Millions of people already chat about their mental health with large language models (LLMs), the conversational form of artificial intelligence. Some providers have integrated LLM-based mental healthcare tools into routine workflows. John Torous, MD, MBI and colleagues, of the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, urge clinicians to take immediate action to ensure these tools are safe and helpful, not wait for ideal evaluation methodology to be developed. In the November issue of the Journal of Psychiatric Practice(r), part of the Lippincott portfolio from Wolters Kluwer, they present a real-world approach and explain the rationale. 

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