Comment by supersour
7 days ago
yes, I definitely agree here. We've known for a long while that 1:1 therapy isn't the only way to treat depression, even if we aim to use psychotherapy methods like CBT/DBT.
David Burns released his CBT guide "Feeling Good" in 1980, which he labels as a new genre of "Bibliotherapy". His book is shown to have clinically significant effects on depression remission. Why can an LLM not provide a more focused and interactive version of this very book?
Now, I agree with you and the article's argument that one cannot simply throw a gpt-4o at a patient and expect results. The LLM must be trained to both be empathetic and push back against the user when necessary, forcing the user to build nuance in their mental narrative and face their cognitive distortions.
1:1 therapy isn't the only way to treat depression, but it's still unmatched for personality disorders, and can be a huge force multiplier with medication for OCD, GAD, MDD, Schizophrenia, ADHD, and, yes, depression.
The problem is that because therapy is as much art as science, the subset of skilled, intelligent therapists is much smaller than the set of all therapists, and the subset of skilled, intelligent therapists with experience and knowledge of your particular disorder and a modality that's most effective for you is tiny, making it frustratingly hard to find a good match.