{"title":"Risks of digitalization in mental health care.","authors":"U Volpe, R Ramalho, W Gaebel","doi":"10.1007/s40211-025-00551-5","DOIUrl":null,"url":null,"abstract":"<p><p>The digitalization of mental health care has ushered in transformative possibilities for enhancing access, diagnosis, and treatment through technologically enabled tools and platforms. However, this evolution presents substantial risks that warrant careful consideration. This paper critically examines the psychological, ethical, cultural, and clinical challenges embedded in digital mental health practices. Key concerns include diminished clinical oversight, compromised patient data security, algorithmic bias in diagnostic and therapeutic algorithms, and the erosion of traditional therapeutic relationships. Cultural disparities in digital literacy and engagement further complicate equitable care delivery. Through a multidisciplinary lens, the paper explores how these risks may impact both care outcomes and professional standards. To bridge the gap between innovation and responsible practice, a table of best practices is provided to support clinicians and developers in ethically integrating digital tools into psychiatric settings. These recommendations aim to uphold patient autonomy, strengthen clinician accountability, and preserve the humanistic foundation of mental health care. Ultimately, the paper advocates for a balanced and cautious approach to digitalization-one that embraces opportunity without compromising clinical integrity.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"NEUROPSYCHIATRIE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40211-025-00551-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
The digitalization of mental health care has ushered in transformative possibilities for enhancing access, diagnosis, and treatment through technologically enabled tools and platforms. However, this evolution presents substantial risks that warrant careful consideration. This paper critically examines the psychological, ethical, cultural, and clinical challenges embedded in digital mental health practices. Key concerns include diminished clinical oversight, compromised patient data security, algorithmic bias in diagnostic and therapeutic algorithms, and the erosion of traditional therapeutic relationships. Cultural disparities in digital literacy and engagement further complicate equitable care delivery. Through a multidisciplinary lens, the paper explores how these risks may impact both care outcomes and professional standards. To bridge the gap between innovation and responsible practice, a table of best practices is provided to support clinicians and developers in ethically integrating digital tools into psychiatric settings. These recommendations aim to uphold patient autonomy, strengthen clinician accountability, and preserve the humanistic foundation of mental health care. Ultimately, the paper advocates for a balanced and cautious approach to digitalization-one that embraces opportunity without compromising clinical integrity.
期刊介绍:
Die Zeitschrift ist das offizielle Organ der „Österreichischen Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik (ÖGPP)'', und wissenschaftliches Organ der Österreichischen Alzheimer Gesellschaft, der Österreichischen Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, der Österreichischen Schizophreniegesellschaft, und der pro mente austria - Österreichischer Dachverband der Vereine und Gesellschaften für psychische und soziale Gesundheit.Sie veröffentlicht Übersichten zu relevanten Themen des Fachs, Originalarbeiten, Kasuistiken sowie Briefe an die Herausgeber. Zudem wird auch Buchbesprechungen sowie Neuigkeiten aus den Bereichen Personalia, Standes- und Berufspolitik sowie Kongressankündigungen Raum gewidmet.Thematisch ist das Fach Psychiatrie und die Methoden der Psychotherapie in allen ihren Facetten vertreten. Die Zeitschrift richtet sich somit an alle Berufsgruppen, die sich mit Ursachen, Erscheinungsformen und Behandlungsmöglichkeiten von psychischen Störungen beschäftigen. -----------------------------------------------------------------------------------------------------· The professional and educational journal of the Austrian Society of Psychiatry, Psychotherapy and Psychosomatics (Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik; ÖGPP) and the Austrian Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (Österreichische Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie; ÖGKJP)· Overviews of all relevant topics pertaining to the discipline· Intended for all occupational groups committed to the causes and manifestations of, as well as therapy options for psychic disorders· All manuscripts principally pass through a double-blind peer review process involving at least two independent expertsThe official journal of the Austrian Societies of Psychiatry, Psychotherapy and Psychosomatics (ÖGPP) and Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (ÖGKJP)The journal publishes overviews of relevant issues in the field, original work, case reports and letters to the editors. In addition, space is devoted to book reviews, news from the areas of personnel matters and professional policies, and conference announcements.Thematically, the discipline of psychiatry and the methods of psychotherapy are represented in all their facets. The journal is thus aimed at all professional groups committed to the causes and manifestations of, as well as therapy options for psychic disorders