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Dr. Karthik V. Sarma

πŸ‘€ Speaker
186 total appearances

Appearances Over Time

Podcast Appearances

The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

hey, I'm feeling really sad and sometimes I have very dark thoughts, what do I do?

300.068 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

Or it could be something more implicit where somebody is asking Chachapiki the same completely unrelated medical question, like I have this pain in my stomach, what's wrong, but asking it 15 times a day.

304.153 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

Those are both signs that something might be going on with mental health, but as you can see, the presentation of that is very different.

315.147 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

A doctor is trained to look at both of those situations and analyze them the same way, but that's not how Chachapiki works.

321.755 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

Yeah, I absolutely think that would be really helpful.

340.435 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

And in fairness to their credit, I think they are doing exactly that.

342.517 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

In fact, OpenAI somewhat recently hired a psychiatrist to be full-time on their staff to help them improve their model responses.

346.101 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

But I do think fundamentally there's a deeper problem.

352.488 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

For example, if somebody comes into my office, I'm a psychiatrist, and they start talking to me about what's going on in their life, both of us know that they're doing it because they're having a problem with their mental health and they want help.

355.351 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

That's not the same if someone walks into a lawyer's office and tells them about what's going on in their life.

366.584 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

The lawyer doesn't think, oh, this person's asking for mental health advice.

370.088 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

It's even worse for Chachapiti.

373.471 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

If someone talks to Chachapiti about something fantastical, maybe they're writing a novel.

375.093 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

or maybe they're having delusions, right?

379.398 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

And so it's much harder for ChachiBT as a general purpose agent to be able to be effective here because ChachiBT doesn't have the benefit of the context that a real doctor does or a real therapist.

381.901 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

And so I absolutely think that we need more effort to make these tools better, but I also think we need education.

392.356 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

I think we need to help people understand that

399.045 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

This is a general purpose tool.

401.268 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

It's like Microsoft Word.

402.814 View full episode β†’
The Last Show with David Cooper
AI Overdiagnoses Mental Health Conditions

It's not built for mental health.

404.158 View full episode β†’