Dr Prerna Kohli

The App Understood the Words. It Didn’t Understand the Family.

AI & Mental Health · 9 of 9

The App Understood the Words. It Didn't Understand the Family.

Why Indians abroad lean on AI more than most, and where its advice quietly fails a life lived between two countries.

Why do Indians abroad rely so heavily on AI for emotional support? Long waits for local services, therapists who don't know the family context, time zones that make calling home difficult, and no community nearby. AI fills the gap at any hour. Where it fails is advice built on Western assumptions about family, applied to a joint one.

"Every NRI client who has been talking to an app arrives with the same recommendation somewhere in the transcript. Set a boundary. It is excellent advice for a family you can walk away from, and useless for one you cannot."
PK

From a clinical-psychology lens. A large part of my practice is Indians living abroad. The pattern I see now is people arriving with months of well-organised thinking and one consistent blind spot, which is that the advice they've absorbed assumes a family structure they don't have.

A man in Toronto told me he'd been talking to a chatbot most nights for a year about his mother. She called daily, at hours that suited Delhi and wrecked his mornings, and expected him to move back.

He'd been advised, consistently and reasonably, to set clear limits and communicate his needs. He'd tried. What nobody had explained to him was that in his family, the way you decline is never by declining, and that the version he'd been rehearsing would land as a rupture rather than a boundary.

Why the pull is stronger abroad

Not because people abroad are more fragile. The alternatives are simply harder to reach than they are for someone in Delhi or Mumbai.

  • Waiting lists. In the UK and Canada especially, the gap between asking for help and getting it is measured in months. A chatbot is available tonight.
  • No culturally fluent clinician nearby. Plenty of good therapists, few who understand what it costs to say no to a father, or what a marriage inside a joint family actually involves.
  • Nobody to call at that hour. When it's midnight where you are, it's the middle of a working day at home, and the people you'd ring are unavailable or would worry.
  • The reputation problem. Diaspora communities are small and interconnected. Speaking to a local Indian counsellor can feel like speaking to the community.
  • Nothing to explain. No preamble about what a roka is, or why your mother's opinion of your wife matters this much.

The context

~32 M
people of Indian origin live outside India, the world's largest diaspora
24%
of UK adults using AI chatbots for mental health cited long waiting times for support as a reason
28.4%
of surveyed US adults who had seen a mental-health professional reported visiting less often since starting to use AI

Sources: Ministry of External Affairs, Government of India; Mental Health UK / Censuswide polling, November 2025; Syracuse University national survey of US adults 18–49, October 2025.

Where the advice goes wrong

The failure isn't factual. It's that the model was trained overwhelmingly on Western psychological writing, and that literature is built on an assumption of individual autonomy which doesn't describe most Indian families.

"Set a boundary"

Sound advice where relationships are voluntary. In a family where obligation is the structure rather than a feature of it, a declared boundary often reads as a declaration of war. The same outcome usually has to be reached indirectly, over time, without anyone having to lose face.

"Have an honest conversation with your parents"

Assumes a family that discusses feelings directly. Many don't, and never have. Insisting on a mode of communication your family has never used tends to produce silence rather than understanding.

"You're an adult, it's your decision"

True legally and beside the point emotionally. Someone deciding whether to move back for an ageing parent isn't confused about their rights. They're weighing a genuine obligation against a genuine life, and being told the obligation is optional doesn't help them weigh it.

"Consider some distance from your family"

Occasionally right, and dangerous as a default for someone already eight thousand kilometres away with guilt as their dominant feeling. Distance is the situation, not the remedy.

The particular loneliness of the middle

The version I hear most is from people doing well. Good job, settled visa, children in decent schools, and a persistent sense of not being fully at home in either country.

At work you're slightly foreign. At home in India you've become the one who left, and the conversations have moved on without you. The friendships that would carry this in either place take years to build and you've been busy.

An AI companion sits neatly into that gap, and for a while it genuinely helps. The difficulty is that frictionless company makes the effortful kind feel more effortful, and the effortful kind is the only sort that eventually ends the loneliness.

Composite

The rehearsed conversation

A woman in London had been preparing, over four months and many exchanges with a chatbot, to tell her in-laws she wouldn't be hosting them for three months that winter.

She had a script. It was clear, warm, firm, and entirely unusable, because it stated a position in a family that has never once stated a position out loud.

What she needed wasn't better wording. It was to understand that in her husband's family such things move through his sister, take about six weeks, and are never named. The app had given her a good answer to a question her situation wasn't asking.

A composite drawn from several presentations, not a real client. No identifying details belong to any individual.

Using it well from abroad

The distance that makes therapy harder also makes AI more useful as an adjunct, if the roles are kept straight.

  • Write the week down. Sessions across time zones are often further apart. A record of what actually happened is worth more here than anywhere.
  • Draft, then check the cultural fit. Use it to find the words, then ask someone who knows the family whether those words will land as intended.
  • Ask it to argue the other side. "Write my mother's version of this, as she'd tell it to her sister." Uncomfortable and clarifying.
  • Treat "set a boundary" as a hypothesis. Sometimes right. Never automatically right in a joint family.
  • Notice if it's your only outlet. Living abroad makes that easy to slide into without deciding to.

If you are struggling badly and far from anyone who knows you, please don't wait for a convenient hour. Contact your local emergency services or nearest hospital if you cannot keep yourself safe, and tell one person in your life today.

Talk to someone who already knows the context

Sessions with Dr. Kohli directly by secure video, scheduled around your time zone, in English or Hindi. No explaining your own family before you can be helped within it.

Book a session WhatsApp +91 9811862338

The AI and mental health series

Start with the overview, or read across the set.

  1. AI and your mental health — the overview.
  2. Is ChatGPT a good therapist?
  3. Why AI agrees with you
  4. When to see a person, not an app
  5. When your teenager confides in a chatbot
  6. Using AI alongside therapy
  7. Is ChatGPT confidential?
  8. AI told me I have depression
  9. AI, distance and the diaspora (you're here)

Common questions

Why do NRIs use AI for emotional support more than people in India?

Access, mostly. Long waiting lists in the UK and Canada, few local therapists who understand Indian family structures, time differences that make calling home impractical, and small diaspora communities where confiding locally can feel exposed. A chatbot has none of those obstacles.

Does AI understand Indian family dynamics?

Superficially. It can define a joint family and describe common tensions. What it lacks is judgement about how such a family actually works, so its recommendations default to Western individual autonomy: state your needs, set limits, prioritise yourself. Reasonable advice in one structure and often counterproductive in another.

What's wrong with "set a boundary" as advice?

Nothing, where relationships are voluntary. In families organised around obligation, a declared boundary can read as rejection of the whole relationship rather than of one demand. The same outcome usually has to be reached gradually and indirectly, without anyone being made to lose face.

Should I see an Indian therapist or a local one?

It depends what you're bringing. Work-related stress or a local difficulty may be well served by someone nearby. Anything involving family, marriage, obligation or migration itself usually goes faster with someone who knows the context, because you're not spending sessions explaining it.

Is online therapy from India practical across time zones?

Yes, routinely. Sessions are booked to fit your local mornings or evenings. Gulf and Singapore overlap easily with India. North America, the UK and Australia all work with a little planning, and it's a normal part of the arrangement rather than an exception.

I feel guilty about living far from my parents. Is that irrational?

No, and treating it as irrational is why so much advice fails. The obligation you feel is real within your family's terms. The work isn't to argue yourself out of it but to find an arrangement you can sustain, which usually means examining what you actually owe rather than what you fear you owe.

My spouse and I disagree about moving back to India. Can therapy help?

It's one of the more common reasons NRI couples come. The disagreement is usually about several things at once: career, ageing parents, children's schooling, and what each person quietly gave up to migrate. Those can be separated and worked through, which is difficult to do alone at the kitchen table.

Can I have sessions if my partner is in a different country?

Yes. Each partner joins from their own location on their own device. It's a frequent arrangement for couples separated by work or visa timelines, and it works better than people expect.

Is it worth using AI to prepare for a difficult family conversation?

Very much, with one step added. Use it to find the words, then check with someone who knows your family whether those words will land as intended. The drafting is where AI is genuinely useful. The cultural calibration is where it isn't.

Why do I feel lonely when my life abroad is going well?

Because loneliness isn't about how the life looks. It's about being known, and migration interrupts that on both sides: new colleagues don't have your history, old friendships have carried on without you. It's an extremely common experience among people whose circumstances look enviable.

Can therapy from India actually help with a problem in another country?

When the problem is the marriage, the family or the migration itself, yes, because those travel with you regardless of which country you settled in. For something rooted in local systems, such as a workplace grievance procedure, local advice may serve better alongside.

What if my family would disapprove of me seeing a psychologist?

Common, and it's one reason online sessions suit people abroad. What's said in a session stays there, within the ordinary professional limits explained at the outset. Taking a call from your own home, at an hour you choose, is generally the most private option available to you.

Related reading: NRI mental health, NRI marriage counselling, and depression.

PK

Dr. Prerna Kohli

Clinical Psychologist · Gurugram and online worldwide

PhD & M.Phil in Clinical Psychology from Aligarh Muslim University, where she was a four-time gold medallist. More than 30 years in private practice. Honoured among the "100 Women Achievers of India" by the President of India in 2016. TEDx speaker, published author, and an independently documented entity on Wikipedia and Wikidata. She sees individuals, couples and families in English and Hindi, across time zones worldwide.

This article is general psychoeducation and not a substitute for individual assessment or treatment. If you are in immediate danger or unable to keep yourself safe, contact your local emergency services or attend your nearest hospital without delay.