What Therapists (Ok, Just this One) Are Saying About Mental Health Chatbots

Earlier this summer, articles about “WoeBot” took social media by storm. Or at least in the mental health and technology circles I hang with. And in case you missed it the WoeBot is a automated chatbot that checks on you daily and offers some “sessions” in cognitive behavioral therapy. It was again brought up on Facebook and I sort of dismissed it. My gut reaction is there is no way that robot could replace a therapist and if it did. It would be rather clunky.

A robot doing therapy would probably look something like this. It would give a try but fall a bit short…


I thought about writing a blog post based on this GIF alone but wanted to do more research. Life happened and I moved on to other things.  But a recent conversation on twitter renewed this topic for me and helped me refine my message…


Other joined and shared some other thought provoking resources…


The above articles and resources provided some more “use cases” for chat bots in both healthcare and mental health.  This helped tip the scale for me.  I am certainly more open the possibility of chatbots for mental health. Still maintaining my stance that technology can be an adjunct to treatment but not a full on replacement.

I think the WoeBot can be good adjunct to therapy.  There could be two very useful scenarios.  One would be those who are placed on a wait-list. To start some WoeBot sessions to get a sense of what CBT is like and if it is a good fit. The data that is generated can be useful for the first actual session.  Similar to previous posts I have argued that data generated by using technology can create a “sitting around the campfire” talking about it scene. You can go into the session and talk about what you and WoeBot did.

The other useful scenario is as a bridge between therapy sessions. That again the conversation with the WoeBot can reinforce the face to face relationship with the therapist. Also thinking about how a WoeBot can be part of somebody’s discharge plan. That after you are done with therapy then use the WoeBot to reinforce things. If one does not feel like the WoeBot is enough they can promptly return to therapy.

Image Credit: WoeBot.IO


I continue to be enthused about mental health apps. However I remain cautious of these being stand alone treatments.  Yes there are not enough therapists and psychiatrists. Yes we need to do something different. And no mental health professionals don’t have to run the other way from technology.  We should be embracing mental health apps as our assists.  In the case of WoeBot our virtual assistant.  It would be in the interest of therapists and maybe insurance companies to take a deeper dive into this technology to see how we can make therapy a more active than a passive experience.


I would love to know your thoughts on this topic. Please feel free to comment below, yell at me on twitter @StuckOnSW, or email me at StuckOnSW@yahoo.com 


4 thoughts on “What Therapists (Ok, Just this One) Are Saying About Mental Health Chatbots

  1. Mary Drake

    I use apps all the time for psychoeducational processes, for CBT, and to assist people to feel more in control of their own mental health/emotional processes. It doesn’t replace me but it does cut down the amount of time that people spend with me and/or extend out the the amount of time between sessions. It also assures people of my integrity – I am clearly willing to minimise their time with me while focussing on best outcomes. This gives them permission to come back whenever they need without feeling like a failure or being afraid they “will end up in therapy forever”.

    Liked by 1 person

  2. Chatbots in healthcare is definitely all the more exciting. If I get to solve certain small health issues by getting assisted by a chatbot, it is really good to enjoy. We at Engati http://www.engati.com have started the journey and have been rated one of the best open platforms for building bots by Techworld. Do visit us and provide us with your valuable feedback as we strive for more mainstream acceptance of this technology of the future


  3. Baber Ghauri

    I’m realizing I’m a skeptic about the indications of AI in healthcare. My own conversations with our current “gold standard” AI tech (namely Google, Alexa, Siri, and Watson) have not been at all impressive and I guess my concern is even more on the patient’s side as my thought is that more sophisticated patients are going to have a really hard time relating to a chatbot. However, I would love to be wrong and would ask anyone where I could see a real example of this technology, preferably in a video if possible.

    Liked by 1 person

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