Mental Health Meets AI
Scott Wallace, PHDWhere clinical judgment and AI systems collide, and decisions have consequences.
| Platform |  | Pricing | Only free issues | Publishes | Daily |
|---|---|---|---|---|---|
| Issues | 27 | Founded | 4 months ago | Last Issue | 4 days ago |
| Active | |||||
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drscottwallace.substack.comLatest Issues
What We Get Wrong When We Build AI for Mental Health
A note before you read: I wrote an earlier version of this essay last summer. What you’re reading now is nearly a year of AI expansion later, and my thinking has shifted considerably. The stakes are higher, the evidence is richer, and the c...
The Missing Safety Layer for Mental Health AI
Note: The genesis of this article was sparked in part by discussions with Chris Rhyss Edwards of CommonLayer.ai, whose work on middleware infrastructure for AI safety, governance, compliance, and regulatory oversight reflects a broad...
How Much Safety Are We Really Expecting From AI?
There is a heated debate unfolding about whether AI belongs in mental health care. People are being harmed, regulators are reacting, and the headlines are alarming. The loudest question is whether AI can cause harm.
The answer is yes. AI-e...
From Concept to Practice
This essay follows a four-part series on AI safety in mental health. The previous essays established why the field cannot stop building, documented the harm already present in deployed systems, named the governance gap that no regulator has...
If You Build Mental Health AI, What You Ship Is Now Legally Accountable
In January 2026, Character.AI and Google settled two wrongful death lawsuits involving teenagers who had died by suicide after prolonged interactions with AI companion chatbots. The teenagers were 14 and 13. The systems they had been using...
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Authors
The writers behind this newsletter.
35+ years building digital mental health. Through my writing and advising, I help founders, developers, and product teams navigate AI in mental health — content, UX, evidence, ethics, governance, and safety.
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