Technology and Mental Health

AI is here and big questions are being asked about it's impact on mental Health. Its march is seemingly unstoppable, so what are the pros and cons of AI and Technology for mental health and specifically, mental health practitioners?

Navigating the Digital Frontier: A Counsellor’s Perspective on Technology in Therapy

As a practising counsellor in an increasingly digital world, I’ve witnessed firsthand how technology is transforming the therapeutic landscape. Over the past decade—especially following the global shift triggered by the COVID-19 pandemic—technology has evolved from being a complementary tool to a fundamental part of how many of us deliver care. While this shift offers undeniable benefits, it also introduces new complexities and ethical considerations. As with any advancement, technology in therapy must be approached with a balance of optimism and caution.

The Benefits of Technology in Therapy

One of the most significant advantages of technology is increased accessibility. Online platforms, video conferencing, and mental health apps allow people in rural or underserved areas to access support that might otherwise be out of reach. Clients who struggle with mobility issues, chronic illness, or anxiety about face-to-face interactions can now receive help from the safety and comfort of their homes. This shift has opened doors for individuals who might never have considered therapy in the traditional sense.

Flexibility is another benefit. Online sessions can be scheduled more easily around work or family commitments, which reduces missed appointments and makes ongoing support more sustainable. As therapists, we’re also able to reach a wider range of clients and offer continuity of care even when clients move cities or travel.

Technology has also enhanced the resources available to therapists and clients alike. There is a vast array of digital tools—mood tracking apps, guided meditation platforms, and online CBT programs—that can complement therapy and promote self-reflection between sessions. These tools can provide structure and reinforce progress outside the therapy room.

The Challenges and Drawbacks

However, the integration of technology into therapy is not without its drawbacks. One of the most significant concerns is the loss of the embodied presence and subtle non-verbal cues that can be crucial to therapeutic work. Micro-expressions, posture shifts, and even the energy in the room all contribute to the therapeutic alliance. While video calls offer a visual element, they can never fully replicate the richness of in-person interaction.

There are also significant concerns around confidentiality and data security. Using digital platforms raises questions about privacy, encryption, and who has access to sensitive client information. As therapists, we have a duty to ensure our platforms are secure and compliant with professional regulations. However, no system is entirely immune to breaches, and clients must be informed of these risks.

Technology can also lead to a sense of disconnection or ‘distance fatigue’. Screen-based communication can feel impersonal to some clients and may reduce the depth of engagement. For others, the temptation to multitask or the distractions of a home environment can detract from the therapeutic process.

Another potential issue is digital inequality. While technology has increased access for some, it has created a barrier for others—those who lack a stable internet connection, a private space to talk, or confidence using digital tools may feel excluded from this new model of care.

Finding a Balanced Approach

As therapists, we must remain mindful and adaptable. Technology should serve the client, not replace the essence of therapeutic connection. It’s crucial to assess each individual’s needs, preferences, and circumstances. Some clients may thrive with online therapy, while others will benefit more from traditional in-person sessions. Hybrid models may become the norm, allowing us to combine the best of both worlds.

Ongoing training, supervision, and ethical reflection are essential as we navigate this evolving landscape. Technology is not a panacea, but when used thoughtfully, it can be a powerful ally in our work to support healing, growth, and resilience.

In conclusion, technology in therapy is here to stay. As counsellors, our role is to harness its benefits while maintaining the core human elements that make therapy transformative. The screen may be a barrier—but it can also be a window. With care, we can ensure it remains open and effective.

Tools