Comparison

Therapist Toolbox vs ECHO

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Therapist Toolbox

Features
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This is an easy-to-use app designed for all professionals working in the mental health field. ** NEW ** We now provide the ability to upload ANY PDF or Image files to your client's record. You can have as many "Upload Folder Names" as you need with each folder having an unlimited number of files (PDF or Image). Typical folders/files include: - Session Notes - Invoices - Client Documents Each uploaded file is copied and stored within the app allowing the original file to be moved or deleted. As a clinician, you usually have a lot of paperwork to deal with. The goal of this app is to turn as many of your paper forms as possible into app-based forms. These forms can collect different types of information such as text, dates, Yes/No choices and signatures and then save the form as a PDF file. Good-bye paper! We currently include the following forms: Brief Psychiatric Rating Scale (BPRS) Client Encounter Form Consent for Treatment Comprehensive Assessment Receipt Treatment Plan Receipt Crisis Plan Receipt Evaluation of Need for ICC (Massachusetts specific) MassHealth CANS Permission (Massachusetts specific) REMOTE CLIENT SIGNATURES! When a client signature is required, you can have the client to sign directly on your phone or tablet OR have the client sign Remotely. Therapist Toolbox can send the signature request by text or email. The request includes a link (to both app stores) for the client to download a small signing app. This is a one-time download. The signing app prompts for a unique code to verify the clinician and form, allows the client to sign electronically and automatically returns the signature to Therapist Toolbox. Simplifies tele-therapy; eliminates mailing forms for signature; provide integrity to the signature process. BRIEF PSYCHIATRIC RATING SCALE (BPRS) Therapist Toolbox makes the administration and scoring of the BPRS easy. Previous results are retained and the most recent score for each item is shown while administering the current interview. Of course, the total score is calculated automatically. Color-coded results are shown for each item marking an increase or decrease from the previous score. CLIENT ENCOUNTER FORM This form is used to verify that the services being billed were actually provided. For everyone's protection, the client signature is automatically time stamped. FORMS UNIQUE TO YOUR ORGANIZATION We understand that every Organization is unique and has their own unique needs. To accommodate these differences, Therapist Toolbox has the ability to create any number of forms that will be available ONLY to your Organization. The forms will be created by Applied Behavior Software and a unique code will be provided. When the code is entered into the app, your forms become instantly available. FORMS AND DATA PROTECTION Therapist Toolbox allows for an unlimited number of clients, retains a history for each client and saves each completed form as a PDF file. The PDF file is automatically included as an attachment to an email for you to send to your Organization for appropriate inclusion in the client's health record. No more scanning of printed forms! With the exception of the PDF files, all data is encrypted to protect your clients and their information. We collect the bare minimum of client information and NO personally identifiable information is included on the PDF files to ensure client information stays protected. We make integrating this app with your Organization simple by allowing you to choose how to name the generated PDF files. The options for naming completed forms are: Form Name Clinician Name Client ID Session/Rating Date An auto-renewing monthly subscription is required to use this app. Terms and conditions: https://appliedbehaviorsoftware.com/terms.html Privacy Policy: https://appliedbehaviorsoftware.com/privacypolicy.html

About

ECHO

Features
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"Find Resonance in Your Solitary Exploration." See the threads, and the questions not yet asked. Right after a session ends is often when your mind is fullest. Countertransference lingers, a boundary question remains unresolved, and an unasked question keeps circling—yet your next human supervision session is still days away. ECHO is not a clinical supervisor and does not provide professional supervision. It is a case-reflection and independent client-management workspace for counselors and psychotherapists—supporting everyday reflection, client organization, and preparation for your next session or qualified human supervision. [ CORE CAPABILITIES ] - Independent Client Profiles & Session History Create a dedicated profile for each client to organize consultation type, frequency, core concerns, risk observations, and session progress over time. Client profiles, scheduling, and session records work independently without requiring a reflection report. - Practice Calendar & Clinical Scales Manage upcoming appointments and daily session flow in one view. Prepare and send standard clinical scales (PHQ-9, GAD-7, PCL-5) before sessions begin. - On-Device Transcription & Selective Submission Capture what stayed with you in text or use on-device audio transcription to review pauses, repetitions, and key moments locally—then decide which de-identified excerpts to submit for reflection. - Framework-Informed Case Reflection Using psychology frameworks, ECHO organizes therapeutic technique, working alliance, ethical boundaries, and transference/countertransference clues into testable hypotheses and structured reflection questions—keeping private reflection separate from SOAP notes, DAP notes, and formal clinical records. - Practice Statistics & PDF Handover Review consultation hours, active clients, and session trends locally on your device. Export clean A4 PDF reflection reports for your physical case folder or to share with your human supervisor (for remote or in-person supervision). - Privacy by Design & Private iCloud Continuity Activate across iPhone, iPad, and Mac with one License Key—no traditional account registration required. Session text is encrypted in the app's local database (AES-256), with continuity across your Apple devices through your own private iCloud container. Off-device analysis begins only when you actively submit selected text. ECHO performs a two-pass identifiable-information check before analysis and before report delivery; if safe processing cannot be confirmed, analysis stops, no report is returned, and the credit is refunded. [ PROFESSIONAL BOUNDARIES & DISAMBIGUATION ] ECHO is designed strictly for licensed counselors, psychotherapists, and qualified mental health practitioners (and supervised trainees within applicable ethical rules). It is not intended for client or patient use. ECHO does not provide professional supervision, establish a supervisory relationship, diagnose conditions, issue treatment instructions, handle crisis intervention, serve as an EHR or formal medical-record system, or replace qualified human supervision and professional judgment. ECHO on echo.gifts is not affiliated with Project ECHO or Extension for Community Healthcare Outcomes. Privacy Policy: https://echo.gifts/privacy/ Terms of Service: https://echo.gifts/terms/

Screenshots

Therapist Toolbox4 screens
ECHO4 screens

Verdict

The call

The clearest difference is update cadence: ECHO at every 3 days against Therapist Toolbox's every 3 months. Therapist Toolbox's advantage is iOS requirement (15.0 vs 17.0). On price, ads, in-app purchases and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Therapist Toolbox sells 1 in-app purchase, starting at $4.99 per month and ECHO sells 4 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Therapist Toolbox ships an update every 3 months, ECHO every 3 days. The most recent releases landed on October 25, 2026 and October 24, 2026 respectively.

Scorecard2 real differences · 4 level
Therapist Toolbox versus ECHO: the parameters behind the verdict, then further details
ParameterTherapist ToolboxECHO
PriceFreeFree
Update frequencyEvery 3 monthsEvery 3 days — better
AdsNoNo
In-app purchasesYesYes
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS15.0 — better17.0
Further details — not scored
Size72 MB22 MB
Age rating4+4+
DeveloperApplied Behavior Software, LLCLIANG SHAN

In-app purchases

1 purchases

Therapist Toolbox

Subscriptions1
  • Monthly Subscription3 Days trial$4.991 Month
4 purchases

ECHO

One-time4
  • 10 Credits$12.99
  • 50 Credits$51.99
  • 100 Credits$90.99
Show 1 more
  • ECHO License$149.00

Questions

Is Therapist Toolbox free?
Therapist Toolbox is free to download, with in-app purchases available.
Is ECHO free?
ECHO is free to download, with in-app purchases available.
Do Therapist Toolbox or ECHO have ads?
Neither Therapist Toolbox nor ECHO shows ads.
Which is updated more often, Therapist Toolbox or ECHO?
Therapist Toolbox ships an update every 3 months, and ECHO every 3 days. Most recently, Therapist Toolbox was updated on October 25, 2026 and ECHO on October 24, 2026.

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