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Joined 21 days ago
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Cake day: June 9th, 2025

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  • Then I get stuck on … well they will rephrsse what I just said, and say/ask it back to me, and I’ll say no, no I phrased what I said specifically, because I meant exactly that.

    they’re checking their own understanding by giving you an opportunity to correct them. by rephrasing it identically, it doesnt build any new understanding.

    does it not matter to you to be understood by others? maybe that’s why you’re bashing therapy on the internet, asking for CBT worksheets instead of building rapport, and indirectly praising relationships with LLMs?





  • yep, if someone disagrees with me, it’s usually because they’re unhinged. People rarely know things that I don’t, because I am very smart. there’s no way that anyone downvoted that post because it makes statements that are inconsistent with the current scientific knowledge around this subject, because no such knowledgeable exists. I know this because if it did exist i would know about it, as I’m very smart. my AI therapist told me so. and i see nothing wrong with that post. so anyone who does must be a fool.


  • therapy does not have to be expensive.

    around 70% of my caseload is Medicaid and they don’t pay a dime. the remainder is mostly DOC (prison), they only pay if we charge No Show fee. so they pay to not go to therapy. There’s 1-2 people who are funded by the county. they pay a $7 copay per session

    Therapy isn’t expensive, luigi is.

    As far as efficacy, we don’t even have data suggesting AI therapy is effective. we have ample data, however, showing that the most important part of therapy is not what you do but the relationship itself. not individual efforts. so your theory about what therapy does for us is wrong. there’s no relationship with an LLM. we have no reason to believe it would be any better than a paper journal and a CBT worksheet.


  • a terrible therapist at least has an ethics board

    a terrible therapist at least has evidence-based interventions on their side

    a terrible therapist at lest has the fact that ~80% of positive outcomes have nothing to do with the interventions or anything the therapist does besides show up and be cool (a statistic I remember quite well from grad school)

    AI has none of these things

    therapy isn’t fucking magic. it’s a relationship. you can’t have a relationship with an LLM. there’s no such thing as AI therapy, you’re just training it to tell you about CBT worksheets while you bitch about your problems like you’re in a nail salon