Applications of Artificial Intelligence Models in Teletherapy: A Review of Efficacy, and Ethical Implications

Authors

  • Ayodeji Adedotun Adeniyi
  • Tobi Titus Oyekanmi
  • Vitoria O. Kolawole
  • Peter Oluwasayo Adigun
  • Nelson Abimbola Ayuba Azeez

Keywords:

AI, ML, NLP, CBT, Teletherapy, Remote Healthcare, AI in Healthcare

Abstract

This review synthesizes contemporary evidence on the emerging applications of artificial intelligence (AI) models in teletherapy, based on their efficacy and ethical implications. Drawing on 27 peer-reviewed studies published between 2014 and 2025, it integrates diverse perspectives on how AI-enabled systems are increasingly incorporated into mental health care through digital cognitive behavioral therapy (CBT), virtual human (VH) agents, speech recognition platforms, and personalized e-therapy modules. Evidence from clinical studies indicates promising outcomes in patient engagement, symptom reduction, satisfaction, and scalability, particularly in resource-limited settings. Evidence underscores that while AI-assisted teletherapy enhances accessibility, efficiency, and real-time monitoring compared to traditional models, it remains limited in replicating the therapeutic rapport, empathy, and contextual sensitivity that are essential for effective treatment. Key ethical challenges include data privacy concerns, bias, transparency, accountability, and the irreplaceable role of human therapists. The review concludes that the future of teletherapy lies in hybrid care models, substantial data governance, and clinician oversight to ensure safe, effective, and ethically sound integration of AI in mental health practice.

Author Biographies

  • Ayodeji Adedotun Adeniyi

    Department of Media, Art, and Technology, New Mexico Highlands University, 1005 Diamond St, Las Vegas, New Mexico, USA

  • Tobi Titus Oyekanmi

    Department of Computer Science, New Mexico Highlands University, 1005 Diamond St, Las Vegas, New Mexico, USA

  • Vitoria O. Kolawole

    The McWilliams School of Biomedical Informatics at the University of Texas Health Science Center at Houston, Houston, USA

  • Peter Oluwasayo Adigun

    Department of Computer Science, New Mexico Highlands University, 1005 Diamond St, Las Vegas, New Mexico, USA

  • Nelson Abimbola Ayuba Azeez

    Department of Physics, University of Abuja, Abuja, Federal Capital Territory, Nigeria

References

[1] C. Benz, R. Norman, D. Hendrie, M. Welsh, M. Huntley, and S. Robinson, "Use of Teletherapy for allied health interventions in community-based disability services: A scoping review of user perspectives," Health & Social Care in the Community, vol. 30, no. 6, pp. e3934-e3948, 2022, doi: https://doi.org/10.1111/hsc.14105.

[2] A. C. Smith et al., "Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)," Journal of telemedicine and telecare, vol. 26, no. 5, pp. 309-313, 2020.

[3] C. B. Bennett, C. J. Ruggero, A. C. Sever, and L. Yanouri, "eHealth to redress psychotherapy access barriers both new and old: a review of reviews and meta-analyses," Journal of Psychotherapy Integration, vol. 30, no. 2, p. 188, 2020.

[4] T. R. Wind, M. Rijkeboer, G. Andersson, and H. Riper, "The COVID-19 pandemic: The ‘black swan’for mental health care and a turning point for e-health," Internet interventions, vol. 20, p. 100317, 2020.

[5] D. D. Luxton, L. D. Pruitt, and J. E. Osenbach, "Best practices for remote psychological assessment via telehealth technologies," Professional Psychology: Research and Practice, vol. 45, no. 1, p. 27, 2014.

[6] L. M. Koonin, "Trends in the use of telehealth during the emergence of the COVID-19 pandemic—United States, January–March 2020," MMWR. Morbidity and mortality weekly report, vol. 69, 2020.

[7] G. Andersson, N. Titov, B. F. Dear, A. Rozental, and P. Carlbring, "Internet‐delivered psychological treatments: from innovation to implementation," World Psychiatry, vol. 18, no. 1, pp. 20-28, 2019.

[8] A. Fiske, P. Henningsen, and A. Buyx, "Your robot therapist will see you now: ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy," Journal of medical Internet research, vol. 21, no. 5, p. e13216, 2019.

[9] B. Inkster, S. Sarda, and V. Subramanian, "An empathy-driven, conversational artificial intelligence agent (Wysa) for digital mental well-being: real-world data evaluation mixed-methods study," JMIR mHealth and uHealth, vol. 6, no. 11, p. e12106, 2018.

[10] N. Cummins, S. Scherer, J. Krajewski, S. Schnieder, J. Epps, and T. F. Quatieri, "A review of depression and suicide risk assessment using speech analysis," Speech communication, vol. 71, pp. 10-49, 2015.

[11] A. B. Shatte, D. M. Hutchinson, and S. J. Teague, "Machine learning in mental health: a scoping review of methods and applications," Psychological medicine, vol. 49, no. 9, pp. 1426-1448, 2019.

[12] Q. Ain and R. Imtiaz, "The Role of Technology in Speech-Language Therapy: Perceptions, Effectiveness, and Challenges in a Resource-Limited Setting," Journal of Health and Rehabilitation Research, vol. 5, no. 1, pp. 1-8, 2025.

[13] U. Chaturvedi, S. B. Chauhan, and I. Singh, "The impact of artificial intelligence on remote healthcare: Enhancing patient engagement, connectivity, and overcoming challenges," Intelligent Pharmacy, 2025/01/10/ 2025, doi: https://doi.org/10.1016/j.ipha.2024.12.003.

[14] E. Gkintoni, S. P. Vassilopoulos, and G. Nikolaou, "Next-Generation Cognitive-Behavioral Therapy for Depression: Integrating Digital Tools, Teletherapy, and Personalization for Enhanced Mental Health Outcomes," Medicina, vol. 61, no. 3, p. 431, 2025. [Online]. Available: https://www.mdpi.com/1648-9144/61/3/431.

[15] T. Ivanitska-Diachun, "The use of artificial intelligence in psychotherapeutic practice: prospects and challenges," Collection of scientific papers «ΛΌГOΣ», no. February 14, 2025; Boston, USA, pp. 339-347, 2025.

[16] S. Khadse, P. Verma, and V. Lande, "Artificial Intelligence and Machine Learning in Telemedicine: Transforming Remote Healthcare," in 2025 International Conference on Machine Learning and Autonomous Systems (ICMLAS), 10-12 March 2025 2025, pp. 508-514, doi: 10.1109/ICMLAS64557.2025.10968984.

[17] K. Ravesangar, T. G. Guan, and B. Singh, "Leveraging Artificial Intelligence in Mental Health Care Support in Healthcare Industries," in Computational Intelligence in Healthcare Law: Chapman and Hall/CRC, 2025, pp. 114-127.

[18] J. Wagner and A.-S. Schwind, "Investigating psychotherapists’ attitudes towards artificial intelligence in psychotherapy," BMC Psychology, vol. 13, no. 1, p. 719, 2025/07/01 2025, doi: 10.1186/s40359-025-03071-7.

[19] J. Yu Wu et al., "Bioengineering an AI-augmented platform for remote mental health interventions," Results in Engineering, vol. 27, p. 105931, 2025/09/01/ 2025, doi: https://doi.org/10.1016/j.rineng.2025.105931.

[20] J. Singh, N. A. Shelke, S. Ghosh, A. Nagasri, A. Yadav, and M. Elangovan, "Deep Learning Integration in Teletherapy for Modernizing Mental Health Support," in 2024 2nd World Conference on Communication & Computing (WCONF), 12-14 July 2024 2024, pp. 1-6, doi: 10.1109/WCONF61366.2024.10692232.

[21] K. Kanwal, Z. Ibrahim, and A. A. Siddiqui, "The Convergence of Artificial Intelligence, Digital Therapeutics, and Biomedical Electronics in the field of Speech-Language Therapy: AI and Digital Innovations in Speech Therapy," Allied Medical Research Journal, vol. 2, no. 2, pp. 277-292, 2024.

[22] K. Nalongo Bina, "The Impact and Future of Teletherapy in Mental Health Support," 2024.

[23] H. A. Ramzan, F. Abdulah, M. Ahmad, S. Ramzan, and M. Ashraf, "AI-Driven Personalization of E-Therapy Interventions for Anxiety, Stress, and Depression," in 2024 18th International Conference on Open Source Systems and Technologies (ICOSST), 26-27 Dec. 2024 2024, pp. 1-6, doi: 10.1109/ICOSST64562.2024.10871158.

[24] Y. Jin, Z. Zhang, P. Zheng, and J. An, "Telepsychology: applications, advantages, and challenges," Advances in Psychological Science, vol. 30, no. 1, p. 141, 2022.

[25] K. Loveys, M. Antoni, L. Donkin, M. Sagar, W. Xu, and E. Broadbent, "Effects of Cognitive Behavioral Stress Management Delivered by a Virtual Human, Teletherapy, and an E-Manual on Psychological and Physiological Outcomes in Adult Women: An Experimental Test," Multimodal Technologies and Interaction, vol. 6, no. 11, p. 99, 2022. [Online]. Available: https://www.mdpi.com/2414-4088/6/11/99.

[26] N. Burgoyne and A. S. Cohn, "Lessons from the Transition to Relational Teletherapy During COVID-19," Family Process, vol. 59, no. 3, pp. 974-988, 2020, doi: https://doi.org/10.1111/famp.12589.

[27] G. Pravettoni, R. Folgieri, and C. Lucchiari, "Cognitive Science in Telemedicine: From Psychology to Artificial Intelligence," in Tele-oncology, G. Gatti, G. Pravettoni, and F. Capello Eds. Cham: Springer International Publishing, 2015, pp. 5-22.

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Published

2025-11-26

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Articles

How to Cite

Ayodeji Adedotun Adeniyi, Tobi Titus Oyekanmi, Vitoria O. Kolawole, Peter Oluwasayo Adigun, & Nelson Abimbola Ayuba Azeez. (2025). Applications of Artificial Intelligence Models in Teletherapy: A Review of Efficacy, and Ethical Implications. American Scientific Research Journal for Engineering, Technology, and Sciences, 103(1), 373-391. https://asrjetsjournal.org/American_Scientific_Journal/article/view/12139