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Dr. Karthik V. Sarma

πŸ‘€ Speaker
186 total appearances

Appearances Over Time

Podcast Appearances

The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

Yeah, I absolutely think that would be really helpful.

396.898 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

399.001 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

402.425 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

408.952 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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.

411.815 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

423.048 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

426.552 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

It's even worse for ChachiBT.

429.935 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

431.557 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

or maybe they're having delusions, right?

435.862 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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.

438.365 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

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

448.837 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

I think we need to help people understand that

455.505 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

This is a general purpose tool.

457.748 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

It's like Microsoft Word.

459.292 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

It's not built for mental health.

460.616 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

Their intent isn't to make a mental health agent.

462.541 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

And if you're having a mental health problem, you've got to talk to a doctor.

465.047 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

So there are some, and the makers would call them safeguards.

478.22 View full episode β†’
The Last Show with David Cooper
FULL EPISODE: What Kind Of Medication?! - February 3, 2026

There are safeguards that, for example, it's supposed to auto-detect if you're asking a medical question, they'll put in a label saying, hey, I'm not a doctor, you should talk to a doctor.

481.282 View full episode β†’