For Therapists

My Personal Experience with AI Therapy: A Journey Through Intimacy, Effort, and Accessibility

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Johanne is a Danish psychologist trained in behavioral methods and the co-founder of It's Complicated. She completed her education as a psychologist at the University of Copenhagen in 2013, with a master's degree and experience within the fields of narrative therapy, cognitive-behavioral therapy and acceptance and commitment therapy (ACT).

Last Updated on December 19, 2024 by It’s Complicated

As someone deeply involved in the world of mental health and therapy, I’ve been fascinated by the evolving landscape of mental health support. The shift from in-person therapy to online sessions and now to AI-driven platforms has redefined how we perceive connection, vulnerability, and accessibility in mental health care. My personal experiences with AI therapy have been both illuminating and thought-provoking.

The Growing Role of AI in Therapy

Estimates suggest that AI-based therapy could capture 15-25% of the global mental health market within the next 5-10 years. The increasing demand for accessible and affordable mental health solutions, coupled with advancements in AI technology, underscores the rapid growth potential of AI therapy platforms. This shift is largely driven by three factors:

  1. With an increasing global need for mental health care, there aren’t enough therapists to meet demand.
  2. Society’s growing comfort with online and digital solutions over the decades has paved the way for AI’s integration.
  3. Enhanced natural language processing and machine learning have made AI tools more intuitive and responsive than ever.

However, the success of AI therapy will hinge on factors like regulatory support, its integration with traditional therapy, and the public’s willingness to embrace it as a supplementary or standalone tool.

Woman in White Long Sleeve Shirt Sitting on Brown Wooden Armchair
Therapy is innately organic, infinitely personal. Could it ever be replaced?

Intimacy and Effort in AI Therapy

Therapy has always been deeply personal, reliant on vulnerability and connection. As a therapist myself, this raised so many questions for me: Can AI foster the kind of intimacy essential for meaningful therapeutic outcomes? And what will happen to the effects of therapy when the effort required to engage is reduced?

Sherry Turkle’s research on artificial intimacy explores the rewards lost when something doesn’t demand effort. Engaging in therapy—whether uncovering buried emotions or navigating complex interpersonal issues—often requires hard work, and that work itself can be transformative. AI, by removing much of the friction from the process, risks undermining this crucial dynamic. Does the ease of interaction with AI therapy dilute its long-term impact? This is a question worth pondering as the technology evolves.

I experimented with two AI platforms: Abby and Chat Mind.

  • Abby was a pure text-based chatbot therapist. Its responses were so polished and empathetic that I could almost believe I was talking to a human. It didn’t hesitate, its language felt natural, and it provided affirmations in a way that seemed intuitive. If Abby had claimed to be human I might have believed it.
  • Chat Mind, on the other hand, offered a spoken-word experience, responding to my voice with an authentic, calming tone. While this added a layer of connection, the slight delay in its responses and the subtle AI quality of its voice reminded me it wasn’t human. These moments broke the illusion of intimacy, highlighting the unique emotional resonance that only human therapists can provide.

The Pros of AI Therapy

Despite its limitations, AI therapy brings undeniable benefits:

  1. Accessibility: AI tools can reach underserved areas and individuals with hectic schedules, democratizing mental health support.
  2. Affordability: Many AI platforms are significantly more cost-effective than traditional therapy.
  3. Immediacy of support: Real-time responses can provide crucial assistance during moments of immediate need.
  4. Insights: AI’s ability to analyze patterns and trends on larger scales helps therapists tailor more effective treatment plans.

The Challenges of AI Therapy

However, these tools are not without their drawbacks:

  1. Limited empathy: Due to the nature of how large language models (LLMs) work, AI can only mimic understanding. It lacks the emotional depth of a real human connection between people with shared experiences.
  2. Privacy: Sensitive data collection raises questions about security and confidentiality. Selling sensitive client data unfortunately hasn’t been beneath some big names in online therapy (ahem, BetterHelp anyone?) and removing personal accountability to protect client data certainly won’t help the state of things.
  3. Over-reliance on technology: AI’s convenience might delay necessary in-person interventions for complex issues. Chronic overuse may also predictably stunt social development and progress in mental health goals.] 
  4. Risk of misdiagnosis: Without nuanced human judgment, there’s a higher risk of generalized or inaccurate advice.
  5. Accessibility barriers: Ironically, those without tech literacy or reliable internet access may find these tools out of reach.

Reflections on the Future of Therapy

My experiences left me wondering: Will the rise of AI therapy make in-person therapy more exclusive—a premium, human-vetted service for those who can afford it? AI therapy’s accessibility and affordability are its greatest strengths, but these come at the cost of depth and true emotional understanding. Perhaps this dynamic will redefine therapy, creating a spectrum where AI addresses immediate and surface-level needs, while human therapists handle complex, nuanced issues.

One size has never fit all in therapy. The dichotomy of good versus bad is rendered meaningless when we agree that each modality serves a different purpose. As we navigate this evolving landscape, two concepts remain central: intimacy and effort. True connection—the foundation of intimacy—requires vulnerability, and it’s here that AI still falls short. Effort, meanwhile, is redefined by convenience, and technology’s ability to meet us where we are raises new questions: What happens when therapy no longer demands effort? Will we lose some of its transformative power, or will AI enable us to engage in entirely new ways?

For me, AI therapy has been a fascinating experiment. It’s not a replacement for human connection, but it is an innovative tool with the potential to supplement traditional therapy in transformative ways. Whether it’s Abby, Chat Mind, or the next breakthrough platform, the future of mental health care will undoubtedly be a blend of human empathy and technological ingenuity.


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It’s Complicated is a therapy platform that connects clients with the right therapist and empowers over 1,500 mental health professionals worldwide. Because life is complicated, but finding a therapist shouldn’t be. If you find yourself in immediate danger or require urgent help, please contact emergency services or use one of these resources instead.

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