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Finish the note before you leave the room.

The session is transcribed as it happens and the note is drafted by the time you stand up. You read it, change what is wrong, and sign it.

Session in progress

In person · 24:10

Recording, both speakers
TranscriptRecording

You

Good to see you. How has the week been?

Patient

Harder than I expected, honestly. The sleep thing came back.

You

Tell me about the sleep, falling asleep, or staying asleep?

Patient

Staying asleep. I wake around three and my head just starts going.

Copilotin session

It stays quiet until it has something worth saying.

Simulated session with invented data, not a real patient.

[ 01 ] The transcript

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TranscriptRecording

You

Good to see you. How has the week been?

Patient

Harder than I expected, honestly. The sleep thing came back.

You

Tell me about the sleep, falling asleep, or staying asleep?

[ 02 ] The note

A draft with your name on it until you sign it.

Written from what was actually said, in the format you work in. It is a draft and it says so, on every screen, until a clinician has read it.

Session note, demo

Draft

Follow-up session addressing a one-week recurrence of middle-insomnia linked to anticipatory work anxiety. Partial adherence to the sleep intervention produced a measurable improvement the patient had not registered.

Subjective

Patient reports a return of middle-insomnia over the past week, waking around 03:00 with ruminative thinking focused on an upcoming performance review. Describes a reinforcing loop between daytime fatigue and anticipatory worry. Reports partial adherence to the agreed wind-down routine (2 of 7 nights), with subjectively faster return to sleep on both occasions.

Objective

Alert, oriented and engaged throughout. Affect mildly constricted and congruent with reported mood. Speech normal in rate and volume. Insight intact, patient revised an initial global appraisal when presented with their own data.

Assessment

Recurrence of anxiety-driven sleep disruption in the context of an identifiable, time-limited stressor. Consistent with the existing formulation rather than a new process. Adherence, not strategy, appears to be the limiting factor. No risk indicators elicited or observed.

Plan

Increase wind-down routine target to four nights before next session, with a written record of which nights were completed. Continue cognitive work on catastrophic appraisal of the review. Reassess sleep pattern at next session.

Follow-up: One week

A draft until you approve it.

[ 03 ] Risk

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[ 04 ] The copilot

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Copilotin session

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[ 05 ] Your patient

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Sessions

Dr Nadia Farouk

Tomorrow, 18:00

No summary was written for this one.

Dr Nadia Farouk

Last Tuesday

You said you would try going to bed earlier, and on the two nights you did it worked.

Dr Nadia Farouk

Two weeks ago

We looked at what happens between eleven and three, and you noticed it is the review you are rehearsing.

Dr Nadia Farouk

Last month

First session. You came about sleep and we ended up talking about work, which is worth following.

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