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Language is at the heart of mental health. It is how clinicians describe what they observe, and how people express what they feel. But what happens when we ask AI to read it? I am a clinical informatician at the CAMHS Digital Lab, South London and Maudsley NHS Foundation Trust and King's College London. My work sits at the intersection of artificial intelligence and child and adolescent mental health.

‘She’s a right little madam.’ You might think that was quite a mean thing for a parent to say about their child, wouldn’t you? Now imagine there is a little more context, that the parent said: ‘Oh Zoë’s a lovely little girl. She’s funny, sweet… except when she doesn’t get a lolly before bed, then she’s a right little madam!’ We can go a little further. Imagine the parent laughed after they said that. Suddenly not quite so bad, huh?

It was November 2004 when I received my comorbid diagnosis: Panic Disorder with Agoraphobia and Major Depressive Disorder. At age 14, this had been a huge relief and also the first time I encountered what the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) were. For the first time, I had a valid explanation for my feelings of impending doom, my breathlessness and dizziness, and my rapid heart rate.