Stephanie Miaco, M.D.
@stephaniemiaco.bsky.social
Physician,#Psychiatry And #MentalHealth, Faculty at Silliman Univ. Med School. Member, #HealthxPh, #StreetPhotos #Writer IG:
@thestreetgazer #LifeLongLearning
@thestreetgazer #LifeLongLearning
T3. I suppose I just ended where I was in life because of integration and choices I made specifically… I hope I am strong enough for my decisions in life. #healthxph
T3: Was the career we built genuinely ours — or a script we inherited and never questioned? #healthxph
February 14, 2026 at 2:04 PM
T3. I suppose I just ended where I was in life because of integration and choices I made specifically… I hope I am strong enough for my decisions in life. #healthxph
T2. I am usually the one is always present at family parties, but since I was away for school and training for most of my adult life, I/they missed out on family fun and togetherness… but I have since made up as much as I could. I’m always the one called on for healthcare-related tasks.#healthxph
T2: What did the people closest to us quietly lose while we were busy building our careers? #healthxph
February 14, 2026 at 1:49 PM
T2. I am usually the one is always present at family parties, but since I was away for school and training for most of my adult life, I/they missed out on family fun and togetherness… but I have since made up as much as I could. I’m always the one called on for healthcare-related tasks.#healthxph
Reposted by Stephanie Miaco, M.D.
T1 Nearly half of physicians report at least one symptom of burnout (about 43–45%). When exhaustion, cynicism and detachment become this common, the risk isn’t mislabeling burnout — it’s normalizing it. #HealthXPh
www.ama-assn.org/press-center...
www.ama-assn.org/press-center...
Burnout rate improving among physicians, though rates remain high since 2011
News study shows burnout rates down to 2017 levels.
www.ama-assn.org
February 14, 2026 at 1:25 PM
T1 Nearly half of physicians report at least one symptom of burnout (about 43–45%). When exhaustion, cynicism and detachment become this common, the risk isn’t mislabeling burnout — it’s normalizing it. #HealthXPh
www.ama-assn.org/press-center...
www.ama-assn.org/press-center...
T1. In my line of work in #MentalHealthcare, it is very easy to burn out and lose focus, especially with the amount of work we have to do. When your main product is your compassion and empathy, attempting to address everyone’s concerns can draining. #healthxph
Lets go to T1: Are we burned out — or have we just gotten very good at calling it something else? #healthxph
February 14, 2026 at 1:32 PM
T1. In my line of work in #MentalHealthcare, it is very easy to burn out and lose focus, especially with the amount of work we have to do. When your main product is your compassion and empathy, attempting to address everyone’s concerns can draining. #healthxph
10 mins to go... let's do
T3. What are the dangers/possibilities of this new trend of using AI bots for psychotherapy/psychiatric care/medical care?
#healthxph
T3. What are the dangers/possibilities of this new trend of using AI bots for psychotherapy/psychiatric care/medical care?
#healthxph
February 7, 2026 at 1:50 PM
10 mins to go... let's do
T3. What are the dangers/possibilities of this new trend of using AI bots for psychotherapy/psychiatric care/medical care?
#healthxph
T3. What are the dangers/possibilities of this new trend of using AI bots for psychotherapy/psychiatric care/medical care?
#healthxph
Reposted by Stephanie Miaco, M.D.
That's why there should be an effort to educate the public about AI, like we did with internet, socmed etc. #healthxph
T2. The #tiktok series of that individual was so bizarre, but ultimately, not impossible, because of the AI (that she used as a confidante and therapist) that generally "pushed her" and endlessly validated her. The danger here is that one's decisions can be pushed in the wrong direction. #healthxph
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
February 7, 2026 at 1:48 PM
That's why there should be an effort to educate the public about AI, like we did with internet, socmed etc. #healthxph
Reposted by Stephanie Miaco, M.D.
T2. I use AI as an adjunct to my practice, not direct patient care. Train it to sharpen my clinical judgement, structure my teaching and practice make it efficient. I also train it to surface my and it's blindspots or biases. #Healthxph
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
February 7, 2026 at 1:45 PM
T2. I use AI as an adjunct to my practice, not direct patient care. Train it to sharpen my clinical judgement, structure my teaching and practice make it efficient. I also train it to surface my and it's blindspots or biases. #Healthxph
Reposted by Stephanie Miaco, M.D.
the extent to which I have experienced AI is watching about it in movies. I wonder if it is time to start exploring this though. #HealthXPH Someone with mental health disorder can tend to isolate and get addicted to social media where "content" is not exactly evidence-based, and might mislead.
February 7, 2026 at 1:37 PM
the extent to which I have experienced AI is watching about it in movies. I wonder if it is time to start exploring this though. #HealthXPH Someone with mental health disorder can tend to isolate and get addicted to social media where "content" is not exactly evidence-based, and might mislead.
Reposted by Stephanie Miaco, M.D.
T1. As in any medical specialty, humans should lead direct care of any patient. There are other routine, admin task that can be carried out by AI but not direct patient care. #healthxph
I'd like to start with T1!
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
February 7, 2026 at 1:33 PM
T1. As in any medical specialty, humans should lead direct care of any patient. There are other routine, admin task that can be carried out by AI but not direct patient care. #healthxph
T2. The #tiktok series of that individual was so bizarre, but ultimately, not impossible, because of the AI (that she used as a confidante and therapist) that generally "pushed her" and endlessly validated her. The danger here is that one's decisions can be pushed in the wrong direction. #healthxph
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
February 7, 2026 at 1:34 PM
T2. The #tiktok series of that individual was so bizarre, but ultimately, not impossible, because of the AI (that she used as a confidante and therapist) that generally "pushed her" and endlessly validated her. The danger here is that one's decisions can be pushed in the wrong direction. #healthxph
T2. Very recently, I came upon a #Tiktok video of an individual who thought her psychiatrist had fallen in love with her. She ran this through her AI app, which really validated the idea, including her physician friend who allegedly also shared her thoughts validating the matter. #healthxph 1/2
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
February 7, 2026 at 1:32 PM
T2. Very recently, I came upon a #Tiktok video of an individual who thought her psychiatrist had fallen in love with her. She ran this through her AI app, which really validated the idea, including her physician friend who allegedly also shared her thoughts validating the matter. #healthxph 1/2
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
February 7, 2026 at 1:28 PM
Let's Do T2!
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T2. Can you share an experience on this (Positive of Negative) whether virtual or actual?
#healthxph
T1. The incident where an AI chatbot led to a vulnerable young person's eventual suicide is a horror story I never wish to encounter in my work. In my locality, I am aware that a lot of individuals do indeed use it for "mental healthcare", as it is more accessible and less stigmatizing. #healthxph
I'd like to start with T1!
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
February 7, 2026 at 1:20 PM
T1. The incident where an AI chatbot led to a vulnerable young person's eventual suicide is a horror story I never wish to encounter in my work. In my locality, I am aware that a lot of individuals do indeed use it for "mental healthcare", as it is more accessible and less stigmatizing. #healthxph
I'd like to start with T1!
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
February 7, 2026 at 1:14 PM
I'd like to start with T1!
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
T1. What is your opinion in the use of AI bots for psychiatric care and psychotherapy? For your practice in general?
#healthxph
Tonight, I hope to be discussing something very relevant to my profession in mental health... the use of AI chat bots, as a replacement for actual therapy.
In addition, we are also seeing its use as a "medical adviser" for other specialties. Your thoughts on this?
Join #healthxph chat tonight!
In addition, we are also seeing its use as a "medical adviser" for other specialties. Your thoughts on this?
Join #healthxph chat tonight!
February 7, 2026 at 1:11 PM
Tonight, I hope to be discussing something very relevant to my profession in mental health... the use of AI chat bots, as a replacement for actual therapy.
In addition, we are also seeing its use as a "medical adviser" for other specialties. Your thoughts on this?
Join #healthxph chat tonight!
In addition, we are also seeing its use as a "medical adviser" for other specialties. Your thoughts on this?
Join #healthxph chat tonight!
I'm Steph, and I'll be moderating tonight on a very interesting topic suggested by Ma'am @endocrinewitch.bsky.social , about AI and replacing human empathy.
Who's online tonight?
@endocrinewitch.bsky.social @bonedocph.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social
#healthxph
Who's online tonight?
@endocrinewitch.bsky.social @bonedocph.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social
#healthxph
February 7, 2026 at 1:03 PM
I'm Steph, and I'll be moderating tonight on a very interesting topic suggested by Ma'am @endocrinewitch.bsky.social , about AI and replacing human empathy.
Who's online tonight?
@endocrinewitch.bsky.social @bonedocph.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social
#healthxph
Who's online tonight?
@endocrinewitch.bsky.social @bonedocph.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social
#healthxph
Reposted by Stephanie Miaco, M.D.
Hi Steph! Just in time. This was bothering me the whole week so I suppose this is a sublimated topic. I do hope we can find solutions to communicate better - both on patient's side for patient advocacy and on healthcare workers' side for inter-hospital communication. #HealthXPH
January 31, 2026 at 1:38 PM
Hi Steph! Just in time. This was bothering me the whole week so I suppose this is a sublimated topic. I do hope we can find solutions to communicate better - both on patient's side for patient advocacy and on healthcare workers' side for inter-hospital communication. #HealthXPH
Hello #healthxph fam and friends, hello Doc H, moderator! How are you all? Just got in, but already put in my two cents for T1.
I hope everyone is having a nice and quiet Saturday.
I hope everyone is having a nice and quiet Saturday.
January 31, 2026 at 1:36 PM
Hello #healthxph fam and friends, hello Doc H, moderator! How are you all? Just got in, but already put in my two cents for T1.
I hope everyone is having a nice and quiet Saturday.
I hope everyone is having a nice and quiet Saturday.
Reposted by Stephanie Miaco, M.D.
T3 Open-minded. That helps keep your eyes open to new ideas and better ways to do whatever comes up. #HealthXPh
January 10, 2026 at 2:00 PM
T3 Open-minded. That helps keep your eyes open to new ideas and better ways to do whatever comes up. #HealthXPh
T3. My word is: "SELF-IMPROVEMENT", which is two words, but of a singular thought. #healthxph
January 10, 2026 at 2:00 PM
T3. My word is: "SELF-IMPROVEMENT", which is two words, but of a singular thought. #healthxph
T2. Mindset-wise, I've adapted a memento mori outlook to life, and seek to give as best a work output/legacy as I can muster. #healthxph
January 10, 2026 at 1:49 PM
T2. Mindset-wise, I've adapted a memento mori outlook to life, and seek to give as best a work output/legacy as I can muster. #healthxph
T2. I have a very capable assistant, who is very organized, and she helps keeps things together at work, on top of the fact that she is very eager to learn, so i am quite excited about the prospect of working with her, to further improve things!
#healthxph
#healthxph
January 10, 2026 at 1:46 PM
T2. I have a very capable assistant, who is very organized, and she helps keeps things together at work, on top of the fact that she is very eager to learn, so i am quite excited about the prospect of working with her, to further improve things!
#healthxph
#healthxph
January 10, 2026 at 1:41 PM