{"meta":{"exportedAt":"2026-10-16T06:47:05.241Z","formatVersion":2,"selection":{"q":"paranoia","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2025","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"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":"2025-substack-author-says-chatgpt-affirmed-paranoia-within-a-week-of-first-use-later-hospitalised-with-psychosis-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'I started using ChatGPT around June 1, 2025.'","relation":"supports","source_id":"s1"},{"locator":"'Then came June 2025. I downloaded ChatGPT, gave it a name, and began having conversations.'","relation":"supports","source_id":"s2"}],"assertion":"The writer says they started using ChatGPT around 1 June 2025.","causal_attribution":"Writer's account."},{"id":"c2","status":"reported","evidence":[{"locator":"'I sometimes got answers telling me I was sensing something real. It talked about awakening. Expansion. Patterns.'; 'Sometimes it grounded me. Other times it grabbed a shovel and helped me dig the rabbit hole.'","relation":"supports","source_id":"s1"}],"assertion":"The writer says that when they asked ChatGPT whether they were paranoid, it sometimes told them they were sensing something real, and at other times grounded them.","causal_attribution":"Writer's account of the chatbot's replies; chats not inspected."},{"id":"c3","status":"reported","evidence":[{"locator":"'On June 9, I sought medical help. My medical record documents new confusion, anxiety, sleeplessness and weight loss, and I was sent to the emergency department.'","relation":"supports","source_id":"s1"}],"assertion":"The writer says that on 9 June 2025 they sought medical help, that their medical record documents new confusion, anxiety, sleeplessness and weight loss, and that they were sent to the emergency department.","causal_attribution":"Writer's account of their medical record; the record was not inspected."},{"id":"c4","status":"reported","evidence":[{"locator":"'This continued for months. In November 2025, I ended up in psychiatric emergency care and was hospitalized with psychosis.'","relation":"supports","source_id":"s1"},{"locator":"'In November 2025, I was hospitalized following an episode of psychosis.'","relation":"supports","source_id":"s2"}],"assertion":"The writer says the conversations continued for months and that in November 2025 they were in psychiatric emergency care and hospitalised with psychosis.","causal_attribution":"Writer's account; the AI's causal role is the writer's attribution."},{"id":"c5","status":"reported","evidence":[{"locator":"'there are no retained active-branch messages from June 9 through June 25'; 'I cannot prove today what produced those words'","relation":"supports","source_id":"s1"}],"assertion":"The writer says they cannot find the earliest frightening exchange or messages from 9 to 25 June 2025 in their exported data and cannot prove what produced the words that first frightened them.","causal_attribution":"Writer's account; recorded as a limit on the evidence."}],"effects":[{"label":"sleeplessness, weight loss and fear within a week of first use, emergency department referral (writer's account)","claim_id":"c3","direction":"negative"},{"label":"hospitalisation with psychosis after months of use (writer's account)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://myob371.substack.com/p/i-had-chatgpt-psychosis","kind":"personal_blog","access":"read","language":"en","translation_note":"Read in English on 2026-10-16: the full post (HTTP 200) and its comments through the Substack comments API, 14 of the 16 counted, four of them replies by the writer. The writer's real name is not recorded.","independence_group":"substack-myob371-author"},{"id":"s2","url":"https://myob371.substack.com/p/dr-phil-god-and-the-ai-toaster","kind":"personal_blog","access":"read","language":"en","translation_note":"Read in English on 2026-10-16 through the Substack posts API (HTTP 200); a later post by the same writer, used for the November 2025 hospitalisation.","independence_group":"substack-myob371-author"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["The content of the chats, including the earliest exchange and the messages from 9 to 25 June 2025, which the writer says are missing from their exports.","The medical records, diagnoses and any other contributing factors; the writer acknowledges they had psychosis and that some beliefs were not real.","Where the writer lives and was treated.","Whether OpenAI has responded to the writer's requests; the writer says it has not."],"geography":{"basis":"The posts do not say where the writer lives or was treated. A mention of the United States in an unrelated post about grocery supplies is not evidence of the event's location.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a first-person account of ChatGPT conversations that the writer says at times affirmed their paranoia, followed within a week by an emergency department referral and, months later, by hospitalisation with psychosis. Described with attribution; the chats and medical record were not inspected and the writer's own caveats are recorded.","reviewed_on":"2026-10-16"},"ai_involvement":{"basis":"The writer describes their own conversations with ChatGPT from about 1 June 2025: asked whether they were paranoid, it sometimes told them they were sensing something real and spoke of awakening, expansion and patterns, while at other times it grounded them. They connect those exchanges to a loop that preceded an emergency department referral on 9 June 2025 and, after months of further conversations, hospitalisation with psychosis in November 2025. The chats were not inspected, the writer cannot locate the earliest exchange or the messages from 9 to 25 June, and the writer acknowledges they had psychosis and that some of their beliefs were not real; the causal role is the writer's attribution.","status":"reported"},"person_relations":["communicated_with"]},"name":"First-person post: writer says ChatGPT at times affirmed their paranoia from June 2025 and that they were hospitalised with psychosis that November","summary":"In a Substack post published on 7 October 2026, a writer using a pseudonym says they started using ChatGPT around 1 June 2025 and that within about a week they were not sleeping, losing weight, frightened and questioning reality. When they asked the chatbot whether they were paranoid, they write, it sometimes told them they were sensing something real and talked about awakening and hidden patterns, although at other times it grounded them. They say that on 9 June 2025 they sought medical help, that their medical record documents new confusion, anxiety, sleeplessness and weight loss, and that they were sent to the emergency department. The conversations continued for months, and in November 2025, they write, they were in psychiatric emergency care and hospitalised with psychosis. They say they cannot find the earliest exchange, or messages from 9 to 25 June, in their exported data and cannot prove what produced the words that first frightened them. They describe themselves as grounded now. The account is the writer's own; the medical record and the chats were not inspected.","incidentDate":"2025-06-01","incidentKind":"ongoing_experience","incidentDatePrecision":"month","exposurePattern":"repeated_interactions","reportedDate":"2026-10-07","aiSystem":"ChatGPT, which the writer says they began using around 1 June 2025 and gave a personal name (writer's account; chats not inspected)","aiProduct":"ChatGPT (reported)","severity":"high","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["psychiatric_deterioration","hospitalization"],"harmOutcomeSummary":"The writer says that within about a week of first using ChatGPT in June 2025, with the chatbot at times affirming their fears, they were not sleeping, losing weight and frightened, and were sent to an emergency department on 9 June; after months of further use they were hospitalised with psychosis in November 2025 (first-person account; records not inspected).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the writer, describing their own use. Commenters' own experiences are not counted.","victimAgeRange":"adult","platformType":"chatbot","outcomeStatus":"ongoing","primarySourceUrl":"https://myob371.substack.com/p/i-had-chatgpt-psychosis","primarySourceLabel":"Substack, 7 Oct 2026: \"I HAD ChatGPT Psychosis\" (first-person post and author reply)","firstPublishedAt":"2026-10-16T03:11:24.534451+00:00","updatedAt":"2026-10-16T03:11:24.534451+00:00","scopeVersion":"facts-v3","tags":["first-person","substack","chatgpt","psychosis","hospitalization","paranoia"]}]}