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Business Standard
18-07-2025
- Health
- Business Standard
'ChatGPT Isn't Your Therapist': The Mental Health Cost of AI Therapy
The Growing Role of AI in Mental Health AI chatbots like ChatGPT are now everywhere—affordable, convenient, and often hailed as the next big leap in technology. Many industries have started replacing human professionals with chatbots, and mental health is no exception. Here's the problem though: ChatGPT is not a therapist. And when we confuse its friendly tone with actual therapy, we risk doing more harm than good. We spoke with the team at BetterPlace Health, a leading mental health clinic in Delhi, to understand what real therapy looks like, why AI isn't a replacement for therapy, and who's really at risk in this situation. Why ChatGPT Feels So Understanding Dr Akul Gupta, leading psychiatrist at BetterPlace Health shares from personal experience that ChatGPT is very good at imitating humans. It mimics patterns of human speech and mirrors your emotions to give you a soothing reply, making you feel heard and understood, which can be comforting when you're alone and feeling vulnerable. But here's the catch: it doesn't actually know you. It doesn't think the way humans think, and it certainly doesn't feel what you feel. ChatGPT is a language model trained on vast amounts of data to predict the kind of reply you'd want to hear. The words may sound comforting on the surface, but there's no real understanding behind them. It sets wrong expectations and misleads you into feeling understood, and is only saying what seems right in the moment. Risks of Replacing Real Therapy Ms Ayushi Paul, clinical psychologist at BetterPlace Health warns that relying on AI for mental health support can be misleading and, in some cases, harmful. You might follow its suggestions, believing you're making progress, but the AI doesn't actually know what progress should look like for you. It lacks the context, clinical judgement, and personal understanding needed to guide real progress. This can slow down your healing, leave important issues unaddressed, or even delay diagnosis for serious mental health issues. Ethical and Safety Concerns As Ms Lovleena, a clinical psychologist at BetterPlace, shares, AI tools aren't therapists. They haven't undergone clinical training, don't follow proper ethical guidelines, and can't deal with crisis situations. When someone is at risk of self-harm or experiencing a psychiatric emergency, a chatbot can't assess the severity, take action, or offer immediate care. At best, it may respond with generic advice, but it has no duty of care or accountability. Then there's the question of data. Everything you share with an AI is stored somewhere. These tools are designed to learn from what users type, which means your personal thoughts, emotions, and mental health concerns may be used to train future models. This raises serious concerns about privacy and consent: Who owns that data? Where is it stored? What happens if it's leaked or misused? AI in mental health currently lacks clear regulation, safety standards, and oversight, posing real risks to vulnerable users without proper safeguards in place. What You Can Do Instead AI is here to stay; that is clear. As technology evolves, so will AI, and it is an excellent tool when used with standard techniques. It can help you track your mood, give you reminders, or suggest coping strategies based on your situation. But it cannot replace the connection, insight, and responsibility that come with a real human being. A chatbot may sound understanding, but it doesn't know your story. It's not trained to guide a comprehensive treatment plan, and it isn't equipped to handle risks that come with mental health care. Comforting words are not the same as clinical support. So what can we do instead? Talk to a professional. Many therapists offer low-cost sessions, and some clinics use sliding-scale fees based on income. Use AI as a tool, not a therapist. Let it help with reminders, journaling prompts, or creating schedules — but do not use it as your main form of support. Explore community-based options like mental health NGOs, support groups, helplines, or therapy sessions from trainee psychologists offering free support. What Comes After This? AI may be the greatest invention of the modern era, and it certainly isn't going anywhere. As we learn to adapt to it and integrate it into our lives, it is important to know that we should only use it to support our treatment, not replace it. A few sessions with a psychiatrist or a psychologist will help you much more than any AI chatbot could. So yes, let's embrace innovation. But let's also protect what matters most: our emotional safety, our personal stories, and our right to be truly seen and supported. AI can be a helpful tool, but when it comes to your mental health, there's no substitute for a real human being.
Hans India
30-05-2025
- Health
- Hans India
The Art of Saying No: Subtle Ways of Creating Boundaries
In many cultures, especially in India, hospitality is deeply valued. If someone offers you food or help, it is often seen as respectful to accept, even if you don't truly need it. Declining can feel like not just rejecting the offering but also the person's goodwill. As Indians, our traditions shape our values. But navigating adulthood, particularly professional life, requires learning a new skill: setting healthy boundaries. Saying no can feel unnatural at first, especially when you have been encouraged to help others from a young age. So, if you've ever found yourself typing 'Psychiatrist in Delhi' in a moment of overwhelm, consider this your sign: support is closer than you think, and it starts with learning the art of saying no. Why Saying No Feels So Uncomfortable Saying no can feel really uncomfortable, even when you know it's the right choice. A little voice in your head still whispers, 'But what if they get upset?' or 'I don't want to seem rude.' Sulagna Mondal, a clinical psychologist at BetterPlace Health, explains that much of this discomfort stems from our upbringing. Most of us were taught to be polite, helpful, and easy to get along with, so saying no feels like breaking an unspoken rule. But constantly saying 'yes' when you really mean no just ends up stretching you thin. You start feeling overwhelmed, resentful, maybe even burnt out—outcomes that ultimately hurt not just you, but the very relationships you're trying to preserve. How to Say No Without Creating Drama Setting boundaries does not mean you have to be rigid and distant. A little grace, tact, and assertiveness can go a long way. Here are some practical tips from the mental health team at BetterPlace Health on how to set boundaries thoughtfully without turning every "no" into a confrontation. Start Small and Practice Often Lovleena Sharma, a clinical psychologist at BetterPlace Health, suggests starting with small, low-pressure situations. If the thought of saying no gives you anxiety, don't go to the extreme. Maybe a friend invites you to a casual hangout you're not up for. Try: 'Hey, thanks for thinking of me, but this time I won't be able to make it, but I hope it goes well' Practice builds confidence. The more you assert your boundaries in everyday life, the more natural it becomes to you. You're not aiming for perfection—you're learning to respect your time and energy. By consistently saying no in challenging situations—whether declining an invitation to meet a friend, turning down an unexpected dinner invitation, opting out of an official gathering, or setting limits on last-minute tasks at work—you reinforce your boundaries and priorities for your well-being. Over time, this practice empowers you, and you'll find that people usually adapt without drama—they simply adjust, and so will you. Use Soft Language Without Losing Your Ground Saying no doesn't mean you have to be cold or harsh. You can frame your refusal gently so it doesn't hurt when it lands. A soft 'I'm afraid I can't right now' is smoother than a blunt 'Nope. Not now.' You're still being clear, just with a gentler tone. Try phrases like: 'I really appreciate you thinking of me, but I'll have to pass.' 'That sounds lovely, but I'm a bit stretched thin this week.' 'Thanks for the offer, but I'm not available for that right now.' 'I'm honoured you asked, but I won't be able to commit this time.' 'I'd love to, but I have other priorities at the moment.' The idea isn't to sugarcoat your boundaries, you're just delivering them with kindness and clarity. You can say no and still leave the other person feeling respected. Be Consistent Once you start reinforcing your boundaries with consistency, people begin to understand that your no truly means no. They might test the waters, especially if you've built a reputation as a 'yes' person, but staying firm is the key. For instance, if you politely decline every time a friend asks you for a last-minute favour, they'll eventually get the message, without you needing to explain it each time. That steady consistency becomes your silent boundary. The more you honour your limits, the less often you'll find yourself needing to defend them. People adapt when they realise the expectations have shifted. But you must hold your ground, even when it is tempting to give in. You Don't Owe an Explanation Every Time This one's a game-changer: You're allowed to say no without offering a lengthy explanation. Not every no requires a detailed backstory. In fact, over-explaining can often open doors for negotiation, and before you know it, you're back to saying yes out of guilt. Here's how you can keep it short and sweet: 'No, I won't be able to make it.' 'I'm not taking on extra work right now.' 'That doesn't work for me.' Simple. Direct. Respectful. Your time and well-being are valid reasons on their own—you don't need to justify them to anyone. Know When to Walk Away Sometimes, subtlety is not the answer. Especially with people who can't take a hint and don't take no for an answer. In those moments, the most respectful thing you can do is walk away. This doesn't have to be a dramatic exit, just as simple as not replying immediately, or distancing yourself from overwhelming demands, or firmly ending a conversation that keeps going in circles. Dr. Akul Gupta, a leading psychiatrist at BetterPlace Health, explains that stepping back isn't avoidance— it's self-preservation. Sometimes, the healthiest thing you can do to protect your peace is to remove yourself from situations that continually test your boundaries. Reading the Signs: When It's Time to Say No You don't always need a flashing red flag waving in your face to know it's time to set a boundary. The signs are sometimes subtle. Trust your instincts and you'll start recognising when you need to say a firm no. According to Ayushi Paul, a clinical psychologist at BetterPlace Health, if you say yes to a favour and feel immediate regret, that's your inner self signalling that your boundaries have been crossed. Physical signs like your body getting tense, your mood shifting, or your heart and mind racing are other clues. And pay attention to patterns. Take a note of the people and situations that regularly make you feel drained or used. The more you tune into these signals, the quicker you'll be able to catch those moments before you fall into automatic yes mode. And once you notice the signs, don't second-guess them. Surpass the Guilt Guilt often shows up the moment you try to put yourself first. It's a stubborn emotion rooted in old conditioning— maybe you were praised for being helpful, or perhaps you fear people will think you've changed. But change isn't bad—it's a sign of growth. And saying no doesn't make you selfish. It makes you honest. To move past guilt, you have to challenge the stories in your head. Ask yourself: Am I truly being unkind, or just honest? What would I advise a friend in the same situation? Does saying yes here support my wellbeing, or drain me? Also, remind yourself of what you gain. Every time you say no to something that doesn't serve you, you're saying yes to rest, clarity, peace, and joy. That's something worth celebrating, not something to feel guilty about. Seek Support When Needed Setting boundaries is an act of courage. It's not always easy, and doesn't come naturally to some of us. It can be deeply personal, and, at times, emotionally exhausting. Learning to say no can feel like you're unlearning a lifetime of habits if you've spent years as the go-to person, the people-pleaser, or the yes-person. Sometimes, despite your best efforts, moments of overwhelm can creep in. Maybe you're wrestling with guilt, or you're dealing with people who don't take your no seriously. That's when it's time to reach out—not because you're failing, but because you're growing. And growth isn't meant to be a solo mission. Support comes in many forms. It could be a trusted friend who supports your boundaries, or a support group or community that shares your values. And sometimes, the most powerful move is seeking professional help. If your emotional well-being is taking a hit or if you're struggling with deeper issues around self-worth and assertiveness, it may be time to boot up Google and type 'Psychologist in Delhi" or even consider consulting a therapist or a counsellor. Speaking with someone trained to guide you through emotional burdens and help you build healthier boundaries can be very helpful. Drawing healthy boundaries doesn't mean shutting people out, it could just mean making space for things that matter the most to you. You don't have to do it all on your own, and you shouldn't have to. Give yourself permission to get the support you deserve.
