[HN Gopher] Are mental health apps better or worse at privacy in...
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Are mental health apps better or worse at privacy in 2023?
Author : light94
Score : 133 points
Date : 2023-05-02 11:56 UTC (11 hours ago)
(HTM) web link (foundation.mozilla.org)
(TXT) w3m dump (foundation.mozilla.org)
| sundarurfriend wrote:
| > Betterhelp has a $7.8 million dollar judgment issue against
| them by the US regulatory agency the FTC for promising not to
| share sensitive mental health information for advertising and
| then turning around and doing just that.
|
| I always wonder how things like this interact with sponsorship -
| I hear a _lot_ of podcasts that have Betterhelp ads in them. I
| wonder whether, if they knew about such issues, that would affect
| their decision to take the sponsorship and promote them. Even if
| not in a binary "that's a non-starter" way, does it make people
| less inclined to take them on, and more open to other sponsors?
| Or do people not pay attention to their sponsors at all?
| paulryanrogers wrote:
| Podcasts I listen to often feel pretty disconnected from the
| ads. Some do auto injection and may not know all (or any) of
| the ads that any given user hears. And folks cannot be experts
| in everything.
|
| TWIT network does appear to try to vet their ads, even
| criticizing former sponsors for lax security once things come
| to light. Yet even they still promote Molecule and other
| pseudo-sci junk.
|
| On the whole I think the best are listener supported shows. But
| I'm biased as I now work for a company that helps podcasters
| sell ad-free and premium access.
| picometer wrote:
| The Skeptics' Guide to the Universe podcast dropped BetterHelp
| as an ad sponsor immediately after hearing about this mess. So
| there are some out there who care. It certainly increases my
| (already high) trust in their podcast operations.
| 6_6_6 wrote:
| [flagged]
| jacquesm wrote:
| Beware of health care apps that masquerade as something else just
| to sidestep regulation. If it provides health care services or
| aims to perform some kind of medical function then by definition
| it is a health care service and it ought to be regulated as such.
| If it isn't that's usually for a good reason, for instance
| because the purveyors of the service do not expect that they will
| be able to pass compliance review.
| jnovek wrote:
| Compliance review? Like HIPAA? Or are you referring to FDA
| approval?
|
| As someone with a chronic medical condition, my experience is
| that software approved by the FDA are often prohibitively
| expensive (they are considered medical devices) and not covered
| by insurance.
| jacquesm wrote:
| The key indeed is that they can be considered medical
| devices, and medical devices are a regulated class of devices
| (depending on where you live these can have all kinds of
| compliance requirements imposed on them). Compliance is
| expensive, difficult and tends to constrain what you can do
| with your data. So companies that want to side-step
| compliance will work hard to avoid being labeled a medical
| device. Whether your insurance covers the costs or not is yet
| another aspect, typically if your insurance company isn't
| going to reimburse you for an app that is classed as a
| medical device they _definitely_ aren 't going to reimburse
| you for other kinds of apps that are not approved.
|
| Note that not all software only applications in the medical
| domain are immediately considered medical devices, the line
| is a pretty fine one. If you plan on putting out an app that
| has medical implications you should research this properly to
| avoid running afoul of the regulators (which isn't a very
| good way to start your relationship).
| jnovek wrote:
| > if your insurance company isn't going to reimburse you
| for an app that is classed as a medical device they
| definitely aren't going to reimburse you for other kinds of
| apps that are not approved.
|
| Insurance companies are loathe to cover even FDA approved
| _physical_ devices. Insurance is enthusiastic to classify
| such things -- even treatments that are decades old -- as
| experimental. The only devices that are a shoe-in are
| things with widespread adoption like CPAP or pacemakers. If
| your condition is uncommon, you'll be paying out of pocket.
|
| That wipes FDA approved apps off the map for most of us.
| Meanwhile, the app store is full of apps the claim to
| provide relief for various conditions for just $14.99/mo.
| Some of them are even actually effective.
|
| I'm definitely not arguing that this state of affairs is a
| good thing, but it is pragmatic reality for those of us
| with chronic conditions. Unless we have truly fantastic
| insurance or loads of income (things that are often
| mutually exclusive with chronic conditions), we are priced
| out of the tools that are most trustworthy.
| jacquesm wrote:
| This is a failure of health care systems. The degree to
| which healthcare has been made into a differentiating
| factor between the haves and have nots is astounding (to
| me, at least). You'd think the first thing a developed
| country would do is to ensure that healthcare was
| universal and completely free, instead it is used as a
| source of income because health is 'priceless'. It
| bothers me tremendously but I don't see what I could
| realistically do about it.
| photochemsyn wrote:
| Very true. Most people wouldn't use an app they downloaded to
| their device to help them manage health conditions related to
| cancer, heart disease, or infectious disease. They'd almost
| certainly want private confidential consultations with a real
| doctor (although quite a few doctors have served as little more
| than salespeople for the pharmaceutical opiate manufactures).
| jermaustin1 wrote:
| My wife is a psychotherapist, and I go to therapy, and so does
| she (on top of paid supervision and support).
|
| It is the sad state of insurance and mental health coverage in
| the US that is driving users to these apps that have no/little
| proven benefit. Then the high cost of education has made it
| practically impossible to provide low/no cost mental health
| services.
|
| My wife's internship was at a place where she had 8+ sessions per
| day, they had a dozen or so unpaid interns still in school
| (usually second year of masters program) providing mental health
| services for low-income medicaid patients. And that leads to very
| quick burn out, and doesn't compensate fairly (or at all,
| actually) while accruing massive amounts of student debt.
|
| There are federal programs that if you make it 10 years in
| community mental health paying your student loans at a lower
| rate, your loans are discharged, but it takes a very special
| person to survive 40+ hours per week of sessions, taking in and
| holding other people's mental health, and then add another 10+
| hours of notes/insurance/treatment plans.
| ChrisMarshallNY wrote:
| I have family that is quite severly mentally ill.
|
| They are on SSI and Medic[are|aid] (not sure which).
|
| The nice thing about their insurance, is that it covers 100% of
| their mental health care needs.
|
| I am not aware of any private insurance that even comes close.
| The most I've seen, is a limited run of social worker
| appointments. No inpatient, heavy co-pays, etc.
|
| Mental health is _not_ a priority, in the US. We spend a lot
| more effort and money, ensuring that mentally ill people have
| access to weapons, than to care.
| [deleted]
| gs17 wrote:
| > They are on SSI and Medic[are|aid] (not sure which).
|
| The mnemonic I heard from Planet Money was "grey hair?
| Medicare. Underpaid? Medicaid." Although Medicare will also
| apply to people under 65 with some conditions.
| akiselev wrote:
| In school we were taught "we _care_ for the elderly, we
| _aid_ the less fortunate " but that doesn't rhyme :-(
| warent wrote:
| [flagged]
| funnym0nk3y wrote:
| So it's the state of mental health coverage in Germany too.
| It's bad. Although therapy is paid for by the mandatory health
| insurance, there are multiple issues: Wait times of months up
| to three quarters of a year for a place in hospital, similar
| wait periods for outpatient care. A lot of therapists won't put
| you on a waitlist anymore. Federal insurance won't issue more
| permits for therapist so it's a constant fight for already
| exhausted patients to find someone (not counting in of they get
| along). On top, there is more and more pressure to keep mental
| health costs down by limiting time for inpatient care, by
| limiting (or severely hinder any extension) the amount of hours
| and so on.
| vorpalhex wrote:
| 1. Apps seem to be a useful tool. They help a lot of people who
| either won't use or are not helped by traditional therapy.
| Think of them like workbooks - they're an alternative that may
| be better for some.
|
| 2. There is no country as far as I'm aware that can meet the
| demand for mental health services, from the most socialized to
| the most open market. None. Therapists are always full, most
| people don't want to be therapists, and the demand for them is
| super high.
|
| I have no idea how to solve this. A lot of therapists also tend
| to stop being therapists pretty early in their career or
| radically reduce how many patients they see. Basically it just
| sucks to be a therapist no matter how much we pay and we can't
| make it better.
| LocalH wrote:
| If you look around in the world, you see all these little
| pockets of bullshit, where those in power and control see the
| system as a way to _screw over_ and _steal_ from the individual
| who 's just trying to live their life.
|
| It's the mentality that making as much money as possible is
| _the sole reason we exist_. Paying interns nothing because
| "they're in school, learning" is no different than saying you
| don't want to pay college athletes because "they're supposed to
| be in school". Nah, you just want free work from people who
| you've led to believe that the way to grow in their life is to
| give you that free work.
|
| Pay your workers, whether they're students or not. Stop working
| for free.
| davely wrote:
| After struggling for years, I finally found someone through
| Kaiser (my insurance company for those outside of west coast
| USA), and they were absolutely phenomenal.
|
| By some sort of fortunate occurrence, I started talking to them
| about 3 weeks before the COVID lockdowns. I don't know how I
| would have survived if not for him.
|
| Sadly, due to how Kaiser treats their mental health staff, they
| decided to move on (and leave practicing therapy). Since he was
| moving on, Kaiser booted me out of their services since I
| wasn't a case that necessitated emergency treatment (they are
| right, but I still needed to _talk to someone_).
|
| It's led me down a rabbit hole of trying to find various
| therapists. Most in this area are at capacity (naturally,
| everyone needs a therapist right now) or won't accept the third
| party service Kaiser partners through.
|
| I ended up doing Betterhelp for a bit and that was such a mixed
| experience. Therapists that are overbooked and just grinding
| (one told me they have 70 clients a week! Uh, what?!) and the
| support was just so sub-par.
|
| Specifically due to privacy concerns (and I think it's only a
| matter of time before these services have some sort of data
| breach), I registered with a throw away email, truncated my
| name, and generally just tried to provide very little
| identifying info.
|
| (I guess they have my credit card details. Oh, well)
| photochemsyn wrote:
| A good example of social dystopia would be a situation in a
| country where economic stress is driving depression and anxiety
| and suicidal ideation and the solution proferred is to install an
| app on your phone that sends you 'positive messages' and directs
| you to spend what little money you have on drugs that make you
| feel better. A good analysis of this situation is here:
|
| https://www.nytimes.com/2022/09/20/opinion/us-mental-health-...
|
| > "That the status quo is once again benefiting the usual
| suspects is all too obvious in the booming market of venture-
| capital-backed mental health tech start-ups that promise to solve
| the crisis through a gig economy model for psychiatric care -- a
| model that has been criticized for selling psychiatric medication
| irresponsibly, with little accountability..."
|
| > "And yet when the plan addresses suicide, it focuses on crisis
| intervention -- as if suicide were a kind of unfortunate natural
| occurrence, like lightning strikes, rather than an expression of
| the fact that growing numbers of people are becoming convinced
| that the current state of affairs gives them no reason to hope
| for a life they'd want to live..."
|
| P.S. Another good read:
|
| https://en.wikipedia.org/wiki/Political_abuse_of_psychiatry_...
|
| Historical societal failures in the Soviet Union have many
| interesting similarities to current societal failures in the
| United States.
| mtlmtlmtlmtl wrote:
| Honestly if I was having one of my bad depressive episodes, and
| someone told me to download a fucking app that's supposed to
| help me by pandering to me, or I'm supposed to do therapy with
| a fucking experimental language model. It might depress me so
| much I'd finally have the motivation to end it.
|
| Because yeah, that's dystopian as hell, not to mention
| dehumanising.
| adamwong246 wrote:
| The idea we can treat mental health through yet an another
| skinner box is a horrifying unfunny joke. Mental health
| problems are literally caused by screen addiction and social
| atomization. The solution is to put the phone down!
| kayodelycaon wrote:
| Other way around, screen addiction and social atomization
| can and does cause mental health problems and make existing
| mental health problems worse.
|
| There are also a lot of mental health problems not caused
| by these things. :)
| vjk800 wrote:
| To be fair, regular therapy is also slightly dehumanising and
| dystopian. Not too long ago we had cultural constructions to
| prevent the issues we are now solving with therapy. Do you
| lack social context, close relationships and meaningful
| interactions with other people? Wait until you go nuts and
| then pay 100 euros a session to a stranger to help you deal
| with it.
|
| And I speak from experience after going to therapy for my
| anxiety. I guess it sort of helped, but also I could very
| easily imagine a world where the whole problem wouldn't have
| existed in the first place - it's just not the world that we
| live in.
| fowtowmowcow wrote:
| American here.
|
| Visited a psych ward once (because suicidal idealization
| was happening and I wanted/asked for help for the first
| time in my life).
|
| Well if my experience in one of those facilities is not an
| uncommon one, then they are horrifyingly dehumanizing and
| actually cause harm to other people (this is what I
| observed).
|
| A big problem in facilities is that the information they
| receive will determine more of what they will do/prescribe
| than what the patient is actually asking for.
|
| I watched transgendered patients be purposely miss gendered
| by staff. Countless other patients being otherwise ignored
| or treated like anything they have to say doesn't matter
| because of where they are or the diagnosis that they have.
|
| For myself I was told I was schizophrenic and prescribe
| meds with terrible side effects because my parents told
| that to the admit facility. No treatment for depression and
| anxiety was really given (which is what I was saying I
| wanted), I was ignored by the therapist and social worker
| assigned to me, and the contact that I wished to hear from
| was conveniently removed from my file.
|
| Therapists and support staff in the public sector outside
| of a mental hospital are grossly underpaid, thus only the
| inexperienced and inept (with a few people that care too
| much for their own good) are the ones likely to be working
| in Federally funded health centers.
|
| Mental Healthcare is a abysmal joke in the United States.
| Suicide is very easily a valid and top choice here.
| kayodelycaon wrote:
| It really depends why you're going to therapy. For myself,
| I went into it with very specific goals. I wanted to learn
| how to properly manage bipolar disorder. That's not
| something any of my friends could have helped with. None of
| them had heard of cognitive behavioral therapy before. (And
| I had done a half-assed job of reinventing the concept.)
|
| For me, therapy was very similar to private tutoring
| sessions. I did almost all of the work. Took about a year
| to nail down all of the corners. Haven't had to go back
| since.
|
| In an ideal world, therapists should be no different from
| personal trainers. No one really questions having someone
| help you learn how to exercise. Learning how to handle your
| mental hardware should be the same way.
|
| Granted, we're living in a Sci-Fi dystopia. We're have a
| lot less problems if we didn't.
|
| Therapy is a very poor replacement for having a good social
| support system. But for some things, it's a resource your
| usual support system is unlikely to have.
| popotamonga wrote:
| Why can't an app be a certified medical device? I'm
| actually working on one and close to getting certification
| as a medical device, which will then be rolled out by
| hospitals etc.
|
| Feedback from user testing has been great, patients loved
| it generally.
| hammyhavoc wrote:
| Are you asking why it can't or why it _shouldn 't_?
| Because it can be classified as such, as you're
| experiencing first-hand.
| Apocryphon wrote:
| _Bowling Alone_ came out in 2000 and it's about trends
| that's happened since the '50s. It's arguable that said
| cultural constructions have been disappearing for a while.
| 1attice wrote:
| I always see "this is nothing new" used as a sort of
| psychological defense against dismay.
|
| Concerned about the latest reports on ocean warming?
| Well, climate change has been happening for a while!
|
| Concerned about the AI-fuelled destruction of art and
| writing as middle-class careers? Don't worry, artists
| have been poor for quite a while!
|
| It's possible (and, indeed, _likely_ ) that:
|
| - Things have gotten progressively worse
|
| - There is a tipping point, after which the system will
| undergo a phase change; i.e. the difference between
| making rent and not making rent
|
| - We are now much closer to that point than we were
|
| Expected response is, "oh fsck, that makes the current
| situation even worse, I should definitely care about it!"
| Response I see instead is, "well that's old news."
|
| (So, call this the Old News Defense.)
|
| What is fascinating to me is the frequency with which
| this defense is thrown up. I'm pretty sure that if we got
| hit by an asteroid, someone would be commenting, "don't
| worry, we've been getting hit with asteroids since
| Chicxulub, stop being alarmist"
| AlchemistCamp wrote:
| > _I always see "this is nothing new" used as a sort of
| psychological defense against dismay._
|
| It's probably worth examining where this reflexive
| response comes from. The person you're replying to didn't
| defend anything. The comment was just that the trend
| predates the past couple of decades.
| 1attice wrote:
| In context, I interpret GP as implying that things have
| been bad for a while -- a sort of deflationary position
| that is popular on HN when something Big is happening.
|
| If that's not what's going on here, I apologize -- but
| yes, it's a strong HN tendency. It's a sort of machismo
| stance that derides alarm as alarmism, and it's quite
| popular here. Cf. HN comments on pretty much any article
| on AI from the past three months.
| mtlmtlmtlmtl wrote:
| I think it's unfair you're being downvoted for sharing your
| experience.
|
| Definitely agree that human therapists aren't perfect
| either. I never had much success with therapy personally.
| I've had to basically figure it all out myself. But I have
| occasionally had some really good therapy sessions.
|
| But ok, at least with a therapist, another human being
| cares enough to want to help, and that can make a
| difference.
|
| Tell a heavily depressed person to use a chat bot, and
| you're implicitly telling them they're so worthless that
| they're not even worth another human having a conversation
| with them. You might not mean that, but that is what the
| depressed mind will read into it.
| Gare wrote:
| > But ok, at least with a therapist, another human being
| cares enough to want to help, and that can make a
| difference.
|
| Usually there's money involved, no?
| ambicapter wrote:
| No one's forcing them to take that job so on some level,
| yes, they do want to be there.
| mtlmtlmtlmtl wrote:
| Of course, but just because you're getting paid doesn't
| mean you don't care. They might seem cold because they
| have to practice a certain level of detachment. But most
| therapists do care about their patients, that's why they
| became therapists in the first place.
|
| Also, therapists usually have long referral lists, so
| they still have to decide that you're worth their time
| and that they believe they can help you.
| vjk800 wrote:
| > But ok, at least with a therapist, another human being
| cares enough to want to help, and that can make a
| difference.
|
| That's sort of my point. They don't actually care, they
| help you because you pay them. I don't know if it's how I
| grew up or what, but this is somehow off-putting to me. I
| mean, I'm not against paying for services in general, but
| the sort of human interaction that therapy provides seems
| me like something that we should be able to get without
| money.
| waboremo wrote:
| It would be great if therapy was provided under universal
| healthcare!
|
| But I would argue against the "don't actually care"
| angle. They do, they would not have devoted years of
| their life to a quite miserable role if they didn't care
| about helping people. Their expertise matters, just like
| any other role in life, and it's what you're paying for.
| 7952 wrote:
| This will start to happen in business. The company I work for
| has high levels of stress. We now have lots of HR people
| sending messages about mental health. Endless messages about
| mindfulness, yoga, a monthly happy thoughts diary etc. At no
| point does anyone acknowledge that maybe working conditions are
| part of the problem. Or that the business has any culpability
| for stress. It is just another growth vector for charlatans. A
| corporate branded wellbeing app is the next logical step.
| thenerdhead wrote:
| This goes back even further. Humans have always desired a new
| medication or technical invention to resolve the woe in their
| souls.
| jiggywiggy wrote:
| Therapy is part of the problem. Often things that people think
| should be solved by talking to therapist should actually be
| solved by family, friends and mentors.
|
| We try to profesionalize big parts of heathy communities and
| families so we don't have to deal with its downsides.
| waboremo wrote:
| You realize a lot of the reason why people are in therapy is
| because of family, friends, and mentors? Like it's not a lack
| of initiative, or a lack of communicating; it's being shamed
| by your own family, being manipulated by friends, etc. So
| many of these problems stem because humans are fucking
| complicated (and sometimes cruel) as hell.
|
| So no, therapy is not part of the problem. Just because in
| your hypothetical scenario therapy has now been spread across
| multiple roles instead of a dedicated one, doesn't mean it
| ceases to exist - you are now expecting your family, friends,
| mentors, etc. to act as your therapist at will.
|
| Unless you assume people are in therapy just because they get
| annoyed at how their lover eats breakfast, or whatever
| superficial aspect that could easily be solved with some
| chat. I don't know many people paying the cost of therapy for
| superficial problems like that but hey maybe in your
| community they do!
| YellOh wrote:
| No need to strawman. I think jiggywiggy is just pointing at
| the mental health issues demonstrably linked to atomization
| and loss of community in the modern world. As a starting
| point, consider the growing share of people who describe
| themselves as having zero friends, and the links between
| loneliness and mental health issues.
|
| Some issues are caused by interpersonal conflict / abuse,
| but we're delicate social creatures and a lack of family &
| friends can also be extremely damaging. I doubt people are
| going to therapy because of how their lover eats breakfast
| (except maybe extreme misophonia), but there are plenty of
| people justifiably upset about their complete lack of
| emotionally intimate relationships with other people.
|
| And, as mentioned above, many issues can be alleviated by
| support from friends and family. At least ideally, if your
| spouse hits you, you should be able to ask your family or
| community for support. People lacking those outside
| relationships only exacerbates mental health issues caused
| in other relationships.
| elesbao wrote:
| The one mental health app I need is Gympass - Hitting the gym has
| helping me cope with anxiety
| prepend wrote:
| I would only use a mental health app where the provider is hipaa
| bound.
|
| There's a rash of "non-health" mental health apps and that's just
| scary.
|
| But even under hipaa providers, I expect they are deidentifying
| under safe harbor and reselling as much as possible. Imagine the
| training possibilities on all transcripts "scrubbed of pii."
| 6_6_6 wrote:
| hipaa is a joke
| wing-_-nuts wrote:
| I wonder when things will progress to the point where you could
| run a LLM that would do a _good enough_ impression of a
| therapist on a 4090. I honestly think the only way I could
| trust something like this is if it was running on my own
| hardware, or a private cloud instance.
| bearjaws wrote:
| Nothing is safe sadly, HIPAA does almost nothing, in reality
| very few companies actually get the full fat $1000 per patient
| fine. Even the regulation itself is now hilariously outdated,
| "encrypted at rest and transit" is absolutely the lowest bar
| for security.
|
| There are way too many fast and loose players in the mental
| health space, they do not care to actually have security. They
| do not have separate roles for security and engineering.
|
| These startups only have to pretend to have security to appease
| their VCs. In Series B they MAY get a small security audit, but
| they already lie on their SOC2 or ISO27000... so whats some
| more lies?
|
| The idea of having a rigorous process that ensures security is
| completely unacceptable if it adds any time to market.
|
| This is why we see numerous hacks in the health tech space.
| RcouF1uZ4gsC wrote:
| I think a better question is if mental health apps actually help
| mental health.
|
| You are still giving them pretty private information. If they
| actually provide a benefit, that might be worth it. But I am not
| convinced they are actually helpful.
|
| My guess is that exercise, especially outdoor exercise or getting
| together with friends has far more mental health benefit than
| these apps and also much less privacy downsides.
| meerita wrote:
| I was about to ask if anyone used one and noticed improvements.
| To me these mental apps sound like a scam.
| vorpalhex wrote:
| Studies suggest they work very well for some users.
| https://pubmed.ncbi.nlm.nih.gov/32480319/
| viraptor wrote:
| Which mental health apps? There's a massive difference between
| Calm, Better Stop Suicide and PTSD-related apps. Also it's not
| like people are making a choice between whether they meet
| friends or install Calm.
| williamtrask wrote:
| > Also it's not like people are making a choice between
| whether they meet friends or install Calm.
|
| Neither meeting friends or using an app are binary events.
| The more you spend time on one, the less you spend time doing
| anything else -- in the limit including the other. There's
| considerable evidence to suggest app and/or media usage
| encroaching on in-person time. It seems plausible that people
| who can band-aid their feelings in an app may be less
| inclined to take the leap and talk about personal matters
| with friends.
|
| But these are complex things - there would need to be a study
| to know for sure.
| throwaway22032 wrote:
| Yes, that is exactly the point.
|
| People are not actively making a choice, they are passively
| making the choice to sit on their phones.
| mattwest wrote:
| How would you feel about a lifestyle guidance app?
|
| Perhaps something that uses CBT, gratitude, and postive
| reinforcement to help people build good exercise and diet
| habits?
|
| Is there a way for a company to implement sufficient privacy
| protocols that would appease the most privacy-concious users?
| blep_ wrote:
| > Is there a way for a company to implement sufficient
| privacy protocols that would appease the most privacy-
| concious users?
|
| The trivial way is to just _not send data back to the
| internet_. Nothing you listed here is impossible to do client
| side.
| slackfan wrote:
| Are any of the mental health apps not just glorified pillmills?
| harvey9 wrote:
| There are lots of apps which do not connect you to a doctor and
| therefore do not connect you to pills either. Is that what you
| meant? The apps I have in mind are based mostly on CBT and/or
| mindfulness.
| Regnore wrote:
| What is CBT in this context because the CBT that comes to my
| mind - while fantastic if that's what you're into - would not
| typically be useful as a mental health treatment
| 50 wrote:
| > while fantastic if that's what you're into - would not
| typically be useful as a mental health treatment
|
| hopefully you were thinking of cognitive behavioral therapy
| because you would be correct:
|
| > Whenever one hears the claim that CBT is the more
| 'effective' treatment, we can confidently translate this to
| refer to its role as the most cost-effective form of
| psychological social control[1]
|
| 1: https://melbournelacanian.wordpress.com/2014/02/04/the-
| found...
| sharatvir wrote:
| It's most definitely Cognitive Behavioral Therapy https://e
| n.m.wikipedia.org/wiki/Cognitive_behavioral_therapy
| Regnore wrote:
| Thank you. I was afraid to google CBT at work.
| colineartheta wrote:
| Cognitive Behavioral Therapy
| [deleted]
| cassiebender wrote:
| In 2023, mental health apps have significantly improved their
| privacy practices.Front end development has played a key role in
| creating user-friendly interfaces, implementing stronger
| authentication and encryption protocols, and allowing users to
| customize their privacy preferences. These efforts have resulted
| in apps that are better at protecting user privacy, building
| trust with their users, and providing valuable mental health
| support.
| nexthash wrote:
| Is this a joke? How could you possibly believe in this
| delusion, when these apps have been shown over and over again
| to be gaslighting vulnerable people into divulging sensitive
| information about themselves to a VC-backed ad pipeline. Have
| you seen BetterHelp's ads on YouTube? Pure manipulation of
| people who are suffering.
| lykahb wrote:
| Here is some free mental health advice: put the phone away.
| bowel wrote:
| There's also 29k.org, a non-profit foundation and an open-source
| mental health app, where privacy were taken very seriously.
| https://29k.org/ https://github.com/29ki/29k
|
| Disclaimer: I used to work here.
| SamoyedFurFluff wrote:
| I continue to be frustrated that politicians and lawmakers are
| more focused on culture war stuff than they are focused on
| updating sensible laws to the modern technologies of the time. I
| hear more about random ousting of people and whatever said
| something stupid on social media than I do about serious pushes
| to protect vulnerable populations online...
| davidthewatson wrote:
| Having built remote healthcare five years prior to Covid under
| HIPAA where you have an interdisciplinary team on the coach
| side and a chronically ill and vulnerable patient on the iPad
| side, who frequently have little to no mental model of what
| these "tin screens and string tubes" are doing to help them,
| the notion that "sensible laws" exist to govern any of this is
| beyond me. The chasm of disconnects between legal, politics,
| and tech has only gotten broader and deeper over the last 30
| years while we realize that there was a reason that innovators
| were talking about the need for interdisciplinary work in the
| 50s before we deprecated the humanities. "Things that don't
| scale" is a mild understatement from costs to benefits. It
| makes, "another day at the office" look like the Khumbu Ice-
| fall.
| paulryanrogers wrote:
| Talking about mental health is high risk, low reward for
| politicians. Culture and class divisions are the opposite.
| sundarurfriend wrote:
| > Betterhelp has a $7.8 million dollar judgment issue against
| them by the US regulatory agency the FTC for promising not to
| share sensitive mental health information for advertising and
| then turning around and doing just that.
| nluken wrote:
| Million, with an M? Might as well be a jaywalking ticket.
| evilspammer wrote:
| [dead]
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