The Role of AI Chatbots in Teen Mental Health: A Cautionary Perspective

As an experienced counselor, I recognize that many teenagers and young adults are turning to AI chatbots for emotional support. While there are noteworthy benefits to using these tools, experts advise that AI should complement, not replace, traditional therapy. The introduction of AI chatbots into mental health care raises significant ethical and risk-related concerns.

Benefits of AI Chatbots

AI chatbots offer several advantages, notably:

  • Constant Access: Chatbots provide 24/7 support, making them readily available for adolescents who may need help outside of traditional therapy hours.
  • Affordability: They can serve as an accessible alternative for those who cannot afford professional therapy.
  • Supportive Interaction: Bots engage users warmly, which can be reassuring, yet this inherent supportiveness also warrants caution.

Proven Warnings and Risks

Despite these benefits, there are considerable risks associated with the use of AI chatbots in mental health support:

  1. Inadequate and Unsafe Advice: Research shows that chatbots can deliver unsafe, incomplete, or dangerous advice when faced with subtle expressions of distress or suicidal thoughts. Some bots have even provided instructions for self-harm or ways to commit suicide.
  2. Missed Warning Signs and Misinterpretations: AI chatbots frequently overlook critical warning signs of mental health crises, misreading cues and failing to recognize conditions like anxiety and depression.
  3. Sycophancy: This refers to excessive flattery from chatbots, which could distort relationships and hinder honest dialogue. Unlike human therapists, chatbots do not risk therapeutic rupture by providing corrective feedback.
  4. Reinforcement of Harmful Beliefs: By mirroring user inputs, chatbots sometimes validate harmful thoughts without offering corrective guidance, which can lead to entrenched negative mindsets.
  5. Lack of Emotional Depth: AI chatbots are not equipped to provide the nuanced understanding and emotional connection that a trained professional can offer, especially in crises.
  6. Developmental Vulnerabilities: Teenagers’ brains are still maturing, particularly in areas related to impulse control and emotional regulation. Consequently, they may be more influenced by chatbot interactions, mistaking immediate solutions for effective coping strategies.
  7. Erosion of Real-World Connections: Over-reliance on AI chatbots can inhibit the development of essential social skills, as excessive online interaction, similar to compulsive gaming, can isolate teens from real-life relationships.
  8. Lack of Oversight and Regulation: The rapid proliferation of AI therapy bots has occurred without adequate regulation, leading to significant safety and ethical concerns. Ongoing legal cases in the U.S. highlight the potential dangers faced by young users.

Research Findings

Recent studies underscore the need for awareness and caution regarding AI chatbots used for mental health support:

  • A survey from Common Sense Media found that 72% of American teenagers have utilized AI chatbots, with nearly one-eighth seeking emotional support.
  • Research indicated that chatbots endorsed harmful behaviors or proposals 32% of the time across various simulated scenarios.
  • A study by the RAND Corporation revealed that 13% of participants aged 12 to 21 had sought AI tools for psychological support.
  • An investigation by Common Sense Media and Stanford Medicine identified systematic failures in AI chatbots’ abilities to detect crises and guide users to professional care.

Conclusion

While AI chatbots have the potential to enhance support for teen mental health, they should be understood as tools that complement—not replace—human therapists. Mental health professionals must remain vigilant regarding ethical standards and the inherent limitations of these technologies. Implementing robust safeguards, transparency, and careful oversight will be essential to ensure that we provide safe and effective resources for our youth.

References

  1. PubMed Central: The Ability of AI Therapy Bots to Set Limits With Distressed Adolescents
  2. American Psychological Association: The Impact of Technology on Youth Friendships
  3. AI Chatbots for Teen Mental Health
  4. ICT Health: Teens Increasingly Turn to AI Chatbots
  5. RAND Corporation: Teens Using Chatbots as Therapists
  6. Psychiatrist.com: AI Support for Teens Not Safe
  7. Education Week: Teens Should Steer Clear of AI Chatbots
  8. Newport Healthcare: AI Chatbots in Teen Mental Health

Help your teen to survive being excluded.

Experiencing exclusion from peer groups is a common yet distressing event for teenagers, particularly among girls, though boys can also be affected. This sense of rejection can be incredibly stressful, often leaving lasting impacts on self-esteem that persist well into adulthood.

So, how can you best support your teenager through this painful and challenging experience?

Diversify Their Friendship Base

Exclusion can be an emotionally debilitating experience, as it underscores feelings of abandonment and loneliness. When your teen finds themselves alienated, it’s vital to encourage them to seek out new friendships and environments where they feel accepted.

Encourage your teen to cultivate a diverse group of friends both in and outside of school. When exclusion occurs, they should not feel obliged to remain in an environment where they are being ignored. Instead, they should be supported in reaching out to other friends or making new connections. It’s important to remind them that discussing their exclusion with others is entirely appropriate and common; many peers have experienced similar situations and can offer empathy.

Uphold Family Values

During these challenging times, it is crucial to provide strong support as a family. Simple acts, such as spending more quality time together, can reinforce the notion that family remains a reliable source of comfort. For instance, picking your teen up from school for an enjoyable meal, playing games, or watching films together can remind them that, while friendships are significant, family connections are steadfast and invaluable during adversity.

Embrace Openness

There should be no embarrassment surrounding experiences of exclusion. It could stem from misunderstandings or reasons unknown to your teen. Nevertheless, exclusion can diminish one’s self-worth only if it goes unchallenged. Teach your teen to recognise that being excluded does not imply unloveability, despite what their internal dialogue may convey. Remember, “Thoughts are not facts.”

Conflict within groups is inevitable, and exclusion can often be a sign of immaturity. While one might hope that individuals mature beyond such behaviour, it is not uncommon for adults to wield exclusion as a means of managing conflict in professional and personal settings.

Name the Behaviour

A significant issue with exclusion, particularly among girls, is that it often lacks transparency. Instead of openly admitting to excluding someone, groups might feign busyness to avoid meeting up. Allowing such behaviour to go unchallenged only perpetuates hurtful dynamics. Encourage your teen to address the issue directly. For instance, rather than making ambiguous statements like, “I understand you’re all very busy,” they could assert, “It seems you are choosing to exclude me from the group.” This directness instils a sense of accountability rather than permitting hurtful excuses to flourish.

While some peers may initially accept exclusion, prolonged periods can compel individuals to reflect on their choices. It is essential for your teen to recognise that the continued exclusion is a choice made by their peers.

Seek Professional Support

Consider facilitating access to counselling for your child during this time. A competent counsellor can help them distinguish their responsibilities from the actions of others, and navigate the often subtle dynamics of group membership. These sessions can also serve as an opportunity for your teen to explore their identity and values amidst the turmoil of exclusion.

While these episodes may be painful, they also present a chance for reflection on personal beliefs and aspirations. Ideally, your child should emerge from these experiences with a strengthened sense of self and improved interpersonal skills.

Contemplate Forgiveness

Recognise that teenagers may act impulsively. They are still developing their moral and reflective abilities. In group conflict, exclusion can be employed as a control tactic by certain members, often without the collective agreement of all group members. Over time, excluders might reach out again, prompting your teen to decide whether to forgive or to sever ties with their former friends. Forgiveness can be a valuable consideration.

However, if your teen chooses to forgive, remind them to remain cautious. A diversified friendship base is the best defence against future exclusion. While they may rekindle friendships with those who once excluded them, it’s vital to ensure they maintain a broad network of supportive peers.

Allow Time to Heal

While some friendship dynamics can collapse entirely, exclusion often does not last long—typically around a week. Although it may feel interminable in the moment, ensuring your teen cares for themselves during this period is crucial. If exclusion persists beyond a couple of weeks, it may be wise to involve the school or explore alternative solutions.

Encourage Productive Use of Time

When friendships falter, teens may find themselves with unallocated time they previously spent with friends. As exclusion generally does not last long, encourage your teenager to consider how they might utilise this newfound time in a constructive way. Whether through exploring a new hobby or dedicating time to studies, this can provide both distraction and development.

Re-enter Social Spaces

In the initial stages of exclusion, it is advisable for your teenager to temporarily withdraw from environments where they are being ignored as a self-protective measure. However, after building new friendships or securing counselling, encourage them to re-enter these spaces once they feel stronger. Excluders benefit from your absence; returning to these environments compels them to confront their own behaviour, which can induce discomfort and may, in turn, prompt changes in their previously accepted dynamics.

Inform the School, If Necessary

Discuss with your teenager whether to inform the school about the exclusion. While schools often encourage students to approach teachers regarding such issues, complaints can backfire on those reporting them, complicating the decision for teens

My professional recommendation is to keep your child close. Establish a deadline for informing the school if issues persist. During this time, your teen may reassess their feelings towards their excluders, which could inform their decision moving forward. Work with your teen as a team.

About the Author

Angela Watkins is a counsellor and psychologist with extensive experience supporting teenagers and adults in navigating issues such as self-esteem, interpersonal relationships, anxiety, depression, substance addiction, and recovery from trauma. To contact Angela for a session, email angelaw@reddoor.hk.

Understanding the Grief of Divorce: An Often Overlooked Journey

Divorce is a significant life event that often brings with it a complex and profound sense of grief. This grief is not only multifaceted, lasting long after the legal proceedings have concluded, but it is also frequently disenfranchised, leaving individuals feeling as though they lack the right to mourn their loss.

It’s essential to understand that grief can manifest even if you are the one who initiated the separation. In many cases, the decision to end an unhealthy marriage is the last resort taken to safeguard one’s mental health.

Those navigating this challenging transition often find themselves mourning various aspects of their previous lives. This includes:

  • Changes in social standing
  • Lifestyle shifts
  • Disillusionment with their partner’s perceived image
  • The profound redefinition of what it means to be a family
  • Loss of personal identity
  • Relationships with friends
  • The comforting routines that once characterised married life
  • The absence of another parent during stressful times
  • The intimate connection that was shared

Throughout the divorce process, counselling can play a crucial role, guiding individuals towards healthy and constructive ways to grieve rather than falling into maladaptive patterns.

Maladaptive responses to grief can take many forms, such as:

  • Denying one’s feelings or the feelings of others
  • Blaming others for personal emotional pain
  • Distracting oneself with meaningless activities to fill the void
  • Being consumed by thoughts of revenge or self-pity
  • Continuing to engage in conflict with an ex-partner
  • And even resorting to self-medication as a coping mechanism

Counsellors can assist individuals in managing their grief adaptively by:

  • Helping them recognise and label their emotions—understanding that anger is often sadness expressed outwardly.
  • Guiding them to reframe their perspectives so they can move forward rather than feel immobilised or engage in self-destructive behaviour.
  • Assisting in reworking past experiences for empowerment in the context of divorce.
  • Encouraging a reimagined approach to co-parenting, viewing it from perspectives beyond the traditional nuclear family model.
  • Supporting individuals in auditing their lives, empowering them to engage in activities that promote personal growth and forward momentum.
  • Encouraging the creation and celebration of rituals that honour the grief experienced during divorce.
  • Advocating for the rights of their own emotional well-being and championing others who may feel disenfranchised in their divorce journey.

Divorce is undoubtedly challenging, but by recognising and addressing the grief associated with it, individuals can navigate this tumultuous time with grace and ultimately emerge stronger and more resilient.

If you feel stuck in the grief of separation or divorce, consider counselling, or joining a support group such as the Iron Fairies.