Let’s talk about AI in counseling with no jargon and no sales pitch, just the real story. If you are a counselor, therapist, social worker, or psychologist, you have probably noticed tech tools showing up everywhere. Maybe you have tried an AI note-taker, a chatbot for crisis lines, or a shiny new app that promises to give you your evenings back.
When I first began experimenting with AI in my practice, I was optimistic. Less paperwork and more time for clients sounded perfect. But reality hit quickly. Suddenly every company had a “must-have” tool for notes, assessments, or client engagement. If you have ever stared at your screen wondering which one is worth the time or your clients’ trust, you are not alone.
Why We Are Feeling the AI Overload
AI overload is real, and it is landing hard on counselors. Practice owners have been dealing with it for years, but now solo practitioners and small clinics are feeling the same weight. Every tool promises the world, but by week two, many are spending more time fixing notes than before.
There is research backing this up. A Fortune article citing an MIT study found that 95 percent of generative AI pilots at large companies failed to deliver results (Estrada, 2025). If corporations with entire tech departments struggle, no wonder individual counselors feel overwhelmed.
The Productivity Myth
So is AI actually helping? Not always. A Business Insider survey showed over three-quarters of workers felt less productive after adding AI tools (Business Insider, 2024).
I hear this from counselors all the time:
- You try a note-writing tool but spend half your day proofreading.
- You test a chatbot but worry about accuracy or ethics.
Instead of freeing us, some tools simply shift the workload around.
When Technology Starts Thinking for Us
There is another concern that psychologists call “cognitive offloading.” Lean on AI too much, and we risk losing the deep thinking that makes us good at what we do (APA Monitor, 2024).
Dr. Sarah Jacobson, a clinical psychologist interviewed by NPR, said it best:
“AI can support the paperwork, but it can’t replace the relationship. Therapy isn’t just words; it’s connection. Technology should never come between a client and a counselor’s wisdom.” (Jacobson et al., 2025)
That hit home for me. Because at the end of the day, clients are not here for automation. They are here for empathy, judgment, and human insight.
A Day in the Life with AI
Maybe some of this sounds familiar:
- Automated note-taking: Helpful, but you still double-check every line.
- Predictive analytics: Promising, but bias creeps in if we are not careful.
- Chatbots: Decent for after-hours support, but human oversight is essential.
- CE course creation: AI can build slides, but it cannot teach from real-world experience.
The takeaway is simple. Technology can assist, but it cannot lead.
Garrett Counseling’s Real-World Experience
At Garrett Counseling, we did not dive into AI headfirst. Honestly, I hesitated. We did not formally roll out AI note-taking until mid-2025. When we did, it was slow and deliberate with pilot teams, clear goals, and plenty of feedback.
But here is the interesting part. Even before our official launch, many counselors were already testing tools on their own. Chatbots for brainstorming, AI proofreading for notes, new scheduling ideas—it was happening naturally.
And that is the point. AI is not waiting for anyone’s permission. It is already reshaping our field. Our job is not to stop it, but to guide it thoughtfully so that it serves real clinical needs rather than creating chaos.
A Resource That Changed My Thinking
I owe a lot to Jamey Schrier and the team at Practice Freedom U. Their article “Drowning in AI Tools: Here’s the Only Question That Matters” (2024) reframed everything for me. Jamey asks a simple but powerful question:
“What specific outcome is this tool solving, and for whom?”
It is a practical filter that keeps us focused on results, not hype.
You can read his full piece here:
Practice Freedom U: Drowning in AI Tools
New Standards for Safe and Ethical AI Use
Recently, the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, Addiction Counselors, and Psycho-Educational Specialists released a statement on the use of artificial intelligence in our field. While Garrett Counseling isn’t based in South Carolina, these guidelines stand out as gold-standard “best practices” for counselors everywhere.
Key recommendations include:
- Client confidentiality: Only HIPAA-compliant tools should be used, with safeguards to protect client records.
- Informed consent: Clients should know how and why their data is used, and have full control.
- Professional oversight: AI is a supplement, never a replacement; human judgment always leads care.
- Client welfare first: Technology must support—not threaten—client well-being.
- Cultural competence: Remain vigilant about cultural bias; choose and train tools to serve diverse needs.
- Competence and continuing education: Always learn about technology before integrating it, and keep updating your knowledge.
- Emergency situations: Use human intervention, not AI, in crisis scenarios.
Incorporating these guidelines ensures every step toward tech adoption supports ethical, effective, client-centered care (South Carolina Board of Examiners for Licensure of Professional Counselors et al., 2025).
What About Alabama?
If you’re practicing in Alabama, you might be wondering whether our state has a dedicated AI policy matching South Carolina’s new “best practices” statement.
As of August 2025, Alabama has not released an official AI ethics or practice statement for counselors and therapists. The Alabama Board of Examiners in Counseling maintains strict standards around documentation, competence, and ethical practice, but there is currently no policy addressing the integration and safe use of AI in clinical settings.
Most statewide guidance on AI use in counseling is drawn from national groups such as the ACA and NBCC, which emphasize privacy, informed consent, documentation, and the importance of human oversight. Alabama counselors should follow these national standards and check for updates from their state board.
Taming the AI Chaos: Practical Tips
Here’s what’s working (borrowed from Jamey’s work at Practice Freedom U and grounded in clinical best practices/research) for counselors who want real impact:
- Start small. Focus on one pain point: documentation, reminders, or scheduling, and get it right.
- Set a clear goal. “Cut note time by 30%.” If a tool doesn’t deliver, let it go.
- Test one tool at a time. One month is usually enough to see impact.
- Keep human oversight. AI is your co-pilot, not the pilot.
- Document what works. Build repeatable systems and stop reinventing each time.
- Use AI designed for your documentation specialty. Avoid generic/open models; choose HIPAA-compliant tools built for behavioral health.
- Train your documentation tool to your clinical workflow. Tailor it to match your notes, templates, and specialties.
- Onboard new hires with documentation skills first. Train intakes, sessions, and treatment notes before introducing AI. For top training, see Garrett Counseling’s documentation workshops.
- Don’t rush the transition to AI. Build foundation skills first; ethical guidelines support skill-building before automation.
AI’s Role: Co-Pilot, Not Driver
To every counselor staring down another “must-have” tool: you are not behind. You are human. The real danger is not adopting AI too slowly, but letting it run the show.
Before you click “subscribe,” ask:
- Does this solve a real problem for me or my clients?
- Can I measure the results?
- Will it support rather than replace my judgment and care?
If the answer is no, skip it.
Final Thoughts
AI has potential, but our wisdom, ethics, and humanity must lead the way. As Dr. Jacobson reminded us, therapy is about connection, not automation.
Here is the challenge: This week, pick one area where AI could support you, test it thoughtfully, and keep your human expertise in the driver’s seat.
Written by Dr. Ashley Garrett, PhD: Owner of Garrett Counseling & Founder of Brave Play
Read more from Dr. Garrett in these blogs:
- Lessons Learned: How Female Group Practice Owners Prepare for Success
- Adapting in Crisis: How Counseling Practices Survived COVID-19
- The Business Side of Therapy: Administrative and Financial Lessons
References
American Counseling Association. (2024, March 5). Recommendations for practicing counselors and their use of AI. https://www.counseling.org/resources/research-reports/artificial-intelligence-counseling/recommendations-for-practicing-counselors
American Psychological Association. (2024, December 31). Artificial intelligence is impacting the field. Monitor on Psychology, 56(1). https://www.apa.org/monitor/2025/01/trends-harnessing-power-of-artificial-intelligence
APA Services. (2025, March 11). Using generic AI chatbots for mental health support: A dangerous game. https://www.apaservices.org/practice/business/technology/artificial-intelligence-chatbots-therapists
APA Services. (2025, May 11). Artificial intelligence is reshaping how psychologists work. https://www.apaservices.org/practice/news/artificial-intelligence-psychologists-work
Business Insider. (2024, August 9). AI is making most workers less productive, survey finds. https://www.businessinsider.com/ai-workers-productivity-survey-2024-8
Distinctive Therapy Services. (2025, June 26). AI in therapy documentation: What it can and can’t do (yet) in 2025. https://www.distinctivetherapyservices.com/ai-in-therapy-documentation/
Estrada, S. (2025, August 17). MIT report: 95% of generative AI pilots at companies are failing. Fortune. https://fortune.com/2025/08/18/mit-report-95-percent-generative-ai-pilots-at-companies-failing-cfo/
Jacobson, N., et al. (2025, April 6). The (artificial intelligence) therapist can see you now. NPR. https://www.npr.org/sections/shots-health-news/2025/04/07/nx-s1-5351312/artificial-intelligence-mental-health-therapy
Practice Freedom U. (2024, August 27). Drowning in AI tools: Here’s the only question that matters. Practice Freedom U. https://practicefreedomu.com/drowning-in-ai-tools-heres-the-only-question-that-matters/
SimplePractice. (2025, July 10). HIPAA compliant AI note-taking: What every therapist needs to know. https://www.simplepractice.com/blog/hipaa-compliant-ai-note-taking/
South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, Addiction Counselors and Psycho-Educational Specialists. (2025, August). Statement on the use of artificial intelligence. https://llr.sc.gov/cou/
Alabama Board of Examiners in Counseling. (2025). Administrative rules and proposed legislation. https://abec.alabama.gov/about/proposed-rules/
National Board for Certified Counselors. (2024, April 11). Ethical principles for artificial intelligence in counseling [PDF]. https://www.nbcc.org/assets/ethics/EthicalPrinciples_for_AI.pdf





