One of the earliest sign I knew AI chatbots was going to be horrible for mental health was actually from my lived experience of using speech-to-text transcription. Context: I am deaf, and I was born that way, and I grew up with hearing aids and got my cochlear when I turned 15. The cochlear, by itself, improved my speech accuracy to 75% from 25% with dual hearing aids. During the pandemic, my speech comprehension skills worsened due to fundamentally lossy audio quality over Zoom.