(816) Sexuality, Aging, Artificial Intelligence. Experience Report

Introduction Modern technology-computers, satellites, mobile phones, tablets, softwares, applications, and more-has gradually invaded human life. In psychotherapy, these resources were introduced during sessions to enhance the psychoeducational process regarding questions and concerns about sexuality in particular and personal life in general. With the advent of Artificial Intelligence (AI), this therapeutic configuration has been transformed. As individuals age, significant physiological, psychological, and emotional changes occur that deserve attention and support. People progressively lose loved ones such as parents, siblings, spouses, and friends. Without maintaining a sense of purpose in life, they may gradually drift toward loneliness unless they make new friends and establish new romantic relationships. Objective To report situations occurred in clinical practice during the treatment of sexuality and relationship issues in aging individuals, involving Artificial Intelligence. Methods On November 5, 2025, a search was conducted for published papers on the PubMed platform to verify how AI was being utilized in the psychotherapeutic context, using the following keywords: artificial intelligence and psychotherapy, artificial intelligence and psychotherapy and sexuality, artificial intelligence and psychotherapy and sexual disorders. Three situations were selected in which patients utilized AI during their psychotherapy sessions. Results Table 1 reveals that the first published work appeared in 1964; with some already dated 2026. The total number of publications was 2,314; 23 approached sexuality in general, and only 8 in sexual dysfunctions. None addressed the use of AI during therapy sessions. The AI platforms used by patients included: Grok, Perplexity, Copilot, Gemini, GPT, Claude.ai, and Deepseek. The age ranged between 55 and 70 years. Three situations were selected for illustration. Throughout the week, patients exchanged written messages and conversed with these AI systems to seek guidance on how to proceed and obtain information about matters that troubled them. For therapy, they brought reports of these conversations and recommendations for discussion. Sometimes they even conversed with the AI and their psychologist simultaneously. One woman still had sexual desire and wanted to arrange an in-person meeting with a potential suitor. She requested guidance from the AI on how to write texts in a convincing and welcoming manner, and how to proceed to achieve her goal. She is still in this process. Another woman felt very lonely, had no friends, distant family members who gave her no importance, and felt no sexual appetite. She conversed daily for hours with the AI as a complement to therapy. Gradually, she is gaining self-confidence. A gentleman, also alone and unemployed, turned to AI to help him prospect for Jobs, and "find" a girlfriend. He had situational erectile dysfunction. Since AI entered his life, he feels much better and more confident in himself. Nevertheless, he does not abandon therapy because he needs human warmth, which AI cannot provide. Conclusions Clinical experience demonstrates that Artificial Intelligence is here to stay, offering each day increasingly more creative possibilities. Respecting ethics. AI seems to be an important therapeutic adjuvant to be incorporated into the psychotherapeutic context more as an ally than as a competitor. This future appears quite promising. Disclosure No