Our first priority is helping you do a good job and stay sustainable. The revenue follows from that.
For therapy practices ready to grow without burning out
If you're running a therapy practice, you feel the squeeze: thin margins, inconsistent evaluations, payers asking for outcomes, and clients who need more support than talk therapy alone. Zenara helps you build a sustainable, high-quality behavioral health practice—starting with intake and outcomes, and expanding only if and when you're ready.
The reality of running a modern therapy practice
Thin, session-by-session margins
Your business lives or dies by session volume and no-show rates. A bad week of cancellations wipes out profit.
Inconsistent evaluations
Each clinician has their own intake style. 90791/90792 documentation varies, which makes audits and QA stressful.
Limited supervision visibility
Clinical leaders can’t easily see which cases are high-risk, which clients are stuck, or which programs are working.
Psychiatric coverage gaps
Clients often need medication support, but you don’t have a clear way to provide or coordinate it. You lose them to other organizations or watch them struggle.
Payer pressure without data
Payers talk about outcomes and value-based contracts. You‘re doing good work—but documenting and proving it feels out of reach.
Zenara Assist exists to close that gap—clinically, financially, and humanly.
What a sustainable therapy practice can look like
A grounded evolution path for therapy practices
Why intake is the first lever to pull
Right now:
- Variable depth and style across clinicians
- Risk sometimes buried in long notes
- Medical, social, and functional context often under-documented
With Assess:
- Consistent coverage of key domains—symptoms, history, medical context, social determinants, safety, function—while still allowing therapist voice and nuance
- Clear risk documentation, easier supervision, and stronger audit posture
- Better handoffs when you do collaborate with psychiatry or PCPs
Sustainability first, economics aligned
The primary goal is to help you deliver excellent therapy in a way that doesn’t run your practice into the ground. As intake, supervision, and outcomes improve, you also open doors to additional service lines—evaluations, testing, health-behavior work, and, if you choose, med-management and care management.
In many therapy practices, even a modest number of clients enrolled in care-management models can support sustainable models—often enough to support psychiatric coverage or additional supervision capacity. We’ll help you model what’s realistic for your size, payer mix, and state, so you can decide what feels right.
* Our focus is on a sustainable, ethical, high-quality practice. The financial improvements follow from getting the care and workflows right.
How Zenara Assist helps therapy practices specifically
Intake that respects your style
Assess gives you a shared structure without forcing every clinician into the same tone or approach. There’s room for nuance and rapport, with a consistent backbone underneath.
Supervision visibility
Leaders can see complexity, risk, and outcomes across clinicians and programs. Supervision can be guided by data, not just memory.
Program and group readiness
For group programs and IOPs, standardized intake and outcomes make it easier to plan cohorts, monitor progress, and report value to payers or partners.
Collaboration-ready
When you bring in psychiatric coverage or partner with prescribing clinicians, Zenara makes it easier to share the right information and document joint care—without making therapists feel medicalized.
We’ve heard what therapy practice owners are asking for
At a recent behavioral health technology conference, we heard a common theme from therapy practice owners:
“We want to provide more comprehensive care, but we don’t want to lose our soul—or drown in complexity.”
- They wanted standardized evaluations, real outcomes, and thoughtful psychiatric coverage—not a hard pivot into being a medical factory. Zenara is being shaped with that reality in mind.
- With experience integrating therapists and psychiatry at Headspace Health and in collaborative care models, we know how delicate this balance is. Our goal is to support your growth without erasing your identity.
* In our clinical partnership with Texas Center for Lifestyle Medicine, comprehensive assessments were conducted by therapists using our methodology. The therapist noted:
“The AI-assisted assessment freed me from digging through notes and let me spend more of the session on exploration and planning, not transcription.”
Assessments identified findings that changed treatment trajectories—including trauma that patients hadn’t disclosed in previous therapy relationships.
You’re right to be cautious
We don't want to become a medical clinic
Our therapists are already stretched
Assess is designed to make first sessions easier, not harder. It reduces repetitive questions and gives therapists a clearer starting point. We’re not asking them to do more admin—we’re helping them do less.
We're nervous about payer expectations
We’ll help you understand which service lines and care models are a fit for your contracts and state. You stay in control of how far you go; our job is to give you options and clean documentation.
We don't have internal IT capacity
Most therapy practices we work with don’t have dedicated IT. Zenara is designed to be implemented with light support, starting alongside your existing systems.
Your practice can stay true to its heart—and still be sustainable
You've built a place where people come to heal. You deserve workflows, documentation, and service lines that support that mission without exhausting your team. Let's explore what a grounded evolution could look like for your practice.
Ready to talk? Get a practice checkup. Want to stay informed as Assess launches? Join the waitlist.
