Clinician-Owned EHR Where Client Data Is Actually Siloed Between Therapists
Therapists just figured out SimplePractice shares scored intake measures like PHQ-9 and GAD-7 across therapists on the platform if a client transfers, even after the old therapist marks the client inactive. The r/therapists thread is fresh and agitated... they feel the data model itself is ethically broken. Add Headway being sued over Google data sharing, 81% of therapists doubting patient-data protection on practice-management platforms, and you have a pile of clinicians openly asking for an ethical alternative. The gap: an EHR where each client's record is cryptographically siloed to the current therapist, with explicit opt-in sharing only via export. Owner-operated therapists, group practices, training clinics.
Don't try to out-feature SimplePractice. Build the ethical story first... end-to-end encryption with per-client keys, a published threat model, and a BAA that actually means something. Charge more, not less, and market through state therapy associations and CE events. The clinicians who care about this will pay for it; the ones who don't will keep using SimplePractice and that's fine.
landscape (6 existing solutions)
The category is dominated by cloud EHRs that own the record and treat clinicians as tenants on a shared substrate. The ethical-data-sovereignty angle is an underpriced differentiator... solve it with per-therapist encryption keys, explicit client-consent export flows, and a privacy story you can actually put on a one-pager. This is a trust-led product, not a feature race.