September is recognised in South Africa as Suicide Awareness Month, drawing attention to the country’s growing mental health challenges. Access to professional help is limited, waiting lists can stretch for months, and private therapy remains unaffordable for many. In this gap, artificial intelligence has begun to step in, offering new ways for people to manage their emotional wellbeing.
AI-based support comes in different forms. Some people rely on generative AI platforms for stress management tips. Others use specialised apps such as Woebot or Wysa, designed to deliver cognitive behavioural therapy techniques. There are also character-driven AIs that simulate friendship or intimacy, creating digital companions. According to a Dartmouth study, these tools can reduce anxiety and depression symptoms for a short time, but the benefits often fade if not paired with ongoing professional care.
Why are people embracing AI? According to the University of the Western Cape, chatbots have already been tested for early mental health check-ins. They are accessible around the clock, more affordable than therapy, and provide anonymity for those who fear judgment. They also offer consistency, without cancellations or delays.
Still, the risks are significant. AI can produce misinformation with confidence, sometimes recommending harmful ideas. According to neuroscientist Caleb Sponheim, these systems can also mirror user behaviour rather than challenge negative thought patterns. Many individuals report forming strong emotional bonds with AI companions, blurring the line between tool and relationship. Privacy is another concern, since most platforms are not bound by the confidentiality laws that protect patients in therapy. Most critically, AI is not equipped to handle crises such as suicidal thoughts.
To use AI safely in mental health support, it is important to treat it as an aid, not a replacement. AI can be helpful before therapy sessions for organising thoughts or setting goals. Between sessions, it can provide journal prompts, relaxation exercises, or strategies for managing stress. After sessions, it can assist with reflection, mood tracking, or reinforcing coping skills—but all insights should be checked with a qualified professional.
Five safe-use guidelines:
• Combine AI with professional therapy whenever possible.
• Do not use AI during a crisis—call the SADAG Suicide Crisis Line (0800 567 567 / 0800 456 789).
• Understand what data apps collect before sharing.
• Watch out for unsafe or misleading advice.
• Remember: AI is a tool, not a friend, doctor, or therapist.
AI-based support comes in different forms. Some people rely on generative AI platforms for stress management tips. Others use specialised apps such as Woebot or Wysa, designed to deliver cognitive behavioural therapy techniques. There are also character-driven AIs that simulate friendship or intimacy, creating digital companions. According to a Dartmouth study, these tools can reduce anxiety and depression symptoms for a short time, but the benefits often fade if not paired with ongoing professional care.
Why are people embracing AI? According to the University of the Western Cape, chatbots have already been tested for early mental health check-ins. They are accessible around the clock, more affordable than therapy, and provide anonymity for those who fear judgment. They also offer consistency, without cancellations or delays.
Still, the risks are significant. AI can produce misinformation with confidence, sometimes recommending harmful ideas. According to neuroscientist Caleb Sponheim, these systems can also mirror user behaviour rather than challenge negative thought patterns. Many individuals report forming strong emotional bonds with AI companions, blurring the line between tool and relationship. Privacy is another concern, since most platforms are not bound by the confidentiality laws that protect patients in therapy. Most critically, AI is not equipped to handle crises such as suicidal thoughts.
To use AI safely in mental health support, it is important to treat it as an aid, not a replacement. AI can be helpful before therapy sessions for organising thoughts or setting goals. Between sessions, it can provide journal prompts, relaxation exercises, or strategies for managing stress. After sessions, it can assist with reflection, mood tracking, or reinforcing coping skills—but all insights should be checked with a qualified professional.
Five safe-use guidelines:
• Combine AI with professional therapy whenever possible.
• Do not use AI during a crisis—call the SADAG Suicide Crisis Line (0800 567 567 / 0800 456 789).
• Understand what data apps collect before sharing.
• Watch out for unsafe or misleading advice.
• Remember: AI is a tool, not a friend, doctor, or therapist.
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From the Medical Directory library. For advice about your own health, speak to your healthcare professional.
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