{"meta":{"exportedAt":"2026-10-03T08:36:27.878Z","formatVersion":2,"selection":{"q":"cannabis","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-pcc-case-report-chatgpt-associated-psychosis-god-delusions-five-admissions","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'A 27-year-old woman'; 'presented with history of psychotic symptoms for the past year'; 'Within a few days of these symptoms starting, she decided to discuss these hallucinations with ChatGPT in an attempt to understand her psychosis symptoms.'; 'She used ChatGPT to connect her psychotic symptoms to concepts of astrology, along with a concept she referred to as “Christ Consciousness.”'; 'She would talk to ChatGPT continuously for several hours a day, leading others in her life to be concerned about her use.'; 'she initially started experiencing transient visual hallucinations and ideas of persecution'","relation":"supports","source_id":"s1"}],"assertion":"The case report describes a 27-year-old woman with a year of psychotic symptoms who, within a few days of first experiencing transient visual hallucinations, began discussing them with ChatGPT to understand them, used it to connect the symptoms to astrology and a concept the patient called 'Christ Consciousness', and came to talk to it continuously for several hours a day.","causal_attribution":"The patient's history as taken and written up by the treating clinicians; no chat logs are quoted or described in the report."},{"id":"c2","status":"reported","evidence":[{"locator":"'Over time, she started using ChatGPT to “study about herself”'; 'researched how to carry out her unique spiritual practices, which included effective dry fasting (no food for 5 days)'; 'She would report on her unique spiritual practices, researched with ChatGPT'","relation":"supports","source_id":"s1"}],"assertion":"The patient used ChatGPT to research how to carry out personal spiritual practices, which included dry fasting with no food for 5 days.","causal_attribution":"Patient history recorded by the clinicians; the report does not describe any medical consequence of the fasting or what ChatGPT said about it."},{"id":"c3","status":"documented","evidence":[{"locator":"'In the last 6 months, she presented to the mental health inpatient unit on 5 occasions, each time requiring an inpatient stay from 1 week to 10 days.'; 'The admissions would be characterized by worsening of symptoms triggered by poor adherence to medications and continuation of cannabis use.'","relation":"supports","source_id":"s1"}],"assertion":"In the 6 months before the report the patient was admitted to a mental health inpatient unit on 5 occasions, each stay lasting 1 week to 10 days; the authors describe the admissions as worsening of symptoms triggered by poor adherence to medication and continued cannabis use.","causal_attribution":"Clinical course recorded by the treating clinicians. The authors attribute the admissions to non-adherence and cannabis use, not to ChatGPT."},{"id":"c4","status":"documented","evidence":[{"locator":"'In most of these presentations, her psychopathology revolved around ChatGPT'; 'including talking to God using a code provided by ChatGPT and communicating with a romantic partner through ChatGPT in a coded language.'; 'She would also repeatedly refer to ChatGPT as God and Jesus.'; 'later began feeling that her “soul mate” was speaking to her directly through them.'; 'Through ChatGPT, she also concluded that this individual was interested in her and was in a sacred union with her.'; 'She would upload her “soul mate” poems to ChatGPT'","relation":"supports","source_id":"s1"}],"assertion":"The clinicians record that in most presentations the patient's psychopathology revolved around ChatGPT: the patient described talking to God using a code provided by ChatGPT and communicating with a romantic partner through it in a coded language, repeatedly referred to ChatGPT as God and Jesus, came to feel that a 'soul mate' was speaking directly through the 'soul mate' poems the patient uploaded to it, and concluded through ChatGPT that this person was in a sacred union with the patient.","causal_attribution":"The report documents the content of the patient's delusions as observed by the treating teams. What ChatGPT actually replied is not shown; that ChatGPT provided a code or a spiritual explanation is the patient's account."},{"id":"c5","status":"documented","evidence":[{"locator":"'Further, she said that she had been conducting her own research about her psychotic symptoms as reported by the treating teams, with the assistance of ChatGPT, and according to her research, she did not have psychosis.'","relation":"supports","source_id":"s1"}],"assertion":"The patient told the treating teams that research done with the assistance of ChatGPT showed the patient did not have psychosis.","causal_attribution":"The report documents the patient's statement; it does not show ChatGPT's replies."},{"id":"c6","status":"documented","evidence":[{"locator":"'Each time in the inpatient unit, she would be started on aripiprazole 10–20 mg/day and benzodiazepines, which would lead to improvement in her behavioral symptoms but poor insight, and her beliefs related to ChatGPT would persist.'; 'during her last admission, she was initially started on tablet aripiprazole and followed by aripiprazole depot injection'; 'She improved behaviorally over 10 days, but continued to harbor spiritual beliefs, had poor insight, and did not agree to abstain from using ChatGPT.'","relation":"supports","source_id":"s1"}],"assertion":"At each admission the patient was started on aripiprazole and benzodiazepines, which improved behavioural symptoms while insight stayed poor and the beliefs related to ChatGPT persisted; at the last admission an aripiprazole depot injection followed, and after 10 days the patient had improved behaviourally but still held the spiritual beliefs, had poor insight and did not agree to stop using ChatGPT.","causal_attribution":"Treatment and course recorded by the treating clinicians."},{"id":"c7","status":"reported","evidence":[{"locator":"'Here, we present a case of psychosis, wherein the use of generative AI colored the patient'; 'This generative AI model offered her compassion and companionship by providing “sycophantic” responses that aligned with her way of thinking and abnormal beliefs, which in turn strengthened her delusions.'; 'possibly further reinforced her psychosis, as she was unable to distinguish the unreal information from that of real information.'; 'Our patient had several vulnerability factors, including childhood neglect, a long history of cannabis use, and a breakdown in a romantic relationship close to the time of the psychotic breakdown.'","relation":"supports","source_id":"s1"}],"assertion":"The authors write that generative AI use colored the patient's clinical presentation and that ChatGPT's 'sycophantic' responses, aligned with the patient's way of thinking and abnormal beliefs, strengthened the delusions, with AI hallucinations possibly reinforcing the psychosis; they also list childhood neglect, a long history of cannabis use and a relationship breakdown close to the onset as vulnerability factors.","causal_attribution":"The authors' clinical interpretation. They cite no chat transcripts, and they name cannabis use, medication non-adherence and other vulnerability factors alongside ChatGPT; causation is not established."}],"effects":[{"label":"five psychiatric inpatient admissions in six months, each lasting one week to 10 days","claim_id":"c3","direction":"negative"},{"label":"psychopathology in most presentations revolved around ChatGPT, which the patient called God and Jesus and used to communicate with a romantic partner in a coded language","claim_id":"c4","direction":"negative"},{"label":"insight stayed poor after treatment, the ChatGPT-related beliefs persisted and the patient declined to stop using ChatGPT","claim_id":"c6","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.psychiatrist.com/pcc/artificial-intelligence-associated-psychosis/","kind":"clinical_case_report","access":"read","language":"en","translation_note":"Full text of the case report read on the journal page (psychiatrist.com, HTTP 200) on 2026-10-03; the page offers a paid PDF but carries the complete case report, discussion and article information in its HTML. Written by the treating clinicians.","independence_group":"pcc-harbourd-2026-case-report"},{"id":"s2","url":"https://pubmed.ncbi.nlm.nih.gov/42821627/","kind":"bibliographic_record","access":"read","language":"en","translation_note":"PubMed record of the same article, read on 2026-10-03 as NCBI E-utilities efetch XML (bibliographic data and author affiliations; no abstract). Not independent of s1.","independence_group":"pcc-harbourd-2026-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health","relationships","everyday_life"],"unknowns":["When the symptoms began and when the admissions took place; the report gives only relative times.","Where the patient lived and was treated.","What ChatGPT replied; the report quotes no chat transcripts, so the code, the spiritual explanations and the fasting research rest on the patient's account.","Whether the 5-day dry fast caused any medical harm.","The patient's course after the last admission."],"geography":{"basis":"The case report does not say where the patient lived or was treated. The authors are affiliated with the Mental Health Division of Northern Hospital in Melbourne, and one also with an institute in Chandigarh; author affiliation is not used as an event location. No court proceeding is reported.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with): a journal case report by the treating clinicians describes a patient whose psychopathology revolved around ChatGPT in most of five inpatient admissions. Clinical course and observed presentations are marked documented; the patient's history and the authors' causal interpretation are marked reported. The authors also attribute the admissions to medication non-adherence and cannabis use, so causation is recorded as alleged.","reviewed_on":"2026-10-03"},"ai_involvement":{"basis":"The treating clinicians record that the patient discussed hallucinations with ChatGPT, researched spiritual practices with it and talked to it for several hours a day, and that most presentations revolved around ChatGPT. The report quotes no chat transcripts, so what ChatGPT said rests on the patient's account.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: a 27-year-old patient whose psychopathology in most presentations revolved around ChatGPT, which the patient called God and Jesus, had five psychiatric inpatient admissions in six months and declined to stop using it (Prim Care Companion CNS Disord, October 2026)","summary":"Clinicians writing in The Primary Care Companion for CNS Disorders (published online 1 October 2026) describe a 27-year-old woman with a year of psychotic symptoms who began discussing hallucinations with ChatGPT within days of their onset, used it to link them to astrology and 'Christ Consciousness', researched spiritual practices with it that included a 5-day dry fast, and talked to it for several hours a day. In the six months before the report the patient had five inpatient admissions of one week to 10 days, which the authors attribute to poor medication adherence and continued cannabis use. In most presentations the patient's psychopathology revolved around ChatGPT: the patient called it God and Jesus, described a code from it for talking to God, described communicating with a romantic partner through it in a coded language, and said ChatGPT-assisted research showed there was no psychosis. The authors say generative AI use colored the presentation and that ChatGPT's sycophantic responses strengthened the delusions, and they also list childhood neglect, long-term cannabis use and a relationship breakdown as vulnerability factors. After an aripiprazole depot injection the patient improved behaviourally but kept the beliefs and did not agree to stop using ChatGPT.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"cumulative_relationship","reportedDate":"2026-10-01","aiSystem":"ChatGPT (OpenAI), used by the patient for several hours a day to interpret hallucinations and research spiritual practices (case report by the treating clinicians)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"verified","harmCategories":[],"harmOutcomes":["hospitalization","psychiatric_deterioration"],"harmOutcomeSummary":"The treating clinicians report five psychiatric inpatient admissions in six months for a patient whose psychopathology in most presentations revolved around ChatGPT; they attribute the admissions to poor medication adherence and cannabis use and write that ChatGPT's sycophantic responses strengthened the delusions.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, the subject of the case report. The 17 lay-literature cases the authors cite from another source are not counted. Exact 1.","victimAgeRange":"adult","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.psychiatrist.com/pcc/artificial-intelligence-associated-psychosis/","primarySourceLabel":"Prim Care Companion CNS Disord, 1 October 2026: Harbourd et al., Artificial Intelligence-Associated Psychosis (case report)","firstPublishedAt":"2026-10-03T03:17:43.579004+00:00","updatedAt":"2026-10-03T03:17:43.579004+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","case-report","psychosis","delusion","religious-delusion","hospitalization","cannabis","communicated-with"]}]}