The 2026 State of
AI in Mental Health Practice Report

The 2026 State of
AI in Mental Health Practice Report

The 2026 State of
AI in Mental Health Practice Report

A practical guide to responsible AI in mental health care, with clinicians, patients, privacy, and human connection at the center.

A practical guide to responsible AI in mental health care.

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A few things clinicians told us

30%

of clinicians now use AI for at least one part of their work, most often documentation.

33%

say they would use AI more if they trusted how patient data is handled.

78%

believe AI should stay out of the therapeutic relationship itself, and draw a firm line at clinical judgment.

Seven chapters, built to be read and acted on.

01

The state of adoption in 2026

Where practice actually is with AI, by setting, role, and task.

02

What clinicians trust, and what they don’t

The tasks professionals will hand over, and the ones they will not.

03

Patients on AI in their care

What people in treatment say, and what they expect to be told.

04

Privacy, consent, and the data question

The concerns that shape adoption, and what responsible handling looks like.

05

Keeping the human in the room

Adopting AI without eroding the relationship at the heart of care.

06

A practical framework for responsible adoption

A step-by-step guide clinicians and owners can apply this week.

07

What comes next

Where the field is heading, and how to prepare without overreacting.

Written for the people doing the work.

Therapists and counselors

Understand how peers are using AI, and where the profession is drawing its lines.

Psychiatrists and prescribers

See where AI is genuinely useful in a clinical workflow, and where caution is warranted.

Practice owners and leaders

Get a framework for adopting AI across a team responsibly, with privacy and consent handled well.

The question is no longer whether AI belongs in mental health practice. It is whether we adopt it in a way that protects the things that make care work: privacy, consent, and the human relationship. This report is our attempt to answer that clearly.

The question is no longer whether AI belongs in mental health practice. It is whether we adopt it in a way that protects the things that make care work: privacy, consent, and the human relationship. This report is our attempt to answer that clearly.

The question is no longer whether AI belongs in mental health practice. It is whether we adopt it in a way that protects the things that make care work: privacy, consent, and the human relationship. This report is our attempt to answer that clearly.

— The Berries clinical team

62% of therapists reported using AI tools in their practice this year

62% of therapists reported using AI tools in their practice this year

Yet only 28% feel their current tools truly protect client privacy

Yet only 28% feel their current tools truly protect client privacy

28%

Confident their tools protect privacy

64%

Want stronger data safeguards

80% of clinicians want clearer guidance on using AI responsibly

80% of clinicians want clearer guidance on using AI responsibly

Responsible-AI frameworks remain the top requested resource.

45% reported saving over 5 hours a week on documentation

45% reported saving over 5 hours a week on documentation

45%

Save 5+ hours every week

12%

Save more than 10 hours

How we gathered this

This report is based on responses from [N] mental health clinicians surveyed in [month/year], across solo practice, group practice, and clinics in [region]. It also draws on [patient survey / anonymized product data / interviews], and was reviewed by [practicing clinicians / named advisors] before publication.

All data is reported in aggregate. No individual clinician or patient is identifiable.

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Do What You Love

Do What You Love

Do What You Love