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The Risks and Potential of Large Language Models in Mental Health Care

2025· article· W4416928964 on OpenAlexaff
Yichen Wang

Bibliographic record

Venue(Un)Disturbed A Journal of Feminist Voices · 2025
Typearticle
Language
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsUniversity of Waterloo
Fundersnot available
KeywordsHarmMental healthSet (abstract data type)Health carePower (physics)Mental health careFeminism

Abstract

fetched live from OpenAlex

ChatGPT and other large language model (LLM) based chatbots have amassed millions of users in the past few years, prompting great interest in other LLM applications. In particular, there has been substantial research into the potential use of LLMs in mental health settings (Muetenda et al. 2025; Olawade et al. 2024). However, given that artificial intelligence (AI) has been found to demonstrate gender and racial biases (among other types) (Klein and D’Ignazio 2024), it is important to examine the ethical implications of such technologies. In this essay, I will examine the use of LLMs in therapeutic contexts through the lens of data feminism in AI (Klein and D’Ignazio 2024), a set of intersectional feminist principles introduced by Klein and D’Ignazio to challenge the power imbalances in data science and AI by exploring potential risks and offering suggestions to avoid them. It is important to note that the intersectional feminist lens is far from exhaustive; thus, future work should examine the use of LLMs in mental health care from other perspectives as well to prevent harm and ensure that the benefits of technological developments are spread equitably. I can easily imagine a future where LLMs are used to make mental health care more accessible and effective for everyone; I can just as easily imagine a future where they are weaponized to further subjugate disenfranchised communities. How do we steer towards the future we want? In this essay I hope to start exploring the answer to this question.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.634
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.020
GPT teacher head0.392
Teacher spread0.372 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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Same venue(Un)Disturbed A Journal of Feminist VoicesSame topicDigital Mental Health InterventionsFrench-language works237,207