Globally, 8 billion people will experience trauma in their lifetime. Ninety-three percent of those in crisis will not receive adequate care. The barriers are familiar: cost, stigma, language, geography, workforce shortages. What is less familiar is someone actually building technology to address all of them at once, starting from survivor experience rather than market opportunity.

Megs Shah is the Founder and CEO of The Parasol Cooperative, a nonprofit that builds trauma-informed AI tools for survivors of domestic violence, human trafficking, and technology-facilitated abuse. Her flagship product, Ruth, is the world’s first trauma-informed AI chat — designed by and for survivors and the advocates who support them. In just over a year, Ruth has facilitated more than 679,000 private crisis support interactions across 147 countries in 85 languages, earning a 92% helpfulness rating. It requires no login, no account, and no personal information. Privacy is not a feature; it is the architecture.

In this conversation, Megs and I talk about what it means to build technology under a fundamentally different moral and financial logic — one that centers dignity, safety, and access rather than engagement and data capture. We discuss how lived experience from survivors shapes design decisions that conventional technologists miss, why trauma-informed AI is categorically different from general-purpose AI deployed in sensitive contexts, and what it looks like to measure success when the meaningful metrics are trust, stabilization, and safety rather than clicks. We also talk about the ways technology is already being weaponized against the people Ruth is built to protect — and what it would take to design systems that take patterned harm seriously before it escalates.

This episode was produced by Jack Lucas Chang.