Best Teletherapy and Group Therapy Software in 2026

What online therapy software actually covers

Online therapy software is really two layers wearing one name. The first layer is the live session: HIPAA compliant video with a waiting room, decent audio, and a BAA (business associate agreement) from the vendor. The second layer is everything else that makes remote therapy work: the intake forms, the assessments, the homework between sessions, the secure messages, the charting, and the patient portal your clients actually log into.

Most disappointing teletherapy setups solve only the first layer. The video call is the easy part in 2026; several excellent options cost little or nothing. What separates strong remote practices is the second layer, because a client you see for one hour a week spends the other 167 hours somewhere else, and software that structures even a fraction of that time changes outcomes.

This guide ranks both layers honestly, including where you need two tools instead of one. For the full category, start with our overview of the best therapy software, and if compliance questions are your starting point, our guide to HIPAA compliant therapy software explains BAAs in depth.

1. Quenza: best for remote therapy programs

Quenza is our top overall pick for online therapy software because it does the hard layer better than anything else we tested: delivering the actual therapy work to remote clients. The Activity Builder turns any worksheet, assessment, journaling prompt, or psychoeducation module into an interactive activity your clients complete on their phone. Pathways chain those activities into automated sequences, so a six-week anxiety program, a structured intake, or a between-session homework routine delivers itself on schedule while you watch completion in real time. If you do not want to build from scratch, the Expansion Library ships more than 400 science-based activities you can customize and send in minutes.

For remote work specifically, three things stand out. The client mobile app (iOS and Android) with push notifications keeps completion rates far above emailed PDFs. Secure 1:1 and group chat handles the between-session contact that otherwise leaks into insecure email or text. And because Quenza is HIPAA and GDPR compliant, the whole loop stays inside a platform you have a BAA with. Pricing starts at $25 per month (Spark, 10 clients), with Growth at $50 for 250 clients, Impact at $125, and Collective at $160 for 3 professionals; annual billing is 20 percent off and the 30-day trial needs no card. It was built by the founders of PositivePsychology.com.

Now the honest part: Quenza has no video calling, and it is not an EHR, so it does not do scheduling, charting for insurance, or billing. That is a deliberate design choice, not an oversight, and in practice it means every Quenza practice pairs it with a video tool. The good news is that the best video layer for most therapists is free: Quenza plus Doxy.me's free plan is a complete remote delivery stack for $25 per month. We walk through the pairing options at the end of this guide.

The best telehealth video platforms for therapy

2. Doxy.me

Doxy.me is the default video platform for therapists for good reasons. Clients click a personal room link in any browser with nothing to download, you control a virtual waiting room, and every plan includes a signed BAA, including the free one. The free plan carries unlimited sessions with standard definition video, which is genuinely enough for many solo practices. Premium (from $29 per user per month billed annually, $35 monthly) adds HD video, screen sharing, group calls for up to 25 participants, and clinic-level features like patient queues and provider transfer. The limitations: video quality on the free tier is noticeably soft, call reliability depends heavily on client bandwidth, and there are no clinical features at all, so notes, scheduling, and homework live elsewhere.

3. Zoom with a BAA

Zoom is the platform your clients already know, which matters more than teletherapy purists admit: zero-training video reduces no-shows for less tech-comfortable clients. To use it legally for therapy you need a paid plan with a signed BAA; Zoom offers this on its healthcare plans (quoted through sales) and eligible Business and Enterprise plans, never on free accounts. With a BAA in place you get the strongest raw video stack here: 100 or more participants, breakout rooms for skills groups and workshops, waiting rooms, and rock-solid reliability. The limitations: it is not therapy-specific (no client portal, no documentation, nothing clinical), compliance depends on configuring settings correctly, and healthcare pricing requires a sales conversation rather than a pricing page.

The best all-in-one therapy EMR software with telehealth

If you want the video call, the chart, and the bill in one login, these platforms bundle telehealth into a full practice system. This is also the answer to most searches for therapy EMR software for mental health, therapy charting software, or therapy patient portal software: in 2026 those features ship together.

4. SimplePractice

SimplePractice includes telehealth on every plan, from the $49 Starter (capped at 30 telehealth appointments per month) through Essential at $79 and Plus at $99, alongside the most polished scheduling, charting, client portal, and billing stack in the category. Group telehealth supports up to 15 participants with screen sharing and a whiteboard, included on Plus and available as a $20 per clinician add-on on Essential. The limitations: insurance claim filing starts on the Essential plan, add-ons accumulate (AI notes at $35 per month, SMS reminders billed per text), and a solo insurance practice realistically lands at $79 to $99 per month before extras.

5. TheraPlatform

TheraPlatform was built as a telehealth EHR rather than an office EHR with video bolted on, and it shows: unlimited HIPAA compliant video with group session support, an in-session whiteboard, screen sharing, and more than 30 interactive therapy apps you can run live with clients, plus notes, scheduling, invoicing, and insurance claim filing. At $39 per month (Basic, solo) with a 30-day no-card trial, it is the strongest budget pick for practices that live on video, especially for group work and for therapists who use interactive exercises in session. The limitations: the interface is utilitarian, and session recording is metered separately ($0.09 per minute for video).

6. Sessions Health

Sessions Health is a lean, well-designed EHR at $39 per month (free up to 3 clients) with telehealth as a $10 per practitioner add-on. Charting is fast, the client portal is clean, and billing is strong for the price. It is the right pick if you want an affordable chart-first system with video included only when you need it. The limitations: telehealth is 1:1 focused rather than group-oriented, and the integration ecosystem is smaller than SimplePractice's.

7. Carepatron

Carepatron is the only platform here with telehealth on a genuinely free plan, alongside scheduling, notes, payments, and an AI scribe. Paid plans ($31 and $39 per user per month at standard rates, currently discounted) add group telehealth, group scheduling, and unlimited storage. For a therapist testing whether remote practice is viable before spending anything, it is the obvious starting point. The limitations: it is a generalist health platform rather than a therapy specialist, and the free tier's 1GB storage fills quickly with session documentation.

Group therapy software: what actually works

Group therapy is where teletherapy setups most often break, because a tool that handles a 1:1 call can fail at every other part of running a group. Good group therapy software has to cover four jobs, and almost nothing covers all four alone.

Group video. Capacity and controls matter: SimplePractice handles up to 15 participants with chat, screen share, and whiteboard; Doxy.me Premium handles up to 25; TheraPlatform runs group sessions with its interactive apps; and Zoom with a BAA is the ceiling for large psychoeducation groups and workshops, with breakout rooms nothing else here matches.

Group therapy scheduling software. The scheduling problem is recurring sessions with a roster, not a one-off appointment. SimplePractice's group appointments let you schedule, remind, and bill up to 15 clients as one event; Carepatron's paid tiers include group scheduling; TheraPlatform supports group bookings tied to its group video.

Group therapy charting software. Documentation has to produce an individual note per member from one session, because payers require per-client records. SimplePractice and TheraPlatform both generate per-member notes from a group appointment; if you chart elsewhere, confirm this specific workflow exists before committing, because writing eight separate notes manually after every group is how facilitators burn out.

Between-session group work. This is where Quenza earns a place in group practices even without video: enroll a whole group in one Pathway, and every member gets the same psychoeducation, check-ins, and homework on the same schedule, with group chat for cohesion between meetings and individual completion visible to you. For skills-based groups (DBT, anxiety, grief), delivering the workbook through structured pathways keeps members progressing together instead of arriving unevenly prepared.

Therapy software for clinics and group practices

Clinics shopping for therapy software have three requirements solo practitioners can ignore: role-based access for admins and supervisees, scheduling across many calendars and rooms, and reporting that spans the whole caseload. Among the platforms here, SimplePractice and Carepatron scale most cleanly for multi-clinician clinics (per-clinician and per-user pricing respectively, with admin roles), TheraPlatform's Pro and Pro Plus tiers ($69 and $79 per month plus per-provider fees) add group practice features, and Doxy.me's clinic tier adds shared rooms, patient queues, and clinic-level reporting for organizations that only need the video layer.

For therapy scheduling software for clinics specifically, the deciding feature is usually self-serve online booking mapped to each clinician's real availability plus automated reminders, which SimplePractice does best in this group. We compare that side of the market in detail in our guide to the best therapy scheduling software, and full clinic systems in our guide to the best therapy practice management software. Clinics running Quenza typically buy the Collective plan ($160 per month for 3 professionals and 500 clients) so the whole team shares one activity library and consistent client programs.

The therapy software features that matter for remote care

Feature lists blur together, so here is the checklist we actually use when evaluating therapy software features for remote practice, in rough priority order.

• A signed BAA. Non-negotiable for every tool that touches client data, including the video layer. Free tools that include one (Doxy.me) are rare; free tools that do not are a compliance incident waiting to happen.
• A real client portal or app. One login where clients join sessions, complete work, message you, and pay. Every extra login costs completion.
• Between-session delivery. Assessments, homework, and psychoeducation that reach clients automatically. This is the layer most EHRs barely have and Quenza is built around.
• Charting that fits your billing. If you take insurance, notes, codes, and claims should share one system.
• Group support across video, scheduling, and notes. Confirm all three, not just the video call.
• Secure messaging. Client texts will happen; give them a compliant channel.
• Reminders. Automated email and SMS reminders measurably cut no-shows, and no-shows hurt more in teletherapy where the barrier to skipping is lower.

How to build your teletherapy stack

There are three sensible configurations, and your caseload decides between them.

The lean stack ($25 per month): Quenza plus Doxy.me free. For private-pay therapists and those who also coach, this covers everything that matters: free BAA-backed video for sessions, and Quenza for intake, assessments, homework, programs, and secure chat. It is the highest ratio of client experience to cost on this page. (If your practice spans therapy and coaching, this stack carries over directly; see our coaching software guides.)

The insurance stack: an EHR plus Quenza. If you bill insurance, run SimplePractice or Sessions Health for scheduling, charting, telehealth, and claims, and add Quenza for the between-session layer the EHR does not really have. Many practices run exactly this pairing: the EHR owns the record, Quenza owns the client's week.

The all-in-one compromise: TheraPlatform or Carepatron alone. If one subscription is a hard requirement, these cover video, notes, scheduling, and billing acceptably in one place. You give up depth in the between-session layer, which is the trade you should make consciously rather than by default.

How we evaluate teletherapy software

We run a real remote workflow through each platform: schedule and hold a video session where the tool offers one, complete intake and homework as a test client, check what the client sees on mobile, run a group scenario (video, scheduling, and notes), and verify BAA availability on the exact plan tier we cite. We score five areas: session experience, between-session delivery, group support, compliance, and value for money.

Every price and trial detail in this guide was verified against vendor pricing pages and current published rates on July 10, 2026. Vendors change pricing without notice, so confirm on the vendor's own page before you buy.