ARTIFICIAL INTELLIGENCE IN MENTAL HEALTH PRACTICE: A SYSTEMATIC REVIEW OF APPLICATIONS AND RELATIONAL IMPLICATIONS

Authors

DOI:

https://doi.org/10.64451/ijees.v1i3.1.2025

Keywords:

artificial intelligence, mental health, therapeutic, empathy, professional roles

Abstract

This study presents a systematic literature review (SLR) following PRISMA guidelines to examine the integration of artificial intelligence (AI) in mental health practice, with a specific focus on its impact on therapeutic relationships, professional roles, and clients’ perceptions of empathy. A comprehensive search in Scopus using predefined keywords yielded 229 records, of which nine empirical studies met the eligibility criteria for synthesis. Findings reveal that AI applications, including empathic chatbots, therapists, client matching algorithms, machine learning–based telepsychotherapy, and digital monitoring tools, offer promising opportunities to expand access and provide emotional support. Evidence indicates that AI can convey signals of empathy and support therapeutic processes, yet its relational quality remains limited compared to human-mediated interactions. Professionals expressed ambivalence, viewing AI as both a facilitator of efficiency and a potential threat to autonomy and clinical integrity. From the client's perspective, AI systems were generally perceived as helpful and non-judgmental, though insufficient in managing complex cases such as suicide risk. Interpreted through the Technology Acceptance Model (TAM), adoption of AI is shaped by perceived usefulness and ease of use, underscoring the need for ethical safeguards, professional training, and responsible integration. Overall, AI should be positioned as a complementary tool that enhances rather than replaces human therapeutic practice.

References

Békés, V., Aafjes-van Doorn, K., Zilcha-Mano, S., Prout, T., & Hoffman, L. (2021). Psychotherapists’ acceptance of telepsychotherapy during the COVID-19 pandemic: A machine learning approach. Clinical Psychology and Psychotherapy, 28(6), 1403 – 1415. https://doi.org/10.1002/cpp.2682

Bond, R. R., Mulvenna, M. D., Potts, C., O’Neill, S., Ennis, E., & Torous, J. (2023). Digital transformation of mental health services. Npj Mental Health Research, 2(1), 1–9. https://doi.org/10.1038/s44184-023-00033-y

Boucher, E. M., Harake, N. R., Ward, H. E., Stoeckl, S. E., Vargas, J., Minkel, J., Parks, A. C., & Zilca, R. (2021). Artificially intelligent chatbots in digital mental health interventions: a review. Expert Review of Medical Devices, 18(sup1), 37–49. https://doi.org/10.1080/17434440.2021.2013200

Bourla, A., Mouchabac, S., Ogorzelec, L., Guinchard, C., & Ferreri, F. (2020). Nurse Education Today Are student nurses ready for new technologies in mental health ? Mixed- methods study. Nurse Education Today, 84(October 2019), 104240. https://doi.org/10.1016/j.nedt.2019.104240

Chung, H. K., & Jang, H. K. (2025). A Study on Digital Psychological Counseling System Utilizing Service Experience Design. Theological Research Institute of Sahmyook University.

Fitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017). Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): A randomized controlled trial. JMIR Mental Health, 4(2), 1–11. https://doi.org/10.2196/mental.7785

Galatzer-Levy, I. R., Aranovich, G. J., & Insel, T. R. (2023). Can Mental Health Care Become More Human by Becoming More Digital? Daedalus, 152(4), 228–244. https://doi.org/10.1162/daed_a_02040

Gennaro, M. De, Krumhuber, E. G., Lucas, G., & Willis, G. B. (2020). Effectiveness of an Empathic Chatbot in Combating Adverse Effects of Social Exclusion on Mood. Frontiers in Psychology, 10(January), 1–14. https://doi.org/10.3389/fpsyg.2019.03061

Harith, S., Backhaus, I., Mohbin, N., Ngo, H. T., & Khoo, S. (2022). Effectiveness of digital mental health interventions for university students: an umbrella review. In PeerJ (Vol. 10). PeerJ Inc. https://doi.org/10.7717/peerj.13111

Inkster, B., Sarda, S., & Subramanian, V. (2018). An empathy-driven, conversational artificial intelligence agent (Wysa) for digital mental well-being: Real-world data evaluation mixed-methods study. JMIR MHealth and UHealth, 6(11), 1–14. https://doi.org/10.2196/12106

Inzlicht, M., Cameron, C. D., D’Cruz, J., & Bloom, P. (2024). In praise of empathic AI. Trends in Cognitive Sciences, 28(2), 89–91.

Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019). Digital mental health interventions for depression, anxiety and enhancement of psychological well-being among college students: Systematic review. Journal of Medical Internet Research, 21(7). https://doi.org/10.2196/12869

Lehtimaki, S., Martic, J., Wahl, B., Foster, K. T., & Schwalbe, N. (2021). Evidence on Digital Mental Health Interventions for Adolescents and Young People : Systematic Overview Corresponding Author : JMIR Mental Health, 8. https://doi.org/10.2196/25847

Li, S., Peluso, A. M., & Duan, J. (2023). Why do we prefer humans to artificial intelligence in telemarketing? A mind perception explanation. Journal of Retailing and Consumer Services, 70. https://doi.org/10.1016/j.jretconser.2022.103139

Lopes, R. M., Silva, A. F., Rodrigues, A. C. A., & Melo, V. (2024). Chatbots for Well-Being: Exploring the Impact of Artificial Intelligence on Mood Enhancement and Mental Health. European Psychiatry, 67(S1), S550–S550. https://doi.org/10.1192/j.eurpsy.2024.1142

Manimozhiyan, N., Arulkumar, U., Ezhilan, D. P., & Kumar, R. V. (2025). AI Chatbot for Enhancing Mental Health. International Research Journal on Advanced Engineering Hub (IRJAEH), 03(April), 1900–1903.

Margherita, G., Caffieri, A., & De Maio, N. (2024). When the algorithm ‘matches’ us: The experiences of early-career psychologists on online platform services for psychotherapy and counselling in Italy. Counselling and Psychotherapy Research, 24(2), 666 – 680. https://doi.org/10.1002/capr.12704

Martinengo, L., Lum, E., & Car, J. (2022). Evaluation of chatbot-delivered interventions for self-management of depression: Content analysis. Journal of Affective Disorders, 319.

Meng, J., & Dai, Y. (2021). Emotional Support from AI Chatbots : Should a Supportive Partner Self-Disclose or Not ? Journal of Computer-Mediated Communication, 26(January), 207–222. https://doi.org/10.1093/jcmc/zmab005

Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022). Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. In JMIR Mental Health (Vol. 9, Issue 5). JMIR Publications Inc. https://doi.org/10.2196/35159

Ristianti, D. H., Syahindra, W., Jumansyah, J., Marlena, M., & Arip, M. A. S. B. M. (2025). Development of smart digital interactive service as a strategy for guidance and counseling services in higher education. Journal of Education and Health Promotion, April, 1–6. https://doi.org/10.4103/jehp.jehp

Sabella, R. A., Poynton, T. A., & Isaacs, M. L. (2010). School counselors perceived importance of counseling technology competencies. Computers in Human Behavior, 26(4), 609–617. https://doi.org/10.1016/j.chb.2009.12.014

Shahsavar, Y., & Choudhury, A. (2025). Effectiveness of evidence based mental health apps on user health outcome: A systematic literature review. PLoS ONE, 20(3 March). https://doi.org/10.1371/journal.pone.0319983

Torous, J., Myrick, K. J., Rauseo-Ricupero, N., & Firth, J. (2020). Digital mental health and COVID-19: Using technology today to accelerate the curve on access and quality tomorrow. JMIR Mental Health, 7(3), 1–6. https://doi.org/10.2196/18848

Yang, W., Fang, A., Shah, R. S., Mathur, Y., Yang, D., Zhu, H., & Kraut, R. (2024). What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-Being. Proceedings of the ACM on Human-Computer Interaction, 8(CSCW1). https://doi.org/10.1145/3641029

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2025-09-30

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ARTIFICIAL INTELLIGENCE IN MENTAL HEALTH PRACTICE: A SYSTEMATIC REVIEW OF APPLICATIONS AND RELATIONAL IMPLICATIONS. (2025). International Journal of Education and Economic Sciences , 1(3), 1-15. https://doi.org/10.64451/ijees.v1i3.1.2025

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