# eCare Therapy vs PathwayNotes

The clearest difference is in-app purchases: eCare Therapy at none against PathwayNotes's 4. eCare Therapy also leads on iOS requirement (13.4 vs 15.0). PathwayNotes's advantage is update cadence (weekly vs every 2 weeks). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. PathwayNotes sells 4 in-app purchases, starting at $79.00 per month. eCare Therapy asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 5.0 for eCare Therapy against 5.0 for PathwayNotes. Both are backed by a comparable volume of ratings — 9 and 4 respectively.

eCare Therapy ships an update every 2 weeks, PathwayNotes weekly. The most recent releases landed on September 30, 2026 and October 21, 2026 respectively.

## The numbers

| Metric | eCare Therapy | PathwayNotes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (9 ratings)](https://appshunter.io/ios/app/ecare-therapy/id6477286804/reviews) | [5.0 (4 ratings)](https://appshunter.io/ios/app/pathwaynotes/id6763904916/reviews) |
| Number of ratings | **9** | 4 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 2 weeks | **Weekly** |
| Monetization | **Free** | Subscription |
| Size | 133 MB | 53 MB |
| Requires iOS | **13.4** | 15.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [eCare Therapy](https://appshunter.io/developer/1728831001) | [Minds Awakened LLC](https://appshunter.io/developer/1895550727) |

## What reviewers say

### eCare Therapy

[App page](https://appshunter.io/ios/app/ecare-therapy/id6477286804)

Connect with certified therapists for personalized mental health support. Browse professionals by specialty, gender, and price to find your ideal match. Engage in secure video, audio, or chat sessions at your convenience.

**Highlights:** Customized therapist matching, Secure encrypted communication, Flexible appointment scheduling, Video, audio, and chat sessions, Therapist filtering by specialty and price

**Features:** macOS Compatibility, Apple Wallet

**In-app purchases:** none


### PathwayNotes

[App page](https://appshunter.io/ios/app/pathwaynotes/id6763904916)

This app provides a secure platform for counselors to connect with clients between sessions. Clients can journal, track moods, and receive AI-generated reflections, while clinicians gain insights and progress summaries to prepare for appointments.

**Highlights:** AI-powered journal insights, Secure in-app messaging, Client assessments, Progress summaries, Voice journaling with transcription, HIPAA-compliant encryption

**Features:** macOS Compatibility

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Starter Monthly | $79.00 | per month |
| Practice Monthly | $79.00 | per month |
| Practice Annually | $819.00 | per year |
| Starter Annually | $819.00 | per year |


## Frequently asked questions

### Is eCare Therapy free?

eCare Therapy is free to download, with no in-app purchases.

### Is PathwayNotes free?

PathwayNotes is free to download, with in-app purchases available.

### Which has better reviews, eCare Therapy or PathwayNotes?

eCare Therapy and PathwayNotes are both rated 5.0 out of 5 on the App Store, from 9 and 4 ratings respectively.

### Do eCare Therapy or PathwayNotes have ads?

Neither eCare Therapy nor PathwayNotes shows ads.

### Which is updated more often, eCare Therapy or PathwayNotes?

eCare Therapy ships an update every 2 weeks, and PathwayNotes weekly. Most recently, eCare Therapy was updated on September 30, 2026 and PathwayNotes on October 21, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*