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My sense from the article is that the author likes psychoanalysis a lot more than CBT and underestimates the possibility that a lot of people can derive substan
by mycologos 6y ago
My sense from the article is that the author likes psychoanalysis a lot more than CBT and underestimates the possibility that a lot of people can derive substantial psychological benefit from what look like pretty simple, algorithmic-looking interventions. The early potshot at CBT for (gasp) attempting to quantify and study whether it actually provides a return on all the time it consumes is...silly?
The apps are definitely having scaling issues, and I think asynchronous text message therapy is much worse than video chat therapy, which is a bit worse than in-person therapy. But as the article itself admits, accessibility issues are much worse for in-person therapy. About a year ago, I had several weekly 1-hour video chat sessions with a therapist (I think "coach" was the actual word) through one of these services, and I got a lot of value out of it. Not everything needs to be long-form intensive analysis. I hope this space keeps growing.