HACKER Q&A
📣 mmarian

What do you think is the future of mental health therapy?


I find the online discourse around it fascinating. On one hand, you have practitioners talking about how LLMs don't help much and actually pose risks. On the other, I have found them incredibly helpful, and I see people on Reddit sharing the same opinion.


  👤 m8ven Accepted Answer ✓
This is among the fields I do think AI can help. If you haven't tried it, ask your bot what your MBTI is, and it's surprising accurate.

👤 1attice
The barrier to getting a traditional therapist is enormous - for some problems you're looking at years, maybe decades of treatment, at anywhere from $150-250 a pop. In the USA techworld, your insurance will likely not cover this unless you are fortunate enough to still be on a gold plated FAANG plan. (For now.) If you're elsewhere, or working elsehow, then it is often even less likely.

A second barrier, is the difficulty in finding patient-therapist fit; IMO it's worse than trying to find a kidney donor, unless your problems are very mundane (litmus: does a Hallmark card cover this?)

So, access to real therapy is already hard to secure. Talk bots offer a convenient and affordable alternative. Most people will thus be fobbed off on bots that are also snitches, sycophants, and occasionally incite violence and self-harm, but that's what we have personal responsibility for, hmm? It's terribly convenient for mis-ascribing blame.

Finally, there is every reason to expect that for many people there is no "transference" or deep therapeutic emotional connection with LLM therapy, and, if there is one, it's an attack surface now.

In other words, the new "therapy" will be risky, ineffective, manipulative and sycophantic, so it will, in the best case scenario, do nothing, and in the worst, quite a bit of harm.

But it will be very popular. Like astrology.