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Beyond the Couch: AI in Psychology

Defining the Boundaries of AI in Mental Health with Dr. Shannon Wiltsey Stirman

26 min7 april 2026

In this episode of Beyond the Couch, Dr. Ernest Wayde interviews Dr. Shannon Wiltsey Stirman, a professor of Psychiatry and Behavioral Sciences at Stanford and co-director of the Center for Responsible and Effective AI Technology Enhancement for PTSD treatment (CREATE), discusses how large language models can support evidence-based mental health interventions, and can also be used to assist in training therapists through the use of simulated patients.

Dr. Wiltsey Stirman notes that while AI can be a powerful tool for tasks like clinical scribing and reflection, it should supplement rather than replace human therapists, especially regarding complex diagnoses and high-risk scenarios. She highlights the necessity of AI literacy, urging therapists and organizations to prioritize transparency, privacy, and responsible implementation.

Takeaways:

  • AI Should Supplement, Not Replace Human Therapists
  • Simulated Patients Offer Safe Practice for Clinicians
  • AI Diagnostics and High-Risk Treatment Require Firm Boundaries
  • Organizations Must Prioritize Transparency and Privacy
  • Therapists Need to Increase Their AI Literacy

Connect with Dr. Shannon Wiltsey Stirman

Email: [email protected]

LinkedIn: https://www.linkedin.com/in/shannon-wiltsey-stirman-3874056/

https://med.stanford.edu/fastlab.html

https://create.stanford.edu/contact

https://create.stanford.edu/contact

Connect With Us

https://www.waydeai.com/

https://www.facebook.com/waydeai

https://www.linkedin.com/company/wayde-ai/

[email protected]

Subcribe

https://the-waydeai-brief.beehiiv.com/

Chapters:

00:00 Intro

00:35 Welcome and Guest Intro

02:15 Dr. Shannon Wiltsey Stirman Origin Story

04:54 Realistic AI Capabilities in Therapy Today

07:00 Meaningful AI Implementation in Evidence-Based Care

09:34 What People Get Wrong About AI Tools

12:57 Boundaries Between AI and Human Therapists

15:46 Safe AI Boundaries for Therapists

19:01 Organizational Implementation and Transparency

21:27 The CREATE Center at Stanford

25:06 Closing Advice and Where to Find Her

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