Top 7 EHR Software for Psychiatrists in 2025

Imagine your new EHR as a well-organized filing system crossed with a 24/7 virtual assistant—except it’s smarter, faster, and never takes a coffee break. For behavioral health practices, the stakes are higher—your assessments need to capture subjective insights, your patient portal must support messaging, and interoperability with health information systems is key. Not to mention features like DSM-5 integration and telehealth compatibility.

But with dozens of EHRs flooding the market, how do you pick the best electronic health records for psychiatry?

A poorly chosen EHR can drain productivity, increase administrative burnout, and even impact patient care. We evaluated 20+ platforms against criteria tailored to mental health:

1. Specialty-specific templates (e.g., treatment plans, progress notes).
2. Telehealth and patient engagement tools.
3. Compliance (HIPAA, ONC, and GDPR).
4. Affordability and scalability.

In this guide, we’re diving into the top 7 EHR software options for psychiatrists and mental health specialists in 2025. We’ll break down:

1. Medesk
2. SimplePractice
3. Noterro
4. Zanda
5. WriteUpp
6. TherapyNotes
7. and Epic—revealing what works and what doesn’t.

Stick around to see how these EMRs can streamline charting, telehealth, and medical billing, driving patient engagement and quality care.

We’ve evaluated these platforms with clinicians and group practices in mind, drawing from real-world feedback. Here’s an “at-a-glance” comparison of these EHR software options:

Did you know? 67% of psychiatrists switch EHRs within 2 years due to poor fit. Don’t be that statistic—let’s find your match.

1. Medesk: The Affordable All-in-One Behavioral Health EHR

Starting price: $32/month for 3 users and 50 appointments. Free trial available.

Capterra rating: 4.6.

Medesk is like the Swiss Army knife of practice management software—compact, versatile, and budget-friendly for mental health providers. Starting at $32 per month with a free trial, it offers practice management, customizable templates, telehealth, and medical billing, all in a web-based platform.

For psychiatrists, the ability to add assessments like PHQ-9 or GAD-7 via intake forms and charts is a game-changer. You will benefit from psychometric scores and built-in psychological questionnaires and DSM-5 forms that you can edit, print, save and export within a few clicks.

Moreover, with its referral source and acquisition channel reports, you always know where your client learnt about you.

• Pros: Low pricing, robust functionality, free trial with tailored onboarding.
• Cons: Fewer interoperability options than larger systems.
• Why It’s Great: Enterprise-level tools for private practices without the cost.

Sign up for Medesk’s 14-day free trial, upload your patient records, and enjoy secure video visits with a built-in virtual waiting room. You can also use the platform’s referral program and get up to 30% of every payment for as long as your referral remains a Medesk customer.

2. SimplePractice: The Solo Psychiatrist’s Mental Health EHR

Starting price: $49/month/per user. Free trial available.

Capterra rating: 4.6

SimplePractice is a web-based Electronic Health Record (EHR) system designed to streamline clinic management and treatment processes. It offers a range of features aimed at enhancing practice efficiency:

• telehealth
• charting
• EHR mobile app
• and revenue cycle management (RCM).

Its templates are great for quick progress notes, but customization lags behind Medesk.

• Pros: User-friendly, strong patient portal, affordable for one-person shops.
• Cons: Poor analytics and marketing modules, extra fees for premium features (e.g., ePrescribe).
• Why It’s Great: HIPAA compliance ensures data security.

3. Noterro: The Allied Health Wildcard

Starting price: $30/month/per practitioner. Free trial available.

Capterra rating: 4.7

Noterro feels like a toolbox for allied healthcare pros, but it’s adaptable for mental health care. Starting at $30 per month, it excels with customizable treatment plans and scheduling but lacks its own telehealth feature—a miss for psychiatry practices in 2025.

For additional cost, you can get AI-driven features like form summaries and scribe. Unlimited storage is a nice thing to have when you are handling sensitive patient information.

• Pros: Flexible data entry, decent support.
• Cons: No telehealth, steeper learning curve.
• Why It’s Great: Niche option if virtual sessions aren’t your focus.

4. Zanda: The Multi-Specialty Maestro

Starting price: $19/month/per practitioner. Free trial available.

Capterra rating: 4.6

Zanda (formerly Power Diary) offers free and paid ($9/month per practitioner) telehealth options, group therapy scheduling, and robust health information reporting—perfect for clinics with diverse needs. Its templates are solid, though less tailored to behavioral health than Medesk or TherapyNotes.

Zanda doesn’t offer free group calls—they come as an add-on. But you have the option to separately fill out booking instructions and terms and conditions for your practice to avoid the mess.

• Pros: Scales well, strong analytics, e-prescribing included.
• Cons: Pricier, less focus on mental health.
• Why It’s Great: Ideal for growing group practices.

5. WriteUpp: The Minimalist’s Dream

Starting price: £19.9 (≈$22)/per user/per month. Free trial available.

Capterra rating: 4.7

WriteUpp is the UK EHR system—simple, functional, and affordable. It covers basics like scheduling and telehealth, but its charting lacks depth for detailed assessments in psychiatry.

You will be able to integrate invoicing and enjoy an internal messaging system. WriteUpp offers 1000 free video minutes for remote consultations. If you exceed the limit, each minute will cost you 1p per minute. Online booking comes with an extra cost—£4.95 per month/per practice.

• Pros: Cheap, easy patient data entry, lightweight.
• Cons: Limited functionality, not ideal for complex cases, for UK-based medical practices only.
• Why It’s Great: No-frills for small private practices.

6. TherapyNotes: The Behavioral Health Heavyweight

Starting price: $59/per 1 user/per month. Free trial available.

Capterra rating: 4.7

TherapyNotes is loaded with features for behavioral health practices. Starting at $59 per month, it offers top-notch templates, telehealth, and medical billing. It’s a favorite for group practices, but the pricing and complexity might overwhelm solo mental health professionals.

The platform offers TherapyFuel—an integrated artificial intelligence solution that can generate notes, summarize patient interactions and speed up the charting process.

• Pros: Comprehensive, team-friendly, excellent support.
• Cons: Expensive, disorganized billing when you add a new specialty.
• Why It’s Great: Offers free basic telehealth for one-on-one sessions.

7. Epic: The Enterprise Titan

Starting price: $1,200–$500,000 based on practice size.

Capterra rating: 4.4

Epic is the skyscraper of EHRs—massive and built for big healthcare providers. It’s customizable with telehealth, e-prescribing, and interoperability, but its custom pricing (think thousands) and complexity make it impractical for most psychiatry practices.

However, it’s widely used in the USA. The system works well with a great amount of medical histories and outpatient data and gives you access to home-based workflows.

• Pros: Unmatched scalability, enterprise-grade health information.
• Cons: Costly, complex, not for private practices.
• Why It’s Great: Best for hospitals, not solo clinicians.

Verdict: Editor’s Picks for the Best Psychiatry EHRs in 2025

Choosing the right EHR is all about fit—your practice size, patient volume, workflow needs, and budget. Here’s our quick verdict based on real-world feedback and hands-on evaluation.

Most Tailored for Mental Health: Medesk

Designed with psychiatrists in mind—offering customizable DSM-5 templates, psychometric assessments, and mental health workflows.

Why: 60+ mental health templates, built-in questionnaires, affordable pricing. Watch out for: Fewer interoperability options compared to enterprise-level tools.

Best Overall for Solo Psychiatrists: SimplePractice

Simple, secure, and streamlined—perfect for solo providers who want telehealth, charting, and a clean patient portal without overwhelming complexity.

Why: Easy onboarding, great UX, HIPAA-compliant telehealth, mobile app. Watch out for: Limited reporting, extra costs for add-ons like ePrescribe.

Best for Group Practices: TherapyNotes

Loaded with behavioral health tools, progress note templates, and team collaboration features—ideal for multi-provider clinics.

Why: Deep functionality, superb customer support, AI-powered charting. Watch out for: Higher price tag and complexity for smaller teams.

Best Budget-Friendly EHR: Zanda

Affordable, scalable, and equipped with solid analytics and telehealth. Great for growing practices watching the bottom line.

Why: Starts at $19/month, e-prescribing included, strong reporting. Watch out for: Less mental-health-specific features out of the box.

Best for Hospitals and Large Systems: Epic

The gold standard for enterprise healthcare—fully customizable, highly secure, and scalable. But definitely not built for solo clinicians.

Why: Powerful integrations, vast features, supports multi-department systems. Watch out for: Extremely expensive, steep learning curve.

Still unsure? Try before you buy. Most platforms offer a free trial—test workflows, templates, and support responsiveness before committing.

Try the EHR Option in Real-Time

Running a psychiatry practice is a juggling act—patient care, administrative tasks, and HIPAA-compliant medical records demand focus. The only way to choose your best psychiatry EHR is to try one!

Should You Try Medesk? Yes, Here’s Why

• Medesk’s 60+ templates save 10+ hours/month.
• Affordable plans with no long-term contracts.
• Integrated patient portal boosts retention and reviews.

If you think that switching EHRs is a hassle, you shouldn’t. Medesk offers free data migration and 24/7 support. We’ve covered all needs of psychiatrists and mental health specialists by offering customizable dashboards, forms, reports, and workflows—you won’t waste time creating the documents from scratch.

Think Medesk sounds too good? See Capterra reviews—users love its value and streamlined workflow.

Even if you’re set with your current EHR system, why not explore a web-based tool that saves time and money? Medesk’s free trial includes a tailored onboarding plan—no cost, no risk. Clinicians who try it report 5x higher satisfaction than with competitors. Why? It’s built by people who get psychiatry, not just tech.

Join 15,000+ happy practitioners who’ve streamlined their workflows—and still had time for lunch. ↓↓↓