How we picked
Therapy over video has its own needs. Sessions run 45 to 90 minutes, clients join from phones in parked cars, couples and family sessions need more than two people, and a dropped call in the middle of a hard moment matters more than in a quick follow-up. We looked at the telehealth platforms in our directory, plus therapy EHRs with built-in video, and checked each vendor's pricing and help pages in November 2026.
- Signed BAA on the plan you will actually use. Free plans differ: some include a BAA, some do not.
- No downloads for clients. Browser or app join with a single link.
- Couples, family and group sessions. How many participants each plan allows.
- Waiting room and screen sharing. For worksheets, CBT activities and psychoeducation.
- Fit with your notes, scheduling and billing. Built-in video saves sending links by hand and makes it easier to use an AI scribe.
- Real cost per clinician. Including the plan tier you need for groups.
The best telehealth software for therapists
1. SimplePractice: best all-in-one choice for solo and small practices
SimplePractice includes Telehealth by SimplePractice on all three plans, with no limits on session length or number of appointments, plus waiting rooms, screen sharing and an interactive whiteboard. Appointments, reminders, intake forms and billing all sit in the same system, and its Note Taker AI works only with SimplePractice video. Group appointments with telehealth come with the Plus plan or as a $20 per clinician add-on to Essential. As of November 2026, plans are $49 (Starter), $79 (Essential) and $99 (Plus) a month, with 50% off for three months for new accounts. The drawback is that you are paying for a full EHR; if you already have one you like, a standalone video tool is cheaper.
2. TherapyNotes: best for groups and family sessions inside an EHR
TherapyNotes includes Basic Telehealth on every plan: up to two participants, standard-definition peer-to-peer video, guest access, a virtual waiting room, timer and chat. Premium Telehealth adds up to 16 participants, full HD, screen sharing with sound, noise cancellation, closed captions and custom backgrounds. As of November 2026, Premium Telehealth is $15 per clinician per month, on top of TherapyNotes Solo at $69 a month. That makes it a good-value choice for clinicians who run family or group sessions. The drawback is that Basic is limited to two people, so a couples therapist effectively needs Premium.
3. Doxy.me: best free option if you only need video
Doxy.me is browser-based video built around a personal room link. Its Free plan includes one-to-one video calls, your own room, a default waiting room, email invitations and a BAA, and clients need no account or app. Premium adds better video quality, screen sharing, a whiteboard, CBT activities, group calls of up to 25 participants, a custom waiting room, intake and consent workflows and a Scribe note-taking app. As of November 2026, Premium is priced per user per month on annual billing with a 30-day free trial, but Doxy.me's pricing page does not display the dollar figure. The drawback is scope: it is video only, so scheduling, notes and billing live elsewhere.
4. VSee: best low-cost video with group sessions, intake and payments
VSee Clinic has a free plan with one-to-one HD video, chat, screen sharing, a waiting room, quick intake and a signed BAA. As of November 2026, Plus is $29 per provider per month and adds unlimited group video, a patient portal, standard intake and consent forms, card payments, text and email reminders, and the ability to add family members, interpreters or guests. Premium is $49 per provider a month plus a $200 one-time setup fee, adding branding, shared scheduling and simple EMR notes for teams. Plans are month-to-month. The drawback is that VSee is designed for medical clinics as much as therapists, so its notes are basic and therapy-specific features are thin.
5. Zoom for Healthcare: best for familiar video under a BAA
Zoom for Healthcare is Zoom's standard software offered with a signed Business Associate Agreement, which suits clinicians whose clients already know Zoom. As of November 2026, Zoom Workplace Pro is $14.16 per user per month billed annually or $16.99 monthly, with up to 100 participants per meeting; Business is $18.33 annually or $21.99 monthly. Zoom says it executes a BAA to help customers meet HIPAA requirements; confirm which plan your BAA covers before seeing clients. The drawback is that it is general meeting software: waiting room, intake and payment workflows built for clinics need configuration or other tools.
6. Spruce Health: best if you also need a practice phone and texting
Spruce Health combines a medical phone line, two-way texting, e-fax, secure messaging and video visits in one shared inbox, so a solo therapist can keep a separate work number and see clients by video in the same app. As of November 2026, Basic is $24 per user per month and includes the BAA, phone, text, video and fax; Communicator is $49 and adds call flows, after-hours triage, integrations and AI summaries. There is a 14-day free trial, and outbound texting needs a one-time $19.50 registration fee. The drawback is that video is one feature among many; Spruce does not advertise group video, and it is not an EHR.
What therapists should look for in telehealth software
- Number of participants. Couples and family therapists need at least three or four; group therapists need 8 to 15. Check the plan, not the product: TherapyNotes Basic, Doxy.me Free and VSee Free are limited to one-to-one or two participants.
- BAA coverage. Doxy.me and VSee include a BAA on their free plans. With Zoom, confirm the BAA covers the plan you buy.
- Client experience. Test the link from an older phone on mobile data. Clients should be able to join without creating an account.
- Screen sharing with sound. Useful for worksheets, mindfulness audio and psychoeducation videos.
- AI scribe compatibility. SimplePractice Note Taker works only with SimplePractice video, and TherapyFuel Scribe works with TherapyNotes Telehealth. A separate video tool can make AI notes harder.
- Interstate practice. Software does not solve licensure. You still need to be licensed where the client is located during the session.
Telehealth pricing (what therapists typically pay)
As of November 2026, a therapist who only needs one-to-one video can pay nothing on Doxy.me Free or VSee Free, both with a BAA. Group or family sessions usually cost $15 to $29 per clinician a month: TherapyNotes Premium Telehealth at $15 or VSee Plus at $29. Zoom Workplace Pro is about $14 to $17 a month. Spruce starts at $24 and adds a phone line and texting. Therapists using SimplePractice pay nothing extra for video, since it is included in plans from $49 a month.