Top 10 PIMSY Alternatives 2026
Streamline your mental health practice with PIMSY.
Main Features
- Appointment Scheduling
- Billing and Invoicing
- HIPAA Compliant
- Patient Portal
Pricing
PIMSY offers custom pricing plan
PIMSY is a Mental Health Software platform with a user rating of 2.9★ based on 5 reviews. Teams looking for alternatives typically need better pricing flexibility, easier deployment, or a closer feature fit for their specific use case. Below you'll find 10 vetted Mental Health Software alternatives ranked by user rating, with filters to narrow by pricing, platform, and features — so you can find the right fit for 2026.
PIMSY vs Top Alternatives at a Glance
Side-by-side comparison of pricing, user rating, and free trial availability to help you decide faster.
| Tool | Best For | Pricing | Rating | Free Option |
|---|---|---|---|---|
| PIMSY Current | Mental Health Software | Custom pricing | 2.9 ★ | ✗ No |
 Ensora Mental Health (formerly TheraNest) | Mental Health Software | $26.58 | No reviews | ✓ Yes |
 BestNotes | Mental Health Software | Custom pricing | 4.1 ★ | ✗ No |
 ICANotes | Mental Health Software | $155.00 | 4.1 ★ | ✓ Yes |
 Lyra Health | Mental Health Software | Custom pricing | 1.5 ★ | ✗ No |
 TherapyNotes | Mental Health Software | $40.00 | 5.0 ★ | ✓ Yes |
Showing 1-10 out of 10
List of the Top PIMSY alternatives as of October 2026
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Ensora Mental Health (formerly TheraNest) — from $26.58
Recommended
Purpose-Built EHR for Therapists and Behavioral Health Practices
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What is Ensora Mental Health (formerly TheraNest)?
Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, billing, and telehealth, it helps therapists reclaim hours lost to administrative tasks. With features ...
Read moreCommon Features
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Appointment Scheduling
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Patient Portal
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Patient Records Management
+ 1 more
Unique Features
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Workflow Management
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Compliance Management
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Document Management
+ 1 more
Pricing
Free Trial available, Try Now
Starts from $26.58 therapist/month when yearly
BestNotes — 4.1★
Revolutionize your practice with BestNotes.
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What is BestNotes?
BestNotes is an EHR and EMR system built for mental health and addiction treatment providers, with tools for tracking medications, managing clinical documentation, and capturing patient signatures. The customizable application integrates intake and clinical workflows and supports medication ...
Read moreCommon Features
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Patient Records Management
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HIPAA Compliant
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Appointment Scheduling
+ 1 more
Unique Features
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Clinical Documentation Management
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Treatment Planning
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Customization
Pricing
BestNotes offers custom pricing plan
ICANotes — from $155.00 · 4.1★
Streamline your practice and elevate client care with ICANotes.
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What is ICANotes?
ICANotes is a behavioral health EHR built for mental health and addiction treatment practices, with pre-configured charting templates across multiple clinical disciplines. It includes a practice management system covering electronic insurance claims, automated payment processing, and billing ...
Read moreCommon Features
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Patient Records Management
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Billing and Invoicing
-
Appointment Scheduling
+ 1 more
Unique Features
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Clinical Documentation Management
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Claims Management
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Treatment Planning
Pricing
Free Trial available, Try Now
Starts from $155.00/month when Billed Yearly
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Lyra Health — 1.5★
Healthy minds, happier lives.
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What is Lyra Health?
Lyra Health seeks to revolutionize mental health care, fusing technological advances and a caring human touch to provide more individuals with the help they need. Book appointments and connect with your provider in person or virtually. Engage with digital activities and lessons to gain new ...
Read moreWhat reviewers like about Lyra Health
- Revolutionizes mental health care
- In-person and virtual options
- Engaging digital activities
Where Lyra Health falls short
- Limited to mental health
- Requires internet access
- Not suitable for severe cases
Common Features
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HIPAA Compliant
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Self Service Portal
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Appointment Scheduling
Unique Features
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Video Conferencing
Pricing
Lyra Health offers custom pricing plan
TherapyNotes — from $40.00 · 4.96★
Streamlining behavioral health practices, one click at a time.
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What is TherapyNotes?
TherapyNotes is an EHR platform for behavioral health professionals that handles note-taking, scheduling, and billing in a single system. Its form-based documentation approach speeds up data entry, and a built-in task list automatically assigns clinician reminders for session notes, treatment ...
Read moreWhat reviewers like about TherapyNotes
- Provides exceptional customer service with knowledgeable, patient, and helpful support representatives.
- Offers user-friendly Electronic Health Record (EHR) system, enhancing efficiency in private practices.
Where TherapyNotes falls short
- Customization options and features might be overwhelming for new users without adequate guidance.
- Marketplace may lack a variety of apps and connectors, limiting advanced functionalities for users.
Common Features
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Appointment Scheduling
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Patient Records Management
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Billing and Invoicing
+ 1 more
Unique Features
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Physician Management
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Multi-Location
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Compliance Tracking
+ 5 more
Pricing
Free Trial available, Try Now
Starts from $40.00/month when Billed Yearly, also offers free forever plan
Calmerry — from $42 · 4.03★
Connecting you to personalized online therapy solutions.
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What is Calmerry?
Calmerry is an efficient platform that connects individuals and therapists to identify the perfect online therapy solutions tailored to their individual needs. It has a highly experienced customer support team available 24/7 to answer queries and ensure satisfactory assistance. Automated ...
Read moreWhat reviewers like about Calmerry
- Automated workflows
- 24/7 customer support
- Tailored therapy solutions
Where Calmerry falls short
- Limited therapist availability
- Not suitable for emergency care
- Requires internet access
Common Features
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Patient Records Management
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Appointment Scheduling
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HIPAA Compliant
Unique Features
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Workflow Management
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Care Summary
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Live Chat
Pricing
Starts from $42/Week
Sigmund AURA — 3.3★
Revolutionize patient care with Sigmund AURA.
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What is Sigmund AURA?
Sigmund AURA is an EHR platform built for behavioral health and addiction treatment providers, covering billing, collections, care coordination, clinical decision support, and configurable alerts. Customizable dashboards surface operational data to help providers monitor workflows and patient ...
Read moreCommon Features
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Patient Records Management
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Billing and Invoicing
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HIPAA Compliant
Unique Features
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Clinical Documentation Management
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Alerts
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Dashboard
+ 1 more
Pricing
Sigmund AURA offers custom pricing plan
Credible Behavioral Health Software — 3.7★
Efficient, streamlined mental health management.
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What is Credible Behavioral Health Software?
Credible Behavioral Health Software is an EHR platform for behavioral health facilities that offers customizable treatment plans built from pre-designed templates. It includes an eMAR feature for tracking medication administration and automated staff notifications to keep care workflows
Read moreCommon Features
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Patient Records Management
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HIPAA Compliant
-
Billing and Invoicing
Unique Features
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Treatment Planning
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Alerts
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Clinical Documentation Management
+ 1 more
Pricing
Credible Behavioral Health Software offers custom pricing plan
TheraNest — from $32.50 · 3.73★
Simplify your practice with TheraNest.
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What is TheraNest?
TheraNest is the perfect practice management tool for behavioral health professionals! How tedious and time consuming are invoice creation and billing tasks for your practice? TheraNest relieves this burden in an easier and efficient way. Now, create, print and email invoices and superbills ...
Read moreWhat reviewers like about TheraNest
- Easy invoice creation
- Telehealth appointment management
- Efficient billing process
Where TheraNest falls short
- Limited integrations
- No mobile app
- Basic reporting features
Common Features
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Self Service Portal
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Appointment Scheduling
Unique Features
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Claims Management
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Reminders
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Treatment Planning
+ 2 more
Pricing
Free Trial available, Try Now
Starts from $32.50/Month when Billed Yearly
Sharenote
Unleash the potential of your behavioral health practice.
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What is Sharenote?
Introducing Sharenote – Your Comprehensive Behavioral Health Practice Software Embark on a seamless journey of managing your behavioral health practice with Sharenote, a cutting-edge software solution designed to streamline clinic operations and enhance patient care. As a robust practice ...
Read moreCommon Features
-
Patient Portal
-
HIPAA Compliant
-
Appointment Scheduling
Unique Features
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Treatment Planning
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Customization
Pricing
Sharenote offers custom pricing plan
PIMSY vs its closest competitors
There are 10 direct PIMSY competitors in Mental Health Software. The ones that come up most often are Ensora Mental Health (formerly TheraNest), BestNotes and ICANotes. Each is compared against PIMSY on rating, pricing and feature coverage below.
Sites and apps like PIMSY
Searches for "sites like PIMSY" and "apps like PIMSY" land on the same set of options as "PIMSY alternatives" — the 10 options below cover both, whether you want a like-for-like replacement or something lighter.
What earned each PIMSY alternative its spot
Revolutionizes mental health care
Watch for: Limited to mental health
Provides exceptional customer service with knowledgeable, patient, and helpful support representatives.
Watch for: Customization options and features might be overwhelming for new users without adequate guidance.
Automated workflows
Watch for: Limited therapist availability
Key things to look for in a PIMSY alternative
Comparing the 10 alternatives on the figures that matter: 4 offer a free tier; and TherapyNotes is the highest rated at 4.96★ across 340 reviews.
How we rank, in short.
Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].
