There Is an App for That — Until There Isn't

Digital health applications and psychotherapy follow different capacity, evidence, and reimbursement paths. Baumol’s cost disease explains one pressure on labour-intensive care; it does not explain a particular German fee decision or establish that an app substitutes for a therapist.

7 April 2026 · 6 min · Sebastian Spicker

Can the AI Friend Make You Lonelier?

AI companions promise to address loneliness. Daniel Wegner’s ironic process theory offers one speculative account of why companionship use may be risky for some people; current studies do not establish that companions cause loneliness.

12 August 2025 · 10 min · Sebastian Spicker

Inner Echo: On Making Mental Illness Visible, and What That Even Means

I am on the spectrum. This post asks what “making mental illness visible” can realistically mean and describes inner-echo, an unvalidated audiovisual metaphor project—not a simulation, diagnostic instrument, or therapy.

28 November 2024 · 9 min · Sebastian Spicker

Nobody Is Normal: A Roast I Had to Retract

I wanted to roast the psychiatric slogan “Up close, nobody is normal” for trivialising severe illness. The evidence does not support that verdict. Continuum beliefs are generally associated with less stigma, although a slogan alone is not a tested intervention and clinical thresholds still matter.

18 February 2023 · 6 min · Sebastian Spicker