EHR for mental health practice
Your notes are done before your next client sits down.
Congruent drafts the progress note from the session you just held, checks it against the treatment plan already on file, and attaches it to the claim. The note, the plan, and the diagnosis agree — which is exactly what a reviewer is looking for.
30 days free · No credit card · Free migration and BAA
- Price
- $20 /clinician/mo
- AI features
- Included
- Onboarding fee
- None
DClient reported three panic episodes this week against a baseline of six at intake, each triggered by unscheduled meetings at work.
AAddressed Goal 2 with interoceptive exposure and cognitive restructuring. SUDS declined 75 to 40 within session.
PDaily interoceptive practice assigned. Continue weekly individual psychotherapy.
Golden Thread Check passed — intervention, goal, and CPT 90837 all agree.
01One session, end to end
You held the session.
Congruent handles what comes after it.
Here is a Thursday afternoon appointment moving from what was actually said, to a note in your format, to the compliance check that runs before you sign — while the session is still fresh enough to fix anything.
00:04Client
Better week, I think. I only had three of the panic episodes — they all happened at work, always when a meeting gets dropped on my calendar without warning.
06:41Clinician
Let's stay with that. I'd like to do the breathing exercise we practiced — bring the physical feeling on deliberately, so we can work with it here.
23:15Client
It got up to about a 75, then came down to maybe 40. Which is — that's not what usually happens. Usually I just leave the building.
38:52Clinician
You stayed. And when you did, the thought "I'll visibly lose control" turned out to be a prediction, not a fact. What else could we call it?
Recording is optional and consented. Dictate afterward instead and the note comes out nearly identical.
Data
Client reported three panic episodes this week, against a baseline of six weekly at intake, each occurring at work and triggered by unscheduled meetings. GAD-7 administered today: 11, down from 17 at intake.
Assessment
Addressed Goal 2 using interoceptive exposure with hyperventilation trials, followed by cognitive restructuring of the catastrophic prediction "I will visibly lose control." Client tolerated exposure with SUDS declining 75 to 40 and independently generated two alternative appraisals. Response indicates emerging distress tolerance.
Plan
Daily interoceptive practice assigned. Continue weekly individual psychotherapy. Review Goal 2 at next treatment plan update.
- Intervention linked to an active goalInteroceptive exposure documented against Goal 2 — reduce panic episodes to fewer than two weekly.
- Client response recorded with dataSUDS 75 → 40 within session; GAD-7 of 11 today against 17 at intake.
- Session length supports CPT 9083753 minutes of psychotherapy documented; start and stop times captured from the session.
- Diagnosis supported by today's contentF41.0 panic disorder — documented episodes, triggers, and avoidance pattern.
- Treatment plan review is overdueLast reviewed 03/14/2026; your payer expects review every 180 days. Draft an updated plan from this note?
Note ≅ treatment plan ≅ diagnosis. That agreement is the whole job.
Illustration of the Congruent workflow using sample data for a fictional client. No real client information appears on this site.
02Why this keeps happening
The hour is fifty minutes. The paperwork is the rest of the evening.
Nobody sets out to write disconnected documentation. It happens because the chart keeps its information in one place and asks you to remember it somewhere else.
9:40 PM
The note written from memory
Six hours after the session, the specific thing your client said about their sister has blurred into a general impression. You write something true but vague, and the record gets a little thinner.
Month 7
The plan nobody has opened
The treatment plan still lists the goals you wrote at intake. The work moved on in March. Every note since then has been quietly documenting care that the plan on file does not describe.
Two years later
The records request
A payer asks for twelve charts. You are not worried about the care — you are worried about whether the paperwork can prove the care happened the way you remember it.
Congruent is built on one idea: the chart already knows the diagnosis, the goals, the last plan review, and how long the session ran. Software that has all of that and still makes you remember it is making you do its job.
03The whole practice
An EHR, not a note generator bolted onto one.
Scheduling, documentation, compliance, telehealth, the client portal, outcome measures, billing, and e-prescribing — one system, one record, one chart.
AI progress notes
A signed note before your next client sits down.
Record the session or dictate afterward, and Congruent drafts a clinically specific progress note in your format — SOAP, DAP, BIRP, or your own — using the language you actually use.
Learn moreTreatment plans
Measurable goals that survive utilization review.
Turn an intake into a treatment plan with measurable objectives, target dates, and interventions tied to the diagnosis — then keep it current as the work changes.
Learn moreGolden Thread Check
Find the audit problem before the auditor does.
Every note is checked against your diagnosis, treatment plan, and the documentation standards payers apply — before you sign it, while fixing it still takes ten seconds.
Learn moreScheduling & billing
The calendar, the claim, and the payment in one thread.
A calendar that knows your caseload, claims that build themselves from documented sessions, and ERAs that post automatically instead of sitting in a portal you forget to check.
Learn moreTelehealth
Video that becomes documentation.
HIPAA-eligible video built into the chart, included on every plan — and when you consent to it, the session becomes a note draft the moment you hang up.
Learn moreClient portal & intake
Paperwork finished before the first session.
Clients book, complete intake packets, sign consents, message you securely, and pay their balance — and everything they submit lands in the chart already structured.
Learn moreMeasurement-based care
Proof that the work is working.
PHQ-9, GAD-7, PCL-5, and other validated measures sent on a schedule, scored automatically, charted over time, and cited in your notes as evidence of medical necessity.
Learn moreE-prescribing
Prescribe from the chart the note was written in.
Electronic prescribing for the prescribers in your practice, controlled substances included, sent over the Surescripts network from the same record that holds the plan and last week's note. Billed per prescriber, so therapists never pay for it.
Learn more
If you practice solo
Everything above is on your account from day one, for $20 a month — except e-prescribing, which is billed per prescriber and only to prescribers. No tier gates the feature you happen to need, and nothing about your documentation is metered.
If you run a group
The Practice plan adds electronic claims, ERA posting, supervisor co-signature workflows, and a compliance view across every clinician's caseload — so you find the documentation gap before the payer does. Compare the plans.
04Pricing
$20 per clinician. The AI is not an add-on.
SimplePractice and TherapyNotes charge $49 to $69 for the platform and then another $35 to $40 for the AI note assistant — published list prices as of August 2026. We think charging separately for the part that saves you the time gets the whole thing backwards.
Solo
$20per clinician
per month
Practice
$29per clinician
per month
Solo is the whole EHR with every AI feature on. Practice adds insurance claims at $0.40 each, with ERA posting and eligibility checks included, plus supervisor co-signs.
30 days free · No credit card · Free migration and BAA
What a solo clinician pays elsewhere
- Full EHR subscription$49–$69included
- AI note-taking add-on$35–$40included
- Telehealth upgradeup to $15included
Published list prices for comparable solo plans as of August 2026. See the line-by-line comparison.
05Straight answers
The questions clinicians actually ask us.
Mostly about data, money, and what happens if this doesn't work out. All fair.
Is my clients' data used to train AI models?
No. Your sessions, notes, and client information are never used to train any AI model — not ours, not a vendor's. Session content is processed to produce your documentation and nothing else, under a business associate agreement with every provider in that path, and it is not retained for model improvement.
Read how AI touches PHI →Do you sign a BAA?
Yes, at no cost, on every plan including during the free trial. HIPAA requires a business associate agreement before any vendor handles protected health information, so we execute one as part of signup rather than treating it as an enterprise upsell.
Security and compliance →Do I still need a separate AI scribe subscription?
No. AI notes and treatment plans are included at $20 with no note credits and no per-session charge. The category changed during 2026, though: Mentalyc still writes a note and hands it to you, while Upheal and Blueprint now sell EHRs of their own and bill per session. So the real choice is whether you would rather be metered by session or pay one flat monthly price.
AI scribe vs. AI-native EHR →How does switching from my current EHR work?
We migrate your charts, notes, client demographics, and upcoming appointments for you, at no charge, and we do it before you cancel anything. Most solo practices are running on Congruent within a week, and you keep both systems open until you're satisfied nothing is missing.
Is telehealth actually included, or is it an upgrade?
Included, on both plans, with no per-clinician upgrade fee and no session limits. Video runs inside the chart, so the session you just held is already attached to the note and the charge you're about to create.
How telehealth works →What happens when the free trial ends?
You decide whether to subscribe. We never ask for a credit card to start, so nothing charges automatically at day 31 — if you do nothing, the account simply pauses and you can still export everything you created during the trial.
30 days, all of it
Every feature, unlocked, with your real caseload if you want. Nothing is held back for a higher tier.
No credit card to start
Nothing charges automatically. If you don't subscribe, the account simply pauses.
No onboarding or setup fee
Not at signup, not when you add a clinician, not ever. Migration and training are included.
Your data leaves with you
Export charts, notes, plans, and your client list in standard formats, any time, at no charge.
Try it on your next session.
Bring one real client chart over and see what the note looks like when the software already knows the treatment plan. We set the account up by hand — ask and we will get you started.
30 days free · No credit card · Free migration and BAA