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Mental Health: Are AI Bots Harmful?

AI bots in mental health
Image courtesy of inteldig.com

It’s an open question. The incidence of mental health has stabilized over the past several years. However, around a quarter (23.4%) of the U.S. population experienced some form of mental illness in 2024 according to Mental Health America. But,  among youth aged 12-17, their findings reveal an even lower figure with with less than one in five suffering a mental health episode.

Among those 8.2 million youths, 19.2% used Artificial Intelligence (AI) chatbots for mental health advice. That figure represents a steep increase from the previous year’s 13.1%. An American success story–right?

AI-Negatives

Well, perhaps. Anecdotal evidience suggests a substantial number of adolescents and young adults engage in negative behaviors based on the advice of chatbots. Ninety-seven per cent of psychologists verify this impression along with their concern regarding Chatbots’ inability to provide nuanced advice. A few even encourage negative behavior. Those factors along with adolescent reluctance or inability to confide in a parent or trusted adult contribute to the concern surrounding chatbots dispensing psychological advice.

AI Nuances

The above concerns don’t necessarily impugn the quality of AI-given advice. The old anagram GIGO (Garbage In-Garbage Out) still applies. The fact that mental health incidents  have plateaued, even declined over the past few years suggests the nation’s mental health has stabilized if not improved overall. Yet, the significant increase in the use of AI Chatbot psychological services among the more vulnerable in the population, i.e., adolescents and young adults. Like the proverbial canary in the coal mine, their usage increase indicates something detrimental underlies the statistics.

Adolescent Angst

If these chatbot consultations reflect genuine responses to real-life conundrums, the issues that affect this subgroup demand examination as well. One major concern confronting the members of this group involves their future roles as adults, namely, their professions. As the most important aspect of their adult lives, their choices profoundly affect their future outcomes. That’s a lot of pressure.

Given all the options, examining  some of the career-choices available becomes necesary. Though it applies only to aspiring college undergraduates, the message in the YouTube video “What Your College Major REALLY Says About You” applies here. Broken into five categories, it reveals how the students’ career choices chose them. For example, 20% of undergradsr cent become business majors to gain security and power.

Among other career choices:

  • Engineering: students choose their major to avoid the messiness and uncertainty dealing with people involves.
  • Helper professions such as nursing and social work:  continues the approval the students’ parents bestowed upon them for being useful, a helper.
  • Doctors and lawyers: receive positive reinforcement for fulfilling the goals and acheivements everyone expected of them.

Only the self-proclaimed artists and generalists addressed the issue of what their future would be by avoiding the issue altogether.

Where Does AI Come In?

First of all, it exonerates AI from much of the responsibility for these students’ career choices. It’s true some may have consulted AI through their career advisors. Nonetheless, the decisions young people make lie primarily within the parameters of social and familial pressures which shape individual personalities.

Second, such evasion and/or avoidance suggests why many adolescents and young adults don’t discuss their fears and apprehensions with parents–the pressure is too great. Why undermine the positive reinforcement that supported your entry into college? Better to deflect or divert it than deny it altogether. Better yet, confide in an anonymous, impersonal machine all your doubts and misgivings. No one gets hurst that way, at least, no one with feelings.

Finally, employing AI in such a plan of action fulfills its role in our society in another, genuinely realistic way. All the above majors choices are valid responses to real-life situations. Another real life situation these aspiring adults face involves a diminishing, changing job market. More than half of the occupations higher education trains its students for are obsolete or will be in several years. Many of these are or were entry-level positions. That first rung of the career ladder is disappearing fast.

Not only does this fact compound young adult anxiety, it hampers their abilities to cope with it. AI Chatbots form the legion of front-line, insentient troops designed to deal with the cares, feelings, and tribulations of those having difficulty adjusting to their impendng adult realities. The self-mutilations and suicides result from replacing humans with unnuanced, ill-programmed mimics of professional mental health professionals.

How AI Affects Our Mental Health

AI Chatbots are symptoms rather than perpetrators of our mental health care shortcomings. The problem is systemic. Behind the bots are medical administrators unwilling or unable to replace front-line, entry-level positions with novice humans. Behind them are business schools which celebrate efficiency and economy over feelings and expertise. And behind all those is a system that continues to graduate psychologists and social workers whose future job pool has shrunk to bucket-sized.

And like the working lives of  familycaregivers, the jobs that remain feature high stress and burnout. No wonder many adolescents and young adults secretly seek solace and advice from inanimate and  uncaring data advice dispensers. For them there is nowhere else to turn.

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Terrifying Secrets of Family Caregiver Poor Mental Health

Kathy Bates as caregiver Annie Wilkes in Misery

Have you ever suspected that the family caregiver for your invalid parent or a dementia-ridden relative may be suffering mental health problems themselves? Experts at the Mayo Clinic estimate approximately “1 in 3 adults in the United States is an informal or family caregiver” whose value figures to over a trillion dollars annually. Perhaps because of the hidden nature of this unpaid compensation, its beneficiiaries fail to recognize, much less appreciate, the debilitating health care issues these unpaid workers experience.

Impact of Caregiving on Caregivers’ Health

The psychological toll on unpaid health care providers is enormous. The Family Care Alliance claims that “Higher levels of stress, anxiety, depression and other mental health effects are common among family members who care for an older relative or friend.” Moreover, some stress indicators are obvious; others are subtle. Manifestations of these health effects include:

  • Higher levels of depression
  • Emotional stress
  • Frustration over lack of progress
  • Loss of self-identity and esteem
  • Loss of control over their lives
  • Feelings of exhaustion
  • Cognitive decline

Sources of Stress for the Family Caregiver

Stressors beyond the lack of financial compensation can impact the health and performance of family caregivers. Canada’s in-home care provider The Key cites five factors that influence caregivers ‘ mental health:

  • Conflicting opinions regarding care–squabbles among siblings may necessitate consulting a health care professional
  • New routines–adjusting to the patient’s changing needs can promote caregiver stress
  • Juggling multiple roles–children, employees, and social groups also place demands on a caregiver’s time and emotional capacities
  • Health concerns–maintaining one’s health while giving care can add stress to one’s overall well-being
  • Lacking time to recharge–providing even a short respite from patient demands is essential to provide quality care and prevent provider burnout.

Stressed Caregiving Can Lead to Harmful Behavior

Without the safeguards mentioned above, the actions of the family caregiver can lapse into more dangerous behaviors to themselves and to their patients. Studies show caregivers are more prone to increased alcohol and substance abuse including psychotropic drugs. These studies also show that family caregivers tend to show more hostility than non-caregivers. Furthermore, family caregivers “who are at risk of clinical depression and are caring for a spouse with significant cognitive impairment and/or physical care needs are more likely to engage in harmful behavior toward their loved one.”

Family Caregiver Options

Nobody wants to entrust the well-being of a loved one to a potential Annie Wilkes. To avoid such a possibility, let’s celebrate , National Family Caregiveres Month this November in the same spirit we celebrated Black History Month this year. The Caregiver Action Network (CAN) offers the following advice to caregivers (if you are one) and their families (if you’re supporting one):

First of all, caregivers and family members must be specific about their help offers by stating explicity what task(s) they are willing to do. Identifying specific areas of responsibility lessens misunderstandings and conflict in the future.

Second, family members need to help the caregiver in performing the housekeeping chores necessary in the daily care of the patient.

Third, family members and friends must continue to invite them to family outings and special events. Even if the caregiver’s duties don’t allow them to participate, such invitations alleviate the caregiver’s sense of isolation and neglect.

And finally, family members should check in with the caregiver frequently. Many caregivers feel isolated and alone in discharging their duties.

In sum, money is not the sole compensation caregivers need for discharging family obligations. Love and loyalty deserve their own special recogntion. Thoughtful treatment and understanding among all involved parties can ameliorate the financial under-compensation, repressed resentment, and stress all family caregivers experience.