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	<title>mental-health Archives - Techsstory.com</title>
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		<title>An Oura Ring for your brain? Neurable is working on it and Apple may be next</title>
		<link>https://techsstory.com/an-oura-ring-for-your-brain-neurable-is-working-on-it-and-apple-may-be-next/</link>
					<comments>https://techsstory.com/an-oura-ring-for-your-brain-neurable-is-working-on-it-and-apple-may-be-next/#respond</comments>
		
		<dc:creator><![CDATA[kamran]]></dc:creator>
		<pubDate>Wed, 22 Oct 2025 20:42:55 +0000</pubDate>
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		<guid isPermaLink="false">https://techsstory.com/?p=14863</guid>

					<description><![CDATA[For the past few months, when I really needed to get something done, I put on a special pair of&#8230; ]]></description>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">For the past few months, when I really needed to get something done, I put on a special pair of headphones that could read my mind. Well, kind of. The headphones are equipped with a brain-computer interface that picks up electrical signals from my brain and uses algorithms to interpret that data. When my focus starts to slip, the headphones know it, and an app tells me to take a break.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">It sounds like something out of science fiction, but a decade-old startup called Neurable is pioneering the technology, and it’s preparing to put the brain-tracking tricks into more gadgets. Earbuds, glasses, helmets — anything that can get an electrode near your head could provide a real-time stream of data about what’s going on inside of it. Neurable’s technology uses a combination of electroencephalography (EEG) sensors to collect brain data and algorithms to interpret those signals. Beyond measuring attention, the company is now using that data <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cubmV1cmFibGUuY29tL2Jsb2ctcG9zdHMvZnJvbS1mb2dneS10by1mb2N1c2VkLWhvdy1uZXVyYWJsZXMtYnJhaW4taGVhbHRoLXJlcG9ydHMtdHJhbnNmb3JtLW1lbnRhbC1jbGFyaXR5P3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9Bce75ffa9" target="_blank" rel="noopener">to track and improve brain health</a>.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">I want to emphasize again that this technology does not actually read your mind in the sense of knowing your thoughts. But, it knows when you’re entertained or distracted and could one day detect symptoms of depression or, on a much more consequential front, early signs of Alzheimer’s disease.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">I came across Neurable <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cudm94LmNvbS90ZWNobm9sb2d5LzQxNDI2NC9hcHBsZS13YXRjaC1vdXJhLWRpYWJldGVzLWJsb29kLXN1Z2FyLXJmay1tYWhhP3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9Bf3f2c9fc" target="_blank" rel="noopener">on a longer mission</a> to understand the future of health-tracking technology by testing what’s out there now. It’s one that left me anxious, covered in smart rings and continuous glucose monitors, and <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cudm94LmNvbS90ZWNobm9sb2d5LzQxNzcxMy9hcHBsZS13YXRjaC1vdXJhLXdob29wLWhlYWx0aC10cmFja2luZy1maXRuZXNzP3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9B9d71b4a8" target="_blank" rel="noopener">more confused about the definition of well-being</a>. That’s because almost all health trackers that are popular on the market right now — Apple Watches, Oura Rings, Whoop Bands — are downstream sensors. They measure consequences, like elevated heart rate or body temperature, rather than the root cause of that state. By tapping directly into your brainwaves, a brain-computer interface can spot issues sometimes years before they would show up.</p>
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<p class="duet--article--dangerously-set-cms-markup _1iohv3z2 xkp0cg9">It could one day detect symptoms of depression or, on a much more consequential front, early signs of Alzheimer’s disease.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">“Biologically, your brain is designed to hide your weaknesses: It’s an evolutionary effect,” Neurable’s co-founder and CEO Ramses Alcaide, a neuroscientist, told me. “But when you’re measuring from the source, you pick up those things as they’re occurring, instead of once there’s finally downstream consequences, and that’s the real advantage of measuring the brain.”</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Other major tech companies are also exploring ways to incorporate non-invasive brain-computer interfaces into headphones. A couple years ago, Apple quietly <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9wYXRlbnRzLmdvb2dsZS5jb20vcGF0ZW50L1VTMjAyMzAyMjU2NTlBMS9lbj91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9B2158a9d5" target="_blank" rel="noopener">patented an AirPod design</a> that uses electrodes to monitor brain activity, and NextSense, which grew out of Google’s moonshot division, <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cud2lyZWQuY29tL3N0b3J5L25leHRzZW5zZS13YW50cy10by1nZXQtaW4teW91ci1lYXJzLWFuZC13YXRjaC15b3VyLWJyYWluLz91dG1fc291cmNlPWNoYXRncHQuY29tJnVlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9Be1b46367" target="_blank" rel="noopener">wants to build</a> earbud-based brain monitors for the mass market. There’s also been a recent boom in activity around invasive brain-computer interfaces being developed by companies like <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cudm94LmNvbS9mdXR1cmUtcGVyZmVjdC8yMzg5OTk4MS9lbG9uLW11c2stYWktbmV1cmFsaW5rLWJyYWluLWNvbXB1dGVyLWludGVyZmFjZT91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9Bf6599e38" target="_blank" rel="noopener">Elon Musk’s Neuralink</a> and <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cudm94LmNvbS9mdXR1cmUtcGVyZmVjdC80MDAxNDYvbWV0YS1icmFpbi1yZWFkaW5nLW5ldXJvdGVjaC1wcml2YWN5P3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9Bcdf84aa3" target="_blank" rel="noopener">even Meta</a> that surgically implant chips into people’s brains. It’s safe to say that’s not currently a mass-market approach.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Still, while all of those mega market cap companies ponder the possibilities of their own brain-powered projects, Neurable’s is on the market. It’s on my head right now, actually, and it works.</p>
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<h2 class="duet--article--dangerously-set-cms-markup">The cutting edge of neurotech</h2>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Spun out of the <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9pbm5vdmF0aW9ucGFydG5lcnNoaXBzLnVtaWNoLmVkdS9zdG9yaWVzL25ldXJhYmxlLWFwcHJvYWNoZXMtbGF1bmNoLXdpdGgtbm9uaW52YXNpdmUtYnJhaW4tY29tcHV0ZXItaW50ZXJmYWNlLz91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9B70c13b36" target="_blank" rel="noopener">University of Michigan’s Direct Brain Interface Lab</a> in 2015, Neurable initially planned to break into the gaming industry. An early version of its technology used EEG sensors in a VR headset <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9pbm5vdmF0aW9ucGFydG5lcnNoaXBzLnVtaWNoLmVkdS9zdG9yaWVzL25ldXJhYmxlLWFwcHJvYWNoZXMtbGF1bmNoLXdpdGgtbm9uaW52YXNpdmUtYnJhaW4tY29tcHV0ZXItaW50ZXJmYWNlLz91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9C70c13b36" target="_blank" rel="noopener">to power the world’s first brain-controlled video game</a> but pivoted to wearables before launching <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cuaW5kaWVnb2dvLmNvbS9wcm9qZWN0cy9lbnRlbi1zbWFydC1oZWFkcGhvbmVzLWZvci1zbWFydGVyLWZvY3VzLWhhYml0cz91dG1fc291cmNlPWNoYXRncHQuY29tJnVlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQjL3VwZGF0ZXMvYWxs/608ade0380ff3927abd730f9B3ddbe437" target="_blank" rel="noopener">a </a><a href="https://www.indiegogo.com/projects/enten-smart-headphones-for-smarter-focus-habits" target="_blank" rel="noopener">wildly</a><a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cuaW5kaWVnb2dvLmNvbS9wcm9qZWN0cy9lbnRlbi1zbWFydC1oZWFkcGhvbmVzLWZvci1zbWFydGVyLWZvY3VzLWhhYml0cz91dG1fc291cmNlPWNoYXRncHQuY29tJnVlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQjL3VwZGF0ZXMvYWxs/608ade0380ff3927abd730f9B3ddbe437" target="_blank" rel="noopener"> successful Indiegogo campaign</a> for a futuristic set of headphones. That attracted the attention of major hardware makers and a partnership with Master &amp; Dynamic.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">The Master &amp; Dynamic MW75 Neuro — the $700 pair of headphones I tested — looks like any other set of noise-canceling headphones, except for the badge that reads, “Powered by Neurable AI.” When you connect them to the Neurable app is when things get fun.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Inside the Neurable app is a little video game that lets you fly a rocket ship with your brain — and serves as a proof of concept. The trick is you have to focus on a set of numbers on the screen. The more intensely you focus, the higher the numbers go, and the faster the rocket ship flies. If you start to get distracted by, say, thinking about flying an actual rocket ship, the numbers go down, and the rocket ship slows. It’s one of the coolest innovations I’ve ever seen, if only because it’s so simple.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">The EEG sensors in Neurable’s products can pick up a range of brainwave frequencies, which are associated with different behaviors and activities. The beta frequency band provides some information about attention state as well as anxiety, while alpha indicates a mind at rest.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">While EEG sensors and brain-computer interfaces are most often seen in labs, putting these sensors into a device that people wear every day stands to transform our understanding of the mind. “Non-invasive EEG is cheap and completely safe,” said <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cuY211LmVkdS9ibWUvUGVvcGxlL0ZhY3VsdHkvcHJvZmlsZS9iaGUuaHRtbD91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9B678f6ffd" target="_blank" rel="noopener">Bin He</a>, a professor of biomedical engineering at Carnegie Mellon University, whose lab built a drone you can fly with your mind <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cubmJjbmV3cy5jb20vdGVjaC90ZWNoLW5ld3MvZHJvbmUtZmxpZXMtdGhyb3VnaC1ob29wcy1ndWlkZWQtYnJhaW53YXZlcy1mbG5hNmMxMDE5Njk5NT91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9B62ac5ece" target="_blank" rel="noopener">over a decade ago</a>. “AI, or deep-learning technology, however has drastically improved the performance of [brain-computer interfaces] to read the minds of individuals.”</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">If you changed the technology’s mission from measuring focus to, say, symptoms of depression, you could imagine how an everyday gadget could offer some life-changing interventions. The possibilities are as endless as the list of issues that can affect the brain. The Pentagon has been using Neurable’s portable technology <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cuc2Jpci5nb3YvYXdhcmRzLzIwOTY1Mj91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9Bc145f9f5" target="_blank" rel="noopener">to study traumatic head injuries</a> in soldiers, for instance, and that research could have practical applications in sports. Alcaide also mentioned Alzheimer’s and Parkinson’s as potential targets for their technology. Symptoms for these diseases don’t appear for years after onset, but early markers could show up in the kind of EEG data their technology captures from everyday wear.</p>
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<p class="duet--article--dangerously-set-cms-markup _1iohv3z2 xkp0cg9">If you changed the technology’s mission from measuring focus to, say, symptoms of depression, you could imagine how an everyday gadget could offer some life-changing interventions.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">For now, however, the MW75 Neuro headphones are primarily used to sharpen your attention — with the new and added benefit of giving you a snapshot of your brain health. This involves starting a session with the headphones on and letting the sensors collect the electrical signals your brain’s sending off. Your focus is measured as low, medium, or high, and when you’re flagging for a while, the app will prompt you to take a break. You can also turn on a feature called Biofeedback, which plays music of varying intensity in order to nudge your focus toward the high range. The Brain Health reports are still in beta mode but will show you daily estimates of how you’re doing in terms of things like anxiety resistance, cognitive speed, and wakefulness.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">The way you know that the device isn’t actually reading your mind comes down to science and a strong data policy. Neurable’s technology picks up raw voltage — not actual thoughts — from your neurons and uses AI to decode the data and identify signals associated with focus, the company’s co-founder Adam Molnar explained to me recently. Neurable encrypts and anonymizes the data coming out of your head and onto its sensors and then again when it goes to your phone, so it’s far removed from any personal data. Furthermore, he said, Neurable has no ambitions to be a data company.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">“Our business model doesn’t depend on identity. We don’t sell ads. So there’s no benefit,” Molnar said. “It’s actually more of a liability for us to be able to have data map back to an individual.”</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">It’s hard for me to say how much more productive I became thanks to the brain-reading headphones. As with many other health trackers, there’s sort of a placebo cat effect: Simply deciding to track the behavior changed my state of mind and made me behave a certain way. So, setting up a focus session inevitably made me pay closer attention to how well I was focusing, how often I took breaks, and if I was choosing to be more mindful.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">This is actually what makes me so curious about an earbud version of what Neurable’s doing. I wear AirPods for most of the day, whether it’s taking calls for work, listening to podcasts, or just drowning out the sounds outside my Brooklyn apartment. If these earbuds were also collecting data about my cognitive well-being during all those activities, I’d be interested in knowing what I could glean from that information, if only to better understand <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cudm94LmNvbS90ZWNobm9sb2d5LzQxOTQzMC9haS10aWt0b2steW91dHViZS1zaG9ydHMtaW5zdGFncmFtLXJlZWxzP3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9Bcd8b6e0e" target="_blank" rel="noopener">what’s rotting my brain</a>. And I’m sure plenty of companies would be happy to collect more data about their users’ states of mind at any given time. Imagine if the TikTok algorithm knew you weren’t interested in something — not because you swiped through it but rather because your brainwaves said so.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Neurable’s website has mockups of EEG-equipped earbuds, helmets, and smart glasses, and it’s clear that the company is eager to move beyond its first product. The company doesn’t just want to make gadgets, either. It wants to be the leading platform for brain-powered technology. “Just like Bluetooth is in every single device, and everyone should have access to Bluetooth, we believe that everyone should have access to neuro tech,” Alcaide told me.</p>
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<p class="duet--article--dangerously-set-cms-markup _1iohv3z2 xkp0cg9">We’re years away from the most far-fetched applications of brain-computer interfaces, but we’re heading in that direction.</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">“There’s so many things you can do with neuro tech, whether it’s tracking health conditions, whether it’s controlling devices, whether it is understanding yourself better,” he said. “It would be a disservice to the world if the only solutions that came out were our own.”</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">Neurable is indeed <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9wdWJtZWQubmNiaS5ubG0ubmloLmdvdi8zNzc0ODQ3NC8_dWVpZD0yMmFhMTM1MWY2OTFiMDQyMzg0ZmEzNTMxZTA4YzQxNA/608ade0380ff3927abd730f9B60c34cce" target="_blank" rel="noopener">one of many</a> startups trying to bring neuro tech to the masses, although they’re the only ones selling a product I’d actually wear in public. Several other EEG-based gadgets out there take the form of <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9jaG9vc2VtdXNlLmNvbS8_dWVpZD0yMmFhMTM1MWY2OTFiMDQyMzg0ZmEzNTMxZTA4YzQxNA/608ade0380ff3927abd730f9B29a143d0" target="_blank" rel="noopener">headbands</a>, many of which are geared toward sleep health or meditation. A company called <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9nZXQuZW1vdGl2LmNvbS9tdzIwP3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9B114e5e64" target="_blank" rel="noopener">Emotiv</a>, which also partnered with Master &amp; Dynamic, will start selling <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cua2lja3N0YXJ0ZXIuY29tL3Byb2plY3RzL2Vtb3Rpdi9lbW90aXYtbXcyMC10cnVlLXdpcmVsZXNzLWVlZy1mb3ItZXZlcnlkYXktYnJhaW4taGVhbHRoP3VlaWQ9MjJhYTEzNTFmNjkxYjA0MjM4NGZhMzUzMWUwOGM0MTQ/608ade0380ff3927abd730f9B3a0bc6ee" target="_blank" rel="noopener">its own EEG-equipped earbuds</a> this fall. It remains to be seen if and when Apple will make brain-reading AirPods, but they’ve already partnered with a brain interface startup called Synchron, which allows people to <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly93d3cud3NqLmNvbS90ZWNoL2FwcGxlLWJyYWluLWNvbXB1dGVyLWludGVyZmFjZS05ZWM2OTkxOT91ZWlkPTIyYWExMzUxZjY5MWIwNDIzODRmYTM1MzFlMDhjNDE0/608ade0380ff3927abd730f9Ba47d2130" target="_blank" rel="noopener">control iPhones with their minds</a> (Haven’t you always wanted to become one with your iPhone?).</p>
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<p class="duet--article--dangerously-set-cms-markup duet--article--standard-paragraph _1agbrixi lg8ac51 lg8ac50 xkp0cg1">This is where we circle back to the point where science fiction meets reality. We’re years away from the most far-fetched applications of brain-computer interfaces, but we’re heading in that direction. Whether that future ends up looking miraculous or <a href="https://link.vox.com/click/41022918.24042/aHR0cHM6Ly9ibGFjay1taXJyb3IuZmFuZG9tLmNvbS93aWtpL1RoZV9FbnRpcmVfSGlzdG9yeV9vZl9Zb3U_dWVpZD0yMmFhMTM1MWY2OTFiMDQyMzg0ZmEzNTMxZTA4YzQxNA/608ade0380ff3927abd730f9Bf41a33e9" target="_blank" rel="noopener">like a <em>Black Mirror </em>episode</a> is up to us — and to the companies, like Neurable, pioneering it.</p>
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<p><a href="https://www.vox.com/science/422610/oura-ring-neurable-apple-airpods-brain-health">Source link </a></p>
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		<title>What to know about ChatGPT, AI therapy, and mental health</title>
		<link>https://techsstory.com/what-to-know-about-chatgpt-ai-therapy-and-mental-health/</link>
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		<dc:creator><![CDATA[kamran]]></dc:creator>
		<pubDate>Thu, 28 Dec 2023 11:55:00 +0000</pubDate>
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					<description><![CDATA[I didn’t find a therapist when I first felt I might need one, nor when I finally found the energy&#8230; ]]></description>
										<content:encoded><![CDATA[<p><span style="font-size: revert; color: initial;">I didn’t find a therapist when I first felt I might need one, nor when I finally found the energy to start Googling the therapists with offices near me. I didn’t find one months later when, after glancing at the results of my depression screening, my physician delayed her next appointment, pulled up a list of therapists, and helped me send emails to each of them asking if they were taking on new patients. It was a year before my therapist search ended thanks to a friend who was moving away who gave me the name of the person that had been treating her.</span></p>
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<p id="zSfTXi">I was fortunate: My full-time job included health insurance. I lived in an area with many mental health professionals, and I had the means to consider therapists who were out of network. Many people trying to get mental health care do so without any of the institutional, social, or financial resources I had.</p>
<p id="Qy5bIL">This lack of access, fueled by a nationwide mental health crisis and a shortage of therapists in the US — not to mention a health care system that can, for many, make it extremely difficult to find an in-network provider — is a problem that urgently needs solutions. As with any such problem, there are people out there who say the solution is technology.</p>
<p id="ePdsN7">Enter AI. As Generative AI chatbots have rolled out to a wider range of users, some have started using readily available, multipurpose tools like ChatGPT as therapists. Vice <a href="https://www.vice.com/en/article/z3mnve/we-spoke-to-people-who-started-using-chatgpt-as-their-therapist" target="_blank" rel="noopener">spoke to some of these users</a> earlier this year, noting that anecdotal reports of people praising their experiences with chatbots had spread through social media. One Redditor even wrote <a href="https://www.reddit.com/r/ChatGPT/comments/zig5dd/chatgpt_jailbreak_therapy_session_treatment_plan/" target="_blank" rel="noopener">a guide to “jailbreaking”</a> ChatGPT in order to get around the chatbot’s guardrails against providing mental health advice.</p>
<p id="BnLTxs">But ChatGPT is not built to be anyone’s therapist. It’s not bound by the privacy or accountability requirements that guide the practice and ethics of human therapists. While there are consequences when a chatbot, say, fabricates a source for a research paper, those consequences are not nearly as serious as the potential harm caused by a chatbot providing dangerous or inaccurate medical advice to someone with a serious mental health condition.</p>
<p id="6DlL11">This doesn’t necessarily mean that AI is useless as a mental health resource. <a href="https://betsystade.github.io/" target="_blank" rel="noopener">Betsy Stade</a>, a psychologist and postdoctoral researcher at the Stanford Institute for Human-Centered AI, says that any analysis of AI and therapy should be framed around the same metric used in psychology to evaluate a treatment: Does it improve patient outcomes? Stade, who is the lead author of a <a href="https://osf.io/preprints/psyarxiv/cuzvr" target="_blank" rel="noopener">working paper on the responsible incorporation of generative AI into mental health care</a>, is optimistic AI can help patients and therapists receive and provide better care with better outcomes. But it’s not as simple as firing up ChatGPT.</p>
<p id="iPggEO">If you have questions about where AI therapy stands now — or what it even is — we’ve got a few answers.</p>
<h3 id="av2hki">What is an AI therapist?</h3>
<p id="eYTqbI">The term “AI therapist” has been used to refer to a couple different things. First, there are dedicated applications that are designed specifically to assist in mental health care, some of which are available to the public and some not. And then there are AI chatbots pitching themselves as something akin to therapy. These apps existed long before tools like ChatGPT. Woebot, for example, is a service launched in 2017 designed to provide assistance based on <a href="https://www.nytimes.com/2022/09/27/opinion/chatbot-therapy-mental-health.html" target="_blank" rel="noopener">cognitive behavioral therapy</a>; it gained popularity <a href="https://www.theguardian.com/us-news/2022/apr/13/chatbots-robot-therapists-youth-mental-health-crisis" target="_blank" rel="noopener">during the pandemic</a> as a mental health aid that was <a href="https://www.nytimes.com/2021/06/01/health/artificial-intelligence-therapy-woebot.html" target="_blank" rel="noopener">easier and cheaper to access</a> than therapy.</p>
<p id="uyzQou">More recently, there has been a proliferation of free or cheaper-than-therapy chatbots that can provide uncannily conversational interactions, thanks to large language models like the one that underpins ChatGPT. Some have turned to this new generation of AI-powered tools for mental health support, a task they were not designed to perform. Others have done it unwittingly. Last January, the co-founder of the mental health platform KoKo <a href="https://arstechnica.com/information-technology/2023/01/contoversy-erupts-over-non-consensual-ai-mental-health-experiment/" target="_blank" rel="noopener">announced</a> that it had provided AI-created responses to thousands of users who thought they were speaking to a real human being.</p>
<p id="heUg1x">It’s worth noting that the conversation around chatbots and therapy is happening alongside research into roles that AI might play in mental health care outside of mimicking a therapy session. For instance, AI tools could help human therapists do things like organize their notes and ensure that standards for proven treatments are upheld, something that has a track record of improving patient outcomes.</p>
<h3 id="o1VUKV">Why do people like chatbots for therapy, even if they weren’t designed for it?</h3>
<p id="e4uKHY">There are a few hypotheses about why so many people seeking therapy respond to AI-powered chatbots. Maybe they find emotional or social support from these bots. But the level of support probably differs person to person, and is certainly influenced by their mental health needs and their expectations of what therapy is — as well as what an app might be able to provide for them.</p>
<p id="NKogmk">Therapy means a lot of different things to different people, and people come to therapists for a lot of different reasons, says Lara Honos-Webb, a clinical psychologist who specializes in ADHD and the co-founder of a startup aimed at helping those managing the condition. Those who have found ChatGPT useful, she said, might be approaching these tools at the level of “problem, solution.” Tools like this might seem like they’re pretty good at reframing thoughts or providing “behavioral activation,” such as a list of healthy activities to try. Stade added that, from a research perspective, experts don’t really know what it is that people feel is working for them in this case.</p>
<p id="FlJPKb">“Beyond super subjective, qualitative reports of what a few people are doing, and then some people posting on Reddit about their experiences, we actually don’t have a good accounting of what’s happening out there,” she said.</p>
<h3 id="pjPRKD">So what are the risks of chatbot therapy?</h3>
<p id="NvOfTC">There are some obvious concerns here: Privacy is a big one. That includes the handling of the training data used to make generative AI tools better at mimicking therapy as well as the privacy of the users who end up disclosing sensitive medical information to a chatbot while seeking help. There are also the biases built into many of these systems as they stand today, which often reflect and reinforce the larger systemic inequalities that already exist in society.</p>
<p id="fQIEe8">But the biggest risk of chatbot therapy — whether it’s poorly conceived or provided by software that was not designed for mental health — is that it could hurt people by not providing good support and care. Therapy is more than a chat transcript and a set of suggestions. Honos-Webb, who uses generative AI tools like ChatGPT to organize her thoughts while writing articles on ADHD but not for her practice as a therapist, noted that therapists pick up on a lot of cues and nuances that AI is not prepared to catch.</p>
<p id="foSmmf">Stade, in her working paper, notes that while large language models have a “promising” capacity to conduct some of the skills needed for psychotherapy, there’s a difference between “simulating therapy skills” and “implementing them effectively.” She noted specific concerns around how these systems might handle complex cases, including those involving suicidal thoughts, substance abuse, or specific life events.</p>
<p id="DmuS9h">Honos-Webb gave the example of an older woman who recently developed an eating disorder. One level of treatment might focus specifically on that behavior: If someone isn’t eating, what might help them eat? But a good therapist will pick up on more of that. Over time, that therapist and patient might make the connection between recent life events: Maybe the patient’s husband recently retired. She’s angry because suddenly he’s home all the time, taking up her space.</p>
<p id="SMBeRz">“So much of therapy is being responsive to emerging context, what you’re seeing, what you’re noticing,” Honos-Webb explained. And the effectiveness of that work is directly tied to the developing relationship between therapist and patient.</p>
<h3 id="84TXGr">But can AI help solve the crisis of access to mental health care?</h3>
<p id="SFzBca">Implemented ethically, AI could become a valuable tool for helping people improve their results when seeking mental health care. But Stade noted that the reasons behind this crisis are wider-reaching than the realm of technology and would require a solution that is not simply a new app.</p>
<p id="ReW4sq">When I asked Stede about AI’s role in solving the access crisis in US mental health care, she said: “I believe we need universal health care. There’s so much outside the AI space that needs to happen.”</p>
<p id="zc7JQk">“That said,” she added, “I do think that these tools have some exciting opportunities to expand and fill gaps.”</p>
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