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Alma vs TherapyNotes

Updated June 2026 · A structured head-to-head comparison.

Insurance and tools for mental health providers.

EHR for behavioral health.

The verdict

Both Alma and TherapyNotes are credible healthcare tools, and the right pick comes down to your priorities.

Choose Alma if you want broader platform coverage. Insurance and tools for mental health providers.

Choose TherapyNotes if you'd rather have a lower starting price (from $49/mo), a longer free trial (30 days) and a higher overall rating (4.6/5). EHR for behavioral health.

Alma vs TherapyNotes: side by side

DimensionAlmaTherapyNotes
Starting priceFrom $165/moFrom $49/moWinner
Free planNoNo
Free trial30 daysWinner
Pricing modelSubscriptionSubscription
Best forTherapists, Behavioral HealthTherapists, Behavioral Health
PlatformsWeb, Ios, AndroidWinnerWeb
Rating4.2/54.6/5Winner

Alma key facts

Vendor
Alma
Pricing
Subscription — From $165/mo
Free tier
No
Platforms
Web, Ios, Android
Best for
Therapists, Behavioral Health
Editor rating
4.2 / 5
Founded
2018
Headquarters
New York, NY, USA

TherapyNotes key facts

Vendor
TherapyNotes
Pricing
Subscription — From $49/mo
Free tier
Free trial (30 days)
Platforms
Web
Best for
Therapists, Behavioral Health
Editor rating
4.6 / 5
Founded
2010
Headquarters
Horsham, PA, USA

Frequently asked questions

Is Alma better than TherapyNotes?

Neither is universally better — TherapyNotes edges ahead on overall rating, but the best choice depends on price, platforms, and your use case. See the side-by-side table above.

Is Alma or TherapyNotes cheaper?

TherapyNotes is the more affordable of the two to get started, at from $49/mo. Alma starts at from $165/mo; TherapyNotes starts at from $49/mo.

Can Alma replace TherapyNotes?

Yes for most teams — both are healthcare tools with heavily overlapping features. The main trade-offs are pricing and platform support, covered in the comparison above.