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Transforming artificial intelligence into artificial wisdom

Abstract

A rapidly expanding behavioral epidemic of loneliness is profoundly affecting mental and physical health of individuals and communities worldwide. Empirical research shows that, unlike intelligence, human wisdom can mitigate loneliness and promote mental well-being. However, there is a severe global shortage of mental healthcare workforce required to support population-level well-being. Although artificial intelligence is advancing rapidly, it lacks core attributes of wisdom, including compassion, self-reflection, emotional regulation and acceptance of diverse perspectives. The development of artificial wisdom systems could operationalize wisdom-related functions and provide scalable tools to promote mental well-being without implying machine consciousness or subjective experience. While wisdom presents substantial conceptual challenges for computational implementation, recent large language models have demonstrated emerging capabilities in domains previously considered uniquely human. Progress toward artificial wisdom will require new computational frameworks, including mixture-of-experts architectures and agentic systems designed to model human psychosocial needs. Key challenges include ethical and safety considerations requiring rigorous evaluation, validated grounding data, longitudinal assessment and privacy protection. Close collaboration among experts in mental health, technology and ethics is crucial. A strategic shift from artificial intelligence toward artificial wisdom, at both individual and population levels, is critical for advancing global mental health and well-being.

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Fig. 1: MoE architecture incorporating a specialized wisdom expert for value-aligned responses.
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References

  1. Johnson, S. WHO declares loneliness a ‘global public health concern’. Guardian https://www.theguardian.com/global-development/2023/nov/16/who-declares-loneliness-a-global-public-health-concern (2023).

  2. Hawkley, L. C. Loneliness and health. Nat. Rev. Dis. Primers 8, 22 (2022).

    Article  PubMed  Google Scholar 

  3. Albasheer, O. et al. The impact of social isolation and loneliness on cardiovascular disease risk factors: a systematic review, meta-analysis, and bibliometric investigation. Sci. Rep. 14, 12871 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Veazie, S., Gilbert, J., Winchell, K., Paynter, R. & Guise, J.-M. Addressing Social Isolation to Improve the Health of Older Adults: A Rapid Review (Agency for Healthcare Research and Quality, 2019); https://doi.org/10.23970/ahrqepc-rapidisolation

  5. Öngür, D. Psychiatry and the Make America Healthy Again Commission. JAMA 333, 2145–2146 (2025).

    Article  PubMed  Google Scholar 

  6. Holt-Lunstad, J., Smith, T. B. & Baker, M. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect. Psychol. Sci. 10, 227–237 (2015).

    Article  PubMed  Google Scholar 

  7. National Academies of Sciences, Engineering, and Medicine Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System (National Academies Press, 2020); https://doi.org/10.17226/25663

  8. Na, P., Jeste, D. V. & Pietrzak, R. Social disconnection as a global behavioral epidemic: a call to action to address social disconnection in health policy, education, research, and clinical practice. JAMA Psychiatry 80, 101–102 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Acuña-Rodríguez, M. P., Fiorillo-Moreno, O., Montoya-Quintero, K. F. & Mansaray, T. Mental health workforce inequities across income levels: aligning global health indicators, policy readiness, and disease burden. Psychol. Res. Behav. Manage. 18, 1449–1454 (2025).

    Article  Google Scholar 

  10. Vaswani, A. et al. Attention is all you need. Adv. Neural Inf. Process. Syst. 30, 5998–6008 (2017).

    Google Scholar 

  11. Brown, T. B. et al. Language models are few-shot learners. Adv. Neural Inf. Process. Syst. 33, 1877–1901 (2020).

    Google Scholar 

  12. Blease, C. & Rodman, A. Generative artificial intelligence in mental healthcare: an ethical evaluation. Curr. Treat. Options Psychiatry https://doi.org/10.1007/s40501-024-00340-x (2025).

  13. Fitzpatrick, K. K., Darcy, A. & Vierhile, M. Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): a randomized controlled trial. JMIR Ment. Health 4, e19 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Hua, Y. et al. From statistics to deep learning: using large language models in psychiatric research. Int. J. Methods Psychiatr. Res. 34, e70007 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  15. Malgaroli, M. et al. Large language models for the mental health community: framework for translating code to care. Lancet Digit. Health 7, e282–e285 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  16. Moell, B. Comparing the efficacy of GPT-4 and ChatGPT in mental health care: a blind assessment. Preprint at https://doi.org/10.48550/arXiv.2405.09300 (2024).

  17. Torous, J. et al. The evolving field of digital mental health: current evidence and implementation issues for smartphone apps, generative artificial intelligence, and virtual reality. World Psychiatry 24, 156–174 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  18. Jeste, D. V. & Vahia, I. V. Comparison of the conceptualization of wisdom in ancient Indian literature with modern views: focus on the Bhagavad Gita. Psychiatry 71, 197–209 (2008).

    Article  PubMed  PubMed Central  Google Scholar 

  19. Achenbaum, W. A. & Orwoll, L. Becoming wise: a psycho-gerontological interpretation of the Book of Job. Int. J. Aging Hum. Dev. 32, 21–39 (1991).

    Article  PubMed  Google Scholar 

  20. Ardelt, M. Empirical assessment of a three-dimensional wisdom scale. Res. Aging 25, 275–324 (2003).

    Article  Google Scholar 

  21. Glück, J. New developments in psychological wisdom research: a growing field of increasing importance. J. Gerontol. B 73, 1335–1338 (2018).

    Article  Google Scholar 

  22. Jeste, D. V. et al. The new science of practical wisdom. Perspect. Biol. Med. 62, 216–236 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  23. Nusbaum, H. Understanding the psychology of practical wisdom. J. Med. Philos. 50, 104–116 (2025).

    Article  PubMed  Google Scholar 

  24. Sternberg, R. J. A balance theory of wisdom. Rev. Gen. Psychol. 2, 347–365 (1998).

    Article  Google Scholar 

  25. Birren, J. E. & Svensson, C. M. in A Handbook Of Wisdom: Psychological Perspectives (eds Sternberg, R. J. & Jordan, J.) 3–28 (Cambridge Univ. Press, 2005); https://doi.org/10.1017/CBO9780511610486.002

  26. Jeste, D. V. et al. Expert consensus on characteristics of wisdom: a Delphi method study. Gerontologist 50, 668–680 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  27. Montross-Thomas, L. P., Joseph, J., Edmonds, E. C., Palinkas, L. A. & Jeste, D. V. Reflections on wisdom at the end of life: qualitative study of hospice patients aged 58–97 years. Int. Psychogeriatr. 30, 1759–1766 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  28. Meeks, T. W. & Jeste, D. V. Neurobiology of wisdom: a literature overview. Arch. Gen. Psychiatry 66, 355–365 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  29. Jeste, D. V., Lee, E. E., Palmer, B. W. & Treichler, E. B. H. Moving from humanities to sciences: a new model of wisdom fortified by sciences of neurobiology, medicine, and evolution. Psychol. Inq. 31, 134–143 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  30. Bangen, K. J., Meeks, T. W. & Jeste, D. V. Defining and assessing wisdom: a review of the literature. Am. J. Geriatr. Psychiatry 21, 1254–1266 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  31. Jeste, D. V. et al. Is spirituality a component of wisdom? Study of 1,786 adults using expanded San Diego Wisdom Scale (Jeste-Thomas Wisdom Index). J. Psychiatr. Res. 132, 174–181 (2021).

    Article  PubMed  Google Scholar 

  32. Jeste, D. V. et al. Wisdom, resilience, and well-being in later life. Annu. Rev. Clin. Psychol. 21, 33–59 (2025).

    Article  PubMed  Google Scholar 

  33. Thomas, M. L. et al. Individual differences in level of wisdom are associated with brain activation during a moral decision-making task. Brain Behav. 9, e01302 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  34. Thomas, M. L. et al. Abbreviated San Diego Wisdom Scale (SD-WISE-7) and Jeste-Thomas Wisdom Index (JTWI). Int. Psychogeriatr. 34, 617–626 (2022).

    Article  PubMed  Google Scholar 

  35. Dortaj, F., Daneshpayeh, M. & Shakvari Vosta, F. Investigating the psychometric properties of the San Diego Wisdom Scale. J. Educ. Meas. 12, 81–97 (2021).

    Google Scholar 

  36. Vaisi, S., Kordnoghabi, R., Imani, S. & Kashefi, F. Psychometric properties of the Persian version abbreviated wisdom scale in Iranian adults. J. Appl. Psychol. Res. 16, 161–179 (2025).

    Google Scholar 

  37. Kordnoghabi, R. & Veisi, S. Developing a model of wisdom based on successful intelligence and psychological well-being in students: the mediating role of creativity. Posit. Psychol. Res. 10, 29–50 (2024).

    Google Scholar 

  38. Volz, P. M. et al. Is physical activity associated with a higher degree of wisdom? Cross-sectional study with high school students. J. Phys. Educ. 34, e3457 (2024).

    Article  Google Scholar 

  39. Shoqeirat, M. A. et al. Married & wise: a correlational study of wisdom, well-being, and resilience in relation to gender, age and marital status. J. Soc. Stud. Educ. Res. 14, 145–166 (2023).

    Google Scholar 

  40. Dewangan, R. L., Pathaka, S., Jeste, D. V. & Thomas, M. L. Psychometric validation of Indian adaptation of the San-Diego Wisdom Scale (SD-WISE-28). Curr. Psychol. 43, 23611–23623 (2024).

    Article  Google Scholar 

  41. Jeste, D. V. et al. Study of loneliness and wisdom in 482 middle-aged and oldest-old adults: a comparison between people in Cilento, Italy and San Diego, USA. Aging Ment. Health 25, 2149–2159 (2021).

    Article  PubMed  Google Scholar 

  42. Fraenz, C. et al. Interindividual differences in matrix reasoning are linked to functional connectivity between brain regions nominated by parieto-frontal integration theory. Intelligence 87, 101545 (2021).

    Article  Google Scholar 

  43. Kütük, H. et al. Investigation of the relationships between mindfulness, wisdom, resilience and life satisfaction in Turkish adult population. J. Ration. Emot. Cogn. Behav. Ther. 41, 536–551 (2023).

    Article  Google Scholar 

  44. Jeste, D. V. & Lee, E. E. Emerging empirical science of wisdom: definition, measurement, neurobiology, longevity, and interventions. Harv. Rev. Psychiatry 27, 127–140 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  45. Sigelman, L. Is ignorance bliss? A reconsideration of the folk wisdom. Hum. Relat. 34, 965–974 (1981).

    Article  Google Scholar 

  46. Watten, R. G., Syversen, J. L. & Myhrer, T. Quality of life, intelligence and mood. Soc. Indic. Res. 36, 287–299 (1995).

    Article  Google Scholar 

  47. Wirthwein, L. & Rost, D. H. Giftedness and subjective well-being: a study with adults. Learn. Individ. Differ. 21, 182–186 (2011).

    Article  Google Scholar 

  48. Grossmann, I., Na, J., Varnum, M. E. W., Kitayama, S. & Nisbett, R. E. A route to well-being: intelligence versus wise reasoning. J. Exp. Psychol. Gen. 142, 944–953 (2013).

    Article  PubMed  Google Scholar 

  49. Webster, J. D., Westerhof, G. J. & Bohlmeijer, E. T. Wisdom and mental health across the lifespan. J. Gerontol. B 69, 209–218 (2014).

    Article  Google Scholar 

  50. Zadworna, M. & Stetkiewicz-Lewandowicz, A. The relationships between wisdom, positive orientation and health-related behavior in older adults. Sci. Rep. 13, 16724 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  51. Lee, E. E. et al. Outcomes of randomized clinical trials to enhance social, emotional, and spiritual components of wisdom: a systematic review and meta-analysis. JAMA Psychiatry 77, 925–935 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  52. Wang, H. Wisdom: a potential ecological domain of mental health in old age. Int. Psychogeriatr. 34, 209–211 (2022).

    Article  PubMed  Google Scholar 

  53. Ardelt, M. & Jeste, D. V. Wisdom and hard times: the ameliorating effect of wisdom on the negative association between adverse life events and well-being. J. Gerontol. B 73, 1374–1383 (2018).

    Google Scholar 

  54. Lindbergh, C. A. et al. Wisdom and fluid intelligence are dissociable in healthy older adults. Int. Psychogeriatr. 34, 229–239 (2022).

    Article  PubMed  Google Scholar 

  55. Wu, Z. et al. Association between wisdom and psychotic-like experiences in the general population: a cross-sectional study. Front. Psychiatry 13, 814242 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  56. Lindsay, E. K., Young, S., Brown, K. W., Smyth, J. M. & Creswell, J. D. Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial. Proc. Natl Acad. Sci. USA 116, 3488–3493 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  57. Jazaieri, H. et al. A randomized controlled trial of compassion cultivation training: effects on mindfulness, compassion, and loneliness. Motiv. Emot. 38, 23–35 (2014).

    Article  Google Scholar 

  58. Lim, M. H., Eres, R. & Peck, K. The loneliness–compassion paradox: when do we feel more compassion? J. Soc. Pers. Relat. 33, 1120–1135 (2016).

    Google Scholar 

  59. Morlett-Paredes, A. et al. Qualitative study of loneliness in a senior housing community: the importance of wisdom and other coping strategies. Aging Ment. Health 25, 559–566 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  60. Best, T., Herring, L., Clarke, C., Kirby, J. N. & Gilbert, P. The experience of loneliness: the role of fears of compassion and social safeness. Pers. Individ. Differ. 183, 111161 (2021).

    Article  Google Scholar 

  61. Lee, E. E. et al. Compassion toward others and self-compassion predict mental and physical well-being: a 5-year longitudinal study of 1,090 community-dwelling adults across the lifespan. Transl. Psychiatry 11, 397 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  62. Daneshpayeh, M., Dortaj, F. & Mazoosaz, A. Explaining the model of psychological well-being based on wisdom mediated by feelings of loneliness in women. Womens Stud. Sociol. Psychol. 20, 84–109 (2022).

    Google Scholar 

  63. Sugianto, D., Sutanto, H. & Suwartono, C. Self-compassion as a way to embrace loneliness in university students. Psikodimensia 19, 122–131 (2020).

    Article  Google Scholar 

  64. Gao, P., Mosazadeh, H. & Nazari, N. The buffering role of self-compassion in the association between loneliness with depressive symptoms: a cross-sectional survey study among older adults living in residential care homes during COVID-19. Int. J. Ment. Health Addict. 22, 2706–2726 (2024).

    Article  Google Scholar 

  65. Christodoulou, N. & Adonis, M. N. The role of self-compassion in loneliness. Hellenic J. Psychol. 21, 141–154 (2024).

    Google Scholar 

  66. Jiang, D. et al. Effects of wisdom-enhancement narrative-therapy and empathy-focused interventions on loneliness over 4 weeks among older adults: a randomized controlled trial. Am. J. Geriatr. Psychiatry 33, 18–30 (2025).

    Article  PubMed  Google Scholar 

  67. Lee, E. E. et al. High prevalence and adverse health effects of loneliness in community-dwelling adults across the lifespan: role of wisdom as a protective factor. Int. Psychogeriatr. 31, 1447–1462 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  68. Nguyen, T. et al. Predictors of loneliness by age decade: study of psychological and environmental factors in 2,843 community-dwelling Americans aged 20–69 years. J. Clin. Psychiatry 81, 20m13378 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  69. Grennan, G. et al. Cognitive and neural correlates of loneliness and wisdom during emotional bias. Cereb. Cortex 31, 3311–3322 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  70. Nguyen, T. T. et al. Association of loneliness and wisdom with gut microbial diversity and composition: an exploratory study. Front. Psychiatry 12, 648475 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  71. Jeste, D. V. et al. Beyond artificial intelligence: exploring artificial wisdom. Int. Psychogeriatr. 32, 993–1001 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  72. Laukkonen, R. et al. Contemplative artificial intelligence. Preprint at https://doi.org/10.48550/arXiv.2504.15125 (2025).

  73. Bubeck, S. et al. Sparks of artificial intelligence: early experiments with GPT-4. Preprint at https://doi.org/10.48550/arXiv.2303.12712 (2023).

  74. Alexopoulos, G. S. Artificial intelligence in geriatric psychiatry through the lens of contemporary philosophy. Am. J. Geriatr. Psychiatry 32, 293–299 (2024).

    Article  PubMed  Google Scholar 

  75. Alexopoulos, G. S. Philosophy concepts can guide interventions aimed to promote wisdom in late life. Int. Psychogeriatr. 36, 860–863 (2024).

    Article  PubMed  Google Scholar 

  76. Murphy, J. P. Pragmatism from Peirce to Davidson 59–77 (Westview Press, 1990).

  77. Searle, J. R. Minds, brains, and programs. Behav. Brain Sci. 3, 417–424 (1980).

    Article  Google Scholar 

  78. Flathers, M., Smith, G., Wagner, E., Fisher, C. E. & Torous, J. AI depictions of psychiatric diagnoses: a preliminary study of generative image outputs in Midjourney V.6 and DALL-E 3. BMJ Ment. Health 27, e301298 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  79. Floridi, L. The Philosophy of Information (Oxford Univ. Press, 2011).

  80. Floridi, L. Informational realism. Preprint at SSRN https://doi.org/10.2139/ssrn.3839564 (2014).

  81. Chen, H., Kim, Y., Patterson, K., Breazeal, C. & Park, H. W. Social robots as conversational catalysts: enhancing long-term human-human interaction at home. Sci. Robot. 10, eadk3307 (2025).

    Article  PubMed  Google Scholar 

  82. Kurzweil, R. Human 2.0. New Sci. 187, 32–37 (2005).

    PubMed  Google Scholar 

  83. Kurzweil, R. The Singularity Is Near: When Humans Transcend Biology (Penguin Press, 2006).

  84. Morris, M. R. et al. Levels of AGI for operationalizing progress on the path to AGI. Preprint at https://doi.org/10.48550/arXiv.2311.02462 (2024).

  85. Chiang, W. L. et al. Chatbot Arena: an open platform for evaluating LLMs by human preference. Preprint at https://doi.org/10.48550/arXiv.2403.04132 (2024).

  86. Barnard, M. & Otte, W. Is the machine surpassing humans?: Large language models, structuralism, and liturgical ritual: a position paper. Int. J. Pract. Theol. 28, 289–306 (2024).

    Article  Google Scholar 

  87. Kosinski, M. Evaluating large language models in theory of mind tasks. Proc. Natl Acad. Sci. USA 121, e2405460121 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  88. Lawrence, H. R. et al. The opportunities and risks of large language models in mental health. JMIR Ment. Health 11, e59479 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  89. Christiano, P., Shlegeris, B. & Amodei, D. Supervising strong learners by amplifying weak experts. Preprint at https://doi.org/10.48550/arXiv.1810.08575 (2018).

  90. Shazeer, N. et al. Outrageously large neural networks: the sparsely-gated mixture-of-experts layer. Preprint at https://doi.org/10.48550/arXiv.1701.06538 (2017).

  91. Rafailov, R. et al. Direct preference optimization: your language model is secretly a reward model. Preprint at https://doi.org/10.48550/arXiv.2305.18290 (2023).

  92. Schmer-Galunder, S. et al. Annotator in the loop: a case study of in-depth rater engagement to create a prosocial benchmark dataset. Preprint at https://doi.org/10.48550/arXiv.2408.00880 (2024).

  93. Jacobs, R. A., Jordan, M. I., Nowlan, S. J. & Hinton, G. E. Adaptive mixtures of local experts. Neural Comput. 3, 79–87 (1991).

    Article  PubMed  Google Scholar 

  94. Stiennon, N. et al. Learning to summarize from human feedback. Preprint at https://doi.org/10.48550/arXiv.2009.01325 (2020).

  95. Nolte, R. et al. How metacognitive architectures remember their own thoughts: a systematic review. Preprint at https://doi.org/10.48550/arXiv.2503.13467 (2025).

  96. Du, N. et al. GLaM: efficient scaling of language models with mixture-of-experts. Proc. Mach. Learn. Res. 162, 5547–5569 (2022).

    Google Scholar 

  97. Rajbhandari, S. et al. DeepSpeed-MoE: advancing mixture-of-experts inference and training to power next-generation AI scale. Proc. Mach. Learn. Res. 162, 18332–18346 (2022).

    Google Scholar 

  98. Zoph, B. et al. ST-MoE: designing stable and transferable sparse expert models. Preprint at https://doi.org/10.48550/arXiv.2202.08906 (2022).

  99. Gabriel, I. Artificial intelligence, values, and alignment. Minds Mach. 30, 411–437 (2020).

    Article  Google Scholar 

  100. Amodei, D. et al. Concrete problems in AI safety. Preprint at https://doi.org/10.48550/arXiv.1606.06565 (2016).

  101. Fedus, W., Zoph, B. & Shazeer, N. Switch transformers: scaling to trillion parameter models with simple and efficient sparsity. Preprint at https://doi.org/10.48550/arXiv.2101.03961 (2021).

  102. Lepikhin, D. et al. GShard: scaling giant models with conditional computation and automatic sharding. Preprint at https://doi.org/10.48550/arXiv.2006.16668 (2020).

  103. Floridi, L. & Cowls, J. A unified framework of five principles for AI in society. Harv. Data Sci. Rev. https://doi.org/10.1162/99608f92.8cd550d1 (2019).

  104. Russell, S. & Norvig, P. Artificial Intelligence: A Modern Approach 4th edn (Pearson, 2021).

  105. Macrae, N. John von Neumann: The Scientific Genius Who Pioneered the Modern Computer, Game Theory, Nuclear Deterrence, and Much More (Pantheon Books, 1992).

  106. Vinge, V. The coming technological singularity: how to survive in the post-human era. Whole Earth Rev. 81, 88–95 (1993).

    Google Scholar 

  107. Bostrom, N. Superintelligence: Paths, Dangers, Strategies (Oxford Univ. Press, 2014).

  108. Wu, Q. et al. AutoGen: enabling next-gen LLM applications via multi-agent conversation framework. Preprint at https://doi.org/10.48550/arXiv.2308.08155 (2023).

  109. Hong, S. et al. MetaGPT: meta programming for a multi-agent collaborative framework. Preprint at https://doi.org/10.48550/arXiv.2308.00352 (2024).

  110. Park, J. S. et al. Generative agents: interactive simulacra of human behavior. Proc. ACM Symp. User Interface Softw. Technol. https://doi.org/10.1145/3586183.3606763 (2023).

  111. Spytska, L. The use of artificial intelligence in psychotherapy: development of intelligent therapeutic systems. BMC Psychol. 13, 175 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  112. Beg, M. J., Verma, M., Vishvak Chanthar, K. M. M. & Verma, M. K. Artificial intelligence for psychotherapy: a review of the current state and future directions. Indian J. Psychol. Med. 47, 314–325 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  113. Li, H. et al. Systematic review and meta-analysis of AI-based conversational agents for promoting mental health and well-being. npj Digit. Med. 6, 236 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  114. Hua, Y. et al. Large language models in mental health care: a scoping review. Preprint at https://doi.org/10.48550/arXiv.2401.02984 (2024).

  115. Guo, Z. et al. Large language models for mental health applications: systematic review. JMIR Ment. Health 11, e57400 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  116. Xiao, M. et al. HealMe: harnessing cognitive reframing in large language models for psychotherapy. Preprint at https://doi.org/10.48550/arXiv.2403.05574 (2024).

  117. Heinz, M. V. et al. Randomized trial of a generative ai chatbot for mental health treatment. N. Engl. J. Med. AI https://doi.org/10.1056/AIoa2400802 (2025).

  118. Sorin, V. et al. Large language models and empathy: systematic review. J. Med. Internet Res. 26, e52597 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  119. Elyoseph, Z. et al. Capacity of generative AI to interpret human emotions from visual and textual data: pilot evaluation study. JMIR Ment. Health 11, e54369 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  120. Benge, J. F. & Scullin, M. K. A meta-analysis of technology use and cognitive aging. Nat. Hum. Behav. 9, 1405–1419 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  121. Broadbent, E., Stafford, R. & MacDonald, B. Acceptance of healthcare robots for the older population: review and future directions. Int. J. Soc. Robot. 1, 319–330 (2009).

    Article  Google Scholar 

  122. Gasteiger, N., Loveys, K., Law, M. & Broadbent, E. Friends from the future: a scoping review of research into robots and computer agents to combat loneliness in older people. Clin. Interv. Aging 16, 941–971 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  123. Kim, M. et al. Therapeutic potential of social chatbots in alleviating loneliness and social anxiety: quasi-experimental mixed methods study. J. Med. Internet Res. 27, e65589 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  124. Broadbent, E. et al. ElliQ, an AI-driven social robot to alleviate loneliness: progress and lessons learned. J. Aging Res. Lifestyle 13, 22–28 (2024).

    Article  Google Scholar 

  125. Trovato, G., Weng, Y.-H., Sgorbissa, A. & Fiorini, S. Editorial introduction to special issue on religion in robotics. Int. J. Soc. Robot. 13, 537–538 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  126. Löffler, D., Hurtienne, J. & Nord, I. Blessing robot BlessU2: a discursive design study to understand the implications of social robots in religious contexts. Int. J. Soc. Robot. 13, 569–586 (2021).

    Article  Google Scholar 

  127. Satake, Y. et al. A week with a conversational large language model companion robot. Am. J. Geriatr. Psychiatry 33, 799–800 (2025).

    Article  PubMed  Google Scholar 

  128. Yang, Y., Wang, C., Xiang, X. & An, R. AI applications to reduce loneliness among older adults: a systematic review of effectiveness and technologies. Healthcare 13, 446 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  129. Haltaufderheide, J. & Ranisch, R. The ethics of ChatGPT in medicine and healthcare: a systematic review on large language models (LLMs). npj Digit. Med. 7, 183 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  130. Ranisch, R. & Haltaufderheide, J. Rapid integration of LLMs in healthcare raises ethical concerns: an investigation into deceptive patterns in social robots. Digit. Soc. 4, 7 (2025).

    Article  Google Scholar 

  131. Lee, P., Bubeck, S. & Petro, J. Benefits, limits, and risks of GPT-4 as an AI chatbot for medicine. N. Engl. J. Med. 388, 1233–1239 (2023).

    Article  PubMed  Google Scholar 

  132. Siddals, S., Torous, J. & Coxon, A. “It happened to be the perfect thing”: experiences of generative AI chatbots for mental health. npj Ment. Health Res. 3, 48 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  133. Nelson, B. W. et al. Evaluating the performance of general purpose large language models in identifying human facial emotions. npj Digit. Med. 8, 615 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  134. Liu, L. et al. H3-MOSAIC: multimodal generative AI for semantic place detection from high-frequency GPS on H3 grids in mental health geomatics. Int. J. Health Geogr. 24, 35 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  135. Flathers, M. et al. Interpreting psychiatric digital phenotyping data with large language models: a preliminary analysis. BMJ Ment. Health 28, e301817 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We thank Los Angeles-based software engineer A. Beattie for his administrative and technical support.

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D.V.J. developed the concept; D.V.J., J.-A.O., A.P. and M.P.P. drafted the initial version of the paper. All authors (D.V.J., M.P.P., G.S.A., M.B., W.M.O., Y.S., P.J.N., J.T., A.P., J.-A.O.) critically revised the paper for important intellectual content. All authors approved the final version of the paper.

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Correspondence to Dilip V. Jeste.

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Competing interests

G.S.A. has served in an advisory board and the speakers bureau of Otsuka Pharmaceuticals. J.-A.O. and A.P. hold non-salaried positions as board directors of Computer Simulation & Advanced Research Technologies (CSART), a not-for-profit organization.

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Nature Mental Health thanks Faith Ndebele, Andrea K. Webb and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

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Jeste, D.V., Paulus, M.P., Alexopoulos, G.S. et al. Transforming artificial intelligence into artificial wisdom. Nat. Mental Health (2026). https://doi.org/10.1038/s44220-026-00640-6

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