In this episode of Beyond the Couch, Dr. Ernest Wayde interviews Dr. Philip Held, a clinical psychologist and researcher focused on improving PTSD treatment outcomes through AI and accelerated therapy models. The conversation explores how Dr. Held’s team developed “Socrates 2.0,” a multi-agent AI system designed to support cognitive restructuring through Socratic dialogue alongside evidence-based therapy.

Dr. Held explains how the system uses multiple AI agents to supervise and improve therapeutic conversations in real time, reducing looping behaviors and improving the quality of AI-assisted interactions. The discussion highlights how veterans are using AI as a practice space before therapy sessions, how clinicians are beginning to use these tools for supervision and training, and why validation, safety testing, and clear guardrails are critical as AI becomes more integrated into mental health care.

The episode also explores the future of AI-assisted clinician training, ethical considerations around validation standards, and why curiosity and responsible experimentation are essential as psychology adapts to rapidly advancing technologies.

Takeaways:

• Multi-Agent AI Can Improve the Quality of Therapeutic Conversations.
• AI Tools Can Help Veterans Practice Difficult Conversations Before Therapy Sessions.
• Validation, Safety Testing, and Guardrails Are Essential for Mental Health AI Tools.
• AI Is Best Used as a Support Tool Rather Than a Replacement for Clinicians.
• Clinicians Are Beginning to Use AI for Supervision, Roleplay, and Skill Development.

Connect with Dr. Philip Held

LinkedIn: https://www.linkedin.com/in/philip-held-phd/

Website: https://roadhomeprogram.org/

Connect With Us

https://www.waydeai.com/

https://www.facebook.com/waydeai

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

info@waydeai.com

Subcribe

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

Chapters:

00:00 - Intro

02:24 - Dr. Philip Held’s journey into AI and psychology

05:58 - How Socratic dialogue works inside the AI tool

08:24 - Multi-agent AI supervision inspired by clinical training

10:05 - What success looks like for Socrates 2.0

11:30 - The challenge of measuring “good enough” in AI therapy

14:48 - How AI is changing traditional therapy methods

17:00 - How veterans responded to using the AI tool

19:33 - Why validating AI mental health tools matters

23:02 - What responsibilities still belong to clinicians

25:40 - Clinicians’ reactions to AI-assisted therapy tools

27:33 - Future AI applications for clinician training and supervision

30:28 - The need for AI benchmarks, boundaries, and guardrails

34:36 - What “validation” really means in AI mental health

35:45 - Dr. Philip Held’s advice on staying curious about AI

In this episode of Beyond the Couch, Dr. Ernest Wayde interviews Dr. Rachel Wood, a cyber psychology researcher, licensed professional counselor, and founder of the AI Mental Health Collective. The discussion explores how artificial intelligence is shifting the relational bedrock of society, noting that clients are increasingly bringing AI into their therapy sessions for advice, comfort, and validation.

Dr. Wood emphasizes that as AI usage becomes more common, therapists should prioritize clinician competence and practice informed consent. She advocates for a cross-disciplinary approach, urging mental health practitioners to collaborate with AI builders to establish safeguards, raise user awareness, and ensure the responsible development of these technologies.

Takeaways:

• AI Is Shifting Client Expectations and Relational Dynamics in Therapy.
• Clinicians Must Prioritize Informed Consent and Their Own AI Competence.
• Clients Often Turn to Chatbots Seeking Validation and Frictionless Interactions.
• Clinical Judgment and Patient Safety Must Always Supersede Any AI Usage.
• Mental Health Professionals Must Claim a Voice at the Table During AI Development.

Connect with Dr. Rachel Wood

LinkedIn: https://www.linkedin.com/in/rachelwoodphd/

Website: https://www.dr-rachelwood.com/

Website: https://www.aimentalhealthcollective.com/

Connect With Us

https://www.waydeai.com/

https://www.facebook.com/waydeai

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

info@waydeai.com

Subcribe

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

Chapters:

00:00 Intro

00:31 Welcome and Guest Intro

02:04 Dr. Rachel Wood Origin Story

04:01 How AI Impacts Therapy and Client Usage

05:36 Clinician Competence and Informed Consent

07:10 Shifting Expectations and AI Triangulation

09:58 What Clients Get from AI Chatbots

11:24 Clinical Judgment and Attachment Theory

15:24 Practitioner Boundaries and Accountability

18:21 The AI Mental Health Collective

21:20 Responsible AI Integration

23:07 Closing Advice and Where to Find Her

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: sws1@stanford.edu

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/

info@waydeai.com

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