TheraNest vs PIMSY Mental Health EHR

SimplePractice

TherapyNotes, LLC

Epic

Therasoft Online

Therap

Foothold

Compare TheraNest and PIMSY Mental Health EHR based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

Carepatron

All your healthcare work in one place: Notes, Clients records, Appointments, Billing, Payments, Transcription, Communication & more.

EHR YOUR WAY

EHR YOUR WAY is a fully integrated behavioral health and clinical care EHR software. It is configurable for mental health and clinical health specific needs and is an ONC certified cloud-based EHR. EHR YOUR WAY is trusted by mental health professionals nationwide and is suitable for behavioral health agencies with 15 or more users.

Alleva

Our state-of-the-art platform will take your center into the 21st century and streamline the entire process of EMR. Our platform provides more efficient workflows, reducing burn-out, and improving the quality of care. Insights offers real-time data for better business decisions and easier reporting.

TheraNest is designed for mental health professionals, therapists, and practice managers looking for a secure, user-friendly solution to streamline administrative tasks and improve efficiency in their practice management.

Access Controls/Permissions

Accounting

Activity Dashboard

Activity Tracking

Alerts/Notifications

Appointment Management

Appointment Scheduling

Assessment Management

Attendance Management

Automated Scheduling

Billing & Invoicing

Bill Payment

Calendar Management

Calendar Sync

Cancellation Tracking

Care Plan Management

Care Summaries

Case List Management

Case Management

Case Notes

Charting

Chat/Messaging

Child Welfare Management

Claims Management

Claims Scrubbing

Client Database

Client Management

Client Portal

Clinical Notes

Clinic Interoperability

Code & Charge Entry

Coding Assistance

Communication Management

Compliance Management

Compliance Tracking

Confirmations/Reminders

Contact Database

Credit Card Processing

Customer Database

Customizable Branding

Customizable Fields

Customizable Forms

Customizable Templates

Data Import/Export

Data Security

Decision Support

Document Management

Document Storage

Document Templates

Drag & Drop

Dunning Management

Electronic Payments

Electronic Signature

Eligibility Verification

Email Reminders

Employee Management

EMR/EHR

Faculty/Staff Management

File Sharing

Financial Management

For Group Therapy

For Medical Purposes

For Mental/Behavioral Health

Forms Management

For Nonprofits

For Substance Abuse Therapy

Generative AI

Goal Setting/Tracking

Group Notes

Health Record Access

HIPAA Compliant

Historical Reporting

Income/Expense Tracking

Initial Assessments

Insurance Eligibility Verification

Insurance Management

Intake Management

Invoice History

Invoice Management

Medical Billing

Medical History Records

Mobile Access

Mobile App

Multi-Factor Authentication

Multi-Location

Multi-Physician

Multi-Provider Practice

No-Show Tracking

Notes Management

On Call Scheduling

One-to-One Messaging

Online Booking

Online Forms

Patient Communications

Patient Database

Patient Engagement

Patient Intake

Patient Management

Patient Monitoring

By industry, Ensora Mental Health reviewers are most commonly professionals in mental health care (71%). The most frequent use case cited is mental health support (63% of reviewers).

Users and use cases

Most reviewers indicate Ensora Mental Health offers strong value for money, citing affordability and flexible pricing options. Most users consider it cost-effective, though a few feel it could be cheaper or want more customization for the price.

Value for money

The Ensora Mental Health integration most frequently cited by reviewers is Google Calendar, a scheduling product rated 4.4 out of 5 for its integration with Ensora Mental Health.

Integrations

Ensora Mental Health is a mental health EHR program with key features that include appointment scheduling, electronic medical records management, document handling, HIPAA compliance, and more.

TheraNest

Web-based

Windows

Linux

Essentials

Advanced

Premier

Licensed Therapist

I also like that the system flags notifications if there’s an issue with a client’s file, which helps prevent things from slipping through the cracks.

Clinical Psychologist

Currently, they have rolled out a systematic change with the transfer to Ensora and providers are fully unclear about what this means in terms of data usage and privacy re: AI integrations, options to opt out of unneeded services, price changes, note taking, and other ethical and clinical related issues.

LMFT Trainee

I also appreciate that whenever there is an update, I receive clear notifications explaining the changes and how they are intended to improve workflow, work quality, and time management.

Therapist

I also like the AI note feature because it helps me write notes faster and saves a lot of time.

COTA

I feel like when it comes to insurance claims and support for when to complete progress notes to ensure that new authorizations are submitted and files to continue treatment there is a disconnect between Ensora and when authorizations are actually due.

Psychotherapist

Sometimes its the schedule that wont move, while currently it is when I want to write notes, it wont scroll [in fact its doing right now in checking it...scrolls for a second then freezes].

Administrative assistant

Any update causes more work for the company having to re-enter previous information save.   When cancelling an appointment, the new update created extra steps to be taken in order to cancel it out.

Advanced mental health staff

The frequent updates is terrible, at first we taught it was because they just changed name but it’s too frequent and when this update is done, it seems something has changed, we have lost some documents or can’t seem to find it because of these updates.

Independent Contractor

The treatment plans are not clear regarding target dates and whether to sign the plan when it is created or when it is completed.  

At times the video quality can be inconsistent, or a client may have difficulty entering the session, though this doesn’t happen often.

I liked the functionality of the calendar and being able to customize it to meet my needs.

Case Manager

One of its standout features is the easy access it provides, allowing users to efficiently create initial assessments, case notes, treatment plans, and contact logs without hassle.

Assistant Director

I guess the only thing that makes me stumble is when the page setup changes; it takes me a bit to assimilate. But that is more user deficiency on my part.

I have had issues with not being able to speak with anyone over the phone to address an ongoing issue I have with dating assessments for clients and dating the assessment document accurately as well as addressing Medicaid client requirements and documentation.

Clinical Director

Back button - write off the money the insurance won't pay, save, back button, charge the client what they owe, back button, send the client a statement (their "automatic" receipts don't show what the date of service is).   

Counselor

I am happy that the insurance accepts my notes and I am able to peruse through my notes when I need to.

They claim to be very proud of their billing system - as they have "added" features to make the billing process quicker- (which I found their "upgrade3" doesn't even pull the correct amount a client owes and it needs to be manually fixed anyway and I have to manually write off money insurance won't pay).  

Now having to navigate to a separate page each time I charge a client feels unnecessary, especially compared to how easily it worked before.

CPC-I Mental Health Counselor

I find it easy to look up my clients' notes, create assessment notes, and schedule the client for their next appointment.

The reminders for treatment plans and progress notes are especially helpful for staying on top of documentation.

Licensed Professional Counselor

having to back and forth from agenda to schedule, but that is perhaps my fault and could learn a better way to create a flow that works for me.

Provider

The issue I have most is when a client tries to connect their bluetooth device like headphones.  

Owner Aromatherapy Consultant

The automated reminders for appointments have also reduced my no-shows significantly.

This problem alone often makes me question continuing with the product as it needs to be smartphone compatible and dependable, it is super frustrating.

I cannot change the intake date so that I date my initial assessment document accurately and not date it for the day the client is entered into the system.

I dont care who runs my credit card payments, but to not have it align with my company name seemed like a "dropped ball."

Mental Health Therapist

If I toggle between screens, the information is sometimes deleted of what I had previously typed.

Medical Assistant

Cons for TheraNest are the mobile app doesn’t have all the features as the desktop version.

You can do scheduling, billing, consolidating, etc.

TheraNest is an excellent platform for mental health professionals, offering a seamless and organized approach to managing client records and documentation.

I also do not like that i cannot put a recurring telehealth appointment on the schedule.

student intern therapist

I wish there was less space on the page used up with the header and other still features, and more space for the elements that I am interacting with (ie: For my list of clients, the area that I can see is still very small).

Sometimes the system glitches and schedules multiple slots.

CEO and LMFT

Techical support is outstanding with a rich knowoedge base, online chat and voice to voice support make problem resolution easy and seamless.

I like how Ensora health gives you the opportunity to contact customer support and leave recommendations on how Ensora Health can improve.

Owner, Practitioner

Prior to the changes, the agenda did not change based on a calendar selection.

Professional Counselor

TheraNest is unable to handle multilevel practices that require collaboration between various levels of providers (more specifically therapist and bachelor's level caseworkers)

Occupational Therapist

I especially like how the program is formatted and keeps things that need to be together near each other.

One thing that changed was the charts and notes on top of the page. But I am getting used to it.

I am having trouble scheduling my clients as sometimes the schedule is contemptuous.

God forbid you don't remember to save everything every 2 seconds or all will be lost. When adding a diagnosis to a clients charge - you have to save it 2x in two different areas or it doesn't save!  

The AI assistance improves the quality of my notes.

Lastly, it incorporates many features you would want in a therapy platform, appointments, forms, reminders, etc.

The feature that I would benefit from would be to check clients insurance.

Theranest is an extremely complicated system and there is a big large learning curve for all users - even just clinicians that make appointments and chart.  

Cheif Strategy Officer

For example, if the clients intake forms are not complete but the client has had two appointments, can the system send an automated remimder?

The interfacing with the smartphone is the only thing that annoys me currently.

Practice Manager

This created issues if someone had to make a correction since this would change historical data.

TheraNest vs PIMSY Mental Health EHR Comparison (2026)

TheraNest

PIMSY Mental Health EHR

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives