Comparison
Metanoa vs Sessions Health: which fits your pediatric therapy practice?
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Sessions Health is a simple, affordable EHR for therapists, counselors and psychologists, with insurance claims, a free plan for small caseloads and a client portal parents can use for their children. Metanoa is built for pediatric speech, OT, ABA and PT, from a solo therapist starting out to a clinic with several departments, with goals, session plans and AI notes at the center.
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Built for speech, OT, ABA and PT
Therapists pull goals from a bank filtered by discipline and turn the day's goals into a session plan. Sessions Health is built around mental health practices.
Parents see progress on every goal
Parents read the session reports you share and can comment on a specific goal, so they know what to practise at home.
$15 a month, AI notes included
Metanoa's Solo plan includes AI note drafts. Sessions Health's Professional plan is $39 a month, and AI Assist is a $35 add-on for each practitioner.
Metanoa vs Sessions Health at a glance
| Compare | Metanoa | Sessions Health |
|---|---|---|
| Built for | Pediatric therapists and clinics serving children with developmental needs, from solo practices to multi-location centers | Therapists, counselors and psychologists in solo and group practice |
| Clinic structure | Branches and departments, with department-level access | Practitioners plus unlimited administrators |
| Goals | Shared goal bank filtered by discipline, with baselines and session plans from goals | Customizable notes and forms |
| AI notes | Included on every plan | AI Assist, $35 a month per practitioner |
| Parent access | Family Portal: session reports, comments on a specific goal, one login for siblings | Client portal with guardian access, one login for several children |
| Reminders | Included | Email and text reminders included |
| Telehealth | Not supported | $10 a month per practitioner, up to 4 participants |
| Insurance claims | Not supported | From $0.25 per claim, with ERA posting |
| Solo price | $15 a month | Free for up to 3 clients, or $39 a month |
| Team of five | Quoted for your clinic | $155 a month |
| Free trial | 15 days, no credit card | 30 days of Professional, no credit card |
Which one should you choose?
Choose Metanoa if:
- You run a pediatric speech, OT, ABA or PT practice and want goals and session plans set up for those sessions.
- You want every therapist writing goals from the same bank, with each department keeping its own team, prices and forms.
- You want parents reading session reports and commenting on specific goals.
- You run more than one site or department and want each kept separate.
- You want AI notes included in a $15 Solo plan, including dictation in Spanish, Arabic or Hindi.
Choose Sessions Health if:
- You bill insurance. Claims start at $0.25 each and get cheaper with volume, with ERA posting included.
- Your practice is mainly counseling, psychology or family therapy.
- You see only a handful of clients. The free plan covers up to three.
- You see clients over video and want telehealth for $10 a month.
- You want a guardian portal where parents manage appointments, forms and insurance details for each child.
How they compare, feature by feature
Goals and session plans
Metanoa
Therapists pull goals from a shared bank filtered by discipline, record baselines and generate a session plan from the goals they pick for that day. Because therapists in the same discipline start from the same bank, goals are worded the same way across your team.
Sessions Health
Notes, forms and intake documents are customizable, and users praise how easy they are to build (Capterra). It's designed around counseling sessions, so if you run speech or OT, ask in the demo to see a full session note and how goals carry from one visit to the next.
AI notes
Metanoa
Dictation or jottings from a session become a SOAP, DAP, GIRP or BIRP draft, and nothing is saved until the therapist reviews and confirms it. It captures speech in languages such as Spanish, Arabic and Hindi and writes the note in your clinic's language. AI notes are included on every plan.
Sessions Health
AI Assist is an optional add-on at $35 a month for each practitioner who uses it (Sessions Health). Some users find it pricey.
Keeping parents in the loop
Metanoa
The Family Portal is built around the child's goals. Parents get session reports, comment on a specific goal, sign forms on their phone and see photos or moments the therapist shares. A parent with two children in therapy uses one login for both.
Sessions Health
Parents and guardians can be invited to a child's portal, and one parent can see several children under one login. They can view and request appointments, complete forms they have permission for, see documents you share and update insurance details (Sessions Health). Its help center doesn't mention parents seeing session notes or reports, so ask in the demo.
Running a team or more than one location
Metanoa
A clinic is organized into branches and departments, with department-level access, rate plans and form libraries by department, and billing analytics broken down by department.
Sessions Health
The Professional plan includes unlimited administrators at no extra cost, and each extra practitioner is $29 a month (Sessions Health). Its site doesn't mention multiple locations or departments.
Scheduling and reminders
Metanoa
Reminders are included on every plan, families can request appointments through an online form, and it runs in the browser on any phone, tablet or laptop.
Sessions Health
Email and text reminders are included and customizable, and clients can request appointments through online booking (Sessions Health). Users consistently praise its clean design and fast support (Capterra). It doesn't have a mobile app.
Insurance and telehealth
Metanoa
Metanoa doesn't file insurance claims or offer telehealth. Its billing is built for families who pay directly, with each signed session priced from a rate plan and a wallet for each client.
Sessions Health
Electronic claims start at $0.25 each and fall to $0.23 above 200 a month, so 400 claims adds about $95, with ERA posting included. Real-time eligibility checks are $0.15 each, and telehealth is $10 a month per practitioner (Sessions Health). If your practice depends on payers or video sessions, choose Sessions Health or another tool that has them.
Try it with your own goals
Set up your practice in the trial, add a few goals and invite a parent to the Family Portal.
What each costs
| Compare | Metanoa | Sessions Health |
|---|---|---|
| Solo | $15 a month | Free for up to 3 clients, or $39 a month (Professional) |
| Team of five | Quoted for your clinic | $155 a month ($39 + $29 per extra practitioner) |
| Admin users | Ask for your quote | Unlimited |
| AI notes | Included | $35 a month per practitioner |
| Text reminders | Included | Included |
| Telehealth | Not supported | $10 a month per practitioner |
| Insurance claims | Not supported | From $0.25 per claim, $0.15 per eligibility check |
| Free trial | 15 days, no credit card | 30 days of Professional, no credit card |
Frequently asked questions
Can Metanoa bill insurance?
No. Metanoa doesn't file claims, post ERAs, check eligibility or connect to a clearinghouse. If insurance is a large part of your income, Sessions Health or another system with claims is the better fit.
Does Metanoa have telehealth?
No. Metanoa is built for in-clinic sessions. Sessions Health offers telehealth for $10 a month per practitioner.
Is Sessions Health good for speech or occupational therapy?
Sessions Health is built for mental health practices, and its users are mostly counselors, psychologists and therapists. It can work for a practice that also offers counseling, but ask to see a speech or OT note and how goals are tracked before you commit.
Which is better for a solo pediatric therapist?
If you bill insurance or offer counseling, Sessions Health. If families pay you directly and you run speech, OT, ABA or PT sessions, Metanoa's Solo plan is $15 a month with AI notes, reminders, the goal bank and the Family Portal included.
How much does each cost for a team of five?
Sessions Health's Professional plan is $155 a month for five practitioners, before AI Assist, telehealth and claim fees. Metanoa quotes team plans for each clinic, with AI notes and reminders included.
Can parents manage more than one child?
Yes, on both. In Metanoa, a parent with two children in therapy uses one Family Portal login and sees each child's goals and session reports. In Sessions Health, a parent added to each child's profile sees separate profiles under one login.
Is Metanoa HIPAA compliant?
Yes. Metanoa is HIPAA compliant, with encrypted storage, access controls and audit logs.
See how your practice would run on Metanoa
If you work with children in speech, OT, ABA or PT and want therapists and parents working from the same goals, start with a few of your own goals in the trial.
No credit card needed.
How we compared
We compared both products using Sessions Health's pricing page and help center, user reviews on Capterra and Metanoa's own docs, all checked on October 29, 2026. Metanoa is our product, so we've linked every Sessions Health fact to its source and named the areas where Sessions Health is the better choice. Prices change often, so confirm them with each vendor before you decide.