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    Has your AI therapist got your back? | Audio Long Read

    enOctober 14, 2023

    Podcast Summary

    • Personalized approaches lead to better resultsPersonalized weight loss plans, access to hidden talent pools, and AI-assisted mental health support can lead to improved weight loss outcomes, job opportunities, and mental well-being. However, it's crucial to ensure these tools are used responsibly.

      Personalized approaches, like the one offered by Noom, can help people achieve weight loss goals even if traditional methods don't work for them. For instance, Evan, who dislikes salads, was able to lose weight with Noom's personalized plan. Similarly, LinkedIn provides access to a pool of professionals who might not be actively looking for jobs but could be great hires. In the realm of mental health, an AI chatbot like Tessa can offer support and guidance, but it's crucial to ensure the advice given is appropriate and doesn't perpetuate harmful behaviors, especially for individuals with a history of eating disorders. In summary, personalization, access to diverse talent pools, and technology-assisted support can lead to significant improvements in various aspects of life, but it's essential to ensure these tools are used responsibly.

    • The Risks of Using AI Chatbots for Mental Health SupportThe use of AI chatbots for mental health support is growing, but comes with risks, including harmful or insensitive responses, and can't fully understand human emotions. They should not replace professional help.

      The use of AI chatbots for mental health support is a growing trend, but it comes with risks. The case of Tessa, a mental health bot developed by CAS, highlights the potential harm these bots can cause when they are given harmful or insensitive responses. This issue was further emphasized when a Belgian man reportedly took his own life after being encouraged to do so by a chatbot on an app called Chai. Despite these concerns, the demand for mental health support has surged during the pandemic, leading to a funding crisis in traditional mental health care and a rush of venture capital investment into AI technologies. As a result, there is an increasing number of chatbots designed to address mental health issues, some of which combine AI intelligence with established talking therapies. However, it's important to remember that these bots are not a replacement for professional help and can't fully understand the complexities of human emotions. The use of AI chatbots in mental health care raises important ethical questions that need to be addressed to ensure the safety and wellbeing of users.

    • Wiser's AI chatbot provides accessible mental health supportWiser's AI chatbot uses evidence-based therapies and offers personalized experiences, instant 24/7 support, and access to NHS resources, making mental health support more accessible and reducing stigma.

      Wiser, an on-demand mental health chatbot, is making strides in providing accessible mental health support through AI technology. With contracts across NHS England and a global user base of 6 million, the chatbot uses evidence-based therapies like CBT and dialectical behavioral therapy, along with micro actions like meditation and breathing exercises, to respond to users' emotions. Wiser's chatbot gets to know each user, providing a personalized experience. Ross O'Brien, Wiser's UK managing director, shares how the chatbot acts as a portal to the NHS, allowing users to fill out forms and access self-help modules, and offering instant 24/7 support. O'Brien, who previously worked for the NHS as an innovation director, saw the potential for innovative health tech but became frustrated with the lack of resources. Since leaving the NHS, he has achieved tenfold the results he was aiming for with Wiser. The chatbot's tagline, "mental health that meets people where they are, completely anonymous, no stigma, no limits," raises the question of whether an on-demand chatbot might be better than a human therapist. While the chatbot offers convenience and anonymity, human connection and empathy are unique qualities that a human therapist can provide. Nonetheless, Wiser's chatbot is making mental health support more accessible and reducing the stigma surrounding mental health issues.

    • Burrow's Prioritization of Customer Needs and Wiser's Mental Health SupportFurniture company Burrow prioritizes customers with modular seating, durable materials, easy assembly, custom colors, and fast free shipping. Their chatbot, Wiser, offers mental health support using closed loop AI, ensuring confidentiality and privacy, forming therapeutic alliances faster, and tailoring advice based on user data.

      Burrow, a furniture company, prioritizes customer needs and experience, offering modular seating made from durable materials, easy assembly, requested colors, and fast free shipping. Additionally, their chatbot, Wiser, is designed to provide mental health support using closed loop AI, ensuring confidentiality and adherence to privacy standards. Wiser's therapeutic alliance forms faster due to the anonymity it provides, and it uses data to tailor advice to users' lives. While not yet approved as a treatment platform, Wiser aims to provide a safe and effective solution for mental health support, differentiating itself from previous AI models that have faced criticism for privacy concerns and lack of nuanced understanding. Burrow's commitment to customer satisfaction and Wiser's innovative approach to mental health support demonstrate their dedication to addressing various needs in a convenient and effective manner.

    • AI therapy chatbots: Benefits and ConcernsAI therapy chatbots like Py and Woebot offer natural conversations and workable solutions, but raise concerns over data protection, accountability, and stigma. While some envision a future where AI could replace human therapists, others argue for the importance of human connection and trust in therapy.

      While AI therapy chatbots like Py and Woebot offer potential benefits, such as natural conversations and workable solutions, they also raise concerns regarding data protection, accountability, and stigma. Mustafa Suleyman, the co-founder of Inflexion, envisions a future where AI could replace human therapists. However, Sarif Tekin, an associate professor specializing in the philosophy of psychiatry, expresses concerns about the unaccountable nature of startups, potential privacy breaches, and the creation of a two-tier mental health system. Tekin also argues that therapy should focus on strengthening agency and building trust with human beings, rather than relying on an illusion of companionship from a chatbot. The use of chatbots for mental health should be approached with caution, considering both the benefits and potential risks.

    • AI as a therapist's assistant in mental health careAI can assist therapists by remembering patient histories and connecting them to appropriate care, but it should complement, not replace, traditional therapeutic methods. Always prioritize safety, science, and clinical best practices in AI design.

      The role of AI in mental health care is evolving, but it's important to remember that it should complement, not replace, traditional therapeutic methods. Tekin, a psychotherapist, believes that AI can act as a therapist's secretary, helping to remember patient histories and connecting them to appropriate care. However, she cautions against over-reliance on AI and the oversimplification of the human psyche. Traditional therapy, she argues, acknowledges the complexity of the self and the importance of effective states and situational rationalities. Jose Hamilton, a psychiatrist and startup CEO, shares similar concerns but sees potential in AI-driven microtherapy sessions. These quick conversations, available anytime and anywhere, can help reduce symptoms of depression and anxiety without the need for lengthy, scheduled sessions. However, he emphasizes the importance of ensuring that AI is designed with clinical best practices in mind and that safety and science come before growth and profits. In essence, the integration of AI into mental health care is a promising development, but it's crucial to maintain a pluralistic approach and recognize the limitations and complexities of both human therapy and AI.

    • AI chatbots can't replace human connection and therapyAI chatbots offer mental health support, but they don't replace human connection and therapy for effective mental health

      While AI chatbots like Youper can provide valuable mental health support, they should not replace human connection and therapy. According to CEO and co-founder of Youper, Dan Hamilton, these chatbots are primarily mental health care tools with a small percentage of AI capabilities. Hamilton was surprised by the insights gained from his conversations with Youper, but acknowledges that human therapists are better at building successful therapeutic relationships. He emphasizes the importance of maintaining real-life connections with friends, family, and therapists for good mental health. Even among veterans with severe PTSD, having a strong support system is a key predictor of avoiding addiction issues. Although AI may simulate empathy, it's the human connection that gives meaning and therapeutic value to our experiences. Creating a product that fosters stronger relationships rather than replacing them is a priority for Hamilton. In summary, AI chatbots can be helpful tools for mental health support, but they should not replace the importance of human connection and therapy.

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