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A comment on LLMs should not replace therapists. Parent comment

Re:LLMs should not replace therapists by jdietrich on Monday July 07, 2025 @03:41AM (#44487692)
No, what they're describing is manualized CBT. We have abundant evidence that there is little or no difference in outcomes between therapy delivered by a "real practitioner" and basic CBT delivered by a nurse or social worker with very basic training, or even an app.

https://pubmed.ncbi.nlm.nih.gov/23252357/

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Re:LLMs should not replace therapists by wisty on Tuesday July 08, 2025 @07:36PM (#44504987)
Yeah, my issue is that I suspect an LLM based app may be easily "jailbroken" (since they tend to be highly agreeable due to their training) and turned into an enabler rather than a helper.

Even if some LLM therapists are good, with zero friction to go "doctor shopping" will result in a great many patients picking the bad ones that make them feel better, rather than the good ones that make them do better.

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Re:LLMs should not replace therapists by sonofhans on Tuesday July 08, 2025 @07:56PM (#44505083)
Where by “real practitioner” you mean “human being” which is my point entirely, thus we agree.
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