Halfway through a teletherapy session, you notice your therapist pause mid-sentence. They’ve just heard the soft clatter of your keyboard, or seen your eyes flick sideways to a second screen. You’re technically “there” on video, but a work email just popped up, laundry is buzzing, someone’s messaging you, and suddenly the session is sharing space with three other tabs in your brain.
On the therapist’s end, it can feel like talking …
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A few days ago, I was speaking with a high-achieving, articulate, brilliant friend, someone always up and doing, super-expressive. During our conversation, I noticed her stumbling over her words, which was quite unusual, and her fidgety hands. She was narrating a traumatic incident that had occurred to her and how it tore her apart and made her simply give up on everything, in her words, “she was done.” Throughout the …
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During a casual conversation about mental health, a friend admitted something striking: “I stopped going to therapy because I’d leave feeling great, but by the time I actually needed what we talked about, like in the middle of an argument or a panic attack, I couldn’t remember any of it. It felt like throwing money away.”
This confession revealed a silent challenge in mental health care. The issue isn’t finding the …
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America’s mental health system is failing its seniors, caught in a perfect storm of: a rapidly growing population, a severe shortage of geriatric psychiatrists, and a Medicare model buckling under the weight of chronic, costly conditions. For millions of older adults living with anxiety, depression, or isolation, the system offers little or no treatment; often, the nearest provider is hours away, and waitlists stretch for months. …
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For the third time in six weeks, a 34-year-old woman sat in an emergency room, desperate for help, and for the third time, the system failed to see her. It saw her dehydration, severe enough to require IV fluids. It saw her malnutrition, with electrolyte imbalances that required correction. It saw her vision problems, concerning enough for an ophthalmologic consultation. It saw everything except the person suffering. Each time, the …
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As a founder developing AI systems for mental health support, I have wrestled with a fundamental question: How do we use AI to expand access while maintaining patient-provider trust? Building an AI Mental Health Copilot has shown me that the ethical challenges are as complex as the technical ones, and far more consequential. The mental health crisis demands innovation. AI copilots offer scalable, always-available support to bridge care gaps caused …
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Into this psychological wasteland, we’re now introducing AI companions as the solution. Meta’s personas, Character.AI’s virtual friends, and romantic chatbots; the market for artificial intimacy is exploding. The promise is seductive: connection without risk, companionship without effort, and validation on demand.
But here’s what these AI relationships actually do: They allow users to avoid the very challenges that build psychological resilience. Genuine relationships require vulnerability, the ability to tolerate conflict, and …
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The numbers are staggering. Americans made 139.8 million emergency department visits in 2024, that is 42.7 visits per 100 people, with behavioral health issues driving an unprecedented surge. Behind these statistics lies a harsh reality: depression, a leading cause of ill health and disability worldwide, is overwhelming our emergency departments with cases they were never designed to handle. This tsunami of mental health crises creates a vicious cycle. …
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A system hemorrhaging talent: the scale of the crisis
The global health care system is teetering on the edge of a catastrophic workforce deficit, with the World Health Organization projecting a shortfall of 11 million health workers by 2030. Nowhere is this crisis more acute than in the behavioral health sector, which is not merely losing talent but hemorrhaging it. The time for action is not just now, it’s yesterday.
Community …
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As a founder in digital mental health, I’ve watched our industry celebrate reaching $8.34 billion in valuation while systematically failing 40 percent of the population. This isn’t just a moral failure, it’s a $20 billion market opportunity that’s being ignored because of cultural blindness. For physicians trying to refer diverse patients to digital mental health resources, the options are frustratingly inadequate. With the total U.S. behavioral health market valued …
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