From First Message to Lasting Change

Six steps from first message to lasting change

How a member goes from signing up to a personalized, adapting CBT care pathway — and how your team sees outcomes in real time.

The member journey

1

Member accesses via health plan or employer portal

Single sign-on from the member's existing health plan portal or employer benefits hub. No new account creation required — Neurodex authenticates against the organization's identity provider. Members see a familiar entry point, not a new app to download.

2

2-minute intake: PHQ-9 + goal setting

A conversational PHQ-9 and GAD-7 screener delivered in natural language, not a clinical form. Members answer 9 questions about mood and 7 about anxiety, plus one goal-framing question. Scores immediately establish severity baseline and guide opening module selection.

3

AI opens first session — explains the CBT model

The first session begins with a brief orientation to cognitive behavioral therapy: how thoughts, feelings, and behaviors connect; what to expect from sessions; and what Neurodex can and cannot do. The session explicitly names conditions outside its scope — psychosis, severe eating disorders, active suicidal ideation requiring hospitalization — and states clearly that it is a CBT support tool, not a substitute for a licensed therapist or psychiatrist. Transparency about limitations is built in from session 1, before any clinical content begins.

4

Module sequence begins — trajectory tracked

The AI selects the opening CBT module based on intake scores and goal type. Sessions are 15–25 minutes. After each session, 14 signals update the trajectory model — and the next session adjusts accordingly. Module selection, intensity, and check-in frequency all change in response.

5

Session-by-session adaptation

Neurodex doesn't follow a fixed 8-week curriculum. A plateau in PHQ-9 scores by week 3 triggers a module change. A worsening trend activates the crisis monitoring threshold. An improving trajectory increases session independence and reduces check-in frequency. The pathway is always live.

6

Aggregate outcomes reported to care coordinator

Your clinical team or benefits administrator receives de-identified aggregate outcome reports: engagement rates, PHQ-9 delta distributions, session completion, escalation count. No individual PHI appears in reports. Reports are available weekly or monthly per your configuration.

A conversation, not a clinical interrogation

Neurodex's interface is a conversational chat — warm, specific, and responsive. It does not feel like a form, a screener, or a symptom tracker. The AI asks questions, reflects what it hears, and guides practice exercises in plain language. Members describe it as feeling like a supportive structured conversation, not a mental health app.

At no point does the AI claim to be a therapist, provide diagnoses, or make clinical judgments about medication. Its scope — and its limitations — are stated clearly at onboarding and available to members any time they ask.

Neurodex
Behavioral Activation — Session 3
Last week you mentioned mornings are hardest. Did you try any of the three small activities we planned?
I did two of them. The walk was harder than I expected but I'm glad I did it.
That matters more than it might feel like right now. What was the hardest part — getting started or staying with it once you were out?
Getting started. Once I was outside it was okay.
That's a really common pattern with behavioral activation — the inertia before the action is almost always harder than the action itself. Let's build on that for this week.

Aggregate outcomes. No individual PHI in reports.

Your benefits team or clinical administrator sees population-level outcomes — session engagement rates, PHQ-9 improvement distributions, escalation counts, and module distribution across your population. All de-identified. Designed for benefits review and medical director reporting, not individual monitoring. Individual session content is never surfaced in admin reports, and no PHI appears at the report level.

Engagement rate — % of activated members completing 4+ sessions
PHQ-9 delta — average improvement score at 4-week and 8-week intervals
Escalation count — number of crisis escalations in period, no session detail
Module distribution — which CBT techniques your population is receiving most
Neurodex Outcomes Dashboard — August 2026
4+ Session Completion 78% +12% vs prior month
Avg PHQ-9 Delta (8 wks) −3.2 pts Moderate improvement
Crisis Escalations (30 days) 4 All resolved within 3 min SLA
Active Members (pilot) 186 De-identified aggregate

Walk through it with us

30 minutes. We'll show you a live session from intake through session 4, the trajectory dashboard, and a simulated escalation. No slides.