Editors Choice

Chatbots Are Coming for MH, and There Are Many Sides to This New Therapy Tool

Mental health chatbots, virtual therapists, or digital mental health tools, are computer programs designed to provide psychological support and guidance to individuals experiencing mental health challenges. They can use these chatbots on various devices, such as computers, smartphones, and tablets. They can provide various services, such as counseling, therapy, and self-help tools.

In recent years, mental health chatbots have become more popular for helping people who don’t have access to traditional mental health services, like those who live in remote or underserved areas.

One of the main advantages of mental health chatbots is their accessibility. Traditional mental health services, like in-person therapy, can be hard for many people because they are expensive, hard to get to or have a bad reputation.

They can use mental health chatbots from anywhere with an internet connection, and are often free or cheap. This makes them a good choice for people who can’t afford or don’t have access to traditional mental health services in rural areas or can’t pay for therapy.

Another advantage of mental health chatbots is their anonymity. Due to stigma or fear of being judged, many people may be afraid to get help with mental health problems. Chatbots can provide a sense of anonymity, as individuals can communicate with the chatbot in the privacy of their own homes, without fear of being judged or stigmatized. This can make it easier for individuals to seek help and can help to reduce the barriers to accessing mental health services.

Chatbots can also help with mental health issues 24 hours a day, seven days a week. This is especially helpful for people going through a mental health crisis. Traditional mental health services, such as in-person therapy, may not be available at all times, and may not provide the level of support that individuals may need during a crisis.

On the other hand, mental health chatbots can offer support and advice around the clock, which can be very important for people who may go through a mental health crisis. And it is also there for people who work on shifts that prohibit their leaving for a therapy session.

However, some potential problems with mental health chatbots should be considered. One issue is the lack of human interaction and empathy. AI algorithms are only as good as the information their programmers give them, and programmers may have biases.

Mental health chatbots are designed to give pre-programmed answers to specific problems. Still, they may not provide the same empathy and understanding as a human therapist. This can be a problem for people looking for emotional support and validation.

Another issue is the lack of regulation for mental health chatbots. Professional groups like the American Psychological Association have rules about how traditional mental health services are run, but mental health chatbots don’t have to follow the same rules. This can be a problem for people looking for professional help with mental health issues because the chatbot may not be able to give the same level of professional support.

Another issue is the reliability of the information provided by mental health chatbots. Since these chatbots are not real people and only know how to respond to questions that have already been programmed, they may not be able to give accurate and reliable information. This can be a problem because getting the wrong information can worsen things.

Also, little research is available on how well chatbots work for mental health.
While there have been a few reports on the effectiveness of chatbots in the field of mental health, there has been a dearth of large-scale, randomized controlled trials.

Are chatbots the answer for mental health issues? Like everything, some benefits and issues need to be resolved, and we cannot provide a definitive answer today. Yes, they can be useful, but we must use them, understanding that they may be incorrect or provide unhelpful responses.

Pat Farrell PhD

I'm a licensed psychologist in NJ/FL and have been in the field for over 30 years serving in most areas of mental health, psychiatry research, consulting, teaching (post-grad), private practice, consultant to WebMD and writing self-help books. Currently, I am concentrating on writing articles and books.

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