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 Learn more about today's sponsors, Playworks, IXL and Renaissance:Learn more about Renaissance:As a global leader in education technology operating in more than 110 countries, Renaissance is committed to providing educators with insights and resources to accelerate growth and help all students build a strong foundation for success. We believe that technology can unlock a more effective learning experience, ensure that students get the personalized teaching they need to thrive, and help educators and administrators to truly, fully, See Every Student. Learn more at renaissance.com.We’re proud to be sponsored by Playworks, a 501(c)3 nonprofit organization with evidence-based practices that help schools improve the health and well-being of children by increasing opportunities for physical activity and safe, meaningful play.If you’re a school or district leader struggling with the challenge of chronic absenteeism, as so many are across the U.S., you may not realize that structured recess is a research-backed approach to keep kids in school. In fact, a UC Berkeley study of Title I schools found that those partnering with Playworks had significantly lower chronic absenteeism rates. Further, Mathematica research demonstrated that Playworks schools spent 27% less time transitioning from recess back to learning, saving teachers valuable instructional time. These results are possible for your students, too. Learn how Playworks can help you improve student-educator relationships, belonging, and attendance by signing up for a quick no-obligation conversation. We’re also thrilled to be sponsored by IXL. IXL’s comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers’ timeReliably meet Tier 1 standardsImprove 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.