The Therapeutic Relationship in AI Mediated Psychological Counselling: Review of Therapeutic Alliance, Empathy, and Trust
Abstract
The Therapeutic Relationship in AI‑Mediated Psychological Counselling: Review of Therapeutic Alliance, Empathy, and Trust Shalini Roychaudhary, Assistant Professor, Dibrugarh University, Centre for Studies in Applied Psychology, Assam, India. Sumit Deodhar, Independent Researcher, Psychology, India A B S T R A C T The increasing integration of artificial intelligence (AI) in mental health interventions has raised questions regarding its impact on the therapeutic relationship, a core component of counselling psychology. This review examines the psychological constructs of therapeutic alliance, empathy, and trust in AI-mediated counselling. Drawing on recent empirical and theoretical literature, this paper synthesizes findings on how AI-based tools influence relational dynamics between clients and technology-assisted counselling systems. Implications for counselling practice, ethical considerations, and future research directions are discussed. Results suggest that while AI offers accessibility and consistency, challenges persist in replicating human-like empathy and establishing trust, highlighting the need for human-cantered design grounded in psychological theory. Keywords: AI-mediated counselling, therapeutic alliance, empathy, trust, counselling psychology, digital mental health.
Fields of Study & Subjects
Digital Mental Health Interventions
Psychotherapy Techniques and Applications
Social Robot Interaction and HRI
Publication details
- Journal / source
- Zenodo (CERN European Organization for Nuclear Research)
- Publication date
- 30 January 2026