In recent years, technology has become more pervasive, entering many fields, including, for our purposes, counseling. And for better or worse, it has provided innovative tools that enhance therapeutic experience and offer new, convenient, and accessible avenues for clients to access a variety of mental health supports. From telehealth sessions to digital resources and AI-driven interventions, the possibilities are vast and increasingly accessible.

The Importance of Technology in Counseling

In the wake of the COVID-19 pandemic, telehealth has emerged as a key instrument for the delivery of mental health services. It offers clients flexibility and accessibility, removing barriers such as geographic distance, transportation issues, or scheduling conflicts. Telehealth platforms allow for face-to-face interaction through video calls, creating a space for meaningful therapeutic engagement. This approach has been particularly beneficial for clients who feel more comfortable in their own homes or who may struggle with anxiety related to in-person meetings.

Email and secure messaging platforms provide an invaluable extension of the counseling relationship. Clients can now send a secure message through a client portal. These tools allow clients to reach out between sessions for support, clarification, or to share progress in a timely and secure manner. This continuous line of communication can help maintain therapeutic momentum and provide timely interventions when needed. However, it's crucial to establish clear boundaries and guidelines around digital communication to ensure both client and counselor well-being.

But the real big one, the humdinger, is artificial intelligence (AI). It is emerging as an asset in the therapeutic process. AI-driven tools can assist in creating personalized therapy homework assignments, offering clients tailored exercises that align with their treatment goals. For instance, AI can suggest cognitive-behavioral strategies, mindfulness exercises, or journaling prompts, providing clients with structured ways to work on their issues outside of sessions.

Moreover, AI can serve as a practice partner for clients working on interpersonal skills. For example, a client preparing to engage in conflict resolution with a spouse might use an AI-powered chatbot to role-play scenarios. This practice can help them build confidence and refine their communication strategies before addressing real-life conflicts. While AI cannot replicate the nuances of human interaction, it offers a safe and controlled environment for clients to experiment and learn.

So, yes, the possibilities might just be endless, but I would like to give you one, real-life, actual example of a client using technology for their benefit.

Technology as a Lifeline for Bipolar Disorder

One case involves a client of mine diagnosed with Bipolar 1 disorder, who used technology to build a support network. Recognizing the importance of communication and preparedness, she created a detailed Google Drive document outlining her mental illness. The document included descriptions of her symptoms, warning signs of a potential episode, and specific suggestions on how her friends and family could support her during difficult times. Additionally, she listed emergency contacts and step-by-step instructions for what to do in a crisis.

This proactive approach has had a hugely positive impact on her life. By sharing the document with her close friends, she empowered them to better understand her condition and respond effectively when needed. This not only provided her with a sense of security but also strengthened her relationships with her support network. The ease of access and the ability to update the document as her needs evolved demonstrated the power of technology in fostering a supportive and informed community around her.

I found this use of technology by my client helpful for a number of reasons. There’s a level of sober self-awareness that a person needs to have if they struggle with Bipolar 1. The nature of the disorder comes with manic highs where sometimes the trigger of an upswing can be identified or even anticipated. But this is not the case for everyone. Sometimes the upswing comes without warning and takes over someone’s life with destructive consequences. If that is the case for one of your clients, planning and brutal honesty is critical.

I am in the habit of saying to clients, “forewarned is forearmed” (I stole this from one of my graduate school professors). Meaning, I want clients to be honest with themselves about how powerful their symptoms can be, and how they are not always in full possession of their mental faculties during the onset of an episode. Therefore, it is imperative they plan for those times. And to primarily focus on preemptively equipping their support network with information and resources on how to support them when they struggle to care for themselves. This wisdom applies itself broadly to clients struggling with a variety of mental health disorders, not just Bipolar 1.

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There is wisdom in knowing your limitations and preparing for difficult moments. For clients who struggle with chronic, persistent, and severe mental health disorders, they absolutely need a strong support network. I strongly encourage my clients to think about the strength of their support network as a measure of their recovery, maintenance, or long-term wellness plan. And, thanks to technology, fostering and empowering that support network is easier than ever.

Questions for Reflection and Discussion

What challenges have you experienced bringing this level of technology into your practice?

What reservations do you have integrating AI into your clinical practice?

What techniques and methods would you like to learn moving forward?  

File under: Musings and Reflections, Therapy & Technology