Mohamed Badran··
Short answer: Sessions Health is the better value for solo therapists and small practices, at roughly $39 a month for the first clinician and $29 for each additional one, with everything included and free administrator accounts. SimplePractice is the better choice if you need a mature mobile app, a large ecosystem, or support for practitioner types beyond mental health. The trade-off is reporting: Sessions Health's analytics on revenue, retention, and outcomes are thinner.
At a glance
| Metric | Sessions Health | SimplePractice |
|---|---|---|
| Starting price | About $39 first clinician, $29 each additional | Tiered, plus per-clinician charges |
| Admin accounts | Free | Charged |
| Feature gating | Core features in the base plan | Some features gated to higher tiers |
| Mobile app | Lighter | Best in category |
| Reporting | Limited on revenue, retention, outcomes | More developed |
| AI notes | AI Assist drafts notes and session summaries | Available |
| Practitioner types | Mental health focused | Broad |
| Ecosystem | Smaller, growing | Large |
On pricing. SimplePractice publishes Starter at $49, Essential at $79 and Plus at $99 a month. Group practices need Plus, with additional clinicians tiered at $74 each for two to five, $72 for six to fifteen, and $69 for sixteen or more. Sessions Health is about $39 a month for the first clinician and $29 for each additional one, with free administrator accounts. Verified 30 July 2026; confirm before you sign anything.
Why practices pick Sessions Health over SimplePractice
Price, honestly stated. Core features come in the base plan rather than being gated upward. For a small practice, the difference between "included" and "available on the higher tier" is most of the annual cost.
Free administrator accounts. If you employ an office manager and a biller, paying full clinician seat price for people who do not see clients is a real annoyance on other platforms. This is a small thing that practices mention unprompted.
Simplicity. Reviews consistently describe it as uncluttered and quick to learn. In a category where onboarding is measured in weeks, that has value.
Support. Fast responses and a team that visibly acts on clinician feedback come up repeatedly in public reviews.
Why practices pick SimplePractice over Sessions Health
Mobile. Not close. If you chart between sessions on a phone, this matters daily.
Ecosystem. A large user base means answers already exist.
Breadth. Support for practitioner types beyond mental health, useful for mixed clinics.
Client portal maturity. Intake completion tends to be smoother.
Sessions Health vs. SimplePractice reporting comparison
If you are a solo therapist, Sessions Health's lighter reporting is a non-issue. You know your numbers.
If you are running a more complex business, like a group practice, Sessions Health’s minimal reporting becomes the constraint. Revenue by clinician, retention by cohort, outcome trends, and no-show patterns are the numbers you need to make staffing and pricing decisions, and thin reporting means you either go without or you buy a second tool.
That second path is more common than people expect. One practice we spoke with pays $300 to $400 a month for a separate analytics platform because their EHR does not provide what they need. That is a real line item created by a reporting gap, and it is worth pricing into any comparison.
What neither solves
If you need supervision, highly customizable role-based permissions, and advanced payroll, both Sessions Health and SimplePractice fall short. Both EHRs are built primarily around one clinician and one caseload. Past roughly fifteen clinicians the same three gaps show up:
- Supervision by credential status. Neither reliably distinguishes an intern from a provisionally licensed clinician who is independently credentialed with payers and does not legally require a co-signature.
- Role-based permissions beyond fairly coarse admin and clinician roles.
- Payroll modeling. One group practice puts about 20 hours a week of a billing manager's time into converting EHR data into a payroll ledger, because the software has no way to express a contractor revenue split or a salaried arrangement with an hourly minimum plus commission.
Which should you choose: Sessions Health or SimplePractice?
As creators of a mental health EHR, these are our recommendations.
Choose Sessions Health if you are solo or under about eight clinicians, price matters, you want everything in the base plan, and you do not need deep reporting.
Choose SimplePractice if mobile matters, you want a large ecosystem, or you see practitioner types beyond mental health.
Choose neither if you are running a group practice where supervision, permissions, or payroll is the daily friction.
On migration anxiety
Whichever you pick, ask how you would get your data back out in three years. The answer tells you how the vendor thinks about lock-in, and it is the question practices most often wish they had asked.
Migration is the question we are asked about most at Oasys. Any EHR switch will involve some data migration, and neither SimplePractice nor Sessions Health offers a free, white-glove, full-service data migration service.
If EHR migration is stressing you out, contact us to learn more about our free migration service.
Our position, labeled
We make Oasys, an EHR for mental health group practices, at $80 per clinician per month on an annual contract with no add-ons.
Here’s how we compare to Sessions Health and SimplePractice:
- Oasys vs. SimplePractice
- Oasys vs. Sessions Health
Frequently asked questions
- How much does Sessions Health cost?
Roughly $39 a month for the first clinician and $29 for each additional one, with core features included and free administrator accounts. Confirm current pricing on their site.
- How much does SimplePractice cost?
SimplePractice’s Starter plan is $49/month, Essential is $79/month, and Plus is $99/month. Group practices need the Plus plan, with additional clinicians tiered at $74 each for two to five, $72 for six to fifteen, and $69 for sixteen or more. SimplePractice does charge for additional add-ons, like their notetaker. Confirm current pricing on their site.
- Is Sessions Health better than SimplePractice?
For solo and small practices focused on value and simplicity, we think that Sessions Health is a better fit. SimplePractice is better on mobile, ecosystem, and breadth of practitioner types.
- Does Sessions Health have AI notes?
Yes. AI Assist drafts notes, transcribes sessions, and produces pre-session summaries. As with any AI documentation, confirm how session audio and transcripts are retained.
- Does SimplePractice have AI notes?
Yes, SimplePractice has an AI notetaker. Note that SimplePractice’s AI notetaker is an additional $35/month. Confirm current pricing on their site. Their notetaker also records sessions, which some therapists take issue with.
- What are the limitations of Sessions Health?
Reporting is the most cited one. Analytics on revenue, client sessions, retention, and outcomes are limited compared with larger platforms.
- What are the limitations of SimplePractice?
For solo practitioners, none of the limitations of SimplePractice are a dealbreaker, but you may prefer a different platform for things like AI policies, aesthetics, and reporting. For larger organizations, we find that their features aren’t quite robust enough for a scaling group practice or behavioral health clinic. For example, SimplePractice does not offer payroll modeling, advanced role-based permissions, supervision workflows, or analytics on utilization or retention.
- Is Sessions Health good for group practices?
It works for small groups. Larger practices needing credential-aware supervision, fine-grained permissions, or payroll modeling will find it thin.
- Is SimplePractice good for group practices?
SimplePractice works fine for group practices. Although there are gaps that may require additional tools to fill—such as an analytics or payroll modeling tool—you can run a group practice on SimplePractice. That being said, our recommendation would be to explore group practice-specific EHRs, like Oasys.
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