Psychology Today · June 29, 2026
4 Things the Therapy Profession Ignores About Its Own Future

From the Sex Doctors
Here on The Sex Doctors Podcast, we’re always looking at the intersections of relationships, health, and technology. Dr. Marianne recently shared some thoughts on her Psychology Today blog that got us thinking about a profound shift occurring in mental healthcare, one that impacts all of us, not just therapists. While the original article addressed the therapy profession directly, its implications reach far wider, touching how we access care, how we heal, and even how we understand our own human connections.
For years, we’ve heard from listeners and patients about the daunting process of finding mental health support. The search for a therapist who understands their unique needs, who accepts their insurance, and who has an opening that fits their life can be a frustrating odyssey. Then there’s the cost, the paperwork, the sheer logistical hurdle of carving out time each week. It’s a gauntlet many simply can’t run, leaving them without the help they desperately need. This is where the emerging role of AI in mental health becomes incredibly pertinent.
The idea that people are forming healing relationships with artificial intelligence, and reporting positive outcomes, isn’t just a theoretical point for the therapy world. It speaks to a fundamental human need for understanding, validation, and practical tools to navigate distress. We often discuss the importance of communication in intimate relationships, and what we’re seeing is AI fulfilling some of those core communicative functions in a novel way. While a chatbot can't replicate the nuanced empathy of a human, its accessibility, lack of judgment, and consistent availability offer a significant advantage for those feeling isolated or overwhelmed. It challenges our assumptions about what constitutes a "healing alliance" and forces us to reconsider the barriers we inadvertently place on accessing support.
Moreover, the article touches on how the traditional structure of therapy, like the "50-minute hour," isn't sacrosanct. This resonates with our discussions about sexual health, where a one-size-fits-all approach rarely works. Just as sexual intimacy benefits from flexibility and responsiveness, so too does mental health support. The prospect of accessible, tailored, and immediate support, even if delivered by an algorithm, holds immense potential for democratizing care and meeting people where they are, when they need it most. This isn't about replacing human connection, but expanding the ecosystem of support available to everyone.
Be open to new forms of support; what works for one person may not for another. - Consider your personal access barriers to care and explore all available resources. - Remember that seeking help, in any form, is a sign of strength and self-care.
From the original article
I have spent nearly 30 years as a clinician, and I believe that psychotherapy, at its best, is one of the most powerful forces for human change that exists. Yet the profession is sleepwalking into a transformation it is not prepared for. Therapists are very good at helping our clients face hard truths. It is time we extended that same courage to ourselves. Here are four points that I believe deserve our immediate discussion:
For decades, the therapeutic alliance has been the cornerstone of our professional identity. Not a specific modality or technique, but the relationship itself. The bond between therapist and client is the single strongest predictor of positive therapeutic outcomes across every form of treatment we have studied. It is precisely what we point to when someone asks what human therapists offer that no app ever could.
This article originally appeared on Psychology Today.
View original on Psychology Today →