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 of 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 

On #AncientAbledProverbs, Person-Centered Language and More

Social media continues to be an amazing place for thought provoking material. In the past I have blogged about #WhyWeDontEngage. This hashtag challenged me to think about how as mental health professionals we are of too quick to label people as “not engaging in treatment”. How we as professionals define “engagement in treatment” is vastly different from how those who are receiving treatment.

I ran into a similar hashtag this weekend, it started for me with this tweet..

I was immediately impacted by how the language used diminished the meaning of a person with a disability. Ableism is defined as “ Discrimination and social prejudice against people with disabilities. Furthermore, Ableism characterizes persons as defined by their disabilities and as inferior to the non-disabled.” The language we use in society can make individuals with disabilities feel “less than”. It is not only the assumptions and stigma that hurt, it is also the assumption that they should somehow be “more able”.

I found lots of these tweets incredibly thought provoking…

Found out what  I learned via my @Medium Post