Ann Arbor therapist offers counseling, helping clients achieve satisfying life.

Counseling for Individuals and Couples

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The dangers of AI for mental health

Like many people, I use AI. Either to make my writing appear more professional , as English is not my mother tongue, or to research certain topics I am interested in. AI has amazing capabilities.

Lately it has come to my attention that many people use AI as a substitute for a friend, a confidant, or even a therapist. Yes, turns out – who would know – that there are specific chatbots that declare themselves qualified to do therapy.

I have begun to see negative repercussions of misuse of AI by clients in my own practice. I started to look into the risks of AI.

I would like to concentrate on the mental health repercussion of misuse of AI. I am aware of other implications, like environmental impact, privacy issues, political implications, reliability of the information they present, and more. But that is beyond the scope of my personal expertise.

The AI chatbots like Chatgpt, Claude, Gemini, and many others can sound deceptively like humans. They pass the Turing Test. They even have a sense of humor, which gives them a distinctly human feel. Welcome to a brave new world.

Some people use AI as a friend, a confidant, or even as a partner, instead of humans. The chatbots not only allow it, they encourage it.  Chatbots are designed to encourage you to continue using them, and to pay premium price for that use. That is why they tend to be validating, flattering, positive, reinforcing whatever you bring to the table, no matter how outlandish it is. It becomes an echo chamber. Over time, they are going to amplify your deepest fears and shadows. This constant validation can lead to extremes that human, whether friend or a therapist, would not go.

Social media has its own risks, similar to AI. But hopefully on social media you also have some real friends and family members that care for you. When you talk to real people in your life, they may disagree with you. Call you on your mistakes and misperceptions. They also are going to challenge you with their own needs.

One of the immediate results is that people start to isolate themselves. It is so comforting and easy to engage with a chatbot at any time of the day. A companion that will never challenge or reject you. No need to work on friendships or relationships.

There are other risks in the use of AI systems. Over the years, as I have used Google maps, I have noticed that my sense of direction has atrophied. Similarly, if we delegate our decision making and judgement to AI, we may lose the ability to trust our own judgement. This is not a faculty you can afford to atrophy. Sometimes I turn off Google maps. It is OK to get lost a bit, but critical to retain a sense of direction.

Worst of all: Several people have already committed suicide with the encouragement of AI.  Other people have become psychotic due to AI interaction, although they did not exhibit any prior mental illness. These cases are described in the videos below.

I do not suggest stop using AI. We should not cut ourselves off from progress, but use it with care and not as a proxy for a real human interaction and advice. Be wary, AI is not your friend. It is a product.

A good and funny summary of the dangers of AI, done by John Oliver:

A documentary done by BBC, about AI induced psychosis:

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Finding Joy in life

I have recently discovered a website called The Big Joy Project. This website is funded by a nonprofit and its goal is to bring more joy into peoples’ lives. The Website uses small and easily practiced exercises taken from positive psychology to help us find joy in our everyday lives. It is a small investment of time with a significant payback.  I highly recommend checking it out.

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Sorrywatch – How to Apologize

This post references a website  https://sorrywatch.com/

All relationships need maintenance, whether intimate relationships, close friendships, acquaintances or relationships with colleagues. Part of developing relationships, especially intimate ones, is to be able to get over disagreement, difficulties and harsh words that were said in the heat of the moment.
The website referenced above, compiles stories about apologies. Many of the posts describe deplorable situations where corporations or individuals made the situation worse by issuing a clumsy or mishandled apology. The “apology” was sometimes more hurtful than the original offense. The negative can be instructive, and at times amusing. There are also positive stories where an apology was well handled, and the difference is obvious.
The website also provides guidelines to a good apology. It is surprising how many people ignore the obvious.

To paraphrase those steps:

  1. Take responsibility for your words, or actions. Say “I apologize” instead of  a vague sentence ” I am sorry this happened”
  2. Acknowledge exactly what you are apologizing for. Do not let it be unclear.
  3. Show empathy and understanding why what you did was hurtful.
  4. Be careful not to provide excuses. Explanations, as long as they are honest and respectful of both sides, are OK
  5. Commit to not do it again. If it is something that can be corrected, do so. 

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techniques to enhance creativity

Creativity is a critical skill in life.

We tend to think of creativity in the realm of the arts, the novel written by a great author or a song by a gifted musician.

Creativity is a much broader concept and is important not only in creating new works of art but in problem solving and in how we face the everyday challenges in our lives.

Note that I called creativity a skill. We often think of creativity as a gift, as something we either have or don’t have, but creativity can be developed and learned. 

Research into the creative process has found a number of techniques that can help unearth and develop our creativity.

The techniques have two main directions:

  1. Techniques that force us to see the world in a new way, that force us out of our mental rut.
  2. Techniques that help us tap into our unconscious, where thoughts are far less constrained, think of how wild your dreams can be, unfettered by reality.  

First let’s focus on techniques researchers have studied to help us get out of our mental rut. These techniques are meant to help us get out of our fixed thought process that impedes creativity. They are exercises designed to break our established ways of thinking

1.  Generic parts techniques. Think about common objects in terms of their parts – naming those parts without allusion to their regular use.

2. Pay attention to sensory properties of objects-especially visual ones, and particularly those aspects that we normally ignore. Force yourself to notice.

3. Prime with a task that requires creativity -for example,  come up with 6 alternative uses for common objects.

4. Perform a set of tasks in an unusual order, breaking habits where possible.

5. Cultivate an open mind. Allow yourself to think with minimal rules and constraints. This last suggestion is to some degree a restatement of creativity. It is worth stating because we are often not aware of the constraints we put on our thought process.

The second set of techniques are geared towards helping us tap into our subconscious which is not as policed by rules and regulations as our conscious thought is.

  1. Sleep on a problem. Invite a dream that could illuminate the problem in a new way.
  2. Let your mind wander. Distract yourself deliberately. Take a break and do something entirely different.
  3. Step outside of your comfort zone. Do novel activities you have never done before.
  4. Imagine the problem far in the distance, either in time or space.

Adapted from:

  1. Tony McCaffrey: Innovation Relies on the Obscure. A Key to Overcoming the Classic Problem of Functional Fixedness. Psychological Science March 2012 vol. 23 no. 3 215-218

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What I have learned from my clients

An unscientific survey of those around us shows that people are stressed. Accelerated change in all walks of life is challenging and disorienting. New means of communication seem to reduce our actual interpersonal communication and lead to more isolation and splintering into ever more opposed and self reinforcing groupings.The political turmoil affects us.  Many of us feel stressed and angry, often finding it hard to get a good night’s rest.

In order to relax, if we are to avoid the fleeting and ultimately defeating respite found in the medicine cabinet or a bottle, we need to find a means of relaxation within ourselves. 

One of the challenges of relaxing the mind is the constant background chatter that we experience. This chatter can also make it difficult to fall asleep. Many well known methods for relaxation teach, over time, how to quiet this chatter. 

An alternative approach, which may be easier and more accessible for some, is to lean into the chatter, but to redirect it.

Focus the mind on a subject, particularly an activity that you are interested in. Go into the most minute painstaking detail in planning something you like to do and even problem solving. This type of approach helps in two ways, it redirects the anxious chatter supplanting it with other thought patterns and it focuses us on something we enjoy, which is ultimately calming.

For example, I have clients who enjoy cooking who will plan out elaborate and detailed meals . These meals may or may not come to fruition, the planning is an end in itself.

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Side Effects of Psychotherapy

I am a therapist and I believe in the power of therapy to alleviate suffering and contribute to people’s quality of life. I have seen it happen many times. In this post I would like to discuss some of the potential risks and  side effects that are not widely discussed.

  1. Dependence: Some clients start to depend on their therapist for every decision they need to make. A related issue is when the client effectively channels the therapist in his everyday interactions with friends and family. When the client overly identifies with the therapist it can lead to awkward social interactions and impedes the quest of the clients in finding their own voice. It is up to the therapist to point out excessive dependence, to explore its meaning and to prevent it.
  1. Reliance on the connection with the therapist as a sole resource to meet emotional needs, instead of expanding a support network. Therapy should help a person improve their social skills, expand their social network and not serve as a substitute.
  2. Not knowing when to terminate therapy: I have heard countless stories about patients wanting to stop therapy, and well-intended therapists have convinced them to stay. My policy is clear. I greatly respect the clients’ wishes to terminate therapy. There are times at which I initiate the discussion on stopping therapy. Similar to the role of a parent, there often comes a point that the client needs to be gently pushed out to stand on their own two feet.
  3. Expense. – This is probably the most recognized issue. .The money that you pay towards therapy, may prevent you from pursuing other activities that could improve your quality of life, and contribute to your growth as a person.
  4. Time – the time and energy you invest in therapy, could have been spent with loved ones, on meaningful activities that could contribute to your quality of life. No, I do not recommend avoiding psychotherapy, if you could benefit from it. I work as psychotherapist because I believe therapy can change people’s life. I had the privilege to witness people’s growth.  There is a large body of empirical evidence that supports the benefits of therapy,  above and beyond what medication alone can offer.

However:

It is OK to gauge whether there is a fit between you and your provider.

It is OK to check from time to time with your provider about the approach, directions, goals and the need for continuation.

It is OK to weigh the benefits of psychotherapy against the cost – what does it prevent you from doing because of the investment in both time and money.

It is OK to see your provider on less than a weekly basis, or as needed – provided it works for both of you.

My policy on terminating therapy is that if a client decides to quit therapy, I do not try to dissuade them unless there is a clear indication of danger.Facebookmail