An AI scribe that knows you're a psychologist.

Most AI scribes were built around the medical encounter and adapted afterwards for therapy, so the documentation they produce is shaped by presenting complaints and treatment plans rather than the formulation-led thinking that drives psychological work. Cogent drafts in your modality's conventions, learns the phrasing you default to across sessions with the same client, masks identifiers in your browser before anything reaches the model, and runs on UK infrastructure your indemnity insurer and information governance lead will already recognise.

app.cogent.clinic / clients / sara-w / session-12
Sara W./Session 12/CBT Live 0:00
Live transcription on-device masking · UK-hosted
Capturing
Masked, on your device
Sara [PERSON_1] 943 476 5919 [NHS_1] Lucy [PERSON_2]

The mapping back to the real names stays on your device, encrypted under your password, with Cogent itself never holding a key that would let it read them.

Drafting

UK-hosted AI, drafting in your modality's conventions, with nothing in your content ever used to train a model.

Structuring your note
Drafted for your review

Session 12, CBT

12 May 2026 · 50 min · in person
Presenting

Sara returned to the formulation from session 6, with renewed engagement around social withdrawal.

Therapeutic work

Reviewed last week's behavioural experiment. Socratic dialogue around the prediction "if I cancel, they will think less of me".

Risk & plan

No active risk indicators. Continue current CBT formulation, six further sessions agreed.

01Eight modalities

A CBT note should not look like an EMDR note pretending.

You should not have to teach a tool that "client" is the default term, that risk has to be recorded in every entry, that defusion is not restructuring, that limited reparenting is not generic warmth, or that EMDR notes need phase and SUDS. Eight modalities ship at launch, and the system prompt knows the difference between them in the same way a supervisor knows the difference between them.

Modality
Session note
Formulation
Letter
Supervision
Long report
CBT Cognitive Behavioural
EMDR Eye-Movement
CFT Compassion-Focused
ACT Acceptance and Commitment
IFS Internal Family Systems
SCHEMA Schema Therapy
ASSESS Neurodevelopmental
INTEG Integrative
02Living formulation

The plan develops with the work.

After each session note you accept, Cogent reads the new content alongside the existing formulation and proposes per-section updates wherever the note suggests something has shifted, presenting each proposal as a diff with a short rationale that names the session, the evidence, and the change being suggested, so that the plan moves only when you accept the move. There are no silent edits, and the formulation reflects what you have already noticed in the work rather than what an algorithm has decided in your absence.

Version history · Sara W.
v.7
21 Mar 2026
Added safety behaviour to maintaining factors.
v.8
04 Apr 2026
Refined goals after motivation shift.
v.9
21 Apr 2026
Behavioural experiment introduced.
v.10
05 May 2026
Predictions tightened.
v.11 · proposed
12 May 2026
Graded exposure, after disconfirmation.
Diff · v.10 → v.11
Goals+ 1 line

Reduce avoidance. Build evidence against catastrophic predictions. Begin graded interpersonal exposure in close relationships.

Interventions~ revised

Maintain CBT focus. Consider compassion-focused work. Sequence: continue CBT consolidation; revisit CFT at plan-and-review (session 18).

Next stepsunchanged

Six further sessions. Plan-and-review at session 18.

03Anonymisation in the browser

Identifiers never leave the device.

Eight categories of identifying content are detected and replaced with placeholders in your browser before anything is sent for drafting, with the mapping back encrypted under your password and held only on the device you signed in from. Cogent itself cannot read the names, and if the database were ever accessed without permission, the identifiers a clinician most cares about would not be in it.

Raw on device Masked, sent to model Restored on return 0 detected 0 sent in clear 0% local mapping
On your device
Sara W. attended session 12. Reviewed last week's experiment with her partner Lucy. NHS number 943 476 5919. Lives in G77 5RR. Email [email protected]. Next session 19 May 2026.
Sent to UK-hosted model
PERSON_1 attended session 12. Reviewed last week's experiment with her partner PERSON_2. NHS number NHS_1. Lives in POSTCODE_1. Email EMAIL_1. Next session DATE_1.
04The trust foundation

Three commitments about your clients' material, written into how the product works rather than into a policy document.

01.

You are the author of record.

Every output Cogent produces is a draft you review and accept, with the AI itself never diagnosing, never recommending treatment, never predicting risk beyond what you have already documented, and never interpreting test scores on its own initiative.

Refuses diagnosisby design Refuses risk predictionby design Sign-off requiredevery draft
02.

Identifiers never leave your device.

Beyond the masking demonstrated above, Cogent does not hold the key that would let it read the names, could not be compelled to produce them, and the version of the data stored on Cogent's own servers carries placeholders rather than real identifiers.

Categories detected8 Mapping locationdevice only Encryptionpassword-derived
03.

UK-hosted, with no training on your content.

All hosting, storage, and AI processing happens inside the United Kingdom, the AI provider is contractually prohibited from using your content to train any model, and every sub-processor that touches any part of the work is named in the Trust Centre so the chain can be verified rather than taken on trust.

RegionLondon (UK) Training opt-outcontractual Sub-processorsfully listed
05Comparison

Six dimensions where Cogent diverges from the AI scribes you have already evaluated.

General medical scribes
Generic AI note tools
Cogent Clinic
Modality-specific drafting
SOAP only
Generic
8 modalities
On-device identifier masking
Server-side
None
In-browser
UK data residency
US-hosted
Mixed
London region
Longitudinal formulation
Living, versioned
Refuses diagnosis and risk prediction
By design
No training on your content
Often opted-in
Opt-out
Contractual
06What Cogent does

Four of the things Cogent does, all of them shaped by how psychology actually runs.

Folders that hold one client's record, transcription that stays in your browser, pre-supervision briefs drawn from the work, and a reflective chat scoped to one client at a time, with several others (psychometric scoring, custom templates, a general clinical-knowledge chat, prep for the next session) sitting one click away on the features page.

  1. Longitudinal client folders
    Quick switch

    One folder per client, holding the record as the work builds it.

    Drafts, session transcripts, a four-section living formulation, and a thinking-out-loud chat scoped to that one client all sit inside that one folder, with the AI never reading across folders, so the record builds itself as you work and stays in the place where you would already be looking for it.

    How client folders work
  2. Live in-browser transcription
    Start capture

    UK-based session transcription, with your consent and under your encryption key.

    You can dictate the note directly or transcribe a session live, with the audio going from your browser direct to an EU-based transcription service in Dublin under the UK Addendum to the EU SCCs, never travelling through Cogent's own servers, and the transcripts coming back encrypted under your key and stored in the UK until you delete them.

    How transcription stays private
  3. Pre-supervision briefs
    Generate brief

    Walk into supervision ready, rather than scrambling for the right page.

    A short brief drawn from the client's living formulation and the most recent sessions, with case snapshot, current trajectory, present focus, and the questions you actually want to bring all sitting in one document that opens in the order you would say it in the room.

    • Snapshot of where the work is, rather than a recap of recent events
    • The questions worth raising, surfaced rather than buried in the diary
    • Anonymised by default before anything is shared with your supervisor
    Read more about supervision briefs
  4. Reflective thinking chat
    Open chat

    A thinking-out-loud chat in the voice of peer consultation, scoped to one client.

    Every client folder on the Professional tier has a chat that draws on that one client's plan and recent drafts only, so you can compare frameworks, think through sequencing, or sit with a dilemma without receiving directive advice and without anything ever being cross-referenced against another client's material.

    • Anchored to that one client's plan and recent drafts
    • Replies in the voice of peer consultation rather than directive advice
    • Refuses diagnosis, treatment recommendations, and risk prediction
    Read more about the reflective chat

Try it on this week's work.

The free tier covers ten generations a month with no card to start and no time limit on the trial, so you only upgrade when Cogent has earned at least the cost of a session in time saved.

Start free
No card · no demo call · no waitlist