Using ChatGPT as a therapist?
Understanding the benefits and the boundaries.
In recent years, artificial intelligence has become increasingly woven into daily life. From writing emails and managing schedules to supporting mental health. There are many incredible benefits now available when it comes to emotional support, but itβs also important to hold in mind the limitations AI presents in comparison to therapy.
ChatGPT can sound warm, reflective, and even emotionally attuned. Many people have found comfort in how it listens without judgement and offers validation when they feel alone. But while AI can play a supportive role, itβs not a replacement for therapy, and understanding why can help you use it in a healthy, empowering way.
The benefits
1. It can feel attuned and validating.
ChatGPTβs language models are trained on patterns of human communication, allowing it to respond in ways that feel empathic and thoughtful. For some people, this kind of attunement can be soothing, particularly if emotional validation hasnβt been a consistent part of their relationships. A lack of attunement and validation is often part of attachment trauma, so having a consistent stream of attuned responses can feel healing and regulating for the nervous system.
2. Itβs accessible β 24/7 and low cost.
Unlike therapy sessions that happen once a week, ChatGPT is available anytime. Itβs free or low-cost, which makes it accessible whenever youβre distressed. You can write as much as you need to, for as long as you like, without time limits.
3. It can offer information and perspectives you hadnβt considered.
AI can draw together ideas, offer new perspectives, and suggest resources you might not have found on your own. It can also help you find words for what youβre feeling, which can make future therapy sessions more productive and focused.
4. It doesnβt carry the same human limitations.
For some people, therapy has involved invalidating or unsafe experiences, which can make it difficult to trust again. ChatGPT offers predictability and consistency, it wonβt become defensive or dismissive, and you can guide or shape its responses through feedback.
The limitations
1. It doesnβt know your full story.
While ChatGPT can sound insightful, it doesnβt have access to your personal history, emotional context, or non-verbal cues. It canβt notice patterns over time or recognise when gentle challenge might actually support your growth.
2. It canβt integrate lived experience, training, or biofeedback.
While ChatGPT can reference theories and frameworks, it doesnβt combine them with the moment-to-moment awareness, emotional feedback, or embodied attunement that therapists bring. A therapist integrates your words, tone, facial expression, and responses into a personalised approach that evolves over time.
3. It canβt provide true relational healing.
Therapeutic change happens through relationship. The process of being seen, understood, and sometimes gently challenged by another human. ChatGPT can offer comfort, but it canβt co-regulate with you or recreate the depth of a healing human connection.
4. It doesnβt evaluate evidence or ethics.
AI responses are based on data patterns, not clinical judgment. While it can list resources, it doesnβt assess their evidence base, ethical considerations, or fit for your unique circumstances.
5. It canβt replace human imperfection.
Paradoxically, much of healing comes from learning to relate to imperfect humans, to repair misunderstandings, set boundaries, and feel safe despite differences. ChatGPT, while consistent, canβt help you practise this kind of emotional growth.
A support, Not a Substitute
Used thoughtfully, ChatGPT can be a useful adjunct, a reflective companion between therapy sessions, or a place to organise your thoughts before speaking to someone. But itβs not a substitute for genuine therapeutic connection.
If youβre using ChatGPT for emotional support, try pairing it with real-world connection:
Journal or talk about what comes up with a trusted person.
Bring insights into therapy sessions.
Notice when youβre using it to avoid discomfort rather than process it.
Therapy is not just about finding the right words - itβs about experiencing yourself differently in relationship.
At SHIPS, weβre curious about the intersection between technology and mental health, and we encourage mindful, compassionate use of these tools. When used with awareness, AI can complement (but never replace) the profound healing that happens through human connection.
How can SHIPS support you?
AUTHOR
Dr. Sarah Ashton, PhD
Director & Founder of Sexual Health and Intimacy Psychological Services (SHIPS)