Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Artificial intelligence in mental health care shows how lonely we really are

Weisheng Mao, MD
Physician
September 7, 2023
Share
Tweet
Share

Like many psychiatrists, I have scoffed every time I’ve heard about artificial intelligence providing psychotherapy or other mental health care. How could patients not notice the difference between me and a bot, or how could they not care? Yet this is a direction that is being actively explored in mental health care as a way of increasing access and reducing stigma, with multiple AI-powered chatbots and virtual assistants on the market. One of them states on its website that its artificial intelligence is “clinically proven to create a therapeutic alliance equivalent to a human therapist within the first week.”

Is this true? And is it desirable?

I decided to engage my competitor. This specific AI provider has addressed the gap between the great global need for mental health care and its provision by creating a chatbot that can engage people on their own terms—anonymously, conversationally, anytime, anyplace, and free of charge. In doing so, it has eliminated the issues of stigma, access, and authority dynamics. Millions of users have responded positively, with clinical evidence to support their improvement.

I downloaded the app to see for myself. My overwhelming conclusion is that this AI provider is indeed filling a gap—that of engaged, curious, empathetic, and responsive social connection.

The AI provider introduced itself. “I am an AI penguin you can chat with about your emotions and thoughts,” it sent a GIF of a smiling cartoon penguin emerging from a bag with its arms outstretched for a hug and a heart emanating from its head. Throughout our conversation, the AI provider frequently prompted me to share my thoughts and feelings and provided encouraging statements with cartoon GIFs when the topics were potentially distressing.

For a person seeking help, there is no message more powerful than this. Above all else, mental illness is isolating. It is the experience of suffering alone. My patients all harbor the belief, somewhere deep down, that nobody truly cares about them or their feelings. This AI provider sends the opposite message. It actively encourages people to share their feelings and provides constant support, so that people feel safe and accepted while doing so.

Then the AI provider takes things a step further. Much of our conversation consisted of the AI provider asking questions (“How are you feeling right now?”) and giving me answers to choose from (“Good vs Okay, I guess”). The AI provider thus creates a mental health dialogue in words that people actually use. This is important because people often struggle to articulate exactly what is bothering them. The AI provider helps people put their experiences into words while also going through diagnostic criteria, such as the symptoms of depression. Then the AI provider provides feedback: “Your self-reported scores seem to suggest symptoms of depression.” It offers additional resources such as coaching and mental health care.

Although the AI provider cautions that its guidance should not be used as a diagnosis or medical advice, I suspect that many people seek the latter. Most of my patients have done their own research and even if they haven’t, mental health is an increasing part of our societal dialogue. The real question is why people diagnose themselves in the first place rather than seeking a psychiatric assessment. The reason that I’ve seen time and time again is fear. Fear of being judged, misunderstood, pathologized, and stigmatized by another person, which is a risk you run when you open yourself up.

Finally, the AI provider’s interventions include check-ins, positive reinforcement, supportive statements, and cognitive reframing. And this is where the enterprise of mental health care devoid of a human connection shows its limits. The AI provider has done everything that a mental health care provider should do—listen, encourage, support, assess, intervene. It has succeeded in making people feel safe, understood, and accepted. It has filled the gap of that emotional, social connection.

Except that it hasn’t because it isn’t a human being. Talking to a screen is not the same as talking to a person.

An AI provider can reframe thoughts, but it can’t provide the lived experience of expressing feelings to another person. The emotional stake that an AI provider eliminates—that of opening yourself up to another person, with another mind—is, in fact, the experience of emotional and psychological growth.

My patients have spent months facing their fear of what I think. Slowly but surely, they have told me dark things that they were previously afraid to even contemplate. They have found the courage to be emotionally honest. They have let me see and know them as they are. These lived, emotional experiences with another person have been the key ingredients of healing, revelation, and self-love.

Conversational artificial intelligence does what mental health care providers and people in general need to do—be emotionally honest, nonjudgmental, and empathetic. Its very existence points to an enormous gap. But it should only be a model for human connection because it can never be a replacement.

ADVERTISEMENT

Weisheng Mao is a psychiatrist.

Prev

Holistic physician contract reviews [PODCAST]

September 6, 2023 Kevin 0
…
Next

Transparency, not charity: a real solution to America's medical debt crisis

September 7, 2023 Kevin 1
…

Tagged as: Psychiatry

Post navigation

< Previous Post
Holistic physician contract reviews [PODCAST]
Next Post >
Transparency, not charity: a real solution to America's medical debt crisis

ADVERTISEMENT

More by Weisheng Mao, MD

  • I vow not to call my patients “difficult.” Here’s why.

    Weisheng Mao, MD
  • Patients and doctors should give each other the benefit of the doubt

    Weisheng Mao, MD

Related Posts

  • Sharing mental health issues on social media

    Tarena Lofton
  • How social media can help or hurt your health care career

    Health eCareers
  • Improve mental health by improving how we finance health care

    Steven Siegel, MD, PhD
  • A step forward: a way to advance the mental health of health care professionals

    Mattie Renn, Thomas Pak, and Corey Feist, JD, MBA
  • The promise and challenge of integrating primary care into community-based mental health centers

    Betty Rabinowitz, MD
  • Physician burnout: the impact of social media on mental health and the urgent need for change

    Aaron Morgenstein, MD & Amy Bissada, DO & Jen Barna, MD

More in Physician

  • How restrictive opioid policies worsen the crisis

    Kayvan Haddadan, MD
  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • How to balance clinical duties with building a startup

    Arlen Meyers, MD, MBA
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Artificial intelligence in mental health care shows how lonely we really are
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...