Cognito

Cognito (also referred to as Cognito Health) is a Canadian telehealth provider of one-on-one virtual mental health treatment. Its programs cover mild to moderate anxiety, depression, insomnia, ADHD, burnout, stress, low mood, and self-esteem and confidence concerns. Core services include comprehensive ADHD diagnostic assessments conducted by CADDRA-trained nurse practitioners using evidence-based diagnostic tools, nurse-practitioner-led treatment that can involve medication options, lab orders and preliminary assessment, one-on-one virtual Cognitive Behavioural Therapy delivered by a CBT Care Provider on a biweekly schedule, and psychiatrist-led group therapy sessions.

The care pathway begins with an intake questionnaire and initial assessment with a nurse practitioner or registered nurse, followed by a virtual assessment, recurring CBT sessions, and ongoing clinical surveys used by the client and care team to track and adjust treatment. The company also offers self-paced mental health courses and medication fulfilment and delivery where required. Cognito describes a 12-week program framing and a team-based, value-based care approach.

Business model

Direct-to-consumer subscription and fee-based virtual care. The Core Mental Health program is sold as a monthly subscription starting at $89 per month, bundling one-on-one nurse practitioner appointments, twice-monthly CBT appointments, prescription medication and its fulfilment and delivery if required, optional group therapy, and self-paced courses. A separate ADHD Diagnosis program is sold as a one-time $499 fee covering intake, anxiety and depression screening, labs and ECG if indicated, a full diagnostic assessment, and a proof-of-diagnosis letter, with options to continue into skills-based therapy or medication. The site also references an employer-facing offering.

Recurring monthly program fees and one-time diagnostic assessment fees paid by clients, with an employer channel referenced on the site.

Traction

The company states it is used by thousands of Canadians and publishes client testimonials, including from a client reporting more than a year of continuous use.