TherapyNotes vs Updox
Updated June 2026 · A structured head-to-head comparison.
EHR for behavioral health.
The verdict
Both TherapyNotes and Updox are credible healthcare tools, and the right pick comes down to your priorities.
Choose TherapyNotes if you want 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.
Updox — Communication for healthcare.
TherapyNotes vs Updox: side by side
| Dimension | TherapyNotes | Updox |
|---|---|---|
| Starting price | From $49/moWinner | Custom |
| Free plan | No | No |
| Free trial | 30 daysWinner | — |
| Pricing model | Subscription | Subscription |
| Best for | Therapists, Behavioral Health | Practices, Pharmacies |
| Platforms | Web | Web |
| Rating | 4.6/5Winner | 4.3/5 |
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
Updox key facts
- Vendor
- Updox
- Pricing
- Subscription — Custom
- Free tier
- No
- Platforms
- Web
- Best for
- Practices, Pharmacies
- Editor rating
- 4.3 / 5
- Founded
- 2008
- Headquarters
- Dublin, OH, USA
Frequently asked questions
Is TherapyNotes better than Updox?
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 TherapyNotes or Updox cheaper?
TherapyNotes is the more affordable of the two to get started, at from $49/mo. TherapyNotes starts at from $49/mo; Updox starts at custom.
Can TherapyNotes replace Updox?
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.