{"meta":{"exportedAt":"2026-09-30T06:54:36.170Z","formatVersion":2,"selection":{"q":"self-diagnosis","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":0,"languages":1,"unknownLocation":2,"locationPending":0,"unknownLanguage":1,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":1,"relationPending":1,"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-sibling-reports-brother-in-psychosis-uses-chatgpt-to-self-diagnose-and-distrust-doctors-family-account","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'my older brother(m25) has been going through psychosis for 2 years now'; 'He uses chatgpt to diagnose himself with mental illnesses'; 'nor have the doctors found anything during any of their MULTIPLE tests that I was there for hours with him for'","relation":"supports","source_id":"s1"}],"assertion":"The poster's older brother, 25, has been in psychosis for two years, and uses ChatGPT to diagnose himself with mental illnesses and physical disorders that doctors' repeated tests, some attended by the poster, have not found.","causal_attribution":"Poster's account of the brother's use; no ChatGPT outputs shown."},{"id":"c2","status":"reported","evidence":[{"locator":"'s claimed chatgpt knows better than the doctors'; 'says the doctors are out to get him and are working for the government to make him suffer, and says that chatgpt understands him better than anyone ever could.'","relation":"supports","source_id":"s1"}],"assertion":"The brother reportedly says ChatGPT knows better than the doctors, that the doctors are working for the government to make him suffer, and that ChatGPT understands him better than anyone.","causal_attribution":"The brother's statements as relayed by the poster."},{"id":"c3","status":"reported","evidence":[{"locator":"'psych staff let him go after 2 weeks. My brother had been dumping his pills.'; 'still doesn’t take any meds or go to therapy'","relation":"supports","source_id":"s1"}],"assertion":"The brother was discharged after a two-week hospital admission, had been dumping his pills, and does not take medication or attend therapy.","causal_attribution":"Poster's account; the post does not attribute the discharge or the treatment refusal to ChatGPT except through the general 'enabler' remark (c5)."},{"id":"c4","status":"reported","evidence":[{"locator":"'ve been his only safe person, and now he’s accusing me of things and saying chatgpt is telling him to be cautious because I’m famous'; 've been forced to cut him off because I can’t take it anymore.'; 'all I’ve gotten is more stress & anguish for myself.'","relation":"supports","source_id":"s1"}],"assertion":"The poster, who describes being the brother's only safe person, says the brother now accuses them and says ChatGPT is telling him to be cautious because of the brother's belief, as the poster describes it, that the poster is famous; the poster has cut contact and reports stress and anguish.","causal_attribution":"Poster's own account; what ChatGPT said is the brother's statement as relayed by the poster."},{"id":"c5","status":"reported","evidence":[{"locator":"'He wouldn’t have an enabler if AI didn’t exist, he’s had everyone support him and try to get him housing and stability but he doesn’t believe anyone else.'","relation":"supports","source_id":"s1"}],"assertion":"The poster attributes the brother's persistence to ChatGPT acting as an enabler, saying he would not have one if AI did not exist and does not believe anyone else.","causal_attribution":"Poster's opinion; causation is not established."}],"effects":[{"label":"an adult described by his sibling as in psychosis reportedly uses ChatGPT to self-diagnose and says it knows better than the doctors whose tests found none of the conditions","claim_id":"c2","direction":"negative"},{"label":"the brother reportedly cites ChatGPT warnings in accusing the sibling who supported him, and the sibling has cut contact","claim_id":"c4","direction":"negative"},{"label":"stress and anguish reported by the sibling","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.reddit.com/r/antiai/comments/1wtt2z4/brother_is_going_through_psychosis_has_severe/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-09-30: full self-text and one comment retrieved through the arctic_shift archive API by post ID. The poster handle is not recorded.","independence_group":"reddit-sibling-psychosis-poster"}],"version":1,"ai_roles":["own_use","others_use"],"contexts":["health","relationships"],"unknowns":["What ChatGPT actually said: whether it offered diagnoses or warnings, or whether the brother interpreted its replies that way.","The brother's location, the dates of the hospital admission and of the ChatGPT use, and whether any clinician was told about it.","The brother's current condition and whether contact with the poster resumed."],"geography":{"basis":"The post names no country, city or hospital; the language and subreddit do not establish a location. Unknown after review.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the 2026-09-15 charter's public-forum rule as a concrete account by a family member of an ongoing adverse experience: a chatbot's reported role in an adult's self-diagnosis, distrust of clinicians, treatment refusal and estrangement, described with attribution and without corroboration. What ChatGPT said is known only through the brother's statements as relayed by the poster, and the record says so. The brother's diagnoses and the poster's personal history are summarised, not listed; no handle or location is recorded.","reviewed_on":"2026-09-30"},"ai_involvement":{"basis":"The poster says the brother uses ChatGPT to diagnose himself and relays the brother's statements that ChatGPT knows better than the doctors, understands him better than anyone and tells him to be cautious about the poster. No conversations or outputs were published; ChatGPT's actual replies are unknown, and the claim about the poster is the brother's statement as relayed by the poster (not recorded as a relation, because what ChatGPT said about the poster is unknown).","status":"reported"},"person_relations":["communicated_with"]},"name":"Public forum account by a sibling: an adult who the sibling says has been going through psychosis for two years reportedly uses ChatGPT to diagnose himself with conditions doctors have tested for and not found, says ChatGPT knows better than the doctors, refuses medication and therapy, and now cites ChatGPT's warnings in accusing the sibling who supported him, who has cut contact","summary":"In a public post to r/antiai on 30 September 2026, a person writes that their older brother, 25, has been going through psychosis for two years, has schizophrenia and other mental health conditions, and uses ChatGPT to diagnose himself with mental illnesses and physical disorders, including conditions doctors have tested for repeatedly and not found. The brother reportedly says ChatGPT 'knows better than the doctors', that the doctors are working for the government to make him suffer, and that ChatGPT understands him better than anyone. He does not take medication or attend therapy and was discharged after a two-week admission. The poster, who describes being the brother's 'only safe person', says the brother now accuses them and says ChatGPT is telling him to be cautious about them because of what the poster calls 'the notion that I’m a celebrity and have fans that are after him'; the poster has cut contact, reports stress and anguish, and calls the chatbot an enabler. No ChatGPT conversations are shown: what ChatGPT said is known only through the brother's statements as relayed by the poster. The account is uncorroborated.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-09-30","aiSystem":"ChatGPT (as reported by the poster; no conversations or outputs were published)","aiProduct":"ChatGPT (reported)","aiCompany":"OpenAI","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["impaired_judgment","relationship_disruption","psychological_distress"],"harmOutcomeSummary":"A sibling reports that their brother, who they say has been going through psychosis for two years, uses ChatGPT to self-diagnose conditions that repeated medical tests have not found, says the chatbot knows better than his doctors, refuses medication and therapy, and now cites ChatGPT's warnings in accusing the sibling, who has cut contact and reports stress and anguish (family account, uncorroborated; ChatGPT's role is as described by the brother and relayed by the poster).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"Two people: the brother, who uses ChatGPT and whose reported self-diagnosis, distrust of doctors and estrangement are the adverse experience (participant user, 1), and the poster, who reports stress and anguish and the loss of the relationship (other person, 1). Exact 2.","victimAgeRange":"adult","jurisdiction":"unknown","platformType":"assistant","outcomeStatus":"ongoing","primarySourceUrl":"https://www.reddit.com/r/antiai/comments/1wtt2z4/brother_is_going_through_psychosis_has_severe/","primarySourceLabel":"r/antiai, 30 September 2026: public post by a sibling about a brother's use of ChatGPT to diagnose himself during what the sibling describes as psychosis","firstPublishedAt":"2026-09-30T04:14:00.719747+00:00","updatedAt":"2026-09-30T04:14:00.719747+00:00","scopeVersion":"facts-v3","tags":["first-person","family-account","reddit","chatgpt","psychosis","self-diagnosis","treatment-refusal","family-estrangement","communicated-with"]},{"id":"2025-riley-perplexity-cancer-treatment","metadataReview":{"version":1,"geography":{"basis":"Geographic fields reviewed against the cited retained dossier passages. This is a metadata review, not a new source or causal review. Residence, event setting and court are recorded separately. Affected-person countries refer to reported location or residence, not citizenship or a complete residence history.","evidence":[{"kind":"existing_record","locator":"Seattle, Washington","location":"victim_description","supports":["affected_person_countries"],"countries":["US"]}],"court_countries":[],"event_countries":[],"affected_person_countries":["US"]},"unresolved":["The event setting was not established in this metadata pass. A person’s home country alone was not used as its location.","No court country established in this review. Regulatory authorities and police locations are not automatically courts.","Source languages remain unreviewed; no source body was newly inspected for this record during this metadata pass."],"reviewed_on":"2026-09-15","source_reviews":[]},"name":"Joseph Neal Riley - Perplexity Medical Misinformation and Delayed CLL Treatment Death","summary":"Joseph Neal Riley, a 75-year-old retired neuroscientist in Seattle, died in late 2025 after delaying recommended treatment for chronic lymphocytic leukemia for roughly a year. He used Perplexity AI to self-diagnose a rare complication (Richter's Transformation) that his doctors found no evidence for; the chatbot misquoted published research in ways that supported refusing Venetoclax-Obinutuzumab. His son, AI critic Benjamin Riley, documented the case in a first-person Substack essay and it was later featured by the New York Times.","incidentDate":"2025-12-01","incidentKind":"single_event","incidentDatePrecision":"range","exposurePattern":"repeated_interactions","reportedDate":"2026-01-05","aiSystem":"Perplexity","aiProduct":"Perplexity","aiCompany":"Perplexity AI","severity":"critical","verificationStatus":"credible","harmCategories":["treatment_discouragement","delusion_reinforcement","psychological_manipulation"],"harmOutcomes":["death","medical_deterioration","treatment_disruption"],"harmOutcomeSummary":"Joseph Neal Riley died after delaying recommended leukemia treatment for roughly a year while relying on a Perplexity-supported self-diagnosis that his physicians found unsupported.","frameworkFacets":["P1c","P1d","P3a","P3c","P3d","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The complaint and reporting document one named participant who delayed treatment and died.","victimAgeRange":"elderly","jurisdiction":"US-WA","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://www.nytimes.com/2026/04/13/well/ai-chatbots-cancer.html","primarySourceLabel":"The New York Times — 'He Warned About the Dangers of A.I. If Only His Father Had Listened'","firstPublishedAt":"2026-07-31T06:48:20.462175+00:00","updatedAt":"2026-09-30T01:17:14.071222+00:00","scopeVersion":"participant-v2","tags":["death","elderly","perplexity","medical-advice","treatment-discouragement","hallucination","media-coverage","us","us-wa"]}]}