A single positive outcome is not enough to judge the technology beneficial, let alone safe.
It's almost as if we've built systems around this stuff for a reason.
I'm not defending the use of AI chatbots, but you'd be hard-pressed to come up with a worse solution for depression than the medical system.
We spent a long time finding something, but when we did it worked exceptionally well. We absolutely did not just increase the dose. And I'm almost certain the literature for this would NOT recommend an increase of dosage if the side effect was increased suicidality.
The demonisation of medication needs to stop. It is an important tool in the toolbelt for depression. It is not the end of the journey, but it makes that journey much easier to walk.
Most people are prescribed antidepressants by their GP/PCP after a short consultation.
In my case, I went to the doctor, said I was having problems with panic attacks, they asked a few things to make sure it was unlikely to be physical and then said to try sertraline. I said OK. In and out in about 5 minutes, and I've been on it for 3 years now without a follow up with a human. Every six months I do have to fill in an online questionnaire when getting a new prescription which asks if I've had any negative side effects. I've never seen a psychiatrist or psychologist in my life.
From discussions with friends and other acquaintances, this is a pretty typical experience.
P.S. This isn't in any way meant to be critical. Sertraline turned my life around.
Even in the worst experiences, I had a followup appointment in 2, 4 and 6 weeks to check the medication.
Joking aside, they do seem to escalate more to specialists whereas we do more at the GP level.