this post was submitted on 28 Oct 2025
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[–] WhatAmLemmy@lemmy.world 38 points 3 days ago (5 children)

Well, AI therapy is more likely to harm their mental health, up to encouraging suicide (as certain cases have already shown).

[–] scarabic@lemmy.world 2 points 1 day ago

Over the long term I have significant hopes for AI talk therapy, at least for some uses. Two opportunities stand out that might have potential:

  1. In some cases I think people will talk to a soulless robot more freely than to a human professional.

  2. Machine learning systems are good at pattern recognition and this is one component of diagnosis. This meta analysis found that LLM models performed about as accurately as physicians, with the exception of expert-level specialists. In time I think it’s undeniable that there is potential here.

[–] FosterMolasses@leminal.space 9 points 3 days ago

There's evidence that a lot of suicide hotlines can be just as bad. You hear awful stories all the time of overwhelmed or fed up operators taking it out on the caller. There's some real evil people out there. And not everyone has access to a dedicated therapist who wants to help.

[–] Cybersteel@lemmy.world 4 points 3 days ago

Suicide is big business. There's infrastructure readily available to reap financial rewards from the activity, atleast in the US.

[–] atmorous@lemmy.world 2 points 3 days ago (1 children)

More so from corporate proprietary ones no? At least I hope that's the only cases. The open source ones suggest really useful ways proprietary do not. Now I dont rely on open source AI but they are definitely better

[–] SSUPII@sopuli.xyz 4 points 2 days ago

The corporate models are actually much better at it due to having heavy filtering built in. The fact that a model generally encourages self arm is just a lie that you can prove right now by pretending to be suicidal on ChatGPT. You will see it will adamantly push you to seek help.

The filters and safety nets can be bypassed no matter how hard you make them, and it is the reason why we got some unfortunate news.

[–] whiwake@sh.itjust.works -5 points 3 days ago (2 children)

Real therapy isn’t always better. At least there you can get drugs. But neither are a guarantee to make life better—and for a lot of them, life isn’t going to get better anyway.

[–] kami@lemmy.dbzer0.com 9 points 2 days ago (1 children)

Are you comparing a professional to a text generator?

[–] whiwake@sh.itjust.works -4 points 2 days ago (1 children)

Have you ever had ineffective professional therapy?

[–] kami@lemmy.dbzer0.com 6 points 2 days ago (1 children)

Are you still trying to compare medical treatment with generating text?

[–] CatsPajamas@lemmy.dbzer0.com 4 points 3 days ago (2 children)

Real therapy is definitely better than an AI. That said, AIs will never encourage self harm without significant gaming.

[–] whiwake@sh.itjust.works 4 points 2 days ago

AI “therapy” can be very effective without the gaming, but the problem is most people want it to tell them what they want to hear. Real therapy is not “fun” because a therapist will challenge you on your bullshit and not let you shape the conversation.

I find it does a pretty good job with pro and con lists, listing out several options, and taking situations and reframing them. I have found it very useful, but I have learned not to manipulate it or its advice just becomes me convincing myself of a thing.

[–] triptrapper@lemmy.world 0 points 2 days ago (1 children)

I agree, and to the comment above you, it's not because it's guaranteed to reduce symptoms. There are many ways that talking with another person is good for us.

[–] kami@lemmy.dbzer0.com 2 points 2 days ago

The keyword here is "person".