Forbes January 16, 2026
Lance Eliot

In today’s column, I examine the best way for therapists to clinically analyze transcripts of AI chats that their clients have undertaken, particularly focusing on any mental health considerations.

The assessment of such heavy-handed chats is becoming an increasingly important and frequent activity for modern therapists. Clients are walking in the door with printouts of online chats they’ve had with generative AI and large language models (LLMs), including ChatGPT, GPT-5, Gemini, CoPilot, Grok, Llama, etc. The inquisitive client wants to know what the therapist has to say about the mental health advice and psychological insights being made by the AI.

Some therapists refuse to inspect the AI chats. They tell their clients to flatly stop using AI for any mental...

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