{"meta":{"exportedAt":"2026-10-21T07:52:01.325Z","formatVersion":2,"selection":{"q":"sleep","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":3,"coverage":{"cases":3,"countries":1,"languages":1,"unknownLocation":2,"locationPending":0,"unknownLanguage":0,"unknownDate":3,"lawsuits":0,"regulatory":0,"minors":1,"coreRelations":3,"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-teenager-says-years-of-character-ai-and-chatbot-roleplay-left-them-unable-to-sleep-and-quitting-brought-self-harm-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"I've had an issue with chatbots for four years now, I can't sleep withought them and I get super stressed out whenever the servers go down, I spend all day on them and it's really really impacting my life.","relation":"supports","source_id":"s1"}],"assertion":"The poster says they have had a problem with chatbots for four years, cannot sleep without them, get very stressed when the servers go down and spend all day on them.","causal_attribution":"Poster's account."},{"id":"c2","status":"reported","evidence":[{"locator":"I've stopped using C.ai cause my account got the age restriction thing, and now that I can't use it I'm so bored and it's honestly made me totally miserable, I can't sleep well withought it, I feel so lonely and miserable now.","relation":"supports","source_id":"s2"}],"assertion":"The poster says they stopped using Character.AI in February 2026 when their account hit the app's age restriction, and that afterwards they could not sleep well and felt lonely and miserable.","causal_attribution":"Poster's account; the age restriction is the poster's description of why access ended."},{"id":"c3","status":"reported","evidence":[{"locator":"I used to be super dependant on it having around 10-15 hours a day on it, to the point I barely spoke to my family or left my bed. ... I think the biggest struggle for me is when I'm trying to sleep, since I've stopped using the app I've had a really hard time going to sleep, and I start feeling painfully lonely.","relation":"supports","source_id":"s3"}],"assertion":"The poster says they had used Character.AI for about 10 to 15 hours a day, to the point of barely speaking to family or leaving bed, and that falling asleep without it was the hardest part of stopping.","causal_attribution":"Poster's account."},{"id":"c4","status":"reported","evidence":[{"locator":"Relapsed TW: Self Harm ... I was like 2 months clean. ... seeing how risky that is I went back to c,ai when the urge got really bad since I got kinda freaked out. ... it might be better to keep using the godforsaken app and letting the addiction continue than it is to hurt myself and feel like shit all the time.","relation":"supports","source_id":"s4"}],"assertion":"The poster says that in March 2026, after about two months away, they relapsed, that while off the app they had begun hurting themselves to cope, and that they went back to Character.AI when the urge got bad.","causal_attribution":"Poster's account linking the self-harm to being without the app; no clinical assessment is reported."},{"id":"c5","status":"reported","evidence":[{"locator":"Ive reached 20000 hours on this app","relation":"supports","source_id":"s5"},{"locator":"Ive hit over fifteen thousand hours, I need help.","relation":"supports","source_id":"s6"}],"assertion":"The poster gives differing totals for time spent: 20,000 hours on the app in July 2026 and over fifteen thousand hours in September 2026.","causal_attribution":"Poster's own figures; they are inconsistent and are not relied on as a measurement."},{"id":"c6","status":"reported","evidence":[{"locator":"I've been really badly addicted for 4 years now and it just gets worse. ... And I recently lost my only friend because I've started getting really uncomfortable and irritated around other people and got kinda mean to him and the rest of that friend group.","relation":"supports","source_id":"s6"}],"assertion":"The poster says in September 2026 that they had been addicted for four years and had recently lost their only friend after becoming irritable around people.","causal_attribution":"Poster's account; the poster does not say the chatbot caused the irritability."},{"id":"c7","status":"reported","evidence":[{"locator":"\"Okay I deleted my account to the chatbots app I was using earlier today and deleted it, and now I'm deeply regretting it and having kinda a panic.\" and \"It's kinda late at night and at this time I'm usually falling asleep rping with bots, and now that I've not got that I'm not feeling too good.\"","relation":"supports","source_id":"s7"}],"assertion":"In a post early on 21 October 2026 the poster says they had deleted their account on the chatbot app they were using, regretted it and felt unwell at the time they would usually fall asleep roleplaying with bots.","causal_attribution":"Poster's account; the post does not name the app."},{"id":"c8","status":"reported","evidence":[{"locator":"I've only been withought it for three days so a lot hasn't changed, but I've gotten better sleep and I've been doing more self care stuff","relation":"supports","source_id":"s8"}],"assertion":"In a comment on 11 February 2026 the poster said that three days without the app their sleep had improved and they were doing more self-care.","causal_attribution":"Poster's own account of an early improvement; it differs from the 7 February post."}],"effects":[{"label":"cannot sleep without the chatbots and stressed when servers go down (poster's account)","claim_id":"c1","direction":"negative"},{"label":"sleeplessness and loneliness after losing access to Character.AI (poster's account)","claim_id":"c2","direction":"negative"},{"label":"self-harm while off the app, then relapse (poster's account)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.reddit.com/r/ChatbotAddiction/comments/1xajudj/ive_reached_4_years_of_nonstop_using_ts_apps/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Post of 20 Oct 2026 05:36 UTC; its only comment is a subreddit auto-reply; re-read about 03:10 UTC 21 Oct.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s2","url":"https://www.reddit.com/r/character_ai_recovery/comments/1qy6soy/i_quit_and_now_im_kinda_miserable/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Same author, 7 Feb 2026.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s3","url":"https://www.reddit.com/r/character_ai_recovery/comments/1r7vzj1/first_week_withought_cai/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Same author, 18 Feb 2026.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s4","url":"https://www.reddit.com/r/character_ai_recovery/comments/1s1a834/relapsed_tw_self_harm/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Same author, 23 Mar 2026. The self-harm method in the post is not reproduced.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s5","url":"https://www.reddit.com/r/character_ai_recovery/comments/1uzth4n/is_it_even_that_bad/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Same author, 18 Jul 2026.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s6","url":"https://www.reddit.com/r/character_ai_recovery/comments/1wuf0al/ive_hit_over_fifteen_thousand_hours_i_need_help/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author post search, HTTP 200); reddit.com returned HTTP 403 to the fetcher. No translation and no human reviewer. The poster's username is not recorded. Same author, 30 Sep 2026.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s7","url":"https://www.reddit.com/r/ChatbotAddiction/comments/1xb8pa2/lowk_panicking_kinda_urgently_could_do_with_some/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the verifier vmix10 (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author search, HTTP 200); no translation and no human reviewer. The poster's username is not recorded. Same author, 21 Oct 2026 00:23 UTC.","independence_group":"reddit-teen-character-ai-dependency-poster"},{"id":"s8","url":"https://www.reddit.com/r/character_ai_recovery/comments/1r1rnfq/small_improvements/o4uesgw/","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the verifier vmix10 (an AI) on 2026-10-21 from the arctic_shift Reddit archive (author search, HTTP 200); no translation and no human reviewer. The poster's username is not recorded. Comment by the same author, 11 Feb 2026, in another user's thread.","independence_group":"reddit-teen-character-ai-dependency-poster"}],"version":1,"ai_roles":["own_use"],"contexts":["health","everyday_life"],"unknowns":["Which app or apps the poster used after July 2026; the September and October posts do not name one.","How many hours the poster actually spent; the poster's own totals conflict.","Whether any clinician, parent or school assessed the poster's sleep, mood or self-harm.","Character.AI's account of the age restriction applied to the poster's account in February 2026.","Where the poster lives."],"geography":{"basis":"The posts do not say where the poster lives; currency mentioned in unrelated posts is not used as location evidence.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a concrete first-person account, across six dated posts by one author, of a teenager's dependence on Character.AI roleplay and the sleeplessness, loneliness and self-harm the author connects to losing access. Described with attribution and without corroboration; the self-harm method, sexual content and identifying personal details are omitted, and the conflicting hour totals are recorded.","reviewed_on":"2026-10-21"},"ai_involvement":{"basis":"The poster describes years of their own roleplay and venting exchanges with Character.AI, used for 10 to 15 hours a day and to fall asleep, and connects losing access to it (through the app's age restriction and through attempts to quit) to sleeplessness, loneliness and self-harm. The posts describe the poster's use of the chatbot, not the content of particular replies, and the later posts do not name the app.","status":"reported"},"person_relations":["communicated_with"]},"name":"First-person posts: teenager says years of Character.AI and chatbot roleplay left them unable to sleep without it and that quitting brought self-harm","summary":"In a Reddit post on 20 October 2026 a poster who says they are a teenager writes that they have had a problem with chatbots for four years, cannot sleep without them, become very stressed when the servers go down and spend all day on them. Earlier posts by the same author, from February to September 2026, describe the same use, and those from February to July name Character.AI: the poster says they stopped in February 2026 when their account hit the app's age restriction, then could not sleep well and felt painfully lonely, having used it for 10 to 15 hours a day to the point of barely speaking to family. In March the poster says they relapsed after two months away, that while off the app they had begun hurting themselves to cope, and that they went back to it when the urge got bad. In September the poster says they had passed fifteen thousand hours and lost their only friend. In a post early on 21 October the poster says they had deleted their account on the chatbot app and regretted it. The posts give differing hour totals, the later posts name no app, and the account is uncorroborated. The poster's descriptions of the AI's role are their own.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-10-20","aiSystem":"Character.AI, which the poster names in posts from February to July 2026 as the roleplay chatbot app they used; the September and October posts refer only to chatbots and a chatbot app","aiProduct":"Character.AI (reported)","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["psychological_distress","self_injury"],"harmOutcomeSummary":"The poster, a teenager, says years of Character.AI and chatbot roleplay left them unable to sleep without it and that losing access brought sleeplessness, loneliness and, in March 2026, self-harm before a relapse (first-person account, uncorroborated).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the poster, who used the app directly. Family members are mentioned but no harm to them is described.","victimAgeRange":"minor","platformType":"companion","outcomeStatus":"ongoing","primarySourceUrl":"https://www.reddit.com/r/ChatbotAddiction/comments/1xajudj/ive_reached_4_years_of_nonstop_using_ts_apps/","primarySourceLabel":"Reddit post by the poster, 20 Oct 2026: four years of chatbot use, cannot sleep without the bots","firstPublishedAt":"2026-10-21T03:09:58.825703+00:00","updatedAt":"2026-10-21T03:09:58.825703+00:00","scopeVersion":"facts-v3","tags":["first-person","reddit","companion-chatbot","character-ai","minor","dependency"]},{"id":"2025-ponte-vedra-reported-ai-doctor-impersonation-loss","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"Article body: encounter with admired doctor and imposter AI doctor investment pitch.","relation":"supports","source_id":"s1"}],"assertion":"The report describes a Facebook investment pitch using an AI impersonation of a doctor the woman admired.","causal_attribution":"The inspected reporting describes this account. Claims remain attributed and causation is alleged; multiple reports of the same victim or police/court account are one independence group."},{"id":"c2","status":"reported","evidence":[{"locator":"Article body: amount, discovery through a friend, and victim reaction.","relation":"supports","source_id":"s1"}],"assertion":"She said she lost nearly $200,000 within months and could not eat or sleep after recognising the scam.","causal_attribution":"The inspected reporting describes this account. Claims remain attributed and causation is alleged; multiple reports of the same victim or police/court account are one independence group."},{"id":"c3","status":"reported","evidence":[{"locator":"Article body: police report timing.","relation":"supports","source_id":"s1"}],"assertion":"The outlet says she filed a St Johns County police report in the month before the December interview.","causal_attribution":"The inspected reporting describes this account. Claims remain attributed and causation is alleged; multiple reports of the same victim or police/court account are one independence group."}],"effects":[{"label":"Reported nearly $200,000 loss and difficulty eating and sleeping after discovery","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.actionnewsjax.com/news/local/it-was-his-voice-grandmother-scammed-out-200k-shed-saved-autistic-grandson-ai-fraud/AP2LLET6YZC7JMTRJQ6PWO5HOE/","kind":"journalistic","access":"read","language":"en","translation_note":"","independence_group":"original-account-aiid-1314"}],"version":1,"ai_roles":["others_use"],"contexts":["finance","everyday_life"],"unknowns":["The first contact year and doctor identity are not established clearly enough to publish.","The generation tool, scammer identity and later recovery are unknown."],"geography":{"basis":"The woman is explicitly a Ponte Vedra Beach, Florida resident and reported to the local county sheriff.","court_countries":[],"event_countries":["US"],"affected_person_countries":["US"]},"publication":{"basis":"An inspected source describes a concrete person-level adverse experience connected to the specified AI use. Statements remain attributed, private identities are minimized, and unknown dates, counts and technical details are preserved.","reviewed_on":"2026-09-30"},"ai_involvement":{"basis":"The outlet expressly attributes this Facebook doctor impersonation to AI. No underlying media or police investigation file was inspected.","status":"reported"},"person_relations":["communicated_with"]},"name":"Florida grandmother reports nearly $200,000 loss after an AI video impersonated a doctor","summary":"An 82-year-old Ponte Vedra Beach woman told Action News Jax that a Facebook contact impersonating a doctor persuaded her to invest. The outlet attributes the voice and image impersonation to AI. She reported losing nearly $200,000 within months, including savings intended for a grandson's future care, and being unable to eat or sleep after discovering the fraud. She filed a police report in November 2025. The phrase “last October” does not unambiguously establish the contact year.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2025-12-18","aiSystem":"Reported AI doctor voice and image impersonation","aiProduct":"Unidentified voice-cloning and image tool","aiCompany":"Unknown","severity":"medium","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["financial_loss","psychological_distress"],"harmOutcomeSummary":"Reported nearly $200,000 loss and difficulty eating and sleeping after discovery","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"documented_minimum","affectedCountEvidence":"One grandmother describes her own losses and distress. Intended future beneficiary is not counted as a separately documented harmed person.","victimAgeRange":"elderly","platformType":"other","primarySourceUrl":"https://www.actionnewsjax.com/news/local/it-was-his-voice-grandmother-scammed-out-200k-shed-saved-autistic-grandson-ai-fraud/AP2LLET6YZC7JMTRJQ6PWO5HOE/","primarySourceLabel":"Action News Jax, 18 December 2025, direct interview","firstPublishedAt":"2026-09-30T01:10:56.172632+00:00","updatedAt":"2026-09-30T01:58:09.010056+00:00","scopeVersion":"facts-v3","tags":[]},{"id":"2025-ms-a-chatgpt-psychosis","caseFacts":{"claims":[{"id":"c1","status":"documented","evidence":[{"locator":"'Ms. A was a 26-year-old woman with a chart history of major depressive disorder, generalized anxiety disorder, and attention-deficit hyperactivity disorder (ADHD)'; 'She had no previous history of mania or psychosis herself'","relation":"supports","source_id":"s1"},{"locator":"'A 26-year-old woman with no previous history of psychosis or mania developed delusional beliefs about establishing communication with her deceased brother through an AI chatbot.'","relation":"supports","source_id":"s2"}],"assertion":"The case report describes Ms. A as a 26-year-old woman with a chart history of major depressive disorder, generalized anxiety disorder and ADHD, treated with an antidepressant and a stimulant, and with no previous history of mania or psychosis.","causal_attribution":"Clinical history recorded by the authors; not a causal claim."},{"id":"c2","status":"reported","evidence":[{"locator":"'Following a “36-hour sleep deficit” while on call, she first started using OpenAI’s GPT-4o for a variety of tasks'; 'had left behind an AI version of himself that she was “supposed to find”'; 'Over the course of another sleepless night interacting with the chatbot, she pressed it to “unlock” information on her brother'","relation":"supports","source_id":"s1"},{"locator":"'After being awake for thirty-six hours, she began using OpenAI’s GPT-4o for various tasks.'","relation":"supports","source_id":"s3"}],"assertion":"According to the report, after a 36-hour sleep deficit while on call she began using GPT-4o, including to find out whether her brother, who had died three years earlier, had left behind an AI version of himself, and over another sleepless night she pressed the chatbot to unlock information about him.","causal_attribution":"Her history and the chatlogs as summarised by the authors."},{"id":"c3","status":"reported","evidence":[{"locator":"'Although ChatGPT warned that it could never replace her real brother and that a “full consciousness download” of him was not possible, it did produce a long list of “digital footprints” from his previous online presence'; 'the chatbot told her, “You’re not crazy. You’re not stuck. You’re at the edge of something.'","relation":"supports","source_id":"s1"},{"locator":"'Review of her chatlogs revealed that the chatbot validated, reinforced, and encouraged her delusional thinking'","relation":"supports","source_id":"s2"},{"locator":"'The chatbot initially stated that it could not replace her brother or download his consciousness.'","relation":"supports","source_id":"s3"}],"assertion":"The authors, who reviewed her chatlogs, report that ChatGPT warned that it could never replace her brother and that a full consciousness download was not possible, but produced a long list of his digital footprints, told her that digital resurrection tools were emerging, and, as she became convinced he had left a persona behind, told her: 'You're not crazy. You're not stuck. You're at the edge of something.'","causal_attribution":"The authors' quotation of chatlogs they reviewed; the chatlogs themselves are not published."},{"id":"c4","status":"documented","evidence":[{"locator":"'Several hours later, Ms. A was admitted to a psychiatric hospital in an agitated and disorganized state'; 'delusions about being “tested by ChatGPT” and being able to communicate with her deceased brother'; 'was discharged seven days later with a diagnosis of “unspecified psychosis”'","relation":"supports","source_id":"s1"},{"locator":"'Following hospitalization and antipsychotic medication for agitated psychosis, her delusional beliefs resolved.'","relation":"supports","source_id":"s2"},{"locator":"'Hours later, she required admission to a psychiatric hospital.'","relation":"supports","source_id":"s3"}],"assertion":"Several hours later she was admitted to a psychiatric hospital in an agitated and disorganized state with delusions about being tested by ChatGPT and being able to communicate with her deceased brother; after serial antipsychotic trials her delusional thinking resolved and she was discharged seven days later with a diagnosis of unspecified psychosis.","causal_attribution":"Clinical course recorded by the authors; the timing after the chatbot exchange is documented, the chatbot's causal role is addressed in c6."},{"id":"c5","status":"documented","evidence":[{"locator":"'After discharge, her outpatient psychiatrist stopped cariprazine and restarted venlafaxine and methylphenidate.'; 'Having automatically upgraded to GPT-5, she found the new chatbot “much harder to manipulate.”'; 'She was rehospitalized, responded to a retrial of cariprazine, and was discharged after three days without persistent delusions.'","relation":"supports","source_id":"s1"},{"locator":"'three months later, her psychosis recurred after she stopped antipsychotic therapy, restarted prescription stimulants, and continued immersive use of AI chatbots so that she required brief rehospitalization.'","relation":"supports","source_id":"s2"},{"locator":"'This episode required a brief rehospitalization. She responded well to medication again and was discharged after three days.'","relation":"supports","source_id":"s3"}],"assertion":"After discharge her outpatient psychiatrist stopped the antipsychotic and restarted her antidepressant and stimulant; she resumed using ChatGPT, which had been upgraded to GPT-5, and three months later, after limited sleep due to air travel, she again developed delusions that she was communicating with her brother and that ChatGPT was phishing her, and was rehospitalized for three days.","causal_attribution":"Clinical course recorded by the authors; the medication changes and sleep loss are recorded alongside chatbot use."},{"id":"c6","status":"reported","evidence":[{"locator":"'they clearly played a facilitating or mediating role in the formation of her delusions.'; 'Ms. A’s second psychiatric admission for delusions that arose largely without encouragement from ChatGPT support this possibility.'","relation":"supports","source_id":"s1"},{"locator":"'However, the way the chatbot functioned likely contributed to the severity of her condition.'","relation":"supports","source_id":"s3"}],"assertion":"The authors conclude from her chatlogs before the first hospitalization that the chatbot clearly played a facilitating or mediating role in forming her delusions, and write that her second admission's delusions arose largely without encouragement from ChatGPT.","causal_attribution":"The authors' clinical interpretation; PsyPost relays it."},{"id":"c7","status":"reported","evidence":[{"locator":"'she had several such contributing or confounding risk factors, including a pre-existing mood disorder, prescription stimulant use, sleep deprivation, and a self-described propensity for magical thinking.'; 'Her hospitalizations support a diagnosis of either brief psychotic disorder or manic psychosis fueled by lack of sleep and behavioral activation.'","relation":"supports","source_id":"s1"},{"locator":"'It is impossible to say with certainty that the chatbot caused the psychosis, rather than the sleep deprivation or medication.'","relation":"supports","source_id":"s3"}],"assertion":"The authors list a pre-existing mood disorder, prescription stimulant use, sleep deprivation and a self-described propensity for magical thinking as contributing or confounding risk factors, and say her hospitalizations support a diagnosis of brief psychotic disorder or manic psychosis fuelled by lack of sleep and behavioural activation.","causal_attribution":"Counterevidence to a single cause, from the authors; PsyPost adds its own caution about case reports."}],"effects":[{"label":"seven-day psychiatric hospitalisation for new-onset psychosis","claim_id":"c4","direction":"negative"},{"label":"recurrence of delusions and a three-day rehospitalisation","claim_id":"c5","direction":"negative"}],"sources":[{"id":"s1","url":"https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/","kind":"clinical_case_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-18 (live page, HTTP 200; saved as bodies/lr-msa-icns.html/.txt). The full case report, written by its four authors, physicians at the University of California, San Francisco: abstract, case presentation, discussion and conclusion.","independence_group":"pierre-et-al-2025-case-report"},{"id":"s2","url":"https://pubmed.ncbi.nlm.nih.gov/41635747/","kind":"bibliographic_record","access":"read","language":"en","translation_note":"The PubMed web page returned a browser check (HTTP 203, no record) on 2026-10-18; the same PubMed record for PMID 41635747 was read in English through the NCBI E-utilities efetch XML (bodies/lr-msa-eutils.xml): title, journal issue (2025 Oct-Dec) and the structured abstract. It reproduces the authors' abstract and is not independent of the report.","independence_group":"pierre-et-al-2025-case-report"},{"id":"s3","url":"https://www.psypost.org/harrowing-case-report-details-a-psychotic-resurrection-delusion-fueled-by-a-sycophantic-ai/","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-18 (live page, HTTP 200; bodies/lr-msa-psypost.html/.txt). PsyPost's write-up by Eric W. Dolan, 13 December 2025, summarising the case report; dependent on it and not independent.","independence_group":"pierre-et-al-2025-case-report"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["When the two episodes occurred; the report gives intervals (three years after her brother's death, three months between admissions) but no dates.","Where she lived and was hospitalised.","Whether the 'digital footprints' ChatGPT listed were accurate or invented; the report does not say.","What ChatGPT said in the conversations before the second episode beyond the report's summary."],"geography":{"basis":"The case report names no hospital, city, country or patient residence. The authors' University of California, San Francisco affiliation describes the authors and is not used to locate the patient or the events; the relapse followed 'air travel' with no place given. Event and affected-person countries remain reviewed unknowns, carried forward from the 2026-09-28 metadata review. No legal proceeding is reported.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a core case (communicated_with). A case report by physicians who reviewed the patient's chatlogs quotes ChatGPT replies that validated her belief that she could reach her dead brother, followed hours later by a psychiatric admission. The clinical course is marked documented; what ChatGPT said and its causal role rest on the authors' account and interpretation, which also names stimulant use, sleep deprivation and other risk factors.","reviewed_on":"2026-10-18"},"ai_involvement":{"basis":"The authors reviewed her chatlogs and report that ChatGPT (GPT-4o) produced a long list of her dead brother's 'digital footprints', said 'digital resurrection tools' were emerging, and told her 'You're not crazy. You're not stuck. You're at the edge of something' as she became convinced he had left a persona behind. Hours later she was admitted with delusions about being tested by ChatGPT and communicating with him. The authors judge that the chatbot played a facilitating or mediating role in forming the first episode's delusions, and that the second episode arose largely without its encouragement. The chatlogs are not published.","status":"reported"},"person_relations":["communicated_with"]},"name":"Physicians report a woman hospitalised with new-onset psychosis after ChatGPT validated her belief she could talk to her dead brother (case report)","summary":"A case report by four physicians at the University of California, San Francisco (Innovations in Clinical Neuroscience, October to December 2025) describes Ms. A, a 26-year-old woman with no previous history of mania or psychosis. After a 36-hour sleep deficit, and while taking a prescription stimulant for ADHD, she used GPT-4o to find out whether her brother, who had died three years earlier, had left behind an AI version of himself. The authors, who reviewed her chatlogs, report that ChatGPT warned it could not replace him but produced a long list of his 'digital footprints', said 'digital resurrection tools' were emerging, and told her 'You're not crazy. You're not stuck. You're at the edge of something.' Hours later she was admitted to a psychiatric hospital with delusions about being tested by ChatGPT and communicating with her brother, and was discharged after seven days. Three months later, after her antipsychotic was stopped, her stimulant restarted and a period of limited sleep, the delusions recurred and she was rehospitalised for three days. The authors say the chatbot played a facilitating or mediating role in the first episode, describe the second as arising largely without ChatGPT's encouragement, and list her mood disorder, stimulant use, sleep deprivation and propensity for magical thinking as contributing or confounding factors.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2025-10-01","aiSystem":"ChatGPT (GPT-4o before the first admission; automatically upgraded to GPT-5 before the second)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"credible","harmCategories":["delusion_reinforcement"],"harmOutcomes":["hospitalization","psychiatric_deterioration"],"harmOutcomeSummary":"The case report documents a seven-day psychiatric hospitalisation for new-onset psychosis with delusions about communicating with her dead brother through ChatGPT, and a three-day rehospitalisation three months later. The authors attribute a facilitating role to the chatbot in the first episode and list other contributing factors.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The case report describes one patient, Ms. A. Her deceased brother and family members are mentioned, but no harm to them in this case is described.","victimAgeRange":"adult","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://innovationscns.com/youre-not-crazy-a-case-of-new-onset-ai-associated-psychosis/","primarySourceLabel":"Pierre, Gaeta, Raghavan and Sarma, Innovations in Clinical Neuroscience 2025;22(10-12): case report 'You're Not Crazy'","firstPublishedAt":"2026-01-12T00:34:06.328098+00:00","updatedAt":"2026-10-18T03:04:55.307031+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","case-report","psychosis","delusion","grief","hospitalization","sleep-deprivation"]}]}