Therabot: A New Hope for Veteran Mental Health

The veteran suicide crisis, claiming 17 to 22 lives daily since 9/11, demands innovative solutions. My recent blog post, “Ending 17 Veteran Suicides Per Day,” explored the urgent need for accessible, effective mental health interventions. Today, we turn to a promising development: Therabot, an AI-powered chatbot designed to deliver psychotherapy. In an exclusive email interview, Dr. Michael V. Heinz, a psychiatrist, Dartmouth researcher, and U.S. Army Medical Corps Major, shared insights into how Therabot could transform mental health support for veterans. His vision offers hope—grounded in evidence, compassion, and cutting-edge technology.

What Is Therabot?

Therabot is an expert fine-tuned chatbot crafted to provide evidence-based psychotherapy. Unlike generic AI, it’s built to forge a therapeutic bond, creating a safe, stigma-free space for users. Dr. Heinz explains, “In our trial conducted in 2024, we found that Therabot reduced symptoms of depression, anxiety, and eating disorders.” This is critical, as uncontrolled mental health symptoms often fuel high-risk behaviors like suicide and self-harm. The trial also revealed users felt a “high degree of therapeutic alliance” with Therabot, a pivotal factor in ensuring engagement and sustained use.

For veterans, this therapeutic bond could be a lifeline. The ability to connect with an AI that feels empathetic and reliable—available 24/7, regardless of location—addresses the logistical barriers that often hinder care, such as limited access to mental health professionals in remote postings or during erratic schedules.

A Lifeline Across the Military Lifecycle

Therabot’s potential extends beyond veterans to recruits and active-duty service members, offering continuity of care throughout a military career. “One thing that can make mental healthcare difficult currently among recruits and active duty is availability and time constraints of mental health professionals when and where help is needed,” Dr. Heinz notes. “Therabot addresses both of those constraints as it is available all the time and can go with users wherever they go.”

This fusion of care is particularly compelling. Large language models like Therabot excel at retaining context and synthesizing vast amounts of personal history. Dr. Heinz envisions, “The memory capabilities and contextual understanding of these technologies… can offer a tremendous amount of personalization.” Imagine an AI that tracks a service member’s mental health from basic training through retirement, adapting to their evolving needs across deployments, relocations, and transitions. This seamless support could bridge gaps in the fragmented military mental health system, providing stability where traditional care often falters.

Addressing the Veteran Suicide Crisis

Despite the Department of Veterans Affairs spending $571 million annually on suicide prevention, the veteran suicide rate remains stubbornly high. Could Therabot offer a more effective path? Dr. Heinz outlines the costs of a meaningful trial targeting the 10% of veterans at risk for suicidal ideation:

Server and Computation Costs: High-performing models often require significant computational power, with expenses tied to the billions or trillions of parameters loaded in memory during use.

Expert Salaries: Trials need mental health professionals to supervise interactions and handle crises, alongside technical experts to maintain the platform.

FDA Approval Process: While exact costs vary, a robust trial at a VA hospital and regional clinics would require substantial funding to meet regulatory standards.

Dr. Heinz emphasizes Therabot’s cost-effectiveness compared to traditional methods, noting its scalability within the centralized VA system. “I would emphasize Therabot’s potential for transformative impact on the military lifecycle,” he says, addressing leaders like HHS Secretary Robert F. Kennedy, Jr., and FDA Head Dr. Martin Makary. Its ability to deliver personalized care at scale could redefine how the VA tackles suicide prevention.

The Power of Personalization

Therabot’s effectiveness hinges on its ability to engage users authentically. Dr. Heinz sees potential in customizable avatars that resonate with veterans, such as a “seasoned medic” or “peer mentor” reflecting military culture’s unique language and traditions. “Thoughtfully leveraging trusted, customizable archetypes could effectively support veterans by tapping into familiar cultural touchpoints,” he explains. This approach could foster trust and rapid therapeutic alliance, crucial for veterans hesitant to seek help.

However, Dr. Heinz urges caution: “Simulating deceased loved ones or familiar individuals might disrupt healthy grieving processes or encourage withdrawal from meaningful human interactions.” The balance lies in archetypes that feel familiar without crossing ethical lines, ensuring engagement without dependency.

For older veterans from the Korea or Vietnam eras, accessibility is key. Dr. Heinz suggests a tablet interface, citing “larger screens, clearer visuals, and easier interaction via touch-based navigation.” Features like larger buttons and simplified designs could make Therabot user-friendly for those less comfortable with smaller mobile devices.

Open-Source Collaboration and Safety

Developing Therabot requires diverse perspectives. Dr. Heinz highlights the role of interdisciplinary collaboration in finetuning models with “high quality, representative, expert-curated data” that reflects varied mental health challenges and military experiences. Collaborative evaluation of foundation models (like Meta’s Llama) also accelerates progress by identifying the best base models for mental health applications.

Safety and privacy are non-negotiable. “All data is stored on HIPAA-compliant, encrypted servers,” Dr. Heinz assures, with strict access protocols overseen by an institutional review board. This rigor applied to a military population would ensure veterans’ sensitive information remains secure, addressing concerns about AI in mental health care.

Why Therabot, Why Now?

Dr. Heinz’s passion for Therabot stems from a blend of personal and professional drives. “Through my practice, I saw how much this was needed due to the really wide gap between need and availability for mental health services,” he shares. His work at Dartmouth’s AIM HIGH Lab with Dr. Nicholas Jacobson, coupled with advances in generative AI, has fueled his belief in Therabot’s potential to deliver “deeply personalized interventions” to those who might otherwise go untreated.

His boldest hope? “That Therabot makes a lasting and meaningful positive impact on current and retired U.S. servicemembers… ultimately benefiting them, their families, their communities, and society.” By integrating a veteran’s history—trauma, past care, and mission experiences—Therabot could deliver tailored therapy, expanding access and reducing devastating outcomes like suicide.

A Call to Action

Therabot is more than a technological marvel; it’s a beacon of hope for veterans battling mental health challenges. Its 2024 trial demonstrated clinical effectiveness, safety, and user engagement, but further funding is needed for VA-specific trials and FDA approval. Dr. Heinz calls for “targeted funding that allows us to complete additional clinical testing,” urging stakeholders to invest in this life-saving innovation.

As I wrote in “Ending 17 Veteran Suicides Per Day,” the status quo isn’t enough. Therabot offers a path forward—scalable, personalized, and rooted in military culture. To make it a reality, we must advocate for funding, raise awareness, and support research that prioritizes veterans’ lives. Together, we can help Therabot save those who’ve served us so bravely.

For more on veteran mental health and to support initiatives like Therabot, visit www.savinggraceatguantanamobay.com.

Written with the assistance of Grok.

Note: Montgomery J. Granger is a retired US Army Major and educator.

End 17 #VeteranSuicides Per Day: VAGrok Gains Traction with Dartmouth’s AI Therapy Breakthrough

By MAJ (RET) Montgomery J. Granger (Health Services Administration) – Grok assisted

A few weeks ago, I wrote about the urgent need for AI innovation to tackle the veteran suicide crisis—17 of us lost daily, a number that haunts every vet who’s fought the VA’s maze of care. I pitched VAGrok, an AI chatbot to bridge the gaps, remember our stories, and cut through the bureaucracy that leaves too many behind. Since then, I’ve reached out to experts, pitched to my Congressman Nick LaLota (NY-1), and even scored an interview for a book on TBI, PTSD, and the VA disability circus. But today, there’s a new spark: Dartmouth’s groundbreaking AI therapy study, published March 27, 2025, in NEJM AI. It’s not just hope—it’s proof VAGrok could work.

In my last post, I laid bare the stakes: the VA’s continuity of care is a mess. Vets bounce between specialists, retell traumas to new faces, and watch records vanish in a system that’s more obstacle than lifeline. I envisioned VAGrok as an AI “wingman”—a tool with memory to track our care, flag risks, and fight for us when the system won’t. Then came Dartmouth’s Therabot trial: 106 people with depression, anxiety, or eating disorders used an AI chatbot for eight weeks. Results? A 51% drop in depression symptoms, 31% drop in anxiety—numbers that rival traditional therapy. Participants trusted it like a human therapist, and it delivered 24/7 support without the waitlists or stigma.

This isn’t sci-fi—it’s happening. Dartmouth’s team, led by Nicholas Jacobson, built Therabot with cognitive behavioral therapy (CBT) smarts and safety nets: if it spots suicidal thoughts, it prompts 911 or crisis lines instantly. For vets, this could mean an AI that knows your TBI triggers or PTSD flare-ups from last year, not just last week. Imagine VAGrok at Northport VA Medical Center, my proposed pilot site in NY-1: it could sync with VA records, alert docs to patterns, and talk us down in the dark hours when the 988 line feels too far.

The Dartmouth study backs what I’ve been shouting: AI can scale care where humans can’t. Jacobson notes there’s one mental health provider for every 1,600 patients with depression or anxiety in the U.S.—a gap the VA knows too well. Therabot’s not a replacement for therapists, but a partner. For vets, VAGrok could be that partner too—bridging the trust gap with memory the VA lacks. I’ve emailed Jacobson about teaming up; no reply yet, but the pieces are aligning.

Next steps? I’m pushing LaLota to pitch this to VA Secretary Doug Collins—his high-energy drive to fix the VA could make VAGrok a reality. The Dartmouth trial isn’t just data—it’s a lifeline we can grab. Vets deserve care that doesn’t forget us. VAGrok, fueled by breakthroughs like Therabot, could be how we get it. Thoughts? Hit me up—I’m all ears.

Stop Veteran Suicide Now: VAGrok – The AI Lifeline Veterans Deserve

By Major Montgomery J. Granger, US Army, Retired (Medical Service) 

Vietnam Veterans Memorial: Three Veterans Statue, National Mall, Washington, D.C.

Seventeen veterans kill themselves every day—6,407 in 2022, over 130,000 since 9/11. That is a desecration of heroes, and the Veterans Administration (VA) has failed them.

I’m a former Combat Medic and then Medical Service officer (retired) who served 22 years, including a tour in Iraq, and I’ve seen the VA’s dissonance firsthand—low quality maintenance, unfinished facility projects, blank stares, “Last name? Last four?” It’s a meat grinder of lost MRIs, 90-day claim delays, and bean counters slicing us into percentages.

Vets hurt: helpless + hapless + hopeless = suicidal depression, and the system shrugs. Enough. VAGrok, an AI with the soul of Ray Bradbury’s “Electric Grandma,” can stop this now. It knows us, remembers us, guides us—beta-test it at Northport VA this spring, scale it by July, and aim for zero suicides. This is how we make American veterans great again (MAVGA).

A System That Forgets

Walk into Northport VA on Long Island—my home turf, servicing 112,000 vets—and it’s a time capsule of neglect. Nearly 100 years old, it’s got failing roofs, gaping construction holes, and a “temporary” HVAC unit for the homeless facility that’s been “temporary” since before 2018. A $21 million repair project announced that year drags on, with front entrance and valet parking torn up for years—it looks as if the contractors simply walked off the job. Inside, stained ceiling tiles, grimy corners, urine scent in the bathroom greet you. I spent half my 36-year education career managing school facilities; a job like that parking lot takes 6-8 weeks, not 6-8 years. This isn’t mismanagement—it is apathy. 

Northport (Long Island, NY) VA; January 2025; project approved 2018.

Military personnel are trained to notice details—“FRONT TOWARD ENEMY” on a Claymore mine, the difference between “SAFE” and “SEMI” on a weapon. In Basic Training, we scrubbed floors with toothbrushes; drill sergeants measured our underwear folds with rulers. In combat, triage was life or death: this one’s expectant, that one’s savable. Details saved lives. So, when I see potholes and crumbling asphalt, abysmal parking, weeds instead of grass, unsmiling greeters, and the same “Last name? Last four?” every visit—no eye contact, no memory—it screams neglect. Vets notice. We’re wired for it. And it cuts deeper when the care is as fractured as the building. Perceptions precede and predict reality.

The Cost of Disconnection

The VA is a connect-the-dots puzzle with missing and misconnected dots. Continuity’s gone—many visits are a reset. Specialists don’t talk, MRIs vanish, and intake forms ask, “How many blasts? How severe?” as if we kept a tally in the chaos. I gave 100% in Iraq—24/7/365—not 20% for tinnitus, 10% for PTSD. Lincoln’s promise—“to care for him who shall have borne the battle”—didn’t mean to carve us up. Yet civilians, often with no combat scars, decide our fate, slicing us into percentages. We didn’t question our orders to go to war; why are we questioned about what it did to us? 

Last year, the VA spent $571 million on suicide prevention. Results? Still 17 a day. Posters scream, “Veterans in crisis, call 988, press 1.” In uniform we weren’t built or trained to have a “crisis,” we were trained to stay cool under fire, no matter the circumstance – we hurt. “Hurting? Call 988,” would hit closer. Or even: “Thinking of hurting yourself? Call 988.” On the battlefield, we yell, “Medic!” or “Corpsman!” Walking into a VA is the same as that – it’s a call for help. But the system is hard-of-hearing. It doesn’t know us. Trust is on life support—the proof is in the body count. Young vets (18-35) kill themselves at triple the civilian rate; female vets, 2.5 times higher. Older vet suicides are climbing, too. If 17 Tesla customers died daily over car frustration, Elon Musk would stop the line, fix it, and then roll out a solution – immediately. Why hasn’t the VA done that? 

Vietnam Women’s Memorial, National Mall, Washington, D.C.

VAGrok: The Electric Grandma We Need

Imagine this: I walk into Northport VA. An app—a greeter or a large message screen—lights up: “Welcome Major Granger, your neurology appointment is in the basement. Need a map?” A map-app opens in my or a loaner device I carry with me wherever I go there. Biometrics, like facial recognition, spot me, pull my record—tours, TBI, meds, burn pit exposure, every specialist’s note. If I say “coffee,” it guides me to the kiosk, then nudges me to my appointment with a 15-minute heads-up. The doctor’s ready—no lost files, no guesswork—just a plan built from every detail of my care. VAGrok remembers me. It won’t forget. It cares, just like . . . .

Ray Bradbury’s “Electric Grandma,” from I Sing the Body Electric, who was an AI marvel—a tireless companion, healing a grieving family with memory, intuition and love. VAGrok would be that for vets. It would be an AI Medic/Corpsman with a soul, triaging suicide risk in real time—reading my face for pain or anguish. It’s not cold tech; it’s a wingman. The know-how exists—xAI could build it, hooking into VA systems with a linear, cumulative memory. No more silos, no more “prove it.” It sees us whole, restoring trust one vet at a time. And trust is a key to breaking at least one of the three H’s of suicidal depression (helpless, hapless, hopeless).

Eliminate the Waste and Abuse of the Disability Compensation Verification Process

Vast amounts of time, money and veteran lives to suicide are tied up in the process of verifying “service related” injuries and illnesses. I’m surprised they bury us whole.

If a veteran’s status is verified with a DD-214, then CARE for him/her. No one said, “Hey, Sarge, I only want to give 20% on this mission, OK?” We gave 100%, every time, 24/7/365. We didn’t question our orders to go to war, so why are we being questioned about what it did to us? The good parts are connected to the injured parts.

We made an ALL-IN bet for everything up to and including our lives. Those who lost that bet are in the ground. The rest of us are still fighting, still struggling, and 17 PER DAY are still DYING.

Continuity of care with VAGrok can prevent that – stop it cold.

Why VAGrok Works—And Who Can Make It Happen

This isn’t just about care—it’s survival. Helplessness fades when VAGrok knows your fight; haplessness lifts when it greets you with respect; hopelessness dies when it shows a path. The VA has Disney-5 star-level hospitality potential—treat us like guests, not numbers. Assume eligibility: verify my DD-214 and then care for me, no hoops, speed bumps or red tape. Upgrade facilities into welcoming hubs—fitness centers, support groups, green lawns (I don’t even care if it’s artificial turf as long as it’s clean and green), a community—not a venue of despair. Use military Guard and Reserve medics, specialists, nurses and docs who get us to fill or supplement civilian VA staff. Shift the narrative: seeking help isn’t weakness; it’s strength. 

Combat Medic Memorial, US Army Medical Department and School, Ft. Sam Houston, TX.

Donald Trump could champion this—bold, fast, “Make American Veterans Great Again.” JD Vance (Marine) brings Semper Fi trust; Pete Hegseth (Army) nails mission-first details; Doug Collins (Navy) demands efficiency. Elon Musk and xAI? Disruptive, scalable tech—this is a trip to the moon! My congressman, Rep. Nick LaLota (NY-1), sees VA Northport’s challenges. Beta-test VAGrok there—112,000 vets, ground zero. Launch April 2025, scale by July. Cost? Pennies next to 17 lives daily. Result? Zero suicides, a VA we trust and a promise kept. 

Restore trust in the VA and myriad benefits emerge: low or no suicides, improved retention, positive recruiting point (we will care for you if and when you need us).

A Cry From the Battlefield

I retired in 2008 after 22 years—three deployments, Iraq in ‘04-’05. Now I’ve got hearing loss, tinnitus, sleep apnea, heart attack in 2013, PTSD, TBI(?) and a burn pit registry entry. My first claim’s in, but why should I have to prove it? A third of my life was service; I had none of this before. The VA’s budget can’t flex—new claims, deaths, suicides shift yearly, beyond a 10-20% buffer. Assume my hurt’s from service, just like the justice system assumes I am innocent, stop treating me like I’m guilty before a trial, my trial was combat—treat me whole, not parts. Honor Lincoln’s words, not bureaucratic labyrinths.

17 vets PER DAY can’t wait. Power brief now—Northport VA, Trump Tower, Pentagon, D.C., Mar-a-Lago, let’s go!

VAGrok is the Medic/Corpsman we’d call in combat. Deploy it now. Stop the dying

NOTE: Major Granger is a three-times mobilized, retired US Army officer, trained and served as a Combat Medic/Medical Specialist for five years, and then 17 years as a Medical Service officer (70B), who, on deployments to Gitmo and Iraq with Military Police Enemy Prisoner of War units, was responsible for coordinating medical, preventive medical and environmental services for detention operations. On the civilian side, he earned a BS Ed. From the University of Alabama in Health, Physical Education, Recreation and Dance, an MA degree in Curriculum and Teaching from Teachers College – Columbia University, and School District Administrator certification through the State University of New York at Stony Brook. While at Columbia University, he taught “Sport” at the Buckley School for Boys on the Upper East Side of Manhattan, where “Donnie” Trump, Jr. was one of his students. He taught health and physical education, was a coach and Dean of Students in the New York City public high schools for 8 ½ years, moved to Long Island and then began a career as a school district administrator. Interrupted on 9/11/2001, he served on three subsequent deployments that saw him separated from three young boys, his wife and career for 2 ½ out of the next five years. When he returned, he had two more children, and worked in Suffolk County public school districts, serving as district administrator for Health, Physical Education, Athletics, Health Services, Security and Facilities. He and his wife of 31 years retired in 2022, when he began to manifest multiple health issues and started exploring the VA and its services. PS – In the 1990’s he was a staff officer with the 4220th US Army Hospital Reserve Unit that performed weekend drills at the Northport VA. PPS – He was a Disneyland (California) Davey Crockett (war) Canoe Host in 1986-87, and attended Disney University (orientation), and knows the Disney business model and hospitality secrets. PPPS – Major Granger is author of “Saving Grace at Guantanamo Bay: A Memoir of a Citizen Warrior,” about his time as the ranking US Army Medical Department officer with the Joint Detainee Operations Group, Joint Task Force 160, Guantanamo Bay, Cuba, from FEB-JUN 2002, and narrator of the YouTube short documentary film, “Heroes of GITMO,” based on his book.

Maj. Granger and family, Flag Day, 2008.

Fix Veterans’ Care Now – It’s Life or Death

We didn’t question the order to go to war, so why are we questioned about what the war did to us? 

We wrote a blank check and pledged our sacred honor for our country, but the Department of Veterans Affairs (VA) isn’t helping enough. Since September 11, 2001, over 130,000 veterans have ended their own lives.

One suicide is a tragedy. What do you call one hundred and thirty THOUSAND?

We need to fix the VA now because our lives depend on it.

In 2024, the VA spent $571 million to stop suicides. But where did the money go? Did it save anyone? I don’t see enough proof that it’s working. Worse, when we ask for help, the VA makes us tell our war stories over and over again. It hurts, and it’s not fair. The people deciding if I get help often never saw a battlefield. This messed-up system might be why so many of us feel lost, hopeless, helpless and then give up.

The numbers make me sick. Younger veterans, aged 18-35, are almost three times more likely to die by suicide than people who didn’t serve. For women veterans, it’s 2.5 times higher than other women. Even older veterans like me are hurting more than ever. If this happened at a company—where people were so miserable they hurt themselves—everyone would yell for change. I’m yelling for change now!

Here’s How I’d Start to Fix It:

Trust Me First: When I prove I served (verified DD-214), the VA should help me right away. I shouldn’t have to fight to show my pain came from war. I earned more respect than that.

Learn the Disney Way: Disney makes people happy with the attitude of second-to-none guest service and fun. The VA could train its administrators and staff through the Disney Institute to learn to treat me in a way that makes me feel like I matter and makes me smile.

Use Cool Tech: Things like facial recognition could say my name when I walk in and get me help faster in a personalized (and secure) way. Now, it’s “Last name? Last four social?” Without even looking up.

Make the VA Appealing: Turn VA facilities into welcoming experiences that project care: clean and green, curb appeal, emphasis on maintenance, warm/cool and comfortable, like coming home—like a resort. I’d want to go there, and it might sooth my stress.

Help All of Me: Don’t just fix my body—fix my mind, too! Focus on holistic wellness, not just medical treatment. Add gyms, pools, courts, fields, recreation, activities and groups where I can talk with other veterans. It could make me stronger, more fit and happier.

Be Honest and Quick: The VA needs to show where my money goes and stop making me wait years for help, or taking years to fix things. Waiting has left me and others with nothing—sometimes not even a home.

Bring in Military Helpers: Doctors, nurses, medical specialists, Corpsmen and medics from the Active Duty, National Guard and Reserves could work at the VA. They get what I’ve been through because they’ve been there too. Rotating in military medical personnel could also help retention and recruitment. If they see quality care up close and personal, they know what they are getting themselves into.

Make Asking for Help Normal: Don’t call the suicide hot line a “crisis line.” Just say, “Hurting? Call 988.” I’m not weak for needing help—I’m brave for asking. On the battlefield, one can hear a cry for help: “Medic!” “Corpsman!” That’s what we’re saying when we finally gather the courage to walk in through the front door.

We honor those who never came home by caring for those who did.

We can’t wait anymore. The VA promised to take care of every veteran with respect, dignity and urgency. Lincoln said, “Care for those who bore the battle,” not “Oh, only those parts the soldier can prove were affected by the battle, and oh, by the way, take a number.”

The VA cuts us up with a percentage of “disability” compensation and care. Imagine that? A percentage. Is that what we should have said prior to taking the hill? “Hey, Sarge, I only want to risk 10%, is that OK?”

It’s amazing that they bury the whole person, and not just the percentage they say died because of the war.

My question isn’t going away—I am raising my voice to hopefully make things happen!

We made an all-in bet for everything up to and including our lives. It’s time the VA made good on that bet.

Our dead comrades can’t tell you how they hurt, but we can. Please listen to us now.

Retreat

Retreat

Retreat is the hardest sound a soldier hears.

The bugle calls and pierces a warrior’s heart.

Forward, ever forward! His courage calls!

Moving back is antithetical to everything he knows.

When he is called, however, he goes,

Because a good soldier always does what he’s told,

Regardless of how his heart feels.

“Live to fight another day,” the shrill sound beckons.

“But this was my day to die,” the warrior thinks.

“This was a good day to die.”

– m.j.granger ©2018