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 | 51 | Founded | 7 months ago | Last Issue | 34 hours ago |
| Active | |||||
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drscottwallace.substack.comLatest Issues
Mental Health AI Is Becoming a Health-Data Operating System Before It Has a Clinical Accountability Model
I think we are asking mental health AI a question that no longer matches what the technology is becoming. We focus on whether an individual response is safe, whether a chatbot reinforces a delusional belief, handles suicidal thinking approp...
Every Mental Health Practice Needs a Position on Clients’ Use of AI
Mental health practices can no longer remain neutral on client AI use. By the time a client reaches a clinician, AI may already have shaped the story they tell about themselves.
Clients arrive with explanations of their symptoms, expectati...
The Data Behind Mental Health AI Cannot Support the Clinical Authority It Conveys
Mental health AI can sound clinically authoritative before its data justify that authority.
A person can describe a distant partner, a sudden change in mood or a fear that something is wrong and receive a precise, psychologically literate...
The Scale of AI Mental Health Use Has Outrun the Safeguards Built to Meet It
We have built something that can feel like a helping relationship while owing almost none of the obligations of one.
For someone using a general-purpose chatbot, access requires almost nothing. A device. An account. No referral, no waiting...
Clinical Expertise Is Not a Final Quality Check
Here are two questions I am asked far too often by founders building mental health tools, whether mobile apps or AI-assisted chatbots:
“When should our product escalate a user to a live professional, and what should it say?”
“Could you ta...
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Authors
The writers behind this newsletter.
Clinical AI strategist and digital mental health pioneer with nearly four decades across psychology and technology. I advise founders and health systems on product strategy, safety and governance, translating clinical risk into technical reality.
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