This page is for the occupational therapists, speech-language pathologists, clinical psychologists, developmental pediatricians, neuropsychologists, behavior analysts, and other clinicians who are evaluating COTIS for the families and patients they serve.
What COTIS is — and where it sits clinically
COTIS is a consumer wearable, not a medical device. It is not FDA-cleared and does not diagnose, treat, or cure any condition. It is positioned as an assistive-companion tool that supports — never replaces — the work of clinicians, caregivers, and educators.
That said, clinicians have told us COTIS shows promise in three specific clinical contexts:
Sensory regulation support (OT)
The Calm function offers a 30-to-60-second guided sensory or grounding exercise on demand, configurable to a specific child's regulation profile. Clinicians can recommend specific scripts (deep breathing, 5-4-3-2-1 grounding, body scan, isometric press) and update them as a child's needs change.
Communication and language support (SLP, bilingual SLP)
The Translate function offers real-time language translation in dual-language households and for emergent bilingual learners. The Ask function supports auditory processing by letting a child request clarification on demand, in age-appropriate language, without social cost. SLPs have noted utility for echolalic and gestalt language processors learning to use scripted communication tools.
Emotional regulation and anxiety (psychology, counseling)
For children with anxiety, autism spectrum conditions, ADHD, or a history of trauma, the Calm function provides a consistent, predictable, child-initiated regulation tool that can be practiced in session and used in real-world settings between sessions.
What COTIS does not do, clinically
- It does not diagnose any condition.
- It does not perform any assessment or screen.
- It does not provide therapy or therapeutic interventions outside of structured Calm exercises configured by the family or clinician.
- It does not replace clinical contact or care planning.
- It is not a crisis response device. In a crisis, refer to emergency services.
Evidence and clinical posture
COTIS is in pre-launch and a pilot phase. We are honest about that. There is currently no published peer-reviewed efficacy data, because the product is not yet in the field at scale.
What we are doing:
- Working with a clinical advisory group across pediatric OT, SLP, and child psychology to inform the device's defaults and Calm scripts
- Designing the next phase of pilots to generate the kind of structured feedback and outcome data that supports clinical recommendation
- Committing publicly that any clinical claims we make in the future will be supported by evidence we can show you
If you are interested in being part of a clinician pilot, email hello@cotis.ai with the subject line "Clinical pilot".
How clinicians are using COTIS
In session, as a regulation tool
Clinicians introduce COTIS during a session, walk the child through the three buttons, customize the Calm scripts to what the child has responded to, and assign at-home practice. The companion app lets the clinician (with parent consent) review which exercises the child uses and which they don't.
As a transition support
For kids who struggle in the gap between sessions, COTIS gives them something predictable to reach for when the clinician isn't there. The script in COTIS is the same script practiced in session.
For dual-language families
Clinicians working with multilingual families have used Translate to support language access without forcing a child to perform translation labor between family and provider.
Recommending COTIS to a family
If you'd like to recommend COTIS to a family in your care, you can simply direct them to cotis.ai and the waitlist. We do not pay referral fees or kickbacks. If you'd like a one-page summary you can hand to families, email hello@cotis.ai with the subject line "Clinician handout".
For practice administrators
If you'd like to make COTIS available to multiple families across a clinic, group practice, or care setting, email hello@cotis.ai with the subject line "Practice partnership". We offer practice-level configuration, family onboarding support, and group pricing.
Talk to us
We take clinician feedback seriously and respond personally. Email hello@cotis.ai with the subject line "Clinician".