SessionoteA PMHScribe Alternative Built for Solo and Small Practices
PMHScribe is a solid, psychiatry-focused tool. If you're comparing it to Sessionote, here is exactly how the two differ, and where Sessionote costs you less.
Where they're similar
Both are built for mental health rather than general medicine, and both draft psychiatric evaluations, medication management notes, and SOAP, DAP and BIRP therapy notes with ICD-10 and CPT suggestions. Both keep pricing transparent with no per-note fees. If you want a mental-health-specific scribe, either is a real option, this isn't a case of one being a serious tool and the other a toy.
Where Sessionote wins
PMHScribe is a fair, flat-priced tool, so the real difference is price and simplicity, and on both, Sessionote comes out ahead:
- Cheaper for prescribers, and for anyone who does both. PMHScribe charges $79 for counseling but $99 for psychiatry. Sessionote is $79 for every clinician, psychiatry included. A prescriber saves $240 a year, and if you do both therapy and medication management, Sessionote's single $79 plan covers it, while PMHScribe's split pricing pushes you onto its $99 tier.
- One price, no specialty tier, no surprises. Your cost never changes with your credential or your mix of visits. It is $79, flat, with unlimited notes and no per-note fees, so there is nothing to calculate, compare, or upgrade into.
Both tools cover the essentials, structured notes, code suggestions, and AI-generated prior authorization. PMHScribe adds a few documentation extras like patient medication education. But it is still a documentation tool, not an EHR or billing system, and it charges prescribers more for it. For the same core work at the lowest flat price, Sessionote wins.
Try it on a real session before you switch
You shouldn't change documentation tools on faith. Sessionote's first week is free with no card, so you can run it on an actual session next to whatever you use now, compare the notes and the time saved, and decide for yourself.
Unlimited notes, one flat price
Sessionote is $79 per provider per month with unlimited notes. No tiers, no per-note fees, no paying more to use it fully. Many AI scribes do the opposite: a low entry price that caps how many notes you can write, with unlimited use locked behind a plan two to four times more expensive.
| Plan | Starting price | Notes included |
|---|---|---|
| Sessionote | $79/mo, flat | Unlimited, every plan |
| Typical tiered scribe | $39/mo to start | Entry plan capped (often around 40/mo); unlimited runs $119+ |
| Enterprise tools | $400–$700+/mo | Unlimited, but built for large systems with a sales process |
Your busiest month costs the same as your slowest. You never ration notes or watch a counter.
Frequently asked questions
How is Sessionote's pricing different from PMHScribe's?
PMHScribe is $79 for counseling and $99 for psychiatry. Sessionote is $79 flat for everyone, including psychiatry, with unlimited notes.
Is Sessionote also built for psychiatry?
Yes. It supports psychiatric evaluations, medication management and therapy formats with code suggestions.