Cognitive Behavioural
- Agenda
- Cognitive work distinct from behavioural
- Behavioural experiments reviewed and set
- Homework
- Risk in every entry
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.
Recent workplace stressor; collaborative formulation work, paced breathing homework.
This client has given informed consent to session transcription. You can start transcribing sessions at any time. Audio is never stored; transcripts are de-identified in your browser before anything reaches our servers.
Your client's name and identifying details (NHS number, phone, email, postcode, dates) are replaced with placeholders here in your browser before anything reaches the AI.
So, Anna, how did the breathing go this week, in the meetings? Better than I expected. I used it before the Tuesday one and I didn't feel like I had to leave…
So, [PERSON_1], how did the breathing go this week, in the meetings? Better than I expected. I used it before the Tuesday one and I didn't feel like I had to leave…
Anonymise swaps the word for a placeholder before the AI sees it. Skip leaves the word as-is so the AI can write naturally.
Anticipatory anxiety before team meetings, with early exits and avoidance over the past two months. Chest tightness and racing thoughts on sitting down. The belief "they'll see I'm struggling" drives the urge to leave.
Stay for the whole of every team meeting for four weeks. Present to the team without leaving early.
CBT. Paced breathing before meetings, behavioural experiments testing predictions of negative evaluation, thought records between sessions.
Repeat the experiment in a meeting where she presents. Session 5: the Tuesday experiment disconfirmed the prediction; colleagues attended to the slides, not to her. Extend to a meeting she chairs. Continue paced breathing.
Built for how psychologists work
Notes that carry the structure and language of the therapy you actually used.
See how Builds over timeA living formulation and a per-client record that hold the whole course of the work as it develops.
See how The whole jobAssessment reports, psychometrics, supervision, and the reflective work that surrounds the note.
See howYou 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.
CFT, ACT, IFS, schema, integrative, and assessment notes keep their own shape the same way. All eight approaches →
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.
Reduce avoidance. Build evidence against catastrophic predictions. Begin graded interpersonal exposure in close relationships.
Maintain CBT focus. Consider compassion-focused work. Sequence: continue CBT consolidation; revisit CFT at plan-and-review (session 18).
Six further sessions. Plan-and-review at session 18.
Four plain-language sections that grow with the work. How the living formulation works →
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 workThe 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 worksA one-page brief drawn from the formulation and recent sessions, so you walk in knowing what you want to raise.
How supervision briefs workA short note you read five minutes before the next session, drawn from the folder, so you walk in oriented.
How session prep worksA 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 worksDated entries for what never reaches a transcript: ruptures, countertransference, your own process. Private by default.
How reflective logs workSend 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 worksThe between-session work you agreed, as a journal your client writes into. It finds what was agreed and shows you the words it came from; it does not decide what the homework should be.
How homework journals workThe 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 →
Every output is a draft until you sign it off. Cogent does not diagnose, recommend treatment, predict risk, or interpret test scores.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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. Core is £22 a month and Professional is £59 a month, which adds unlimited live session transcription, premium model routing for long-form work, pre-supervision briefs and Word export.
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.
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