costs $29 per therapist per month and includes unlimited clients, scheduling, basic notes and intake forms, and a client portal, with telehealth as a $12 monthly add-on. The Advanced plan costs $59 per therapist per month and adds online booking, secure messaging, custom forms, and telehealth.

Pricing$29 per therapist per month
Free plan / trialFree trial (21 days)
  • The per-therapist model is fair for a solo clinician, but it adds up as a group grows, because each clinician needs a plan.
  • The 21-day free trial gives enough time to test scheduling, notes, and the client portal, but a clinician should also test the claim workflow on the A
  • The e-prescribing add-on costs $45 per therapist per month plus a $135 one-time setup fee.

Pros

  • Essentials plan starts at $29 per therapist per month
  • every plan includes unlimited clients
  • Advanced plan includes telehealth, secure messaging, and claim allowances

Cons

  • No free plan is offered, only a 21-day free trial
  • telehealth costs $12 per therapist per month as an add-on on Essentials

Visit TheraNest →

5

SimplePractice

Best for: Mental health practices that bill insurance

SimplePractice is a common choice for mental health practices that want scheduling, documentation, telehealth, a client portal, and insurance billing in one system. The vendor pricing page lists Starter at $49 per month, Essential at $79 per month, and Plus at $99 per month, all billed monthly. The trial lasts 30 days, and the pricing page states that a clinician can begin a fee-based account within 7 days to claim 50 percent off for 3 months on the listed plans.

Pricing$49 per month
Free plan / trialFree trial (30 days)
  • The headline price does not cover every feature a practice may need, so the add-on list matters.
  • Care Aide, the AI suite, is listed at $59 per month for the account owner after a 30-day free period, and the Note Taker add-on is listed at $35 per m
  • The ePrescribe add-on is listed at $49 per month plus a one-time setup fee of $89.

Pros

  • Starter plan starts at $49 per month with core scheduling, notes, and billing features
  • 30-day free trial is offered on the Plus plan with no credit card required for the trial period
  • group plans include group appointments and group telehealth

Cons

  • No free plan is offered, only a 30-day free trial
  • AI note and e-prescribing features are add-ons with separate monthly charges

Visit SimplePractice →

6

TherapyNotes

Best for: Insurance-heavy behavioral health practices

TherapyNotes is built for behavioral health, and its pricing page and support pages focus on notes, billing, and support rather than on a long list of plan tiers. The vendor support page lists Solo at $69 per month for a single user, and Group at $89 per month for the first clinician plus $60 per month per additional clinician, with unlimited non-clinical users included. The extra charges are per use or per add-on, so a practice that bills insurance should work out the full monthly cost.

Pricing$69 per month
Free plan / trialFree trial (30 days)
  • Electronic claims cost $0.25 per claim, real-time eligibility checks cost $0.14 per request, and text or voice reminders cost $0.14 each, with email r
  • Premium telehealth costs $15 per clinician per month, ePrescribe costs $65 per prescriber per month, and TherapyFuel AI costs $40 per clinician per mo

Pros

  • Solo plan costs $69 per month for a single user with unlimited clients, appointments, and notes
  • every plan includes 24/7 phone and email support and a 30-day free trial
  • basic telehealth and unlimited file storage are included

Cons

  • TherapyFuel AI costs $40 per clinician per month as an add-on
  • premium telehealth and ePrescribe are also add-ons with separate charges

Visit TherapyNotes →

7

Noterro

Best for: Solo practitioners who want low seat pricing

Noterro is a low-cost option for a solo practitioner who wants scheduling, charting, forms, billing, and online booking without a high monthly base price. The vendor pricing page lists Core at $33 per month, Plus at $55 per month, and Max at $77 per month, each including 1 practitioner seat and unlimited assistant seats for daily work in the clinic. The plan differences are practical rather than cosmetic.

Pricing$33 per month
Free plan / trialFree trial (14 days)
  • Core covers charts, forms, scheduling, billing, online booking, email reminders, and a clinic-branded app, while Plus adds file storage, text and call
  • Max adds packages, memberships and automatic payments, a dedicated phone number, and insurance claims and payments for a growing practice with more cl

Pros

  • Core plan costs $33 per month and includes 1 practitioner seat and unlimited assistant seats
  • every plan includes 300 credits for Scribe and form summaries
  • a 14-day free trial is offered with no credit card required in vendor summaries

Cons

  • No built-in telehealth is offered, so video sessions use Zoom, Google, or another video tool
  • file storage is listed as a $5 per month extra on the Core plan in the feature comparison

Visit Noterro →

8

Zanda

Best for: Lean practices that want the lowest entry price

Zanda, formerly Power Diary, is the lowest-cost entry point in this guide for a solo mental health practice that wants a full calendar, client records, notes, forms, and billing in one place. The vendor pricing page lists a Starter plan and a Growth plan, with Starter covering 1,000 appointments and Growth covering unlimited appointments for each practitioner on the plan. The Starter limits are the main reason to move to Growth, which costs $24.50 per practitioner per month in vendor pricing summaries.

Pricing$9.50 per practitioner per month
Free plan / trialFree trial (14 days)
  • Growth adds unlimited appointments, a multiple practitioner view, room and resource bookings, and unlimited file storage.
  • SMS messages cost $0.09 per SMS sent, with replies free to receive for every client on the plan each month at no extra charge.

Pros

  • Starter plan costs $9.50 per practitioner per month, the lowest entry price in this guide
  • Growth plan offers unlimited appointments and unlimited file storage
  • Telehealth Pro costs $9 per practitioner per month

Cons

  • Starter plan is limited to 1,000 appointments and 100GB of file storage
  • Starter does not include a multiple practitioner calendar view, which is listed for Growth

Visit Zanda →

How we chose

We checked the vendor pricing page for each tool on 2026-11-12 and used the prices and plan limits shown there, with vendor support pages used for TherapyNotes. We included tools with a free plan or a free trial, and we kept the focus on mental health work, including scheduling, notes, intake forms, a client portal, telehealth, and billing. We did not claim hands-on testing, and we did not use third-party review scores or customer counts to rank the tools.

How to choose by team size and budget

| Practice size | Monthly budget for software | Best starting point | What to watch | | Solo, 1 to 3 clients | $0 | Sessions Health free plan or Carepatron free plan | Client limit, storage limit, and telehealth charge | | Solo, 4 to 10 clients | $10 to $39 | Zanda Starter at $9.50, TheraNest Essentials at $29, or Sessions Health Professional at $39 | Appointment cap, telehealth add-on, and claim fees | | Solo, 11 to 50 clients | $35 to $69 | Practice Better Professional at $69, SimplePractice Starter at $49, or TherapyNotes Solo at $69 | Client cap, AI add-on, and per-claim fees | | Small group, 2 to 5 clinicians | $66 to $345 | Noterro Core at $33 per seat, TheraNest Advanced at $59 per therapist, or SimplePractice Plus at $99 plus $74 per extra clinician | Per-clinician pricing, group telehealth, and insurance workflow | | Group, 6 or more clinicians | $200 and above | TherapyNotes Group, SimplePractice Plus with custom pricing, or TheraNest Premier at $89 per therapist | Custom pricing, claim volume, and support needs |

Frequently asked questions

Is there a truly free mental health practice management tool?

Yes, for a very small caseload. Carepatron offers a free plan with unlimited clients, telehealth, a client portal, and an AI scribe, with 1GB of storage. Sessions Health offers a free plan for up to 3 active clients, and Practice Better offers a free Sprout plan for up to 3 clients. Those free plans cover basic scheduling, notes, and billing, but they do not cover every feature.

Which free tool is best for a solo therapist?

Sessions Health is a strong fit for a new solo therapist with up to 3 clients, because the free plan has no time limit stated on the pricing page and the Professional plan costs $39 per month with unlimited clients. Carepatron is a strong fit for a solo therapist who wants unlimited clients on a free plan. Zanda is a strong fit for a solo therapist who wants the lowest fee-based entry price, at $9.50 per month.

Do these tools include telehealth?

Most of them do, but the cost and the limits differ. Carepatron lists telehealth on its free plan, and Sessions Health charges $10 per practitioner per month for integrated telehealth. TheraNest includes telehealth on Advanced and Premier, and charges $12 per therapist per month on Essentials. Noterro does not offer built-in telehealth, so video sessions use Zoom, Google, or another video tool.

Can I bill insurance with a free plan?

In most cases, no, or only with limits. Carepatron lists insurance billing on its fee-based plans, not on the free plan, and Practice Better lists superbills on every tier, with claim submission through a connected clearinghouse on fee-based plans. Sessions Health, SimplePractice, TherapyNotes, and TheraNest include electronic claims on fee-based plans, with per-claim fees from $0.14 to $0.25 in the examples in this guide.

How long are the free trials?

The trial length differs by tool. SimplePractice and TherapyNotes offer 30 days, TheraNest offers 21 days, and Noterro and Zanda offer 14 days. Practice Better offers 14 days on Starter, Professional, and Plus, and 30 days on Team. Sessions Health offers a 30-day trial of the Professional plan, and Carepatron offers a 14-day trial of all features. Use the trial to test your own intake forms, notes, and billing steps.

What is the cheapest way to start?

Start with a free plan if your caseload fits the limit, then move to the lowest fee-based plan that covers your client count and your billing needs. Zanda Starter at $9.50 per practitioner per month is the lowest entry price in this guide, followed by TheraNest Essentials at $29 per therapist per month and Noterro Core at $33 per month. Add telehealth, AI notes, SMS, and claim fees to the base price.

Sources

Prices and features were read on each company’s own website in November 2026. They change often, so confirm the current offer on the official site before you sign up or buy.