Buyer's Guide & Comparison

The Best Mental Health EHR for Your Clinic — Compared

Not every EHR is built for behavioral health. We break down what actually matters — and how leading platforms stack up — so you can choose with confidence.

Behavioral health–specific • HIPAA compliant • Fully Managed Onboarding • Trusted by 10,000+ clinicians
Behavioral health clinician in a warm, calm officeBehavioral health clinician in a warm, calm office

30%

more patients booked

50%

lower operational costs

2+ hrs

saved per clinician daily

98%

of clinics report improved efficiency

Buyer's Guide

What to Look For in a Mental Health EHR

Most EHRs were designed for primary care. Behavioral health practices need something built for their specific workflows — here are the six criteria that matter most.

Built for Behavioral Health

Look for note templates designed for psychiatry, therapy, and counseling — SOAP, DAP, BIRP formats — not generic medical notes your team has to adapt.

AI-Powered Documentation

mdhub includes ambient AI documentation so clinicians spend less time on notes and more time with patients.

Automated Intake & Scheduling

Manual intake forms and back-and-forth scheduling create delays and front-desk bottlenecks. The right EHR automates intake, reminders, and follow-ups from day one.

Behavioral Health Billing

Insurance billing in behavioral health is complex — benefit verification, pre-authorization, claim scrubbing. Look for a platform that handles all of it in one place, not a bolt-on module.

Telehealth Integration

Telehealth is now a standard part of behavioral health delivery. Your EHR should handle in-person and virtual sessions in the same workflow — no separate tool required.

Group Practice Support

Solo-practice tools often break down at scale. If you have or plan to have multiple clinicians, look for multi-provider scheduling, role-based access, and consolidated reporting.

Platform Comparison

mdhub vs. Other Mental Health EHR Software

How the leading platforms compare across the criteria that matter for behavioral health practices.

Feature
SimplePractice
TherapyNotes
Kareo / Tebra
Documentation & Clinical
Behavioral health note templates
Partial
Ambient AI documentation (scribe)
Psychiatry & therapy note formats
Partial
Partial
Scheduling & Intake
Automated patient intake
Partial
AI admissions coordinator (24/7)
Telehealth built in
Partial
Automated appointment reminders
Billing & Insurance
Insurance verification (VOB)
Partial
AI billing specialist
Claims management & scrubbing
Partial
Partial
Behavioral health–specific billing codes
Partial
Platform & Operations
Multi-provider / group practice
Unified EHR + billing + intake platform
Partial
Partial
Partial
AI workforce (documentation + intake + billing)
Setup time
Hours
Hours
Days
The mdhub Platform

One Platform. Three AI Specialists. Zero Busywork.

While most EHRs still rely on manual workflows, mdhub runs an always-on AI workforce across your entire operation — from the first patient inquiry to final payment.

EHR

Behavioral Health EHR

  • SOAP, DAP, psychiatric, and custom notes
  • Embedded telehealth and scheduling
  • Controlled-substance e-prescribing with PDMP (DrFirst)
Learn more about the EHR
AI Clinical Assistant

Emma, AI Clinical Documentation

  • Ambient AI for all note types
  • Saves 2+ hours per clinician daily
  • Therapy, psychiatry, and counseling
Learn more about Emma
AI Admissions

Sarah, AI Admissions Coordinator

  • 24/7 intake and screening
  • Automated scheduling and reminders
  • 30% more new bookings
Learn more about Sarah
AI Billing

Eric, AI Billing Specialist

  • Eligibility and benefits verification
  • Coding and AI claim scrubbing
  • Denials flagged for review
Learn more about Eric

Ready to see the platform built for your practice?

Behavioral Health Practices Running on mdhub

30% more patients booked
50% lower operational costs
2+ hours saved per clinician daily

I'm a practicing psychiatrist. When new clinicians join us, some are skeptical of Emma, but they quickly find it an integral part of their workflows and don't look back.

Dr. Carlene MacMillan, MD, Chief Product Officer at Radial

Carlene MacMillan, MD, Chief Product Officer, Radial

More than 600 of our clinicians use mdhub, and we're now past 50,000 sessions a month. We've been really impressed by how quickly mdhub incorporates our feedback.

Allison Pokrzywa, PA-C, Director of APP Clinical Services at Family Care Center

Allison Pokrzywa, PA-C. Director, APP Clinical Services at Family Care Center

The transcription feels natural and human. It presents the patient's issues as a clear, engaging story, and the support team is prompt and responsive.

Dr. Shadi Resheidat, Unity Healthcare

Dr. Shadi Resheidat, Unity Healthcare

Behavioral Health EHR Questions, Answered

What is behavioral health EHR software?

Behavioral health EHR software is a clinical and practice-management platform built for mental health, psychiatry, therapy, counseling, and addiction treatment, rather than adapted from a general medical EHR. mdhub combines behavioral health records, an AI clinical scribe, AI-run intake and scheduling, and billing in one platform, with note formats, workflows, and billing rules specific to behavioral health.

How does mdhub compare to SimplePractice?

SimplePractice is a solid EHR for solo and small therapy practices focused on scheduling and basic notes. mdhub goes further in three key areas: (1) AI documentation — Emma, mdhub's AI scribe, auto-generates compliant clinical notes during sessions, saving 2+ hours per clinician daily; (2) integrated billing — Eric handles insurance verification, claim coding, and submission automatically, whereas SimplePractice's billing features are more limited; and (3) AI-powered intake — Sarah coordinates patient admissions 24/7 with no manual intervention. For practices that have outgrown SimplePractice or need more than an appointment-and-notes tool, mdhub is a significant step up.

What makes a mental health EHR different from a general medical EHR?

General medical EHRs (like Epic or Athenahealth) are designed for primary care workflows — diagnosis codes, lab orders, medication management. Mental health practices have fundamentally different needs: psychotherapy and psychiatric note templates (SOAP, DAP, BIRP), session-based scheduling, mental health billing codes (CPT 90837, 90834, etc.), and specific compliance considerations around behavioral health records. A purpose-built behavioral health EHR handles all of this natively without the workarounds that general medical systems require.

Does mdhub work for both therapy and psychiatry practices?

Yes. mdhub is built for the full spectrum of behavioral health — outpatient therapy, psychiatry, counseling, group practices, and multi-specialty behavioral health clinics. Emma, the AI clinical assistant, supports both therapy-style note formats (DAP, BIRP, progress notes) and psychiatric documentation (SOAP notes, medication management notes). Eric handles behavioral health billing codes used across therapy and psychiatry. Sarah manages patient intake regardless of provider type.

How much does a mental health EHR typically cost?

Mental health EHR pricing varies widely. SimplePractice starts around $29–$99/month per clinician. TherapyNotes runs roughly $59–$99/month. Platforms with integrated billing may add a percentage of claims processed. mdhub's pricing includes EHR, AI documentation, AI intake, and AI billing in one platform — which, when compared to cobbling together separate tools, typically results in significant cost savings alongside the efficiency gains. Book a demo for current pricing.

How long does it take to switch to a new mental health EHR?

Most practices go live within four weeks. mdhub manages the full onboarding — configuration, integrations, data migration, and team training. There is no rip-and-replace required, and the mdhub team handles the implementation end to end.

See What a Behavioral Health EHR Should Actually Do

A 30-minute demo, no slides, just the platform running through a live behavioral health workflow with Emma, Sarah, and Eric.