# TheraNest Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is TheraNest the right Mental Health EHR solution for you? Explore 1040 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/130400/TheraNest-Mental-Health/reviews --- TheraNest 4.4 (1040) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated June 1st, 2026 # Reviews of TheraNest Ease of use 4.3 Customer Service 4.4 ## Pros and Cons in Reviews Intuitive and simple navigation 94% positive reviews out of 195 Most reviewers describe ease of use as a major benefit, making daily tasks and setup straightforward. Frequent technical glitches 62% negative reviews out of 99 Most reviewers describe recurring bugs and technical issues that disrupt tasks and require extra troubleshooting. Kamal H Psychologist, 2 - 10 employees. "The biggest frustration for me was the number of small but disruptive technical issues." Continuous user-driven enhancements 95% positive reviews out of 57 Most reviewers indicate improvements are frequent, based on user feedback, and enhance workflow and efficiency. Manual and unreliable data saving 58% negative reviews out of 79 Most reviewers indicate data saving is unreliable, requiring frequent manual saves to prevent information loss. D'Nicole M Therapist, 11 - 50 employees. "I do not like how this program does not automatically save my work. If I am not saving notes/assessments (short and or long documents) periodically and there is an issue with TheraNest or the internet connection, all is lost, and I need to start over." Clean and integrated interface 94% positive reviews out of 35 Most reviewers find the user interface clean, intuitive, and well-integrated for managing multiple practice needs. Limited and complex form customization 64% negative reviews out of 39 Most reviewers report custom forms are difficult to create, lack flexibility, and disrupt workflow integration. ## Showing most helpful reviews Showing 1-25 of 1040 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use Gary M. Psychologist Mental Health Care Used the software for: Less than 6 months ### "All In with TheraNest " November 21, 2018 5.0 Our office was using one company for scheduling patients and patient notification (text messaging); one company for billing; and one company for notes which resulted in huge opportunities for human error; the specific needs of our office were not addressed with any one company. addresses most of our office needs in one integrated program. Scheduling, appointment notifications, progress notes, billing, and ERA (eventually). I previewed the ERA and it looks like it will efficiently apply payments to billed services. I am very satisfied with TheraNest and strongly recommend it for other Behavioral Health providers. Pros Imported years of data from another system into with no errors and very limited time commitment. Their customer support was very helpful and honest about the transition. TheraNest is full featured- Our office used a competitor program for 30+ years but wanted/needed a cloud based state of the art EHR program- Our office tried several other popular programs but they all had significant limitations. We are very excited about Theranest. Our Office is new to the program but so far so good. The customer support is excellent. They are adding features frequently, including specific features requested by users. The start up learning curve is doable and our staff picked it up in a few days versus weeks. The scheduling, pt. appointment notifications, calendar, and agenda are well thought out and fully integrated. The initial intake note and progress notes took some getting used too but they work very well- DX codes are easily entered and updated. The progress notes are very professional and signed and cosigned if necessary. I know this sounds like a paid advertisement but I have spent a lot of time, money and effort trying other programs and I was never more encouraged than with Theranest. Our goal was to be fully functional with the transition from our current system to Theranest by January 2019. We are ahead of schedule and our intention is to bill our first full month of receivables for November 2018. Cons The fees were initially off putting. But after becoming familiar with , I see the potential for a very efficient, time saving, integrated system that is well worth the monthly investment. There is also flexibility with monthly billing based upon caseload (increasing or decreasing at discretion of the user) and it seems fair. Review Source Response from Ensora Health December 18, 2018 Thank you for the glowing review!! We are so happy to hear you and your team are enjoying TheraNest! EJ Emily J. Operations Manager Health, Wellness and Fitness Used the software for: 2+ years ### "Great for Self-Pay clients and Part Time Staff" June 2, 2025 4.0 I like it and we use it still as a company. However, with the recent cost increase we are considering switching. If you are a small practice with mostly self-pay clients, its a good program. Pros Its a great value and great program to use as an EHR if you are work with mostly self-pay clients. It is relatively user friendly to use as well. Its also great if you have several part-time clinicians since you pay by the amount of clients Cons It lacks some features both on the client side and staff side that can be improved. The client portal as well as billing abilities are not as robust as other programs. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest It was much more cost effective - especially with several staff that are part time. But with the recent price increase we are considering switching to a more robust program. Review Source KR Kelley R. Owner, Practitioner Mental Health Care Used the software for: 2+ years ### "Changes to workflow" March 20, 2026 3.0 Overall it has been fine. Often the feedback from ticket I get is useful and just recently, the information given did not answer the question. Pros Before all of the changes, I liked the ease of use. It was very easy for my office manager to toggle back and forth between the agenda and an individual calendar for a therapist to make appointments. Cons Changes to our workflow. My office manager must now pull up an individual person's calendar to find a spot for the client, then go back to the agenda and choose every counselor to display all appointments on the agenda view. Prior to the changes, the agenda did not change based on a calendar selection. It adds several steps to her job with EACH client and takes time. Review Source TM Todd M. Psychotherapist Mental Health Care Used the software for: 2+ years ### "Frustrated with Smartphone interfacing" March 16, 2026 4.0 Overall, I like and am happy with how it works when on my desktop and how it helps me run my business. The interfacing with the smartphone is the only thing that annoys me currently. Pros Value for money, ease of use and billing using credit card. Scheduling is also an obvious big part of why I use this software, along with sending paperwork to clients. Customer service has been professional and attentive they also get back to me in a timely matter that has been a plus. Cons Im very frustrated that the scrolling features often do not work on my Android phone. In the early stages of using this was never an issue. Over the last year I have needed to connect with IT to try and resolve this. Solutions work for a season then stop working again. It is inconsistent in this "bug." Sometimes its the schedule that wont move, while currently it is when I want to write notes, it wont scroll \[in fact its doing right now in checking it...scrolls for a second then freezes\]. This problem alone often makes me question continuing with the product as it needs to be smartphone compatible and dependable, it is super frustrating. Additionally, this year I received a 1099 with my personal name and not my company name. This was due \[I think\] to the switch over from Vantage to Ensura. Im not sure why or how this occurred. After several emails I think it should resolve itself next tax cycle, but this was another weird frustration. I dont care who runs my credit card payments, but to not have it align with my company name seemed like a "dropped ball." Water under the bridge unless my 2026 tax information is wrong. Review Source sY stacey Y. psychotherapist Mental Health Care Used the software for: 2+ years ### "Uncomplicated and easy to use" February 11, 2025 4.0 overall, good value. having used other more complicated systems that counties and larger agencies use, is unlike those...TheraNest is uncomplicated and designed for therapists. Pros easy to navigate, billing is easy, can create standardized forms, can upload documents into client file, agenda and calendar view are helpful, notes are narrative-not drop downs Cons no way to communicate with clients within the system or send client documents to review (other than created standard forms) Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest cost, better navigation, suggestion of colleagues Switched from [TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/) needed something a bit more sophisticated and didn't like all the drop downs that could lead to insurance clawbacks Review Source JH Jamie H. Therapist Mental Health Care Used the software for: 2+ years ### "Quality is deteriorating " February 26, 2025 3.0 I use daily and it is frustrating that each update brings more challenges. Pros is more user friendly than other emr software prgrams I have used in the past. Cons The quality of the product deteriorates with each update since aquiring therapy brands. Switched from [CarePaths EHR](https://www.capterra.com/p/86870/CarePaths-EHR/) Changed companies and we did not like how inefficient carepaths was at the previous company. Review Source NT Natascha T. LMFT Mental Health Care Used the software for: 2+ years ### "Very good value for money" January 21, 2025 5.0 I very much like . While there are glitches, for example, the 2FA isn't properly working yet, the tech support team responds fast and is motivated to figure things out and implement new features. Pros Price for value. Good features. Fairly intuitive. Good tech support. Cons Difficult to set up divorced parents for one child as system is not well set up to handle that; complicated. Document signing can be difficult when individual forms need signature by a client. Did not like the telehealth option as can only be used with clients, not prospects. Alternatives considered [Carepatron](https://www.capterra.com/p/195467/Care-Patron/)[TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/)[SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest Value for money. Great onboarding and customer support. Seemed fairly easy to use. Switched from [TherapyZen](https://www.capterra.com/p/151098/TherapyZen/) TherapyZen is a terrible product. Slow, lacks automation and security issues. Review Source ME Michael E. Licensed Professional Counselor Mental Health Care Used the software for: 2+ years ### "Good Overall..." February 13, 2025 5.0 It is positive overall. It has been a consistent way for me to run payments and manage client files. Pros It is easy to use and covers all my business needs. Cons It is expensive and cumbersome when you run into client limits. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest I was more familiar with and had a positive experience with it previously. Review Source GP Greta P. Psychotherapist Mental Health Care Used the software for: 2+ years ### "On Theranest, you can only access to next 60 days" February 26, 2025 3.0 I have been mostly happy since 2018, but now that I can't see or change anything on my schedule beyond 60 days I am considering switching. Pros has all I need--scheduling, reminders, CC billing, superbills, telehealth platform, customizable forms Cons The merged and customer support has diminished and a recent software update blocks us from seeing and changing appointments more than 60 days in advance. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest I did 30 day demo of each. Simple didn't answer any questions during that month, thera did. Thera was more costly, but getting answers to questions is valuable and worth $. Review Source Dr. Holly S. CEO Mental Health Care Used the software for: Less than 6 months ### "Depends On Your Needs" December 22, 2020 3.0 It was decent. They have superb customer service. I really liked how attentive they are to your needs and are very open to making sure your issues are resolved. Pros Uploading documents into client's charts was a breeze. It made it easy for my staff and I to review charts electronically. The calendar feature is very user-friendly. Cons It was very difficult to figure out how to co-sign on my staff notes. I needed this function and found it hard to set up. Setting up each staff person was a little difficult. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest was affordable. It didn't charge me per staff as some other programs. That was financially feasible for me and my agency. Review Source MM Mallory M. speech therapy Medical Practice Used the software for: 2+ years ### "Theranest is awesome!" February 17, 2025 5.0 The ability to access patient demographics, evaluation reports, treatment plans, daily progress notes, contractor staffing details, and medical billing all in one place is beneficial to the efficiency of my private practice's success. Pros is efficient and organized. It is the easiest to use and navigate as compared to other EMR softwares I have trialed. Cons I would like to be able to submit treatment plans with a signature. Alternatives considered [Fusion](https://www.capterra.com/p/136876/Pediatric-Therapy-EMR/) Reason for choosing TheraNest The pricing was more appropriate for my business. Review Source CS Colleen S. Licensed Clinician Mental Health Care Used the software for: 2+ years ### "Helpful for Private Practice " February 18, 2025 4.0 I like it, I wish the credit card company transition was going smoother. Pros I like having clients profiles all in one place, and the Wiley treatment planning! I also like how as a small practice I can set my price based on number of clients I have in the system. I like the tiered system! Cons The credit card processing has been clunky. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reason for choosing TheraNest pricing system and used it previously as an intern Review Source VW Victoria W. COTA Medical Practice Used the software for: 2+ years ### "Easy to use Medical documentation site!" September 12, 2025 4.0 I am a therapy provider that uses Ensora Health at least 4-5 days a week. I start my therapy career using Ensora health and as a new graduate I found it very easy to learn how to use and very easy to continue to use throughout my career. I like how Ensora health gives you the opportunity to contact customer support and leave recommendations on how Ensora Health can improve. Pros I feel like Ensora Health is very easy to use, easy to schedule and edit appointments, and is easy to help manage and streamline workflow for multiple staff members. Cons 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. Review Source TH Tyler H. Psychologist Mental Health Care Used the software for: 1-2 years ### "Great Platform for Clinicians" March 19, 2026 5.0 Overall i pove how easy it is to navigate the site. I appreciate the options to review and resend patient receipts. I also appreciate the new update with booking appointments on a continuous basis, that saves me a lot of time! Pros I love how easy it is to use. As someone who is super busy, I always appreciate convenience and user friendly platforms! Cons One drawback, is whenever I finish updating a client, I always go back to the main page with everyones clients instead of just my own. I wish there was a way to just see my clients at all times. Review Source AD Annmarie D. Therapist Mental Health Care Used the software for: 2+ years ### "Love the new TheraNest, However, I prefer the old one that works better." March 22, 2026 5.0 has become a bit difficult to navigate, even though I like the new set up. I have not figure out how to forward my appointment to calendar. Pros I like because it's easy to navigate. I find it very informative. The upgrade is easy to manage, however, difficult navigating to the calendar. Cons Right now I am finding not to be very productive for me. I am unable to link my appointments to my calendar. Review Source IO Irina O. Administrator Mental Health Care Used the software for: 6-12 months ### "Just a few more tweaks to make it 5 stars!" March 16, 2026 4.0 Pros I like how many areas this system connects that would otherwise be disjointed. I like that it gets updated and upgraded regularly. Cons I know you have done a rehaul of the scheduling process - and this is what I've been mostly using in , but it still is lacking in many aspects, which makes it more time-consuming than necessary to use. Review Source JC Jasmika C. Cheif Strategy Officer Mental Health Care Used the software for: 2+ years ### "Solid but outdated. " February 20, 2025 3.0 Overall has served my practice well however, we are considi g moving to a new platform.due to the limitiations of the prospective clie t interface. Everything is manual in Theranest, I would like to see some automations. Standard client interactions. For example, if the clients intake forms are not complete but the client has had two appointments, can the system send an automated remimder? Pros Ease of use, intuitiveness and recent changes that offer the ability to navigate to most of the major screens from any screen. Cons I am dissatisfied with the limitations of intake for new clients. I would like to see more integrated prospective client contact features. Including initial point of contact, scheduling, automated text follow ups, etc for prospective clients. Also, I used to really like the training platform. I dont like it anymore it's too cumbersome and convoluted. There are some reports that I would like to see improvements on. Review Source TG Taylor G. Therapist Mental Health Care Used the software for: 6-12 months ### "Great but needs work" March 29, 2026 4.0 Overall, the system is user-friendly and helpful for organizing notes, but frequent freezing—especially with built-in therapy grading scales—interrupts workflow and can be frustrating during sessions. Pros Easy-to-use therapist charting system that streamlines notes, saves time, and improves workflow daily. Cons Constant freezing when using built-in therapy grading scales disrupts workflow and wastes time such as GAD-7 and PHQ-9. Review Source WM Whitney M. Therapist Mental Health Care Used the software for: 6-12 months ### "Easy to learn and navigate" March 19, 2026 4.0 Overall it has been a very positive experience. I was completely unfamiliar with it before using it and learning it was not difficult. Pros Very easy to navigate. The improvements have helped necessary functions to be more easy to find. Overall like the navigation. Cons Can sometimes struggle with connection issues or items saving if I need to toggle between more than one tab. Review Source AD Autumn D. Mental Health Counselor Mental Health Care Used the software for: Less than 6 months ### "helpful tool for providing services to my clients" March 17, 2026 4.0 Pros organization helpful for therapists to provide efficient service ease of use helpful appointment scheduling Cons n/a. Review Source JZ Jennie Z. CEO and company owner Mental Health Care Used the software for: 2+ years ### "Repeated failure to provided necessary tax info in timely manner" March 3, 2025 2.0 They get 2 stars because their customer service is polite and responsive. The product is ok, but issues that impact my ability to do business is very frustrating and incredibly time consuming. Pros Convenience of having comprehensive EHR software. Cons Although their response to an issue is quick, it can take an exceptionally long time to resolve it. One example, the appointment times on my daily agenda were showing appointments in PST and I am in EST, it took almost 8 weeks to resolve. The past 4 years they haven't provided a timely 1099K, it takes repeated requests to receive it in March!! Review Source PH Paul H. Case Manager Non-Profit Organization Management Used the software for: 6-12 months ### "TheraNest a Great Tool." February 25, 2025 4.0 is a well-rounded solution for practitioners who must maintain thorough and structured records. Pros is an excellent platform for mental health professionals, offering a seamless and organized approach to managing client records and documentation. 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. Cons Overall, streamlines administrative tasks improves workflow efficiency, and enhances record-keeping, making it a top choice for therapists, counselors, and mental health professionals. It would be an great addition to add AI. Review Source AA Amy A. Nurse practitioner Mental Health Care Used the software for: Less than 6 months ### "Easy to use " March 11, 2026 4.0 So far so good ! Been using it since July 2025. Some difficulty at times with telehealth. I would like to be able to unarchive more clients Pros Easy to use , documentation easy , client demographic easy to find . customer service /tech support easy to access, Cons There are times the microphone /video doesn’t work . I have the client go out and log back in and then it works. Not sure if it’s their internet but it does happen often Review Source OA Odukunle A. Advanced mental health staff Health, Wellness and Fitness Used the software for: Less than 6 months ### "Okay but can do better " October 25, 2025 3.0 Pros It’s easy to quickly log into the app. The calendar comes in really handy, I can easily look back at previous or future activities and that helps me make quick plans or even change decisions fast, plus I can make notes which can also be edited. Cons 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. Review Source fL frances L. Admin Assistant Medical Practice Used the software for: 2+ years ### "This is what you need" February 11, 2025 5.0 I love it. It has mostly everything that is needed to get the job done. Pros It's user friendly for the providers and clients. Cons When I need help it will not allow me to chat. It takes my information and I have to wait for a response via email. I am unable to use the ERA auto post function because it does not work with the payer. I am unable to use 270 / 275 function. Switched from [Practice Mate](https://www.capterra.com/p/210524/Practice-Mate/) Does not have the capacity of . Review Source ## Send me user reviews about this product ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox. Talk to a Capterra advisor for free and get results within 15 minutes.