The AI scribe that knows CBT from EMDR.

Cogent masks identifying details in your browser and drafts the note to match the approach you used. It follows the client's formulation across sessions, where most tools start each note from scratch. Built by a UK clinical psychologist and regulated as a medical device.

Watch a session become a finished note.

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 is stored encrypted at rest in the UK under a managed key, with access tightly controlled and logged.

Drafting

UK-hosted AI, drafting the note to match your approach, 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.

Built for how psychologists work

Made for the whole of the work, from the first session on.

01Pillar one · Speaks your approach

Notes that read like the therapy in the room.

You should not have to teach a documentation tool that risk belongs in every entry, or that an EMDR note carries phase and SUDS. Cogent already writes each note the way a supervisor would expect to find it, across eight approaches.

CBT

Cognitive Behavioural

  • Agenda
  • Cognitive work distinct from behavioural
  • Behavioural experiments reviewed and set
  • Homework
  • Risk in every entry
EMDR

Eye Movement Desensitisation and Reprocessing

  • Phase (1–8)
  • Target memory
  • SUDS and VOC, before and after
  • BLS sets
  • Channels of association

CFT, ACT, IFS, schema, integrative, and assessment notes keep their own shape the same way. All eight approaches →

02Pillar two · Builds over time

The formulation updates as you sign off each session.

Cogent reads each note you sign off against everything that came before, and proposes updates to the formulation as tracked changes, each with the evidence named.

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.
Proposed changes · 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.

Four plain-language sections that grow with the work. How the living formulation works →

03Pillar three · The whole job

What a generic scribe was never built to do.

ADHD and autism assessment reports

Full neurodevelopmental reports for adults and young people, drafted section by section around the clinical opinion you have reached, with your standardised measures scored and carried into the findings. You diagnose; the tool drafts, and it names the gaps rather than inventing them.

How assessment reports work
Formulation builder

The formulation drawn as a diagram: an IFS parts map, a CBT five-areas, or a biopsychosocial map, laid out from the client's folder for you to edit on screen, download, and hand to the client.

How the formulation builder works
Pre-supervision briefs

A one-page brief drawn from the formulation and recent sessions, so you walk in knowing what you want to raise.

How supervision briefs work
Session prep briefs

A short note you read five minutes before the next session, drawn from the folder, so you walk in oriented.

How session prep works
Reflective chat

A thinking-out-loud space scoped to one client, replying in the voice of peer consultation. It will not diagnose or predict risk.

How the reflective chat works
Reflective logs

Dated entries for what never reaches a transcript: ruptures, countertransference, your own process. Private by default.

How reflective logs work
Psychometrics

Send a measure to your client by secure link and it comes back scored into the folder, or enter the totals for the measures you score on paper. The arithmetic is the tool's; the interpretation is yours.

How psychometrics works
One client per folder

The record builds inside the client's own folder, and the AI never reads across folders.

How client folders work

Live transcription, custom templates, and next-session preparation are in there too. All features →

04The trust foundation

Three commitments about your clients' material, written into how the product works.

01.

You are the author of record.

Every output is a draft until you sign it off. Cogent does not diagnose, recommend treatment, predict risk, or interpret test scores.

Refuses diagnosisalways Refuses risk predictionalways Sign-off requiredevery draft
02.

Names never reach the AI.

What Cogent stores carries placeholders in place of the real identities. The mapping back to real names is encrypted under a managed key on UK infrastructure, with access controlled and logged.

Categories detected8 Names to the AInone Mapping storageencrypted, UK
03.

UK-hosted, with no training on your content.

Hosting, storage, and the AI drafting stay inside the United Kingdom. Live session audio is the one exception, going straight from your browser to a speech-to-text provider in Dublin. The AI provider is contractually barred from training on your content, and every sub-processor is named in the Trust Centre.

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

Where Cogent diverges from the scribes you have already evaluated.

General medical scribes
Generic AI note tools
Cogent Clinic
Built for
The medical encounter, adapted for therapy
General writing
Psychological practice only
Knows the approach (CBT, EMDR, schema, ACT…)
Template library
Generic summaries
8 approaches built in
Identifying details reaching the AI
Sent to the AI on their servers
Sent to global AI APIs
Removed in your browser first
The client's formulation across sessions
One session at a time
One chat at a time
The whole course of the work
Refuses diagnosis and risk prediction
A hard rule
Training on your content
Policy varies by vendor
Often opt-out
Contractually barred
07Common questions

The questions psychologists ask before they try it.

What is Cogent Clinic?

Cogent Clinic is an AI documentation tool for UK psychologists. It transcribes sessions with the client's consent, replaces identifying details with placeholders in your browser before anything is sent for drafting, and writes the note in the conventions of the approach you used, whether that is CBT, EMDR, CFT, schema, ACT, IFS, integrative or an assessment. It is built and run by Cogent Clinic Ltd, a UK company, and it is registered with the MHRA as a Class I medical device. There is a free tier and no card is needed to start.

Who can use Cogent Clinic?

Sign-up is open to UK HCPC-registered practitioner psychologists, which covers the clinical, counselling, forensic, health, educational, sport and exercise, and occupational titles. The templates are built around psychological therapy and assessment rather than general medical notes, so the fit is closest for that work. Counsellors and psychotherapists registered with BACP or UKCP are not part of the launch audience yet.

Does the AI see my clients' names?

No, not in normal use. Names, NHS numbers, dates of birth, contact details, postcodes and comparable identifiers are detected and replaced with neutral placeholders inside your browser before any text is sent for drafting, so what reaches the model reads as [PERSON_1] rather than a real name. The mapping back to the real names is held encrypted at rest on UK infrastructure under a managed key, with access controlled and logged, and your browser restores the real names in the draft that comes back to you.

Where is my data processed?

Hosting, storage, backups, audit logs and the AI drafting all run on UK infrastructure in AWS London. Live session audio is the one exception: it streams from your browser directly to a speech-to-text provider processing at its EU endpoint in Dublin, without passing through Cogent's servers, and the transcript that comes back is stored encrypted at rest in the UK. Every sub-processor and its location is listed in the Trust Centre.

Do I need my client's consent to use an AI scribe?

You stay the data controller for your clients' information, so the consent conversation is yours rather than ours. In practice most clinicians explain what the tool does, what gets recorded and where it goes, then record the client's agreement before turning on live transcription. Cogent publishes a client consent template and a plain-language notice you can adapt, and the free UK GDPR guide works through the lawful-basis reasoning.

Who is the author of the notes?

You are. Every output is a draft for you to read, correct and sign off, and the clinician is the author of record for every document Cogent produces. That sentence is written into the system prompt as well as into the terms. Cogent does not diagnose, recommend treatment, interpret assessment data or predict risk.

Is Cogent Clinic a medical device?

Yes. Cogent Clinic is a Class I medical device under UK MDR 2002, registered with the MHRA. In practice that means it works to a documented intended purpose, carries a clinical risk-management process and post-market surveillance, and stays inside the boundary of documentation rather than clinical decision-making.

How much does Cogent Clinic cost?

The free tier gives you ten generations a month with no card and no time limit, and every account includes its first five transcribed sessions. Starter is £22 a month and Professional is £59 a month, which adds 25 hours of live session transcription, premium model routing for long-form work, pre-supervision briefs and Word export.

Try it on this week's work.

Ten generations a month free, with no card and no time limit. Upgrade once Cogent has earned the cost of a session in time saved.

Start free
No card · no demo call · no waitlist