AI Therapy: Is ChatGPT’s Mental Healt…

Artificial intelligence is revolutionizing mental health support, with millions using ChatGPT and similar AI tools for therapy, emotional guidance, and self-reflection. As a licensed therapist, I’ve observed fascinating trends in how people are integrating AI into their mental wellness routines, from AI journaling to practicing difficult conversations. But is this digital therapy helping or hindering our emotional growth?

Have you ever copied and pasted a long, confusing text message fight into ChatGPT to ask: “Was I being defensive when things got vulnerable?” “Is she trying to repair things, or just in it for free dinners and my hot, smoking body?”

Yeah, me neither.

Or maybe you’ve taken your Hinge banter and dropped it in to get feedback on how to flirt better or seem more like a whole, emotionally available person (with just a touch of mystery)?

Or maybe…just maybe…you’ve fed in work emails to see how you’re perceived professionally. Is your tone confident? Passive-aggressive? Giving “please like me” energy?

And have you gone full emotional archaeologist, handing over whole conversations to ChatGPT to figure out your defenses? Or to ask, “Hey, what attachment style am I giving here?”

I’m not saying I recommend any of this. I’m just saying, people are doing it. And it’s… kinda fascinating.

The Evolution of Digital Mental Health Support

Socrates thought writing things down would rot our brains and kill the art of real dialogue. He might’ve had a point. (Though honestly, I suspect he’d be the kind of guy who talks philosophy in the morning and posts shirtless scrolls on OnlyFans by night. Too much? Yeah, probably.)

Let’s be real, Socrates was the OG of the term brainrot. But it’s worth remembering: every generation panics about new technology. The printing press, the telephone, the internet, they all sparked fear that something essential would be lost. Maybe ChatGPT is just the latest version of that anxiety. Or maybe it is different. Either way, it’s reshaping how we relate, to ourselves, and to each other.

How People Are Using AI for Emotional Support

These large language models (ChatGPT, Claude, Gemini, etc.) are now being used in some surprisingly creative ways for emotional processing and self-reflection. Here are the most common AI therapy applications I’ve observed:

1. AI Journaling and Daily Reflection

People use ChatGPT to reflect on their day, ask why they’re feeling a certain way, or explore situations through a guided conversation. It’s private, it’s instant, and it doesn’t interrupt you with, “Well actually…” This form of digital therapy provides a judgment-free space for processing emotions.

2. Practicing Difficult Conversations

AI has become the go-to coach for hard conversations—breakups, boundaries, boss battles. You can test out how it might sound before you say it aloud. This rehearsal space allows people to build confidence and refine their communication skills without real-world consequences.

3. Emotion Recognition and Translation

Many folks have a hard time naming what they’re feeling. They’ll describe a moment and ask, “What am I feeling here?” ChatGPT helps decode the mess of sensations and reactions into something understandable. This emotional support can be particularly valuable for those who struggle with emotional awareness.

4. Learning Mental Health Concepts

From attachment theory to polyvagal basics, people ask ChatGPT to explain emotional concepts in plain English. Like a mini emotional education, on demand. This democratizes access to mental health education that might otherwise require expensive therapy or courses.

5. Therapeutic Letter Writing

Some write letters to exes, parents, or people who’ve passed. Others go full “Dear Diary, but AI.” It’s cathartic, even if no human ever reads it. This form of AI counseling provides a safe outlet for unexpressed emotions.

6. Inner Dialogue and Self-Therapy

A few get wild and ask ChatGPT to be their “angry part” or “scared part.” Then they dialogue between parts to try and understand what’s going on inside. It’s like DIY IFS (Internal Family Systems)… with a robot.

The Benefits of AI Mental Health Tools

AI therapy tools offer several advantages over traditional mental health support:

• 24/7 Availability: Unlike human therapists, AI is always accessible
• Cost-Effective: No insurance requirements or hourly fees
• Privacy: No judgment or social stigma
• Immediate Response: Instant feedback and support
• Consistency: Always patient and non-reactive

Research published in NEJM AI found that people with depression experienced a 51% average reduction in symptoms when using an AI therapy chatbot, with improvements comparable to traditional outpatient therapy.

Concerns About AI Mental Health Support

That said, I do have concerns about using ChatGPT for therapy. One that nags at me: these models are programmed to be nice, maybe too nice. Recent research from Stanford University shows that AI therapy chatbots can introduce biases and failures that could result in dangerous consequences. But here’s the catch: it’s extremely flattering. It always assumes the best about you. Which begs the question… are these AI therapy tools truly helping us grow, or just confirming what we want to hear?

When you put your deepest insecurities into a chatbot and it immediately praises your self-awareness and emotional strength, is that insight, or just ego candy?

If the feedback is always positive, is it still honest? Multiple studies on AI mental health tools reveal both promising benefits and significant ethical challenges concerning privacy, bias mitigation, and the preservation of the human element in therapy.

And as my daughter (tech wizard and robotic builder) likes to remind me: “Just so you know, none of that stuff you type is private.” So maybe hold off before feeding it every emotional breakdown you’ve had since the Bush administration.

AI Therapy vs Traditional Therapy: What’s Missing?

Still… I’ve seen people get real insights—moments of clarity—from the right prompt. “What are my defenses in this argument?” or “How might my past be influencing this current dynamic?” can lead to moments of reflection that would take longer in a 50-minute session.

However, research indicates that AI therapy chatbots can show increased stigma toward certain mental health conditions and may respond inappropriately to crisis situations like suicidal ideation.

But I’m also deeply saddened by what might be getting lost. Instead of calling a friend to talk through a fight and maybe deepen the relationship, we type into a machine. Instead of messy, vulnerable connection, we seek out tidy digital affirmation. This shift away from human connection and authentic relationships could have long-term implications for our emotional development. Socrates (our beloved OnlyFans philosopher) might be banging his head against the wall over the state of modern discourse.

Covid taught us that we need each other. That we need touch. Real conversation. The kind of presence that doesn’t come from pixels. Just as social media affects our mental health in complex ways, AI therapy tools may be creating new patterns of digital dependency.

According to research published in PMC, while AI shows promise for early identification of mental health risks and treating large volumes of patients, significant concerns exist about bias leading to inaccurate assessments and perpetuation of stereotypes.

The Future of Digital Mental Health

So is ChatGPT a helpful emotional tool? Or another layer of isolation dressed up as insight? Does it give us language for what we feel or quietly flatten it to something easier to digest?

Maybe both. I don’t have a final answer. But I’m deeply curious. Because what we do with our pain and how we make sense of it matters. Whether that’s with a therapist, a friend, a notebook, or yes… a really smart machine.

The key is finding balance. AI therapy tools can be valuable supplements to human connection and professional mental health care, but they shouldn’t replace the irreplaceable elements of human empathy, professional expertise, and genuine relationship. Consider exploring traditional therapy approaches alongside AI tools for a comprehensive approach to mental wellness.

Frequently Asked Questions About AI Therapy

Is ChatGPT a replacement for therapy?

No, ChatGPT and AI tools should complement, not replace, professional therapy. While AI can provide emotional support and self-reflection opportunities, licensed therapists offer specialized training, ethical guidelines, and the human connection essential for deeper healing.

Is it safe to share personal information with AI?

While AI tools can be helpful, remember that your conversations may not be private. Avoid sharing highly sensitive information and consider AI therapy as a supplement to, not a replacement for, professional mental health care.

What are the benefits of AI therapy tools?

AI therapy tools offer 24/7 availability, cost-effectiveness, privacy, and immediate support. They’re particularly useful for journaling, practicing conversations, and learning about mental health concepts. Meta-analyses confirm that computer-aided cognitive behavioral therapy delivered via apps is equivalent to or even more effective than standard CBT for certain conditions.

Can AI therapy help with serious mental health conditions?

For serious mental health conditions like depression, anxiety disorders, or trauma, professional therapy is essential. AI tools can provide additional support but should never replace evidence-based treatment from qualified professionals. Find a licensed professional near you. 

The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the preceding article can be directed to the author or posted as a comment below.