with cognition

[unpakwon]

I don't know how I should understand the "With" in the following. How is it connected to the following sentence logically?

With cognition, your overall responsibility is to be self-aware. Only you can spot the effect that emotions and stress are having.

Is this saying "your overall responsibility is in cognition and self-awareness"?

Thank you.

[Tdol]

It means in the case of