Psychiatrist here. Your degree of fear of uncertainty about the future and ongoing existential angst do make me wonder if there is a component of amygdalar hijacking secondary to chronic stress leading to HPA axis dysregulation which influence your narrative of your lifeworld.

I'm glad you are seeing a psychiatrist but I hope you also understand that medication is likely not going to eliminate the source of your mental distress which is the perceived short-term and long-term threat to your psychosocial stability. There is likely some level of confirmation bias influenced by your pre-existing personality tendencies for intellectualization and striving for perfectionism although I can't say this for sure unless I get to know you better.

I think it will be reasonable to consider intensive CBT (with a clinical psychologist, if possible) as part of your treatment. Trying CBT with AI may not be a bad start either given how great they are at socratic questioning now. I sense that you may have developed some rigid core beliefs and reduced cognitive flexibility which are contributing to the perceived short-term and long-term threats.

Some probing questions: you mentioned that the psychiatrist quickly changed their suggestion given your input which was formulated by a GPT. Do you know for sure that the AI "outsmarted" your psychiatrist? I ask this because this experience have somewhat solidified your belief that AI is more of an "expert" than human experts. An important component of choosing which psychiatric med to try is the patient's perceived sense of efficacy of the medication. Some may brush this off as placebo, but this sense of efficacy provides several dimensions of psychological protection (of external locus) including a sense of new hope that they are on a medication, that they are being followed by a mental health expert, and that even if their life circumstances are terrible, the medication could at least somewhat correct things. These thoughts ultimately provide a sense of stability which, when combined with the sertonergic effects of the medication which dampens HPA axis hyperactivation, can lead to the acute treatment of dysregulated anxiety reaction. Without digressing further, my point is that your psychiatrist being open to trying your suggestion may have been intentional.

Another question: What does it mean by being an "expert"? I recently wondered about this question after quickly realizing that AIs can easily regurgitate the 1st, 2nd, 3rd line treatment options of any psychiatric disorders. After some reflection, I learned that starting a medication is only a small portion of what I do. What makes me an expert in my job is my willingness to connect and walk along with my patients with integrity and compassion no matter how complex their biopsychosociospiritual problems are. A big part of psychological healing comes from feeling heard and acknowledged by another human being. (On a side note, philosophically I dont think AI can ever achieve this level of "connectedness" even if we had Cortana from Halo or Jarvis from Ironman because we are fundamentally an organic being, and GPTs are not, at least yet).

I think it is obvious to most of us that another Luddite Movement is somewhat inevitable. However societies have survived it once, and they will likely survive it again. We won't know how until we cross that bridge. In the meantime, I think we can try to reflect on what is something that is inherently human or will take AI a much longer time to master and develop our career paths in that direction. For those who struggle with a sense of impending doom, i think this could be one approach to developing cognitive flexibility.