Sleep Diary, Food Log & 37 Assessment Scales: What’s New in CBT Assistant Pro (May 2026)

The new sleep diary implements the standard CBT-I protocol tracking fields: bedtime, lights-out time, sleep onset latency, number of awakenings, wake-after-sleep-onset, final wake time, and rise time. The platform automatically calculates:

• Sleep efficiency (time asleep ÷ time in bed × 100)
• Total sleep time (in minutes and hours)
• Time in bed (for titration decisions)

Weekly stats cards show average efficiency, total sleep, onset latency, and number of awakenings. A 14-day bar chart color-codes efficiency: green (≥85%), yellow (≥75%), red (below). This gives clinicians the data they need for sleep restriction titration at a glance — no spreadsheets, no manual calculations.

Clients fill in the diary daily on their phone through the client portal. Clinicians see consolidated data on their dashboard.

Alongside the sleep diary, we’ve added an integrated sleep sounds library accessible from the client portal. Available soundscapes include:

• Rain (gentle, heavy, thunderstorm)
• Ocean waves
• White noise, pink noise, brown noise
• Forest sounds (birds, wind in trees)
• Fireplace crackling
• Night crickets

Clients can play sounds directly from their phone or tablet as part of their bedtime routine. The sounds use high-quality looping audio with crossfade to prevent jarring loops. A programmable sleep timer (15, 30, 45, 60 minutes or continuous) fades out gradually.

This is a complementary tool — not a replacement for stimulus control and sleep restriction — but it supports sleep hygiene by providing a consistent auditory cue that signals sleep onset, which many CBT-I clinicians already recommend.

The food and weight log is designed for two clinical contexts: CBT for eating disorders (anorexia, bulimia, BED) and CBT for obesity/weight management.

Food entries capture:
- Meal type (breakfast, lunch, dinner, snack)
- What was eaten (free text)
- Hunger before eating (1-10 scale)
- Fullness after eating (1-10 scale)
- Binge episode flag (yes/no)
- Compensatory behavior flag
- Emotional context
- Location and social context

Weight entries track daily or weekly weigh-ins with an automatic trend chart showing the full trajectory.

Clinical utility: Weekly stats cards highlight binge frequency, average hunger/fullness ratings, and compensatory behavior counts. Red alerts appear when binge episodes exceed zero in a given week. The data feeds directly into case formulation and integrates with the EAT-26 and BES assessment scales.

CBT Assistant Pro now offers 37 validated, auto-scored assessment scales covering the full range of clinical presentations:

Depression: PHQ-9, PHQ-2, MADRS-S, BHS (Beck Hopelessness Scale)
Anxiety: GAD-7, GAD-2, PSWQ (Penn State Worry), Mini-SPIN
Trauma: PCL-5, PC-PTSD-5, IES-R
Sleep: ISI, DBAS-16, PSQI
Eating disorders: EAT-26, BES (Binge Eating Scale)
Substance use: AUDIT, DAST-10
OCD: OCI-R
Somatic: PHQ-15
ADHD: ASRS v1.1
Functional impairment: WSAS, WHODAS-12, WPAI-GH
Wellbeing: WHO-5, SCS-SF (Self-Compassion), RAS (Recovery Assessment)
Mindfulness: FFMQ-15
Psychological flexibility: AAQ-II, CFQ
Social support: MSPSS
Stress: PSS-10, DASS-21, K10
Suicide risk: C-SSRS Screen
General: DSM-5 Level 1 Cross-Cutting, CORE-10

Every scale auto-scores with immediate severity classification, color-coded results, and clinical interpretation. Scores track across administrations so clinicians can visualize change over time. All scoring keys are transparent and match published norms.

CBT Assistant Pro now connects directly to Notion and Airtable via their native APIs. No Zapier, no paid middleware, no per-zap pricing.

One-click setup for Notion: Click "Connect to Notion" → log in → choose which pages and databases to share → done. No copy-pasting API keys, no integration tokens to manage. Same OAuth flow Notion uses for every official integration.

Supported triggers:
- Assessment completed
- Appointment booked or cancelled
- Session saved
- Formulation created
- Goal updated
- Sleep diary entry added

How it works: After connecting, pick which database in your workspace should receive the data (we show you a list of every database you shared with us, with icons and column previews). Select which events should push. From then on, each time a trigger fires, a record is created automatically. Field mapping is fully customizable.

Advanced / Airtable: A manual-token fallback is still available for therapists who already have a private integration set up, or for Airtable (which uses personal access tokens at airtable.com/create/tokens).

Use cases:
- Build a personal outcomes dashboard in Notion for supervision
- Track all client appointments in an Airtable base shared with your practice admin
- Create a research dataset from assessment scores without manual export
- Feed session data to custom billing or reporting workflows

OAuth tokens and API keys are encrypted at rest with AES-256-GCM. They are never exposed to the browser, never logged, and never transmitted to any service other than the destination platform. You can disconnect at any time from Settings → Integrations.

Every feature — including all new additions — is fully translated into 8 languages:

• English
• Spanish (Español)
• German (Deutsch)
• French (Français)
• Polish (Polski)
• Portuguese (Português)
• Russian (Русский)
• Indonesian (Bahasa Indonesia)

Clients and therapists can each set their preferred language independently. Assessment scales are administered in the platform language. The interface switches instantly with no page reload.

This matters for international practices, bilingual therapists working with immigrant populations, and clinicians in non-English-speaking countries who want a professional-grade practice platform without language barriers.

All new features maintain the same security posture as the rest of the platform:

• AES-256-GCM encryption at rest for all stored API keys and sensitive credentials
• CSRF protection on every state-changing endpoint (therapist and client portal)
• Row-level access control — clients only see their own data; therapists only see their own clients
• Audit logging on all data access and modifications
• TLS 1.3 for all data in transit
• No AI model training on clinical data — contractual guarantee

Integration API keys are encrypted before storage and decrypted only at the moment of outbound API call — never logged, never exposed in responses.