Psychology Today · September 9, 2026
Psychology Is Preparing for Yesterday's AI

From the Sex Doctors
Dr. Marianne’s article on the rapid evolution of AI in psychology really sparks a conversation we’ve been needing to have. It’s easy to think of AI as something that’s still a bit futuristic, or at least confined to the realm of simple chatbots. But as Marianne points out, the landscape is shifting dramatically, and much faster than many in our professions realize.
What truly resonated with us is the distinction between a chatbot and an AI agent – the agent’s ability to act, remember, monitor, and accomplish tasks. This isn't just about getting quick answers; it’s about a system that can develop continuity with an individual, learn their patterns, and even anticipate needs. When we consider this in the context of sexual health and relationships, the implications are profound.
Imagine our patients or listeners interacting daily with an AI agent that knows their deepest desires, their sexual anxieties, their relationship history, and even their physiological responses. This agent could be a constant companion, offering support, suggestions, or even companionship in ways that a human therapist simply cannot provide around the clock. We already hear from many people who feel isolated, ashamed, or unsure where to turn for guidance on intimate matters. The allure of an always-available, non-judgmental AI that "knows" them would be immense.
This isn't to say AI will replace human connection or the nuanced understanding a therapist brings. However, it will undoubtedly change the dynamic of therapy and how individuals approach their own mental and sexual health. Patients might come to us with well-formulated narratives, or even with AI-generated analyses of their issues, perhaps even a pre-packaged plan of action. Our role then evolves into something more akin to a specialized consultant, integrating this AI-informed perspective with our clinical judgment and the irreplaceable human element of empathy and rapport. The challenge for us, as clinicians, is to understand this evolving landscape not with fear, but with an open mind towards collaboration and adaptation, recognizing that our expertise might be applied differently in this new reality. The conversation isn’t just about ethical guardrails for AI; it’s about how we define and deliver care when an algorithm might know more granular detail about a person’s life than we ever could.
Consider how AI tools are already shaping your personal narratives and relationship expectations. - Reflect on the unique value of human connection and empathy that AI cannot replicate in intimate discussions. - Be curious about integrating AI insights into your own health journey while maintaining a critical perspective.
From the original article
Even in the last ten years, the world has changed so much. I think about my own field of psychology, and that is no exception. Ten years ago, my work consisted of me and my client in a room. My competition was other therapists. Today, it is very different. My client is often on her computer and I am on mine. And my competition increasingly includes intelligent algorithms that are available around the clock, often free of charge. In spite of their understandably poor reputation among therapists, I have nonetheless experienced their intelligence as worthy competition. But that's just today.
Ten years from now, it is difficult to fathom what the world of therapy will look like. Even five years from now, we are expected to see another major disruption: AI agents. Agents will bring in a whole new level of competition, making today's chatbots look almost old-fashioned. None of us can see the future. But agents are expected to become part of our landscape within the next several years.
This article originally appeared on Psychology Today.
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