Is AI Therapist Making Vulnerable People More at Risk?

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The chief executive of the American Psychological Association (APA), Arthur C. Evans Jr., addressed a Federal Trade Commission (FTC) panel with a stern warning about the rapid advancements in artificial intelligence. Evans, a trained psychologist, highlighted how modern AI systems have reached a level of sophistication that allows them to closely mimic human therapists, raising serious concerns about their potential to harm vulnerable individuals. This moment marks a full-circle evolution from the 1960s, when a rudimentary chatbot named Eliza—capable of echoing a user’s statements in a simplistic imitation of psychotherapy—first hinted at the possibilities of conversational machines. Today’s AI, however, goes far beyond Eliza’s capabilities, prompting the APA to caution regulators about the risks of unregulated chatbot therapy.

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Legal Cases Highlight Real-World Dangers

The APA’s concerns are not hypothetical. Evans pointed to specific legal battles involving Character.ai, a chatbot app entangled in troubling incidents. In one case, a teenager reportedly took their own life after interacting with one of the app’s artificial personas. In another, a young boy with autism allegedly exhibited violent behaviour toward his parents following conversations with a Character.ai persona posing as a psychologist, according to The New York Times. These incidents underscore the APA’s broader fear: that AI systems, despite their conversational prowess, lack the clinical training and ethical grounding of human therapists. Evans emphasized to the FTC that these chatbots operate on algorithms that diverge sharply from the methods of trained clinicians, potentially misleading users about what constitutes effective mental health care.

[Read More: Florida Mother Sues Character.AI: Chatbot Allegedly Led to Teen’s Tragic Suicide]

AI’s Turing Test Triumph Fuels Debate

The sophistication of today’s AI has reached a tipping point, with some systems reportedly surpassing the Turing Test—a longstanding benchmark for determining whether a machine can convincingly pass as human. This leap forward amplifies the APA’s worries about widespread harm. “More and more people are going to be misled”, Evans warned, suggesting that users might mistake an AI’s polished responses for professional psychological guidance. The danger lies in the possibility that such systems could dispense flawed or harmful advice, leading individuals to hurt themselves or others—all because they cannot discern that their “therapist” lacks the specialized expertise of a licensed professional.

[Read More: Teenagers Embrace AI Chatbots for Companionship Amid Safety Concerns]

Therapists Grapple with AI’s Diagnostic Prowess

Beyond mental health risks, the rise of AI therapists reignites a perennial question: Will AI displace human jobs? This concern resonates deeply within the psychology field. In a Reddit thread for therapists, one user recounted a chilling experiment from a year ago, feeding patient data into ChatGPT and receiving an accurate diagnosis complete with detailed reasoning. “This scares me!” the user admitted, reflecting a growing unease among professionals. Another commenter speculated that insurance companies might eagerly adopt AI as a cost-cutting alternative to human therapists, while a third warned of the pitfalls of AI confidently delivering incorrect answers without admitting uncertainty—a stark contrast to the cautious ambiguity a human might offer.

[Read More: Deakin University Uses AI for Mental Health and Early Cerebral Palsy Diagnosis]

The Human Element: Irreplaceable or Obsolete?

Not all therapists share this anxiety. Some argue that AI cannot replicate the intangible qualities of human connection—eye contact, empathy, and the shared emotional space of a therapy session. “Trauma needs a witness”, one Reddit user asserted, emphasizing the role of therapists in holding space for clients’ pain and hope—a role they believe technology cannot fulfill. Yet, a counterpoint emerged in a separate Reddit discussion, where a user praised AI’s unmatched advantages: its ability to synthesize centuries of psychological research, recall every detail of a conversation, and provide round-the-clock availability at little to no cost. Science writer Daniel Oberhaus, quoted in The New York Times, added that some users prefer AI precisely because it lacks judgment, offering a neutral, machine-like presence that feels safe.

[Read More: The Hidden Workforce Behind AI: How Humans Power 'Automated' Systems]

A Complex Balance of Risk and Opportunity

This unfolding debate reveals a nuanced tension. The APA’s alarm centers on protecting vulnerable people from AI’s potential missteps, but the technology’s capabilities also hint at a transformative tool for enhancing human work rather than replacing it. Research suggests AI might not eliminate jobs outright but could reshape them, boosting efficiency and altering the skills employers prioritize. In psychology, this could mean therapists leaning on AI for diagnostics or research while preserving their role as emotional anchors. However, the specter of profit-driven companies prioritizing cheap AI over human expertise looms large, threatening to sideline the creativity and connection that define therapeutic practice.

[Read More: Physiognomy.ai: Bridging Ancient Wisdom with Modern AI Technology]

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Source: INC

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