Feature Mental Note AI TherapyNotes
Primary Purpose AI Note Generation Only Full EHR + Practice Management
Platform Microsoft Word Add-in Web-Based EHR
Pricing Free tier + $99/month unlimited $49-$59/month (no free tier)
Free Tier Yes (2,000 words/month) No
Client Scheduling Not Included Full Scheduling Suite
Billing & Invoicing Not Included Full Billing Suite
Insurance Claims Not Included Built-In Claims Management
Note Formats 6 Formats (SOAP, DAP, BIRP, SIRP, GIRP, PIE) Customizable Templates
Data Storage Zero Retention (On-Device) Cloud-Based EHR Storage
HIPAA Compliant Yes Yes (with BAA)
Best For Solo, Notes Only Groups, Full Practice Mgmt

Scope: Notes vs Full EHR

Mental Note AI

Focused entirely on AI-powered clinical note generation. You write session observations in Word, and Mental Note AI structures them into professional notes. No scheduling, billing, or client management.

  • Advantage: Laser-focused on one job: better notes faster.
  • Best for: Solo practitioners using other tools for scheduling/billing.

TherapyNotes

Complete EHR platform with note generation, client scheduling, billing and invoicing, insurance claims management, client intake, and practice management. One central hub for all practice operations.

  • Advantage: All practice management in one integrated system.
  • Best for: Practices needing comprehensive EHR solution.

Practice Management Features

Mental Note AI

No built-in practice management. You manage scheduling elsewhere, billing elsewhere. Mental Note AI handles only note generation within Word.

  • Advantage: Flexibility to use any scheduling/billing tool.
  • Best for: Practices already established with other systems.

TherapyNotes

Complete suite: appointment scheduling, client reminders, billing management, insurance claim submission, payment processing, client intake forms, progress tracking. Integrated dashboard for all practice data.

  • Advantage: No need for multiple subscriptions.
  • Best for: Practices wanting all tools in one place.

Setup & Integration Complexity

Mental Note AI

5-10 minutes: Download the Word add-in, activate it, watch a quick tutorial. Start generating notes immediately. No complex configuration needed.

  • Advantage: Fastest implementation possible.
  • Best for: Practitioners who want instant results.

TherapyNotes

2-4 weeks: Account setup, staff configuration, client database migration, scheduling setup, billing configuration, insurance credentialing. Requires careful planning and training.

  • Advantage: Thorough setup ensures proper EHR configuration.
  • Best for: Practices with time/resources for proper EHR implementation.

Pricing & Total Cost

Mental Note AI

  • Free Tier: 2,000 words/month, full features
  • Paid: $99/month or $990/year
  • Note: Add cost of separate scheduling/billing tools
  • Best for: Budget-conscious solo practitioners.

TherapyNotes

  • No Free Tier
  • Pricing: $49-$59/month (estimated)
  • Includes: All EHR + practice management in price
  • Best for: Practices wanting consolidated solution.

Data Privacy & Security

Mental Note AI

Zero data retention: Patient information never leaves your computer. Notes stay in Word on your device. Strictest privacy model available.

  • Advantage: Maximum privacy for patient data.
  • Best for: Practices prioritizing zero cloud storage.

TherapyNotes

Cloud-based EHR with encrypted storage. HIPAA-compliant with BAA available. Standard enterprise healthcare security. All data on TherapyNotes servers.

  • Advantage: Standard HIPAA security with cloud backup.
  • Best for: Practices comfortable with cloud-based EHR.

Who Should Choose Each Platform?

Choose Mental Note AI If You:

  • Are a solo practitioner focused on notes only
  • Already have scheduling and billing solutions
  • Want the fastest setup (5-10 minutes)
  • Want to try AI notes at zero cost (free tier)
  • Value maximum privacy (zero data retention)
  • Prefer simple, focused tools over complex platforms
  • Use Microsoft Word for documentation

Choose TherapyNotes If You:

  • Need a complete EHR solution
  • Want scheduling, billing, and notes in one system
  • Manage multiple staff members
  • Need insurance claims management
  • Want client intake and document management
  • Prefer consolidated practice management
  • Have time for proper EHR implementation (2-4 weeks)

Frequently Asked Questions

What's the main difference between Mental Note AI and TherapyNotes?

Mental Note AI is a lightweight Word add-in focused only on AI note generation. TherapyNotes is a full-featured EHR/practice management platform with scheduling, billing, client management, and note generation. Mental Note AI is best for solo practitioners wanting a simple note tool; TherapyNotes is best for practices needing complete practice management in one system.

Does TherapyNotes include client scheduling and billing?

Yes. TherapyNotes is a complete EHR with scheduling, billing, invoicing, insurance claims, and practice management features. Mental Note AI focuses only on note generation. If you need all practice management in one system, TherapyNotes is more comprehensive. If you only need note generation, Mental Note AI is lighter and simpler.

Which is more affordable for a solo practitioner?

Mental Note AI offers a free tier with 2,000 words/month, then $99/month for unlimited. TherapyNotes starts at approximately $49-$59/month with no free tier. For solo practitioners trying AI notes first, Mental Note AI's free tier is more cost-effective. But if you need scheduling and billing too, TherapyNotes is more economical than buying multiple tools.

Can I use Mental Note AI with TherapyNotes?

Yes, indirectly. You can generate notes in Mental Note AI's Word add-in, then copy and paste them into TherapyNotes. However, this adds an extra step. TherapyNotes has its own built-in note generation, so most users just use TherapyNotes for both scheduling and notes.

Which should I choose if I only need notes, not practice management?

Mental Note AI. If you already have scheduling and billing handled elsewhere (or use another EHR), Mental Note AI is a simpler, lower-cost note generation tool. TherapyNotes requires commitment to their full platform even if you only need notes.

Try Mental Note AI Free

2,000 words per month on the free tier. Full access to all 6 note formats. No credit card required.

Try for Free in Word

Last updated March 20, 2026