ICANotes vs Orchid for therapists

Auto-generated from listing data

At a glance

The differences that matter

Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.

Feature	ICANotes	Orchid
Pricing from	$55 / mo	Not listed
Pricing modelSame	paid	paid
HIPAASame	Yes	Yes
Free trialSame	Yes	Yes
Target users	Psychiatrists Clinicians preferring structured charting Practices needing standardized notes	Solo therapists frustrated with legacy EHRs Psychiatrists wanting AI + e-prescribing in one platform Private-pay practitioners New practice owners wanting modern UX
Key features	Button-driven structured charting DSM-5 and ICD-10 lookup E-prescribing (add-on) Custom templates	AI-powered note generation trained on clinician's style Past-note continuity (writes in your voice) Billing code and diagnosis suggestions After-visit summaries
Integrations	Major clearinghouses E-prescribing services	Standard EHR functions in-platform Insurance clearinghouses Stripe-style processors

ICANotes

Pricing from: $55 / mo
Pricing model: paid
HIPAA: Yes
Free trial: Yes
Target users: Psychiatrists
Clinicians preferring structured charting
Practices needing standardized notes
Key features: Button-driven structured charting
DSM-5 and ICD-10 lookup
E-prescribing (add-on)
Custom templates
Integrations: Major clearinghouses
E-prescribing services

Orchid

Pricing from: Not listed
Pricing model: paid
HIPAA: Yes
Free trial: Yes
Target users: Solo therapists frustrated with legacy EHRs
Psychiatrists wanting AI + e-prescribing in one platform
Private-pay practitioners
New practice owners wanting modern UX
Key features: AI-powered note generation trained on clinician's style
Past-note continuity (writes in your voice)
Billing code and diagnosis suggestions
After-visit summaries
Integrations: Standard EHR functions in-platform
Insurance clearinghouses
Stripe-style processors

Pricing

What you actually pay

Starting prices and what they include. The cheaper tool is not always the better value.

ICANotes

paid

$55/month

Free trial

Orchid

paid

Vendor does not publish a starting price.

Free trial

Contact the vendor for a quote. Hidden pricing is a yellow flag for smaller practices.

Honest assessment

Where each tool wins and loses

Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.

ICANotes

What works well

Highly structured output
Long track record
Strong for psychiatry

Where it falls short

UI dated
Not ideal for narrative-style therapists
Slower to add AI features

Orchid

What works well

YC-backed with strong founder track record
AI-native from day one (not bolted on)
Reclaims ~500 hours/year of admin per clinician (per vendor)
E-prescribing now included

Where it falls short

Smaller community than SimplePractice/TherapyNotes
Pricing not publicly transparent — sales-led
Less mature insurance billing than TherapyNotes
Brand recognition still growing among referrers

Take it for a spin

Try them

Both tools offer free trials. The fastest way to confirm a fit is to run one real session through each.

Structured behavioral health EHR with button-driven note generation.

Try ICANotes

From $55/moFree trialHIPAA-compliant

Visit ICANotes

AI-powered EHR for independent mental health professionals.

Try Orchid

Free trialHIPAA-compliant

Visit Orchid

About this comparison

This comparison is auto-generated from verified vendor data. We compile pricing, features, and integrations from each vendor's own documentation. For editorial comparisons with hands-on testing, see our editorially reviewed comparisons.

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