Cognitive Behavioural
- Agenda
- Cognitive work distinct from behavioural
- Behavioural experiments reviewed and set
- Homework
- Risk in every entry
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.
- MHRA Class I medical device
- UKCA Conformity marked
- UK GDPR Data protection
- ICO Registered ZC132394
- Cyber Essentials Certified
- UK hosted Storage and inference
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
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 approaches
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.
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 →
02Living formulation
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 →
03The 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, not 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 AI processing stay inside the United Kingdom. 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
04Comparison
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
05Beyond the note
What a generic scribe was never built to do.
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 Psychometric scoring
Standard measures scored and filed in the client's record, with the numbers recorded rather than interpreted.
Where scoring fits in One client per folder
The record builds inside the client's own folder, and the AI never reads across folders.
How client folders workLive transcription, custom templates, and next-session preparation are in there too. All features →
Try it on this week's work.
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