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September 22, 2025 85 mins
AI chatbots may already be the largest providers of mental health services in the United States, raising big questions about safety, effectiveness, and oversight. Dr. Rick and Forrest are joined by Dr. Nick Jacobson to explore the risks and opportunities of AI therapy: Can a chatbot be good at therapy? Will it replace human therapists? What about AI psychosis? How should we think about privacy, bias, and regulation? Is this a silver bullet for mental health access, or are we just opening a new can of worms? About our Guest: Nick is associate professor of biomedical data science, psychiatry, and computer science at Dartmouth, and directs the AI and Mental Health Laboratory there. He’s also the developer of Therabot, a generative AI therapy chatbot that predates ChatGPT, and he’s one of the first researchers to run a clinical trial on AI therapy. Key Topics: 02:35: Is AI going to replace human therapists? 05:00: Risks of using ChatGPT as your therapist, and general vs. therapy-specific AI 14:30: What should people be worried about? 19:14: Is AI good at therapy? 29:58: Bias, values, and “who’s watching the watchers” 39:17: Is there something unique about a human therapist? 52:21: Oversight and the self-driving car analogy 1:00:51: Personhood, consciousness, and risks of anthropomorphizing AI 1:11:00: Recap Support the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link. Sponsors If you have ADHD, or you love someone who does, I’d recommend checking out the podcast ADHD aha! Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. Join hundreds of thousands of people who are taking charge of their health. Learn more and join Function at functionhealth.com/BEINGWELL. Listen now to the Life Kit podcast from NPR. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices
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