Finding a Place for AI in Therapy and Product Development (with Natalie Yona)

In this episode of De Facto Leaders, I’m joined by speech-language therapist Natalie Yona from Cognishine to explore one of the most nuanced conversations happening in today: Where does AI actually belong in therapy?

Cognishine is a multilingual, multidisciplinary digital intervention platform designed for therapists, educators, and care professionals—offering a rich library of evidence-based, culturally tailored activities and tools that streamline workflows, boost engagement, and support both in-person and remote therapy without replacing clinicians.

Natalie Yona, M.A., is a Speech-Language Therapist (SLT) with over 16 years of extensive experience in pediatric and adult communication disorders, with specialization in neurological rehabilitation, early childhood development, fluency, and voice disorders. She currently holds the position of VP of Clinical Strategy, where she leads the development and integration of innovative digital tools designed to support cognitive and linguistic rehabilitation across hospitals, clinics, and community care settings. Her work emphasizes the creation of clinically grounded, accessible solutions that empower therapists and significantly enhance patient outcomes across age groups and medical conditions.

As technology becomes more embedded in clinical work, therapists and educators are facing a delicate balancing act. On one hand, AI has the potential to streamline workflows, reduce administrative burden, and alleviate the decision fatigue so many clinicians experience. On the other hand, there's growing concern about over-reliance on AI in ways that could compromise clinical judgment or even try to replace the therapist entirely.

We discuss:

✅ Why AI shouldn’t be used to make clinical decisions—and what it can do instead.

✅ How technology can serve as a delivery mechanism for interventions and parent engagement activities, rather than a substitute for human connection.

✅ What it looks like to embed AI tools in to your product development cycle while preserving clinical expertise and quality assurance. 

✅ The book desert challenge: Does AI have a place in ensuring our clients have access to high-quality reading passages? 

Whether you’re a therapist, supervisor, or administrator trying to make sense of AI’s role in mental health services, this episode offers a grounded, thoughtful look at how we can harness technology with intention.

You can learn more about Natalie’s work at Cognishine on their website here: https://www.cognishine.com/

You can listen to my episode with Dr. Karen Rose (former VP of Research and Clinical Development from Cognishine) here: EP 204: Using Digital Resources to Combat Therapist Burnout (with Dr. Karen Rose): https://drkarendudekbrannan.com/ep-204-using-digital-resources-to-improve-team-collaboration-and-combat-therapist-burnout-with-dr-karen-rose/

In this episode, I mention the School of Clinical Leadership, my program for related service providers who want to take a leadership role in implementing executive functioning support. You can learn more about the program here: https://drkarendudekbrannan.com/efleadership

We’re thrilled to be sponsored by IXL. 

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• Improve student performance on state assessments

🚀 Ready to see why leading districts trust IXL for their educational needs? Visit IXL.com/BE today to learn more about how IXL can elevate your school or district.