EdgeCase Equalizer vs hoito

EdgeCase Equalizer is free, open-source practice management software for solo therapists who want local control of their records and tools. Client files combine sessions, communications, absences, items, and uploads in timelines with full edit histories. Billing handles per-client fees, sliding scales, guardian splits, couples and family therapy, statements, partial payments, and write-offs. Income and expenses can be recorded with receipts and category reports. An optional local AI scribe drafts or edits session notes while session content stays on the computer. Data is stored in encrypted SQLite with encrypted attachments; backups can remain local or sync to a cloud folder, and restoration is available from the login screen. Appointments export as .ics or can be added to Apple Calendar. It runs on macOS and Linux, with source for Python 3.11+ on any platform, and is licensed AGPL-3.0.

hoito is a web-based practice management platform for UK therapists, with tools for client records, session notes, scheduling, payments, video sessions, and directory listings. Appointments can be online or in person, recurring, and rescheduled by drag-and-drop; therapists can set cancellation windows. Records support SOAP or summary notes and custom intake forms, with a mobile-friendly therapist workflow. The client portal shows upcoming sessions and details, sends email reminders, and applies the therapist's cancellation and rescheduling policy. Therapists connect their own Stripe accounts for direct payouts; hoito says it takes no commission on clinical revenue. Paid therapist plans include unlimited one-to-one video sessions that do not require app downloads. Calendar sync supports Google and Outlook. A clinical will feature includes executor nomination, client notifications, and a secure portal for records and downloadable summaries. The Therapist plan costs £18 a month. hoito says its infrastructure is UK-hosted and data is encrypted at rest and in transit.