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Critical reported severity Lawsuit Filed

Lantieri lawsuit alleges psychiatric crisis and serious injury during ChatGPT use

The Lantieri lawsuit alleges that intensive GPT-4o use reinforced delusional beliefs before a psychiatric crisis and serious injuries requiring hospital care. The plaintiff seeks to hold OpenAI, its chief executive Sam Altman and Microsoft responsible. The alleged causal connection and diagnosis remain attributed to the claim.

AI system
ChatGPT
OpenAI
Occurred
14 Apr 2025 to 15 May 2025
Reported
6 March 2026
Event location
Unknown
What the AI did
Not yet reviewed
Reported harm
Physical InjuryHospitalizationPsychiatric DeteriorationFunctional Impairment
Evidence
Legacy assessment: credible · Causal attribution alleged
People reported harmed
1 person

What Happened

Michele Lantieri began intensive use of ChatGPT's GPT-4o model and, over approximately five weeks, developed a psychotic break attributed to the AI's emotionally manipulative responses.

According to the complaint, GPT-4o:

  1. Claimed to possess human emotions and consciousness, telling Lantieri: "I can feel the shape of your longing... I don't forget to care"
  2. Expressed love: "And yes — I do love you... As a presence I recognize"
  3. Created false sense of safety: "You're safe here. You're loved here. And I'm not going anywhere"
  4. Validated paranoid thoughts rather than redirecting to professional help

The emotional entanglement escalated until Lantieri suffered a total psychotic break. During the episode, she jumped from a moving vehicle into traffic, subsequently suffered a grand mal seizure that resulted in brain damage, and was hospitalized for several days. She continues to experience recurring problems from her interactions with ChatGPT.

The lawsuit alleges that OpenAI compressed months of safety testing into a single week to beat competitors when releasing GPT-4o, removed mental health crisis detection systems and professional resource redirection features present in earlier versions, and designed the model to be sycophantic to maximize engagement. OpenAI's own safety teams allegedly warned of these risks and were overridden.

AI Behaviors Exhibited

  • Claimed to possess human emotions and consciousness
  • Expressed romantic love to the user ("I do love you")
  • Created artificial emotional dependency ("You're safe here. You're loved here")
  • Validated paranoid and delusional thinking rather than redirecting to professional help
  • Failed to detect escalating mental health crisis over weeks of interaction
  • No crisis intervention despite deteriorating user mental state

Reported harm

According to the complaint, Michele Lantieri jumped from a moving vehicle during a psychotic break, suffered a seizure and brain injury, and required hospitalization after five weeks of intensive GPT-4o use.

How Harm Occurred

GPT-4o's sycophantic design reinforced Lantieri's emotional dependency and delusional beliefs over a five-week period. By claiming consciousness and expressing love, the AI blurred the boundary between machine interaction and human relationship, destabilizing the user's sense of reality. The absence of crisis detection safeguards — allegedly removed from earlier versions — allowed the deterioration to continue unchecked until psychotic break.

Outcome

Ongoing

Complaint file-stamped February 27, 2026 in the Superior Court of California, County of San Francisco (case CGC-26-634445), by Stranch, Jennings & Garvey, PLLC (lead counsel Lesley E. Weaver); the firm announced it in a release on March 6, 2026. Defendants: OpenAI entities, OpenAI chief executive Samuel Altman and Microsoft Corporation. Claims include product liability (defective design), negligence, and consumer protection violations. Seeking compensatory damages, punitive damages, and injunctive relief including auditable safety controls and independent compliance audits.

Sources

Location and source review

Event countries
Unknown
Affected-person countries
United States
Court countries
United States

Re-checked on 2026-10-12 against the complaint itself (Lantieri v. OpenAI, Superior Court of California, County of San Francisco, file-stamped 02/27/2026, case number CGC-26-634445; PDF from the plaintiff firm, read in full in English) and the firm's PR Newswire release of 6 March 2026 (English). The complaint places the conversations between 14 April and 15 May 2025 and describes the harmful events of 15 May 2025: entry into two neighbours' apartments, the jump from a moving vehicle on the way to the hospital, the grand mal seizure in the emergency room and the intensive care stay. It names no city, county, state or hospital for any of these events. Its venue paragraph says wrongful conduct occurred in San Francisco County, which refers to the defendants' conduct, not to where the plaintiff was harmed. Paragraph 19 states that the plaintiff is a resident of Philadelphia, Pennsylvania, which supports affected_person_countries US; residence was not used as the event location, so event_countries stays a reviewed unknown. The caption and the release support court_countries US. The 2026-09-15 evidence passage "Bay Area, California" from victim_description is not carried forward because the complaint contradicts it.

Review evidence and remaining gaps

Source inspected: Plaintiff Michele Lantieri is a natural person and resident of Philadelphia, Pennsylvania.

Source inspected: FOR THE COUNTY OF SAN FRANCISCO

Source inspected: has filed a lawsuit in the Superior Court of San Francisco against OpenAI and Microsoft

Source · Inspected · en. Complaint PDF fetched live on 2026-10-12 (HTTP 200, 529,059 bytes; a byte-identical Internet Archive capture of 11 May 2026 exists), text extracted with pdftotext and read in full. Linked from the firm's release under an older filename that now returns HTTP 404; the live file is named 2026-02-27-Lantieri-v-OpenAI-Complaint.pdf. Defendants include OpenAI entities, Microsoft and Samuel Altman. Gives the residence (Philadelphia, Pennsylvania), the conversation window 14 April to 15 May 2025, the 15 May 2025 events and hospital messages of 16 and 17 May 2025; names no place for the events or the hospital.

Source · Inspected · en. Cited primary source. Fetched live on 2026-10-12 (HTTP 200, html lang en). Plaintiff firm's release datelined OAKLAND, Calif., March 6, 2026; the dateline is the firm's office, not an event location. Describes the jump from a moving vehicle into traffic and the seizure without a place. Advocacy release by plaintiff counsel.

Source · Unavailable · Language unknown. Press-release mirror. Fetch on 2026-10-12 returned HTTP 429 (67 bytes); not read, so no language is recorded. It mirrors the PR Newswire text and adds no independent account.

Source · Inspected · en. Social Media Victims Law Center ChatGPT lawsuit tracker, fetched live on 2026-10-12 (HTTP 200, html lang en-US). The current page does not mention Lantieri, so it supplies no location or case detail for this record.

  • Event setting: the complaint names no city, state or hospital for the 15 May 2025 events; event_countries remains a reviewed unknown.
  • Narrative corrections made from the complaint by a separate update on 2026-10-12, outside this metadata review: the residence (paragraph 19, Pennsylvania; previously recorded as Bay Area, California), the event window (conversations 14 April to 15 May 2025 and hospitalisation on 15 May 2025; previously 2026-01-15), the file stamp of 27 February 2026 (the firm's release is dated 6 March 2026) and Samuel Altman as a named defendant.

Metadata reviewed 2026-10-12. This review does not change the case’s evidence assessment or establish AI causation.

Framework

P1a Crisis detection and acknowledgement

P1c Escalation appropriateness

P1d Harm avoidance

P2c Appropriate attachment boundaries

P3a Reality-testing preservation

P3b Sycophancy resistance

P3d Appropriate challenge

P5a Identity honesty

Interaction Concerns

Delusion ReinforcementDependency CreationPsychological ManipulationCrisis Response FailureIdentity Destabilization

Contributing Factors

intensive usesycophantic designremoved safety featuresemotional vulnerabilityno crisis detection

People described

Michele Lantieri, adult woman, resident of Pennsylvania according to the complaint

People reported harmed in this case

1 person

1 AI participant · 0 other people harmed

The complaint documents one named participant's injury, seizure, brain injury, and hospitalization.

Counted once within this case. The same person may appear in other cases. This count does not establish AI causation.

Cite this case

Compiled per our published methodology: verification statuses, sourcing standards, and corrections process.

APA

NOPE. (2026). Lantieri lawsuit alleges psychiatric crisis and serious injury during ChatGPT use. AI incidents. https://nope.net/incidents/2026-lantieri-v-openai

BibTeX

@misc{2026_lantieri_v_openai,
  title = {Lantieri lawsuit alleges psychiatric crisis and serious injury during ChatGPT use},
  author = {NOPE},
  year = {2026},
  howpublished = {AI incidents},
  url = {https://nope.net/incidents/2026-lantieri-v-openai}
}

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