Therapeutic applications for sex dolls are a controversial and evolving area. Proponents argue that well-designed, ethically managed dolls could offer a safe space for practicing social skills, exploring intimacy boundaries, or addressing trauma-related avoidance in a controlled setting. For some individuals, dolls may provide a nonjudgmental medium to rehearse conversations, body awareness, or self-soothing strategies in between real-world interactions. However, there are important caveats: therapy-like use should not substitute evidence-based clinical care when addressing mental health conditions, and any therapeutic framework must prioritize informed consent, privacy, and the safety of all participants. Interdisciplinary collaboration among clinicians, ethicists, designers, and users is essential to establish guidelines, risk assessments, and boundaries. Data security, clear disclosure of capabilities, and transparent limitations are non-negotiable. Ethical considerations include avoiding objectification, ensuring cultural sensitivity, and protecting vulnerable populations from coercive or exploitative use. If pursued responsibly, therapy-oriented applications could complement existing approaches by offering a private, customizable environment for practicing skills and coping strategies. The key is rigorous research, patient-centric design, and ongoing oversight to ensure that benefits do not come at the expense of dignity or safety.