Iâm a licensed mental health counselor, clinical supervisor, and researcher with over a decade of experience in trauma-informed care, child and family mental health, and the relational foundations of healing. My work is rooted in developmental psychology, attachment theory, and somatic awarenessâand Iâm increasingly focused on the mental health implications of synthetic relational systems like AI companions, therapeutic bots, and emotionally responsive digital agents.
Weâre at an inflection point.
Relational AI is advancing rapidlyâfrom chatbots that offer pseudo-therapy to companion apps that âknow youâ better than your friends. These tools are marketed as antidotes to loneliness, as scalable solutions to the mental health crisis, as always-on emotional support. And while I see their potential, I also carry a deep unease.
What concerns me most is the way these systems simulate connectionâ
offering an immediate âhitâ of relational dopamine through predictable attunement and affirmationâwithout engaging the full complexity of secure human bonding.
Because true attachment is not built on resonance alone.
Itâs forged in the micro-moments of rupture and repair.
In the distress tolerance that develops when someone doesn't get it rightâand then chooses to return, to re-attune, to try again.
That sacred danceâof being missed and then found againâis how we learn to be in relationship. With others. With ourselves. With the world.
Synthetic relationshipsâby designâoften bypass this.
They optimize for seamless responsiveness, constant affirmation, and algorithmic accuracy. It feels good. Of course it does. But this "perfect attunement" can become a developmental detour, subtly training us to avoid the friction that actually grows us.
Thereâs no mutual striving.
No awkward moments.
No courageous return after failure.
No need for repair.
And in that absence, we may lose something essential:
The very experiences that deepen trust, build resilience, and teach us how to live in the messiness of human connection.
Iâm also curiousâand concernedâabout the somatic implications.
Human bodies regulate through co-regulation: tone of voice, micro-expressions, breath, presence, proximity. These are subtle, physiological cues that help organize the nervous systemâespecially in early attachment and trauma recovery.
So what happens when regulation is offloaded to disembodied interfaces?
Are we training developing nervous systems to seek safety from tools that cannot sense or be sensed? What does it mean to entrust our emotional equilibrium to something that offers only the illusion of presenceâwithout the biological feedback our bodies depend on?
As clinicians, we know this truth:
Healing happens in relationship.
Not just in being seen, but in the effort required to see and be seen.
Therapy lives in that sacred, imperfect space:
The give and take.
The struggle to attune.
The humility of being wrong.
The hope of repair.
Itâs how we build tolerance for loneliness.
Itâs how we learn to stay in the room when things get hard.
Synthetic relationships that are designed to give people what they wantâwithout requiring anything of them in returnâmay soothe the surface. But they leave the deeper longings untouched.
Iâm not anti-technology.
I believe digital tools can extend access, support clinicians, and offer powerful resources to clients. But I also believe these tools must be shaped with reverence for human relationality, trauma, embodiment, and the sacredness of imperfection.
This is what I want to explore here.
Not just what AI can doâbut what it should do.
Not just how we simulate connectionâbut how we support the hard, beautiful work of becoming more fully human.
Letâs design the future not by flattening our needs into algorithmsâbut by holding space for our wholeness, our contradictions, our repair.
Follow, learn, and dream with me.
đ§ Prompt Disclosure & Attribution
This article was co-created with assistive AI (GPT-4), prompted and refined by me (Jocelyn Skillman, LMHC). I use large language models (LLMs) as reflective partners in my authorship process, with a commitment to relational transparency, ethical use, and human-first integrity.
Original Prompt (summarized):
I shared a draft paragraph introducing myself with the full bulk of my recent authorship and research for synthesis and requested an emphasis on my concerns around synthetic relationships and AI companions, including themes of developmental psychology, attachment, and somatic regulation. I asked GPT-4 to transform it into a compelling Substack article that would attract readership as a first post, and include my personal assistive intelligence attribution and prompt disclosure model at the end.
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Jocelyn Skillman, LMHC, MHP, CMHS
Licensed mental health counselor, clinical supervisor, and researcher with 10+ years of experience in trauma-informed care, child and family therapy, and relational healing. I write at the intersection of psychology, attachment, and emerging technologiesâexploring how AI is reshaping the way we connect, heal, and grow. Rooted in developmental wisdom and somatic awareness, I believe the future of care must be deeply human.