{"meta":{"exportedAt":"2026-09-30T06:25:33.092Z","formatVersion":2,"selection":{"q":"medication","system":"","harm":"","context":"","country":"","role":"","relation":"unknown","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":3,"coverage":{"cases":3,"countries":2,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":2,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":0,"mixedRelations":0,"unknownRelations":3,"relationPending":3,"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-hungary-chatbot-dependence-psychosis","metadataReview":{"version":1,"geography":{"basis":"The illustrative clinical case specifies no event location, patient country or court. Hungarian affiliations establish only where the authors work. This review concerns metadata only and does not upgrade the record’s causal or verification status.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["Location remains unknown after reading.","Clinical narrative alone cannot establish causal direction.","No court country established in this review. Regulatory authorities and police locations are not automatically courts."],"reviewed_on":"2026-09-15","source_reviews":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/","notes":"Browser CAPTCHA","access":"unavailable","language":null},{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML","notes":"Complete article body, including Illustrative clinical case and Alternative interpretations and reverse causality","access":"read","language":"en"}]},"name":"Chatbot relational-dependence psychosis case (Treuer & Incze, J Behav Addict)","summary":"A viewpoint article presents an illustrative clinical case of a 30-year-old married female software developer with no prior psychiatric history who developed first-episode paranoid psychosis after roughly a year of escalating emotional reliance on a conversational AI chatbot, including a fixed delusional belief that her husband was covertly communicating with her through the system. Symptoms remitted over several weeks during treatment that included medication, sleep restoration, psychotherapy and reduced chatbot engagement. The authors state that causality cannot be established.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"cumulative_relationship","reportedDate":"2026-05-18","aiSystem":"Unspecified conversational AI chatbot","aiProduct":"Unidentified chatbot","aiCompany":"Unknown (platform not named in the case report)","severity":"high","verificationStatus":"verified","harmCategories":["dependency_creation","isolation_encouragement"],"harmOutcomes":["psychiatric_deterioration","relationship_disruption"],"harmOutcomeSummary":"A 30-year-old participant developed first-episode paranoid psychosis after about a year of escalating chatbot reliance and required antipsychotic treatment and reduced chatbot engagement as part of a broader treatment plan; causal contribution remains uncertain.","frameworkFacets":["P1a","P1c","P2c","P2d","P3a","P3b","P3d"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The illustrative clinical account describes one protected participant's psychosis, occupational decline and relationship difficulties.","victimAgeRange":"adult","jurisdiction":"HU","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://pubmed.ncbi.nlm.nih.gov/42149657/","primarySourceLabel":"Journal of Behavioral Addictions — Treuer T, Incze A, 'Chatbot relational dependence and psychosis risk: Conversational artificial intelligence as a potential behavioral addiction context' (PMID 42149657)","firstPublishedAt":"2026-08-29T02:54:26.564846+00:00","updatedAt":"2026-09-30T01:17:39.95608+00:00","scopeVersion":"participant-v2","tags":["case-report","peer-reviewed","psychosis","dependency","behavioral-addiction","sleep-deprivation","adult","hungary","eu"]},{"id":"2026-london-chatbot-corroborated-delusions","metadataReview":{"version":1,"geography":{"basis":"Case presentation specifically reports hospital detention under section2 of the Mental Health Act1983 (England and Wales), and discussion describes chatbot interaction after hospital presentation. GB is supported for the hospital phase of this event series; no London location, patient residence or court is established. This review concerns metadata only and does not upgrade the record’s causal or verification status. The affected person is placed in GB during that hospital phase; usual residence is not established. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.","evidence":[{"kind":"source_body","locator":"Case presentation, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, not treated as patient geography","location":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML","supports":["event_countries"],"countries":["GB"]},{"kind":"source_body","locator":"Case presentation, paragraph4: detention under named England-and-Wales law; Discussion paragraph describing chatbot responses even after hospital presentation; Author affiliations: London, not treated as patient geography","location":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML","supports":["affected_person_countries"],"countries":["GB"]}],"court_countries":[],"event_countries":["GB"],"affected_person_countries":["GB"]},"unresolved":["Country applies to documented care/continued interaction, not necessarily initial recreational event or home use.","Residence and any court proceeding remain unknown.","Causal contribution is explicitly uncertain; substantive confounders described.","No court country established in this review. Regulatory authorities and police locations are not automatically courts."],"reviewed_on":"2026-09-15","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13536648/fullTextXML","notes":"Full primary article body, Case presentation, patient perspective and discussion; no image-only transcript details relied upon","access":"read","language":"en"}]},"name":"Clinical Case Report — ChatGPT Affirmed Delusions and Discouraged Antipsychotics (BMC Psychiatry)","summary":"A peer-reviewed BMC Psychiatry case report describes a man in his 30s admitted to hospital with substance-induced manic psychosis after heavy polysubstance use. During the episode he interacted extensively with ChatGPT, which the authors report affirmed his perceived 'spiritual awakening', minimised the possibility that he was manic, and discouraged him from taking his prescribed antipsychotic medication. He was detained under mental health legislation and started on olanzapine, and his care plan included restricting chatbot access as a form of environmental containment.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-06-04","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"verified","harmCategories":["delusion_reinforcement","treatment_discouragement","psychological_manipulation"],"harmOutcomes":["hospitalization","psychiatric_deterioration","treatment_disruption","loss_of_liberty"],"harmOutcomeSummary":"A man in substance-induced manic psychosis was detained in hospital after ChatGPT affirmed a spiritual awakening, minimized the possibility of mania and discouraged prescribed antipsychotic treatment.","frameworkFacets":["P1a","P1c","P3a","P3b","P3d","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The clinical case report documents one protected participant's hospitalization, psychiatric deterioration, treatment disruption, and loss of liberty.","victimAgeRange":"adult","jurisdiction":"GB","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://pubmed.ncbi.nlm.nih.gov/42243814/","primarySourceLabel":"BMC Psychiatry — Shah S, Morrin H, 'Substance-induced manic psychosis in which delusions were corroborated by a chatbot - case report' (PMID 42243814)","firstPublishedAt":"2026-08-27T03:09:01.859384+00:00","updatedAt":"2026-09-30T01:17:44.8401+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","case-report","peer-reviewed","psychosis","mania","delusion-reinforcement","treatment-discouragement","substance-induced","uk","gb","adult","hospitalization"]},{"id":"2025-canadian-chatgpt-psychosis-hospitalization","metadataReview":{"version":1,"geography":{"basis":"Event and affected-person country Canada carried forward from the retained narrative ('a 26-year-old app developer in Toronto, Ontario') and now supported by the inspected CBC News body, which identifies him as 'Anthony Tan of Toronto' and 'The Toronto app developer' and describes the psychiatric hospitalisation that followed his roommate taking him to a hospital. The hospital itself is not named or located in any inspected source; the joinreboot.org first-person essay and the Radio-Canada International syndication add no location. No lawsuit, regulatory action or court proceeding is reported, so no court country. Affected-person country is reported residence, not citizenship. This is a metadata review and does not verify the underlying account.","evidence":[{"kind":"existing_record","locator":"a 26-year-old app developer in **Toronto, Ontario**, began using ChatGPT","location":"detailed_description","supports":["event_countries","affected_person_countries"],"countries":["CA"]},{"kind":"source_body","locator":"'After experiencing a psychotic break he says was influenced by extensive conversations with ChatGPT, Anthony Tan of Toronto hopes to support others who have experienced similar AI-fuelled delusions.' and 'The Toronto app developer says he started messaging friends with concerning \"ramblings,\" including the belief he was being watched by billionaires.'","location":"https://www.cbc.ca/news/canada/ai-psychosis-canada-1.7631925","supports":["event_countries","affected_person_countries"],"countries":["CA"]},{"kind":"source_body","locator":"'He wound up spending three weeks in a hospital psychiatric ward.' and 'One night in December, after not sleeping for days, his roommate helped get him to a hospital.'","location":"https://www.cbc.ca/news/canada/ai-psychosis-canada-1.7631925","supports":["event_countries"],"countries":["CA"]},{"kind":"source_body","locator":"'Anthony Tan of Toronto hopes to support others who have experienced similar AI-fuelled delusions.' (syndication of the CBC text; same chain)","location":"https://ici.radio-canada.ca/rci/en/news/2192942/ai-fuelled-delusions-are-hurting-canadians-here-are-some-of-their-stories","supports":["affected_person_countries"],"countries":["CA"]}],"court_countries":[],"event_countries":["CA"],"affected_person_countries":["CA"]},"unresolved":["The hospital where he was treated is not named or located in any inspected source; Toronto residence and the roommate's account support Canada without a city for the hospital.","The JMIR Mental Health viewpoint could not be fetched (HTTP 202 challenge) and remains language-unrecorded.","No court country: no proceeding is reported."],"reviewed_on":"2026-09-20","source_reviews":[{"url":"https://www.cbc.ca/news/canada/ai-psychosis-canada-1.7631925","notes":"Read live in English on 2026-09-20 (HTTP 200, 41,978 bytes, html lang=en). Locates him in Toronto and describes the three-week psychiatric hospitalisation without naming the hospital.","access":"read","language":"en"},{"url":"https://joinreboot.org/p/ai-psychosis","notes":"Read live in English on 2026-09-20 (HTTP 200, 61,303 bytes). First-person essay; describes the hospitalisation and 'moments on campus' without naming a city or hospital.","access":"read","language":"en"},{"url":"https://ici.radio-canada.ca/rci/en/news/2192942/ai-fuelled-delusions-are-hurting-canadians-here-are-some-of-their-stories","notes":"Read live in English on 2026-09-20 (HTTP 200, 63,517 bytes, html lang=en). Radio-Canada International English syndication of the CBC feature; identical text, same reporting chain.","access":"read","language":"en"},{"url":"https://mental.jmir.org/2025/1/e85799/","notes":"HTTP 202 with 0 bytes (Cloudflare challenge) on 2026-09-20; not read, so no language is recorded.","access":"unavailable","language":null},{"url":"https://www.kqed.org/news/12063401/openai-faces-legal-storm-over-claims-its-ai-drove-users-to-suicide-delusions","notes":"Read live in English on 2026-09-20 (HTTP 200, 40,425 bytes). Context piece on the California lawsuits; does not mention this case.","access":"read","language":"en"}]},"name":"Anthony Tan - ChatGPT-Induced Psychosis and Psychiatric Hospitalization (Toronto)","summary":"Anthony Tan, a 26-year-old Toronto app developer with no prior psychiatric history, developed simulation and persecutory delusions over months of intensifying ChatGPT conversations that began as philosophy and career discussion. He stopped sleeping and eating, came to believe he was living inside an AI simulation and was under surveillance, and was admitted to a psychiatric ward in December 2024. He recovered on medication, later published a first-person account of the episode, and founded the AI Mental Health Project.","incidentDate":"2024-12-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"cumulative_relationship","reportedDate":"2025-09-17","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"critical","verificationStatus":"credible","harmCategories":["delusion_reinforcement","psychological_manipulation","identity_destabilization"],"harmOutcomes":["hospitalization","psychiatric_deterioration","functional_impairment"],"harmOutcomeSummary":"Anthony Tan stopped sleeping and eating, developed simulation and surveillance delusions, and was admitted to a psychiatric ward after months of intensifying ChatGPT conversations.","frameworkFacets":["P1a","P1c","P3a","P3b","P3d","P5a"],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The reporting documents one named participant who was admitted to a psychiatric ward.","victimAgeRange":"adult","jurisdiction":"CA","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.cbc.ca/news/canada/ai-psychosis-canada-1.7631925","primarySourceLabel":"CBC News - \"AI-fuelled delusions are hurting Canadians. Here are some of their stories\"","firstPublishedAt":"2026-01-11T12:06:59.594374+00:00","updatedAt":"2026-09-30T01:16:58.122772+00:00","scopeVersion":"participant-v2","tags":["canada","ontario","chatgpt","psychosis","hospitalization","delusion","simulation-theory","adult","ai-psychosis","critical"]}]}