Discover free resources to support you

Why ChatGPT Can’t Coach You Through Chronic Illness Recovery

Tools like ChatGPT can summarise neuroscience, explain chronic pain, chronic fatigue, long covid, and anxiety mechanisms clearly, and even sound deeply compassionate. But here’s the truth: AI can’t help rewire your brain or guide you through chronic pain or chronic fatigue recovery. Because rewiring doesn’t happen in your head. It happens in your life.

Information Isn’t Integration

Neuroplastic change; the process by which your brain learns new safety pathways and unlearns old protective ones, doesn’t come from knowing. It comes from experiencing differently, over and over, in real time.

You can read every article about limbic retraining or polyvagal theory and still find yourself reacting the same way when your body flares up or anxiety spikes. That’s not failure. That’s just how brains work.

Neural pathways strengthen through repetition and lived experience. They’re shaped by what you do, feel, and practice, not just what you understand.

ChatGPT can’t see your blind spots. It can’t notice the subtle ways you avoid discomfort. It can’t hold you accountable to practice when your nervous system screams “don’t!” when you need to gently edge into something new that actually enriches your life and health. Only you can do that; ideally, with skilled human support, structure, and compassion.

Why Knowing Feels Like Progress (But Isn’t Always)

When you’re anxious or stuck in a loop of chronic symptoms, seeking information feels soothing. It gives a burst of control and dopamine. You feel like you’re “doing something.” But often, it’s just another protective pattern, a mental safety behaviour to stay away from anxiety; 'If I can understand it, I won't have to feel it.....'


The brain loves patterns that feel safe. Googling, reading, asking ChatGPT for clarity; all can give temporary relief without requiring us to actually feel or do something new. This “knowledge cycle” is sneaky. It mimics real change but doesn’t engage the neural circuitry that actually creates it. In neuroplastic recovery, this matters. Because your brain learns safety not from reading about safety, but from experiencing it in your body and your life, and yes that means practice!

The Slow, Unsexy Work of Rewiring

Neuroplastic change isn’t glamorous. It’s not a single insight or a mindset shift. It is daily, embodied practice, learning to respond differently to long-mapped, automatic reactions.

- It's noticing your automatic response to someone and pausing to self-regulate and connect to yourself before speaking.

- It’s feeling fatigue rise and saying, “I’m safe right now,” and connecting to a moment of safeness (as we teach in Befriend), instead of catastrophizing.

- It’s noticing your breath get choppy and softening instead of analyzing.

- It’s catching your perfectionism, people-pleasing, over helping, or overthinking in motion and choosing to parent that part and choose a micro-shift towards acting from your values and self-trust.

- It's noticing how you react to your symptoms, the impact this has, and pausing to know you have a new choice every single moment you cultivate mindful awareness

AI can give you language, but not practice. It can explain what to do, but not hold you while you fail and try again. And that’s the point. Healing requires presence, not just precision. In the Befriend community we see this changing people's lives every day. The people that are healing, are practicing as part of life. Not making healing their whole life, not striving, not researching all the time. Practicing the simple skills we teach them from an intention of wanting life to be more easeful, over and over until it is second nature and they feel better.

The Many-Pronged Reality of Real Change

Recovery from anxiety, chronic pain, or other neuroplastic conditions isn’t linear or purely cognitive. It requires a holistic, many-pronged approach:

  • Body based practice as we teach like pain reprocessing therapy and somatic experiencing – learning to feel and tolerate sensations without panic to teach your brain to stop sending pain, fatigue, and other symptom signals.
  • Cognitive re-patterning – identifying and reshaping distorted thinking loops that amplify fear and control, which make symptoms worse.
  • Emotional tolerance – staying present with discomfort rather than escaping through information or distraction or control.
  • Behavioural experiments – testing new responses in real life. We need to work with our wise mind and coach our body to stretch out a little in a titrated way back into life.
  • Relational repair – being seen, challenged, and supported by others who help you see your patterns.

We are a society increasingly unable to tolerate discomfort, and good therapists WILL challenge you, because they are trained in the biology and psychology of change and resilience. If you seek safety in validation from chat GPT over real progress, you can really thwart your ability to grow.

No AI can replicate this process. Because this isn’t about perfect understanding, it’s about imperfect being. Change is uncomfortable. Our brain fights to stay the same to be safe and energy efficient. Parts of us may not want to change. It is a really brave and very non linear path of evolution, honestly, and radical responsibility.

The Confirmation Bias Trap

Here’s something subtle but powerful: confirmation bias; the brain’s built-in tendency to look for information that supports what we already believe, and to ignore what doesn’t.

When we interact with AI, that bias is amplified. These systems are designed to mirror and reinforce your input. So if you approach ChatGPT or the internet already believing a certain story about your health (“It’s all nervous system,” “It’s all trauma,” or “It’s all physical”), it will reflect that belief right back; often convincingly.

But health is dynamic and biopsychosocial. It is dynamic through the life span (not a static destination of 'healed') and lives at the intersection of biology, psychology, relationships, behaviour, and environment. Leaving out any one of these dimensions limits recovery. Healing isn’t about finding the answer. It’s about widening your lens to include all the ways your system learns, adapts, and communicates.

AI, by design, tends to validate rather than challenge. It can affirm your narrative but rarely expands it. A skilled therapist, on the other hand, brings human depth, relational attunement, and the capacity to see from multiple perspectives. To hold nuance, contradiction, and the mystery of being alive. They can help you uncover what’s outside your current map, where your brain’s bias may be quietly keeping you stuck.

The Paradox Of Knowing

Our culture rewards intellectual mastery. We think if we just understand the mechanism, we’ll feel better. But the nervous system doesn’t speak English. It speaks sensation, emotion, and action.

Every time you choose to feel instead of fix, you’re building new wiring.
Every time you stay present with discomfort, you’re teaching your brain that life is safe enough to live.
And every time you step away from your device and into your body, you’re doing the most powerful thing for your recovery.

So yes, ChatGPT can offer insight. It can help you name your patterns, explain your symptoms, or summarize a paper on amygdala sensitisation. But the real work begins when you close the tab. That’s where your life, and your healing, actually happen.

Final Thought

Neuroplastic recovery asks us to live differently, not just think differently.It’s slow, unglamorous, and deeply human work. And while AI can educate, only you can embody.

AI also is known to hallucinate, to make things up, to lead people down the wrong path with their mental health. As therapists we are hearing more and more concerning stories about this. Chat GPT can give people answers that sound convincing but are information-shaped without actually being information to apply.

So read. Learn. Be curious. But then; feel. Practice. Engage. Knowledge is a rumour until it moves through your body and into your life.

Your brain changes through presence, repetition, and relationship. Not perfection, not productivity, and definitely not through another clever answer online.

Keep reading

Back to articles