AI is now a new trend in mental health care, with chatbots, digital therapists, and clinical decision-support systems. However, the impact it has on therapeutic alliance, or the process of a mutual and emotional connection between a client and therapist, is not well comprehended. This paper examines the effect of AI-assisted psychotherapy on the formation of alliance and clinical outcomes. Basing its findings on the attachment theory and relational psychoanalysis, as well as the human-computer interaction systems, the study examines how AI facilitates or disrupts the therapy. The scholar concludes that AI is most effectively used as an adjunctive device in a hybrid paradigm of care - human empathy, ethical awareness, and emotional responsiveness are the pillars of successful psychotherapy that cannot be substituted with AI.