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 | 34 | Founded | 5 months ago | Last Issue | 43 hours ago |
| Active | |||||
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drscottwallace.substack.comLatest Issues
The Informed Consent Problem Nobody Is Talking About
There is a foundational principle in clinical practice that has governed the relationship between a practitioner and a patient for decades. It predates digital health, predates managed care, predates every wave of technological disru...
AI Must Not Be Allowed to Claim It Can Be Used to Provide Therapy
Therapy is not a conversation. It is not an emotional experience. It is not the feeling that someone capable is listening. Therapy is an accountable relationship, and the accountability is the whole point.
When a licensed clinician...
Mental Health AI Is Confusing Deployment Scale for Clinical Scale
More than half the people who need mental health care will not receive it. That is not a failure of demand. It is a failure of architecture.
The mental health AI field is scaling access faster than it is scaling clinical responsibility. Wa...
Mental Health AI Does Not Need a Licence. It Needs Clinical Standards It Cannot Fake.
The mental health AI industry has a problem it would rather not name. Hundreds of products are entering the emotional lives of people in distress, and most of them were not built by people who understand clinical risk in the way that...
In Mental Health AI, Engagement Is Clinically Uninterpretable
Here is a number that should give every product team in this field pause. A systematic panel-based analysis of the most-installed unguided mental health apps on the market, found a median 30-day retention rate of 3.3%. Of every hundred peop...
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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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