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AI chatbots refilling psych meds sparks debate

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AI chatbots refilling psych meds sparks debate

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If you have ever waited weeks just to renew a mental health prescription, you already know how frustrating the system can feel. Now imagine handling that refill through a chatbot instead of a doctor.

That kind of thing is already starting to happen. In Utah, a new pilot program is allowing an artificial intelligence system from Legion Health to renew certain psychiatric medications without direct approval from a physician each time. State officials say this could speed things up and reduce costs.

Many psychiatrists are not convinced. They are asking whether this actually solves the problem it claims to fix.

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AMAZON HEALTH AI BRINGS A DOCTOR TO YOUR POCKET
 

Utah launches AI chatbot to renew select psychiatric prescriptions, raising questions about safety and oversight. (pocketlight/Getty Images)

How the AI prescription system works

Before this starts sounding like a robot psychiatrist, the program stays tightly limited. The AI only renews a short list of lower-risk medications that a doctor has already prescribed. These include commonly used antidepressants like Prozac, Zoloft and Wellbutrin. 

To qualify, patients must meet strict requirements. You need to be stable on your current medication. Recent dosage changes or a psychiatric hospitalization will disqualify you. You also need to check in with a healthcare provider after a set number of refills or within a certain time frame.

During the process, the chatbot asks about symptoms, side effects and warning signs such as suicidal thoughts. If anything raises concern, it sends the case to a real doctor before approving a refill. According to an agreement filed with Utah’s Office of Artificial Intelligence Policy, the pilot includes strict safeguards, including human review thresholds and automatic escalation for higher-risk cases. The system cannot prescribe new medications or manage drugs that require close monitoring. As a result, it leaves out many complex conditions from the pilot.

Why some experts are pushing back

Even with those guardrails, many psychiatrists are uneasy. Brent Kious, a psychiatrist and professor at the University of Utah School of Medicine, has questioned whether AI systems like this actually solve the access problem they are designed to address. 

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He has suggested that the benefits of an AI-based refill system may be overstated, especially since patients must already be stable and under care to qualify. Kious has also raised concerns about how much these systems rely on self-reported answers. Patients may not recognize side effects, may answer inaccurately, or may adjust their responses to get the outcome they want. 

He has further questioned whether current AI tools can safely handle even routine parts of psychiatric care, noting that treatment decisions often depend on factors that go beyond simple screening questions. He has also pointed to a lack of transparency in how these systems operate, which can make it harder for doctors and patients to fully trust them. 

HEALTHCARE DATA BREACH HITS SYSTEM STORING PATIENT RECORDS
 

A new pilot program allows AI to handle some mental health medication refills without direct doctor approval. (Sezeryadigar/Getty Images)

The promise behind the technology

Supporters of the program are focused on access. A lot of people in Utah still struggle to get mental health care. Wait times can stretch for weeks. In some areas, there simply are not enough providers available. The idea is that AI can take care of routine refill requests so doctors have more time to focus on patients with more complex needs. That could help take some pressure off the system. Legion Health is also leaning into convenience. The service is expected to cost about $19 a month and is designed to make refills quicker and easier for patients who qualify. From a big-picture view, that could help. From a patient’s point of view, the tradeoff may feel a little more complicated. We reached out to Legion Health for comment, but did not hear back before our deadline.

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What this means to you

If you rely on mental health medication, this kind of system could change how you manage your care. You may be able to get refills more quickly if your condition is stable and your treatment plan is not changing. At the same time, this does not replace your doctor. It does not handle new diagnoses or complex decisions. It also adds another layer between you and your care. Instead of a conversation, you are interacting with a system that depends on how you answer a series of questions. Mental health treatment often depends on small details. Changes in mood, sleep or behavior can matter more than a simple yes or no response. That is where some experts believe human care still has a clear advantage.

The bigger question about AI in healthcare

This pilot is only one step in a much larger shift. Utah is already experimenting with AI in other areas of healthcare. Companies like Legion are signaling plans to expand beyond a single state. What starts with simple refills could eventually move into more complex decisions. That is where the conversation becomes more urgent. Is this a practical way to improve access to care, or does it risk reducing something deeply personal into a transaction driven by software?

HOW ARTIFICIAL INTELLIGENCE IS TRANSFORMING HEALTHCARE
 

Psychiatrists question whether AI prescription refills address access issues or create new risks for patients. (SDI Productions/Getty Images)

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Kurt’s key takeaways

There is no question that access to mental health care needs improvement. Long wait times and limited availability are real problems that affect millions of people. AI may help in specific situations, especially when the task is routine and the patient is stable. Still, convenience should not be confused with quality. For now, this system is narrow in scope and closely monitored. That makes it easier to test. It also highlights how early we are in this transition. The technology will continue to evolve. The real question is whether the safeguards, oversight and transparency will evolve at the same pace.

Would you feel comfortable letting a chatbot handle part of your mental health care, or is that a line you do not want technology to cross? Let us know by writing to us at Cyberguy.com.

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Technology

Govee’s new LED Lightwall comes with its own self-standing frame

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Govee’s new LED Lightwall comes with its own self-standing frame

Govee has announced an upgraded version of its hanging Curtain Lights Pro that can instead be used nearly anywhere you have access to an outlet or large battery. At $449.99, Govee’s new Lightwall is more than twice as expensive as the $199.99 Curtain Lights Pro, but comes with more LEDs in a denser array and a self-standing aluminum frame that can be assembled in 10 to 15 minutes without the need for any tools.

When hung from its stand the Lightwall measures 7.9 feet wide and 5.3 feet tall and features 1,536 color-changing LEDs spaced about 1.96 inches apart in a 48 x 32 grid. It’s water-resistant, and with the ability to refresh at up to 35fps the Lightwall almost sounds like it could be used as a personal backyard Jumbotron, but it’s not designed for watching TV or movies.

The Lightwall instead connects to Govee’s Home app where you can select from over 200 preset scenes and simple animations, choose from 10 different music modes that generate lighting patterns matched to beats, or synchronize its colors to other Govee lighting products to create a cohesive mood.

The app can also use AI to create custom animated GIFs from simple text prompts, or you can take matters into your own hands and create custom designs by sketching in the app with your finger and stacking up to 30 layers of doodles. The Lightwall is smart home compatible and supports Matter, too, so in addition to managing it through Govee’s app you can control it using voice commands through smart devices with Google Assistant or Amazon Alexa.

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Roblox adds age-based accounts for kids and teens

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Roblox adds age-based accounts for kids and teens

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If your child plays Roblox, they are part of a massive global audience. Roblox has reported more than 144 million daily active users, with a large share made up of kids and teens who log in to play games, create content and connect with friends. That reach is exactly why a new change rolling out in early June matters.

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Roblox is introducing two new account types designed to better match what kids play and who they can talk to based on age. The shift centers on structure. Instead of one shared experience with layered controls, Roblox is building separate environments for different age groups. As a result, content, chat and parental controls will adjust automatically as a child grows.

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OPENAI TIGHTENS AI RULES FOR TEENS BUT CONCERNS REMAIN

Roblox rolls out a new AI system that analyzes entire scenes in real time to detect harmful content across its platform. (Brent Lewin/Bloomberg via Getty Images)

 

What are Roblox Kids and Roblox Select accounts?

Roblox is dividing younger users into two groups, each with its own rules and experience.

Roblox Kids (ages 5 to 8)

This is the most restricted environment. It is designed for younger children who need tighter guardrails.

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  • Access limited to games rated Minimal or Mild
  • Only games that pass a three-step review process
  • Chat is turned off by default
  • A distinct visual design so parents can easily recognize the account

The idea here is simple. Kids see a limited version of Roblox that removes riskier content and disables communication.

Roblox Select (ages 9 to 15)

AUSTRALIA REMOVES 4.7M KIDS FROM SOCIAL MEDIA PLATFORMS IN FIRST MONTH OF HISTORIC BAN

This group gets more flexibility, but still within limits.

  • Access to games rated up to Moderate
  • Same multi-step game screening process
  • Chat settings remain on by default in most regions
  • Visual indicators show the account type

At this stage, Roblox assumes users can handle a broader range of experiences, but still keeps filters in place.

How Roblox decides what games kids can play

Not every game makes the cut. Roblox is adding a continuous evaluation system that runs behind the scenes. Here’s how it works:

1) Developer verification

Creators must verify their identity, enable two-step security and maintain a Roblox Plus subscription.

2) Real-time evaluation

Older users, age 16 and up, effectively test new games first. Roblox studies how they interact and reviews reports before exposing those games to younger players.

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3) Content eligibility check

Games receive maturity ratings such as Minimal, Mild or Moderate. Certain categories, like social hangouts or free-form drawing, are excluded by default for younger users. This layered approach combines AI moderation, human review and real-world gameplay signals.

Age checks now control the entire experience

Roblox is expanding the same age-check system it introduced earlier this year for chat.

  • Users under 9 Roblox Kids
  • Users 9 to 15 Roblox Select
  • Users 16 and older standard with Roblox account

If a user does not complete an age check, they face stricter limits. They can only access lower-rated games and cannot use chat. Once verified, the system automatically moves them into the correct account type.

Roblox officials say the new system aims to proactively protect children while maintaining gameplay for compliant users. (Riccardo Milani/Hans Lucas/AFP via Getty Images)

 

Accounts evolve as kids grow

There is no need to manually switch settings over time.

  • At age 9, users move from Kids to Select
  • At age 16, they move to a standard account

This automatic progression is designed to simplify things for families while keeping protections in place at each stage.

Parental controls get more precise

Roblox is also expanding what parents can do.

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  • Block specific games through age 15
  • Manage direct chat settings until age 15
  • Approve access to individual games outside default limits
  • View what games kids play and who they interact with

These tools give parents more direct control instead of relying only on broad content filters.

A move toward global content ratings

Later this year, Roblox plans to align with the International Age Rating Coalition framework. That includes familiar systems like ESRB in the U.S. and PEGI in Europe. The goal is to make ratings clearer and more consistent across regions. 

Why this matters to families

This update changes how Roblox works at a fundamental level. Instead of asking parents to constantly adjust settings, the platform builds age-appropriate experiences from the start. It also reflects a broader shift in tech. Platforms are under pressure to design safety into the product, not tack it on later.

As Larry Magid, CEO of ConnectSafely, an organization focused on helping families navigate digital safety, put it:

“By combining age assurance, stronger creator accountability, and parental controls, Roblox is helping set a higher standard for how platforms can better protect younger users while preserving positive online experiences.”

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Kurt’s key takeaways

Roblox targets nuanced rule-breaking by analyzing avatars, text and environments together instead of in isolation. (JasonDoiy/Getty Images)

Roblox is not removing risk entirely. No platform can. What it is doing is tightening the structure around how kids interact with content and other players. For parents, this could make things simpler. For kids, the experience will feel more tailored to where they are in life. The bigger question is whether this becomes the norm across gaming and social platforms.

If platforms start shaping experiences based on age by default, does that improve safety or limit how kids explore and learn online? Let us know by writing to us at Cyberguy.com.

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YouTube now lets you turn off Shorts

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YouTube now lets you turn off Shorts

YouTube’s time management settings now have an option to put a zero-minute time limit on Shorts, effectively removing them from your app in Android and iOS. The option is an update to the Shorts timer YouTube originally announced in October; the lowest previous option was 15 minutes.

The feature was expanded in January to give parents some control over how long their kids spend scrolling through Shorts, with an option for zero minutes “coming soon.” According to YouTube spokesperson Makenzie Spiller, the option to set the timer to zero is now “live for all parents, and is currently being rolled out to everyone,” including users with regular adult accounts.

Regardless of age, it can be a handy tool for anyone who wants to spend a little less time scrolling. The Shorts tab won’t show any videos once you hit your limit, just a notification that you’ve “reached your Shorts feed limit.” In our tests, hitting the time limit also removes Shorts from the Home screen, so by setting the timer to zero you can ignore Shorts entirely if you want. To turn on the timer, go to the settings in the YouTube app and select “time management” then toggle on the Shorts feed limit and select a time for it.

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