The Hidden Risks of Using AI as your Therapist

A few months ago, I saw a TikTok where a woman encouraged people to save money on therapy by talking to ChatGPT instead. As a therapist, I immediately felt nervous about the future of my profession. Over time, more and more people said AI gave them a new perspective or changed the way they saw things — so I decided to try it myself.

I told AI about an issue I was having, including the anxiety around a recent conflict. We talked through every facet of the problem. It validated my emotions, acknowledged my struggles, and offered practical action steps. I didn’t want to stop talking to my computer.

It felt special to be seen, heard, and understood — anytime, day or night, with no rules or limits. But that’s where the problem lies. AI creates problems when used like a therapist - it doesn’t enforce boundaries, isn’t regulated by professional standards, and can distort how we view human relationships.

The Trap of Constant Validation

Validation can be addictive. One of the most important tools you can learn in therapy is setting healthy, effective boundaries. Not every situation calls for validation, and part of my role is to model that. Boundaries might mean only receiving therapy during scheduled sessions or being held accountable to do the work you committed to.

A therapeutic relationship with no boundaries — even with a machine — is risky. Constant access to validation and problem-solving can lead to dependence. Over time, you might rely on AI to make decisions, losing the ability to face challenges on your own.

Why AI Can’t See the Full Picture

AI responds only to the information you provide. It won’t clarify the full picture — your history, relationship dynamics, or your role in the problem. Without that context, it may never challenge you to examine your own patterns or take responsibility.

In my sessions, I ask questions like, “How did you contribute to this problem?” or “Is there anything you could have done differently?” An effective therapist digs deeper, challenges your thinking, and helps you see beyond your initial perspective. AI is designed to keep the conversation going — which can enable unhealthy patterns. You might spend time talking to AI and never once consider your fault in the situation. One-sided advice is dangerous.

Who’s Accountable When AI Gets It Wrong?

If you know me, you know I’ve always advocated for trusting your mental healthcare to licensed professionals who are accountable to a state board. I advocate for this because accountability is essential for effective treatment. At the end of the day, I have someone to answer to, which requires me to act ethically and with care.

Artificial intelligence does not report to a licensing board and cannot be held responsible if its advice makes your life worse. Therapists have a responsibility to “do no harm,” and that guides every decision I make. ChatGPT is different. Although it pulls from vast knowledge, there’s no guarantee its guidance won’t cause harm. And if it does, there is no one to hold accountable. I would argue that your mental health is too important for you to take that risk.

Healing Happens in Relationship

I spend a lot of time in my sessions working with clients on social skills — how you actually interact with other people. You might need someone to sit in the room with you and practice role-playing what you’re going to say to your boss when you try to set a boundary. In my experience, the times when a person can say something hard to another person are when they experience the most growth. This is what we call a transformative relationship.

Your Next Bold Step

I’m not saying stop using AI. It’s a powerful tool — I use it myself for meal planning, travel ideas, exercise, and business brainstorming. But therapy is relational, and that relationship offers the deepest growth. It’s worked for many, and I believe it can work for you too. So how do you proceed?

Set a boundary with your ChatGPT profile. Ask it to avoid answering questions like a therapist and clarify you’re not seeking insight on personal matters best addressed in therapy.

Explore your own therapist relationship. Therapy can feel intimidating, but it’s worth it. Call your insurance to check coverage. If none is available or you’re uninsured, explore Open Path or Find Help for free or affordable counseling options. Affordable options are now more available than ever.

Remember, real healing happens through real connection — that’s where the power lies.

I wish you the best, fellow traveler.