When AI Grades AI, the Safety Problems Disappear
100 mental health professionals graded LLM answers to real patient questions. AI judges systematically overrated them and missed safety problems experts caught.
Jul 26, 2026 Matthew Sexton, LCSW
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Tag · AI in mental health
All ai in mental health posts.
Sorted newest first. Each post links primary sources and methodology.
Shareholder-Run vs. Clinician-Led Mental Health AI
LifeStance Health told shareholders it delivered 2.3 million visits, up 17%, on 11% clinician growth (November 6, 2025). That is the shareholder-run model in its own words. No published study compares clinician-led mental health tools against investor-owned ones on care outcomes, and that absence is the story.
Jul 25, 2026 Matthew Sexton, LCSW
AI Documentation Errors: The Mental Health Evidence Gap
Across 20,302 notes, AI-scribed visits logged more psychiatric symptoms but fewer depression diagnoses — 9% versus 12%. Human scribes showed no such effect.
Jul 25, 2026 Matthew Sexton, LCSW
AI vs. the Vendor Tax on a Solo Therapy Practice
By my math a solo practice pays $8,000 to $32,000 in year one for a website, marketing, and admin. AI collapses most of that into a few subscriptions, itemized here.
Jul 18, 2026 Matthew Sexton, LCSW
How I Use AI to Run My Therapy Practice's Back Office
58% of small businesses used generative AI in 2025, up from 40% a year earlier. Here is how a solo therapist runs the whole business side, website to video, with AI.
Jul 18, 2026 Matthew Sexton, LCSW
Mental Health Data Ownership: Who Should Own Your Therapy Data?
States screened 793 AI health bills; only 28 mentioned mental health, and none protect your therapy transcripts. Here is who owns your data today, and who should.
Jul 06, 2026 Matthew Sexton, LCSW
AI Mental Health Scribe Governance: Who Built It Is
Just 25.4% of patients will share health data with for-profit companies, versus 80.2% with research groups. The real fight is who governs the AI scribe.
Jul 06, 2026 Matthew Sexton, LCSW
AI Therapy State Law Draws the Line in 2026
In 2025, 47 states introduced 250+ healthcare-AI bills — Illinois, Nevada, and Maine turned theirs into law: AI can do the paperwork, a licensed human owns the care.
Jun 26, 2026 Matthew Sexton, LCSW
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