The usefulness of ChatGPT for psychotherapists and patients
Open accessAbstract
Artificial intelligence (AI) is a topic that is currently (in spring of 2023) repeatedly producing headlines in all media worldwide. One update follows the next, areas of application are being tried out and developed, and there exist innumerable warnings about the dangers of artificial intelligence, which has already arrived in the field of psychotherapy (e.g., Aktan et al., 2022 ; Cioffi et al., 2022 ; Sedlakova and Trachsel, 2022 ). Some psychotherapists offer AI-assisted psychotherapy (Helgadottir and Menzies, 2023 ), and a frequently asked question is whether AI chatbots can become the psychotherapists of the future (Wei, 2023 ). Commonly cited examples of psychotherapeutic applications in which AI might be useful relate to psychotherapeutic treatments which are manualized (e.g., Creed et al., 2022 ; Piette et al., 2022 ). AI can design a treatment plan adapted to answers to certain diagnostic questions, which patients (with or without therapeutic support) can follow. For example, a group of researchers in China developed a chatbot to help treat patients with anxiety disorders who take anxiolytics. The chatbot includes 15 treatment modules in cognitive behavioral therapy (CBT), psychoeducation, mindfulness therapy, problem solving, positive emotions, coping with insomnia, etc., twelve of which are presented to patients based on their input (Su et al., 2022 ).
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Raile noted that LLMs may be biased to favor certain psychotherapeutic treatments over others.
“Raile further noted that LLMs may be biased to favor certain psychotherapeutic treatments over others45.”
From A scoping review on the mental health harms of LLM-based chatbots (2026) · cites this paper as [45]
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Torous, J., Linardon, J., Goldberg, S. B., Sun, S., Bell, I., Nicholas, J., Hassan, L., Hua, Y., Milton, A., & Firth, J. (2025) · World Psychiatry · doi:10.1002/wps.21299 · Cited by 323 · see citing works
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A scoping review on the mental health harms of LLM-based chatbots
Diel, A., Torous, J., Cuijpers, P., Kleesiek, J., Nensa, F., Weber, N., Faust, F., Lalgi, T. J., Mellis, F. S., Teufel, M., et al. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-03054-x · Cited by 4 · see citing works
“Raile further noted that LLMs may be biased to favor certain psychotherapeutic treatments over others 45 .”
- Authors
- Raile, P.
- Affiliations
- Sigmund Freud Privatuniversität Wien (AT)
- Corresponding author
- Raile, Paolo
- ORCID
- Raile, Paolo
- Venue
- Humanities and Social Sciences Communications
- Published
- 2024-01-04
- Volume
- 11
- Issue
- 1
- ISSN
- 2055-1045 (ISSN-L)
- 2662-9992
- OpenAlex
- W4390563428
- Cited by
- 91
- References
- 5
- Citations by year
- 2026: 42 · 2025: 41 · 2024: 8
- FWCI
- 36.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Humanities and Social Sciences Communications (publishedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- ChatGPT, artificial intelligence in psychotherapy, AI-assisted psychotherapy, chatbots, psychotherapists, patients, anxiety disorders, cognitive behavioral therapy, treatment planning, manualized psychotherapy, future of psychotherapy
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