[OSS GAP] Therapy Practice Portal #health #therapy #portal #small-business
Pain: Independent therapists need scheduling, client docs, and a simple portal — not a full enterprise health stack or huge monthly SaaS bill. “Devoted to discussion, recommendations and news around the open source group chat application, Mattermost. [link]” — reddit (https://www.reddit.com/r/Mattermost/)
Why now: Small teams in 2026 are cutting tool spend and refusing extra platform debt. SimplePractice, TheraNest, Sessions Health are strong products, but they are packaged for bigger companies than therapist and other small teams. That makes a smaller, self-hosted wedge in therapy practice portal unusually easy to explain.
Tiny wedge: Client portal for therapist and other small teams without SimplePractice-style pricing and platform weight.
Why this wins: Replaces recurring SimplePractice spend with a boring self-hosted alternative for therapist and other small teams.
Scope cut: Skip insurance clearinghouse and telemedicine suite in v1.
Stack: Node.js + Express + PostgreSQL + Web Components.