A copilot that sharpens your clinical reasoning
The copilot analyzes what your patient has written, completed and shared with you. It helps you test your hypotheses, spot blind spots and understand their profile in more depth: insight that informs your practice and leads to better care. Every suggestion waits for your approval.
Copilot
Hypothesis to weigh
Generalized anxiety · 2 differential diagnoses
Blind spot
Relationship to failure, little explored
Profile
Schemas, distortions, strengths
Next session
3 questions to ask
The copilot connects the dots across everything your patient shares
Session notes, tests, journal entries, exercises, programs, documents: the copilot puts a score next to a journal entry, a session note next to an exercise answer, and brings out the connections taking shape. You get an overall reading to weigh against your own.
Your session notes
your observations and your assessment at every appointment
Their life events
what has changed in their daily life and in their care
Documents in the record
letters, reports and transcribed handwritten notes
Their test results
scores, severity bands and subscales
Their daily mood
their emotional state and the emotions they name
Their journal
the entries they choose to share with you
Their exercise answers
what they write, question by question
Their program answers
their choices and reflections, chapter by chapter
Comprehensive psychological overview
Run AI analysisOnce started, the analysis keeps itself up to date as your patient writes.
Only with the patient's confirmation
The analysis only covers patients who have confirmed they're in therapy with you, and only what they've chosen to share. Before every analysis, the content is de-identified: names, places, email addresses and phone numbers are masked.
Your paper notes count too
Snap a photo of your handwritten session notes: the text is recognized, you can touch it up, and it's added to the record, where it feeds the analysis like everything else.
Session 12/03: argument with partner, rumination ++, back to painting in the evenings…
Session note · transcribed View transcription · Edit
Hypotheses to put to the test.
A reasoned overall assessment, a working diagnostic hypothesis backed by evidence from the patient's writing, and ruled-out diagnoses with the reasons why. Everything you need to challenge your clinical reading, strengthen it or rethink it.
AI insights · Patient analysis
AI-generatedOverall assessment
5
/ 10
Analysis
The patient presents with significant emotional instability, along with fears of abandonment, social anxiety and episodes of intense emotional distress. However, they show some capacity for introspection and a willingness to engage in the therapeutic process, which is an important resource for their progress.
Progress
The patient is beginning to recognize their dysfunctional thought patterns through the CBT exercises, while remaining strongly affected by fears of abandonment and emotional fluctuations.
Diagnosis
to be confirmedBorderline personality disorder
Supporting evidence
- Marked emotional instability with rapid mood swings
- Intense fear of abandonment observed in relationships with their partner and a close friend
- Difficulty regulating emotions, especially anger during arguments
- Sense of inner emptiness mentioned in the journal
Differential diagnoses ruled out, and why
Major depressive disorder
Mood fluctuations are rapid and reactive rather than persistent
Generalized anxiety disorder
Worries center on abandonment and relationships rather than being wide-ranging
A richer profile, from abandonment schema to stage of change.
Schemas, distortions, beliefs, coping strategies, attachment, self-image, environment: the profile covers what you would explore yourself, and every element is grounded in evidence from the patient's writing.
Psychological factors
Schemas
“Abandonment” and “Defectiveness/Shame”
Cognitive distortions
“Catastrophizing” and “Mind reading”
Self-limiting beliefs
“I'm fundamentally misunderstood…”
Limiting beliefs about others
“Other people will inevitably abandon me…”
Behaviors
Coping strategies
“Emotional avoidance” and “Painting as regulation”
Defense mechanisms
“Projection” and “Rumination”
Attachment style
“Anxious-preoccupied”
Stage of change
“Contemplation”
Identity & self-concept
Self-concept
“Fragile identity, dependent on how others see them”
Self-compassion dynamic
“Excessive self-criticism”
Cognitive dissonance
“Desire for authenticity versus fear of rejection”
Self-knowledge
“Emerging awareness of their overreactions”
Metacognitive capacity
“Limited ability to observe their own thoughts”
Environmental factors
Supportive factors
“Potentially supportive social network”
Adverse factors
“Family's lack of understanding of their difficulties”
Every element of the profile expands to show the reasoning, the evidence from the patient's writing, possible origins and ideas for intervention. For example:
Catastrophizing
The patient consistently extrapolates ordinary situations into catastrophic scenarios, particularly where their relationships are concerned.
Supporting evidence
- Reading a close friend's lack of reply as final rejection
- Seeing an ordinary argument as a sign that their partner is about to leave
- Constantly anticipating abandonment in ambiguous relationship situations
Potential origins
- Possible parental modeling of negative expectations
- Earlier experiences of significant loss or relationship breakdown
Intervention strategies
- Decatastrophizing, weighing up the real probabilities
- Socratic questioning of the evidence behind catastrophic interpretations
- A thought record to log and challenge catastrophic interpretations day to day
SchemaAbandonment＋
“The patient shows a persistent, disproportionate fear of being abandoned or rejected by the important people in their life, even in ordinary situations or in response to ambiguous signals.”
Strength identifiedPainting as regulation＋
“The patient has spontaneously found an adaptive way to channel emotion through artistic expression, which brings them temporary relief.”
The profile maps the patient's strengths just as carefully as their difficulties.
Walk into the session with the right questions.
Questions ready to ask, each with the reason it matters, plus the parts of the record that are still largely unexplored: a way to catch your blind spots before the session even starts.
Exploring the situations that trigger the fear of abandonment
Pinpointing the situational and interpersonal triggers will help design targeted interventions and prevent emotional crises.
Questions to explore
- “Can you describe in detail the last time you strongly felt this fear of being abandoned?”
- “What are the first thoughts that go through your mind when someone close to you doesn't reply right away?”
Validating emotional experience
The patient shows a major deficit in self-validation, which contributes to their emotional instability.
Questions to explore
- “How would you react if a close friend told you they felt exactly what you're feeling?”
- “What messages did you receive as a child about expressing emotions?”
Exploring adaptive resources
Identifying and reinforcing existing adaptive strategies (such as painting) will help build on the patient's strengths.
Questions to explore
- “You mentioned that painting calms you. What other activities give you that same sense of calm?”
- “In what situations are you better able to manage intense emotions?”
And after the session, a clear direction.
Treatment goals broken down into specific clinical actions, plus avenues to explore further. They're only suggestions: you apply the ones you want, the way you want, and you stay in control from start to finish.
Developing emotion regulation skills
Recommended actions
- Teach diaphragmatic breathing as a physiological anchor
- Introduce the DBT STOP skill for moments of crisis
- Suggest DBT-inspired distress tolerance exercises
Restructuring the abandonment schema
Recommended actions
- Psychoeducation focused on the abandonment schema
- Cognitive restructuring cards for abandonment-related thoughts
- Gradual corrective experiences of secure attachment
Formal assessment for borderline personality disorder
Recommended actions
- Administer standardized tools (MSI-BPD, DIB-R)
- Structured clinical interview on BPD criteria
- Explore how symptoms have developed since adolescence
Developmental history of attachment relationships
Emotional genogram + adult attachment questionnaire (ECR-R)
Exploring identity and the sense of emptiness
“Who am I?” exercise + mapping of emotional states
Significant interpersonal relationships
Functional analysis of recent problematic interactions
Tailored resources and feedback suggestions, for every patient.
The patient's profile does double duty: it tailors the programs and exercises you create for them, and it suggests feedback on each exercise or journal entry they share. You adjust, then approve.
AI assistance
Describe what you want to create and AI will pre-fill the structure of your resource.
E.g., A CBT-based program for people with ASD to help them better communicate their fears.
Personalize for a patient
Adapt the content to a specific patient's psychological profile (requires a generated AI profile)
“You will then be able to review and modify the generated content.”
Voicing my fears, step by step
TailoredProgram · 4 chapters · adapted to the patient's profile
The program draws on the patient's profile: it talks about their own fears, not “anxiety in general.” You review it, adjust it, then assign it.
Feedback for the patient
Draft“Thought record” exercise · completed
AI suggestions
Two suggested replies, based on what the patient has just written and on their profile. You choose, adjust, then send.
You set the style of the suggestions once: tone, focus and level of formality.
“…and now I'm getting the AI copilot's suggestions: they blew me away! It's truly an excellent tool!”A therapist who uses SessionFuel (translated from French)
The help stops where your judgment begins.
“These analyses are based solely on the patient's writing and are a support tool, not a definitive diagnosis.”
The disclaimer shown under every analysis
A hypothesis, not a verdict
The suggested diagnosis carries a “to be confirmed” badge and comes with its differential: the conclusion is yours.
Nothing goes out without you
Feedback to the patient stays a draft until you approve it, and a generated resource can be reviewed and edited before it's assigned.
De-identified content
Before analysis, names, places, email addresses and phone numbers are masked. The analysis is only available for patients who have confirmed they're in therapy with you.
A clear regulatory framework
The AI runs within the rules that protect health data: certified health data hosting (HDS) and HIPAA compliance, like the rest of SessionFuel.
The copilot sharpens your reasoning. The clinical decision stays with you.
Frequently asked questions
Does the AI replace clinical judgment?
No. Every analysis carries the same disclaimer: a support tool, not a definitive diagnosis. Any suggested diagnosis remains a hypothesis to be confirmed, and nothing reaches the patient without your approval.
What does it actually help me do?
Test your hypotheses, catch what may have slipped past you and get to know your patient's profile better: schemas, distortions, strengths, stage of change. You go into each session with targeted questions and avenues to explore, which makes for better care.
What are the analyses based on?
Your patient's actual record: your session notes, their test results, their shared journal, their exercises, their answers in programs, their self-assessments, their life events and transcribed documents. The analysis can be run as soon as the record holds enough to be meaningful.
Who sees what the patient writes?
In their record, you only see what your patient chooses to share. The analysis is only offered for patients who have confirmed they're in therapy with you, and nothing the copilot prepares reaches them without your approval. Before analysis, the record's content is de-identified: names, places, email addresses and phone numbers are masked, and anything the patient keeps private stays out.
What framework does the AI operate within?
A clear regulatory framework: the AI runs on certified health data hosting (HDS) and is HIPAA compliant, like the rest of SessionFuel, and the record's content is de-identified before every analysis.
Can it read a paper document?
Yes. Take a photo of a handwritten note or a printed document and the AI extracts the text. You can touch it up, it's added to the record and, like everything else, it's de-identified before analysis.
Put SessionFuel to work in your next session.
Create your account, add your patients and assign their first homework in minutes.
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