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ERP Therapy Sucks

taylor.town

1–10 of 59 posts

Re: ERP Therapy Sucks

#3
I was with it right down to near the bottom where the author suggests people try it out using an LLM. Hmm, LLMs fall for cargo cults and I'm not sure they are to be trusted with even the most trivial self-help.

Re: ERP Therapy Sucks

#5
I like how the author says that they only started a few weeks ago and (contrary to the title) find it good, actually, but has already amassed the requisite expertise to advise other people not to seek out therapy from human beings if they don’t get the result they want from a chat bot.

It is literally “My Mental Health is Improving Through Human Contact: Human Contact Might Not Be For You. The Only Way To Know Is By Asking The Computer”

It is kind of like “I started exercising with a trainer and I feel better and I’m losing weight, because of this I suggest you take up smoking and based on that decide whether or not you want to exercise”. Like the advice is simultaneously almost completely unrelated to their experience and also the exact opposite of their experience.

I cannot wait to hear more well-thought-out advice from the author of “God created men; Sam Altman made them equal”

Re: ERP Therapy Sucks

#6

I was with it right down to near the bottom where the author suggests people try it out using an LLM. Hmm, LLMs fall for cargo cults and I'm not sure they are to be trusted with even the most trivial self-help.

Yes I'm really not sure obsessive patterns of behaviour will be helped by an unqualified stochastic parrot giving you advice. Unfortunately, when treatment for conditions in some countries costs you an arm and a leg people will resort to quackery. But even in countries where it doesn't, the waiting list for therapy can be so long that you could be waiting years if your case isn't somehow life threatening or profoundly limiting you won't be a high priority.

Re: ERP Therapy Sucks

#7
post #2

> Luckily, LLMs significantly reduce the effort/cost of therapy experiments. The day just started and I'm already done with it.

That feeling when you have filtered out Hackernews LLM articles via UBlock Origin, and you still get clickbaited into reading a content-free article suggesting LLMs for therapy. Shit sucks.

Re: ERP Therapy Sucks

#8
There’s a coaching diagram which goes like this:

- I want to do a thing.

- Do the thing.

- but I’m scared

- Do it scared.

Re: ERP Therapy Sucks

#9
post #2

> Luckily, LLMs significantly reduce the effort/cost of therapy experiments. The day just started and I'm already done with it.

We were on another thread where the study was saying LLMs being used as psychiatrists is bad.

Then another hnuser chimed that he ran a support forum for people. Said, these aren't the real problem. The real problem are the "AI girlfriends". They go off the rails completely and tell people to unhinged things. Apparently his forum already lost a few members to who knows what because of these things.

That surprised me a lot.

Re: ERP Therapy Sucks

#10
If you're interested in this topic, I very warmly recommend the book You're not a rock by Mark Freeman. There are also episodes of podcasts around with interesting interventions from him.

The way I usually pitch the book is that Mark is not an MD, or a scientific expert on the topic, but he is a patient who's been through it, is very interested, and explains to you how it worked for him, and what he knows about the topic like a friend would. There are some mistakes, some things are a bit awkwardly explain, but the book is overall a tremendous read for anyone interested in anything dealing with anxiety, ocd, or more generally a mind too keen on spinning in a wheel.

https://www.markfreeman.ca/books/

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