Comment by theothertimcook

Youre right you can pretty much run that line backwards for scarcity/availability Shrink, Psych, Social, Counsellor.

I was shocked how many psychiatrists deal almost exclusively with treatment and titration of ADHD medication, some are 100% remote via zoom.

I've been involved with the publishing of psychology research, my faith in that system is low, see replication crisis comments, beyond that, working in/around mental health I hear of interactions where psychologists or MH social workers have "prescribed" bible study and alike so anecdotal evidence combined with my own experiences over the years.

Re: socioeconomic backgrounds, you said so yourself, many cannot afford to go route of clinical psych, increasingly the profession has become pretty exclusive and probably not for the better.

Agree regarding the snake oilers but you can't discount distrust and disenfranchisement of/from the establishment nd institutions.

'This way up' is already offering self-paced online CBT, I see LLMs as an extension of that, if only for the simple fact that a person can open a new tab and start the engagement without a referral, appointment, transport, cost, or even really any idea if how the process works.

Infact, I'm certain it is already happening based on reading the chatgpt subreddit, as for efficacy I don't think we'll ever really know, I know that I personally would be more comfortable being totally honest with a text box thank a living breathing human so who knows.i appreciate your insights though.