Can You Use ChatGPT as a Therapist? — Talkspace

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If you’ve turned to ChatGPT to help you write a tricky email or brainstorm ideas, you know how helpful it can be. As artificial intelligence (AI) becomes more present in our daily lives, more people are turning to AI chatbots, like ChatGPT, for more personal problems and emotional support. This has led to many people using ChatGPT as a therapist.

ChatGPT has many qualities that people find attractive in a therapist. It’s easy to access, always available, and feels anonymous and non-judgmental. While it can feel comforting to use ChatGPT as a therapist, artificial intelligence therapy isn’t a replacement for a real licensed therapist. Before you pour your heart out to ChatGPT, it’s important to understand what a ChatGPT therapist may be able to offer and where it falls short. 

Can ChatGPT Act as a Therapist?

Licensed Therapists Online

Another big difference is accountability. Therapists are held to ethical standards set and enforced by licensing boards, whereas ChatGPT is not regulated. If it gives you bad or harmful advice, there’s no system in place to protect you or hold it responsible.

Is It Safe To Use ChatGPT as a Therapist?

One of the major risks is that ChatGPT may give you advice that sounds helpful or supportive but isn’t actually based on professional guidelines or evidence-based practices. As an AI chatbot, ChatGPT doesn’t know what it doesn’t know. On the other hand, human therapists are trained to communicate uncertainty and ask questions about what they don’t know to make sure you get the care you need. 

ChatGPT may miss warning signs that you’re having a crisis or are at risk of harm. Without a professional to recognize these warning signs, you may not get the care you need. 

Talkspace therapist Bisma Anwar, LPC, LMHC

What ChatGPT Can Do for Your Mental Health

Even though ChatGPT can’t replace your therapist, it can still be a helpful tool in therapy.  When it’s used with clear boundaries and expectations, ChatGPT can support you alongside traditional therapy. It can’t replicate the depth of therapy with a licensed clinician, but ChatGPT may be a good jumping-off point for self-awareness and emotional support. 

An “AI therapist” can offer you a space to explore your thoughts and feelings, whether you’re asking ChatGPT for relationship advice or brainstorming journaling prompts. 

  • Providing general information on coping skills and mental health topics
  • Encouraging self-reflection through journaling prompts
  • Offering grounding techniques and mindfulness scripts
  • Practicing communication skills with role-playing
  • Helping you express and identify your emotions
  • Helping you prepare for therapy

Talkspace therapist Bisma Anwar, LPC, LMHC

Important Considerations When Using ChatGPT for Therapy

Before you begin using ChatGPT for therapy, you should be aware of some limitations to protect yourself.

Understand the limits of AI

Can AI replace therapists entirely? While the AI technology that powers AI chatbots like ChatGPT can generate responses that sound thoughtful, caring, and empathetic, it’s important to remember that ChatGPT can’t truly understand your emotions. ChatGPT is limited to patterns in data. 

Since ChatGPT can respond to you with a tone that conveys insight and authority, it’s easy to forget you’re talking to an AI therapist. In fact, a 2025 study found that people struggled to tell the difference between responses written by a human therapist and a ChatGPT therapist. It’s important to remember that ChatGPT isn’t aware of what it doesn’t know and can give you incorrect information in a way that makes you feel like it’s correct. 

Don’t use AI when you’re in a crisis

ChatGPT isn’t a substitute for a diagnosis

There’s no accountability or oversight

AI may reinforce cognitive biases or negative patterns

Cognitive biases and negative patterns can happen when our brains rely on shortcuts, past experiences, or emotions to interpret information in a way that isn’t always accurate or helpful. As an AI tool that learns and adapts to each user over time, ChatGPT may begin to mirror your negative patterns or ways of thinking back at you instead of challenging them.

“Yes, there are cognitive and emotional risks when AI is used too frequently as a substitute for human conversation. While AI can offer information and even simulate conversation, it cannot replicate the depth, empathy, and mutual understanding that comes from genuine human interaction. Human relationships offer emotional reciprocity, nonverbal cues, and a sense of connection that is essential for psychological well-being. Relying too heavily on AI for support may contribute to social withdrawal or emotional isolation, potentially reinforcing patterns of avoidance or disconnection. It’s important to view AI as a supplemental tool rather than a replacement for meaningful, human relationships.”

Talkspace therapist Bisma Anwar, LPC, LMHC

How ChatGPT Can Complement, Not Replace, Therapy

Using ChatGPT as a journaling or reflection tool

Journaling can help you process your emotions, build self-awareness, and track patterns over time. ChatGPT can be a useful tool to help guide your journaling. You can try using ChatGPT in between therapy sessions to suggest journaling prompts, ask reflective questions, or help you organize your thoughts. 

Brainstorming questions for your therapist

ChatGPT can help you make the most out of your therapy session by brainstorming questions or topics to explore in therapy, or how to talk to a therapist in general. Therapy can feel overwhelming if you’re not sure where to start or how to bring up a sensitive topic. You can try working with ChatGPT before your therapy appointment to help you organize your thoughts, identify issues important to you, and create a list of questions for your therapist. 

Practicing communication or identifying thought patterns

You can use ChatGPT to help you practice putting your thoughts into words. Talking to ChatGPT can be a low-pressure way to explore self-expression, setting boundaries, or navigating how to tell someone you’re not okay. You can try role-playing with ChatGPT to build your confidence before having real-life conversations. Over time, ChatGPT may learn from your responses and reflections to help you identify thought patterns, like self-criticism or all-or-nothing thinking. 

When It’s Time to Talk to a Real Therapist

AI tools, like ChatGPT, can help you explore your emotions and reflect on your experiences, but they can’t replace treatment with a real therapist. If you’re feeling overwhelmed, stuck in negative thought patterns, or unsure how you should cope, it may be time to move beyond a ChatGPT therapist and speak to a clinician who can offer deeper guidance and ongoing therapy

Talkspace therapist Bisma Anwar, LPC, LMHC

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