Therapy Without a Therapist: Chatbots and Artificial Intelligence in Mental Health.
Journal:
The Psychiatric clinics of North America
Published Date:
Sep 30, 2025
Abstract
A number of articles have heralded the use of artificial intelligence (AI) agents to serve as a replacement for human psychotherapists. Despite the rapid advancements in the use of both rule-based and generative AI programs in the recent past, an overall review shows only small impacts on certain mental health symptoms, particularly depression, and then only in the short-term. Significant strides forward, both in terms of technology and the development of answers to ethical questions regarding AI's use in psychotherapy, must be seen before the use of such systems becomes widespread or regularly recommended to replace human mental health clinicians.
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