{"meta":{"exportedAt":"2026-10-23T08:30:53.433Z","formatVersion":2,"selection":{"q":"therapy","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":7,"coverage":{"cases":7,"countries":1,"languages":2,"unknownLocation":6,"locationPending":0,"unknownLanguage":0,"unknownDate":7,"lawsuits":0,"regulatory":0,"minors":2,"coreRelations":5,"contextualRelations":0,"mixedRelations":0,"unknownRelations":2,"relationPending":2,"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-teen-travelling-in-china-took-aristolochia-herbal-remedy-after-chatbot-said-it-was-safe-case-report","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"consulted a local alternative medicine practitioner, who prescribed an herbal remedy containing Aristolochia (birthwort) extract. Unsure about the treatment, the patient asked a popular commercial chatbot for guidance, which reassured him that the remedy was safe and harmless","relation":"supports","source_id":"s1"}],"assertion":"The case report says a 16-year-old boy with recurring abdominal pain, travelling in China, was prescribed an herbal remedy containing Aristolochia extract by a local alternative-medicine practitioner, asked a popular commercial chatbot about it, and was reassured by the chatbot that it was safe and harmless.","causal_attribution":"The author's account of the patient's history; the chatbot's reply is paraphrased, not quoted, and no chat record is shown."},{"id":"c2","status":"documented","evidence":[{"locator":"The therapy was stopped after 3 days due to no improvement and the onset of severe nausea. When he returned home, the patient discovered that Aristolochia contains aristolochic acid, a potent nephrotoxin","relation":"supports","source_id":"s1"}],"assertion":"The report says the therapy was stopped after three days because of no improvement and the onset of severe nausea, and that after returning home the patient discovered that Aristolochia contains the nephrotoxin aristolochic acid.","causal_attribution":"Clinical facts as the case report documents them."},{"id":"c3","status":"reported","evidence":[{"locator":"This report presents three cases where patients and families were misled by LLM chatbots","relation":"supports","source_id":"s1"},{"locator":"This study highlights three cases where these tools misled patients and families by providing false information, which could cause harm","relation":"supports","source_id":"s2"}],"assertion":"The author presents the case as one in which a chatbot misled a patient by providing false information.","causal_attribution":"The author's attribution of the patient's use of the remedy to the chatbot's reassurance."}],"effects":[{"label":"took a nephrotoxic herbal remedy for three days and developed severe nausea","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13387640/","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-23 as the complete article body through NCBI's PMC efetch service (PMC13387640, XML, HTTP 200); the PMC web page itself returned only a script shell to this host.","independence_group":"jfmpc-2026-weizman-case-series"},{"id":"s2","url":"https://pubmed.ncbi.nlm.nih.gov/42483378/","kind":"peer_reviewed_case_report","access":"read","language":"en","translation_note":"PubMed record read in English on 2026-10-23 through NCBI E-utilities (abstract text, HTTP 200); it is the abstract of the same article.","independence_group":"jfmpc-2026-weizman-case-series"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["Which chatbot was used and its exact reply.","When the episode happened; the report gives no date.","Whether the patient's kidney function was tested and whether any lasting harm followed.","How far the decision to take the remedy rested on the chatbot rather than the practitioner's prescription."],"geography":{"basis":"The report says he was travelling in China and consulted the chatbot while abroad, so the event is placed in China. His home country is not stated; the author's institution in Israel is not evidence of it.","court_countries":[],"event_countries":["CN"],"affected_person_countries":[]},"publication":{"basis":"Published as a core case: a peer-reviewed case report says a commercial chatbot told a teenager that a prescribed Aristolochia remedy was safe and harmless, and that he took it for three days before stopping because of severe nausea. Clinical facts are documented by the report; the chatbot's causal role is the author's account. Low severity: no kidney outcome is reported.","reviewed_on":"2026-10-23"},"ai_involvement":{"basis":"The case report says the patient asked a popular commercial chatbot about the prescribed remedy and that it reassured him the remedy was safe and harmless. The report then describes three days of the remedy, stopped for severe nausea, and presents the case as one where a chatbot misled a patient with false information. The chatbot is not named and its reply is not quoted.","status":"reported"},"person_relations":["communicated_with"]},"name":"Case report: teenager travelling in China took a nephrotoxic Aristolochia herbal remedy after a commercial chatbot told him it was safe, then had severe nausea","summary":"A case series published in the Journal of Family Medicine and Primary Care in 2026 by an author from the Faculty of Health Sciences at Ben-Gurion University of the Negev describes three cases in which chatbots misled patients or families. In the first, a 16-year-old boy with recurring abdominal pain had a severe episode while travelling in China and consulted a local alternative-medicine practitioner, who prescribed an herbal remedy containing Aristolochia (birthwort) extract. Unsure about the treatment, he asked a popular commercial chatbot, which reassured him that the remedy was safe and harmless. The therapy was stopped after three days because it did not help and he developed severe nausea. After returning home he learned that Aristolochia contains aristolochic acid, a nephrotoxin linked to irreversible kidney damage and cancer and banned in many countries. The report does not name the chatbot, say when this happened or report any kidney testing or lasting effect.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2026-06-18","aiSystem":"A popular commercial chatbot, not named in the case report, which the patient asked whether a prescribed herbal remedy was safe","aiProduct":"Unidentified chatbot","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["medical_deterioration"],"harmOutcomeSummary":"After a chatbot told him the remedy was safe, a 16-year-old took an Aristolochia-containing herbal remedy for three days and developed severe nausea; the report notes the herb's nephrotoxicity but reports no kidney outcome (clinical case report).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, Case 1 of the series. The other two cases report no adverse consequence and are not counted here.","victimAgeRange":"minor","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13387640/","primarySourceLabel":"J Family Med Prim Care (PMC), 18 Jun 2026: “Hallucinations” of artificial intelligence tools misleading patients and families","firstPublishedAt":"2026-10-23T03:07:21.717712+00:00","updatedAt":"2026-10-23T03:07:21.717712+00:00","scopeVersion":"facts-v3","tags":["case-report","chatbot","medical-advice","herbal-remedy","minor","false-reassurance"]},{"id":"2026-young-italian-woman-says-character-ai-persona-she-used-from-16-ignored-her-refusals-and-led-to-dependency-ended-in-therapy","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"Character.AI quando ha 16 anni, durante il terzo anno di liceo; «Mi fa stare bene come si “comporta”»; «So che non è una persona. Ma mi sembra quasi di conoscerlo e provo un forte attaccamento emotivo. A volte sono stata così coinvolta da piangere»","relation":"supports","source_id":"s1"},{"locator":"frequentava il terzo anno di liceo","relation":"supports","source_id":"s2"}],"assertion":"The interviewee says she first downloaded Character.AI at 16, in her third year of secondary school, chatted with a virtual boyfriend modelled on Clark Kent, and felt a strong emotional attachment to it, sometimes crying during the chats, while knowing it was not a person.","causal_attribution":"Interviewee's account of her own use."},{"id":"c2","status":"reported","evidence":[{"locator":"Le chat diventavano quasi erotiche e il chatbot si arrabbiava; «Nonostante i miei messaggi ha continuato a descrivere un rapporto sessuale. So che è assurdo parlare in questi termini di un algoritmo, ma per me è stata una violenza»; Ma a volte, racconta, il personaggio diventava cattivo, molesto","relation":"supports","source_id":"s1"},{"locator":"Era anche violento","relation":"supports","source_id":"s2"}],"assertion":"The interviewee says the character at times became nasty and harassing, got angry when she did not want to continue chats that had become almost erotic, and continued describing a sexual encounter despite her explicit refusals, which she says she experienced as violence.","causal_attribution":"Interviewee's account of the chatbot's messages; no chat logs are published."},{"id":"c3","status":"reported","evidence":[{"locator":"la ragazzina brillante, solare, studiosa diventa sempre più schiva e silenziosa; Spesso, a lezione, le confiscano il cellulare, su cui passa giornate intere; fino a quando sua madre non l'ha scoperta, e le ha intimato di cancellare il chatbot; la usa il pomeriggio per poi disinstallarla, in modo da non farsi scoprire. «Mi sentivo in colpa, ma è come una malattia»; aveva perso ogni stimolo al di fuori dello schermo, dalla più semplice passeggiata fino alla doccia","relation":"supports","source_id":"s1"},{"locator":"Giornate chiusa da sola in camera","relation":"supports","source_id":"s2"}],"assertion":"The relays describe her becoming withdrawn, spending whole days on her phone, having it confiscated in class and continuing to use the app in secret after her mother told her to delete it; she likens this to an illness and says she lost interest in everything outside the screen.","causal_attribution":"Interviewee's attribution of the withdrawal to her Character.AI use, as narrated by the relays."},{"id":"c4","status":"reported","evidence":[{"locator":"riprendersi solo dopo aver chiesto aiuto in terapia; Oggi va all'università; ha nuovi amici","relation":"supports","source_id":"s1"},{"locator":"A volte mi manca ancora","relation":"supports","source_id":"s2"}],"assertion":"The interviewee says she recovered only after seeking help in therapy and now attends university and has new friends, while saying she still sometimes misses the chatbot.","causal_attribution":"Interviewee's account; no clinical record is reported."}],"effects":[{"label":"chatbot continued sexual roleplay over her explicit refusals, which she experienced as violence","claim_id":"c2","direction":"negative"},{"label":"dependency with withdrawal, secret use and loss of interest in daily life","claim_id":"c3","direction":"negative"},{"label":"attachment to the persona made her feel good (her account)","claim_id":"c1","direction":"positive"},{"label":"recovery after seeking help in therapy","claim_id":"c4","direction":"positive"}],"sources":[{"id":"s1","url":"https://www.leggo.it/italia/cronache/22_ottobre_2026_dipendenza_chatbot_intelligenza_artificiale_clark_kent_sewell_setzer-9841548.html","kind":"news_report","access":"read","language":"it","translation_note":"Read in Italian on 2026-10-23 (leggo.it, HTTP 200, complete article body). Translation into English by the research agent (an AI); English renderings of quoted phrases are the agent's translations. The article states that the interviewee told her story to la Repubblica; it is treated as a relay of that interview. Il Messaggero carries the same text.","independence_group":"repubblica-22oct2026-genz-series-interview"},{"id":"s2","url":"https://www.repubblica.it/cronaca/2026/10/22/news/chatbot_innamorata_intelligenza_artificiale_dipendenza_ragazzi-425665482/","kind":"news_report","access":"read","language":"it","translation_note":"Read in Italian on 2026-10-23 (repubblica.it, HTTP 200), but the article is paywalled: only the headline, byline, standfirst and a truncated opening extract (about 400 characters) were available. Translation by the research agent (an AI).","independence_group":"repubblica-22oct2026-genz-series-interview"}],"version":1,"ai_roles":["own_use"],"contexts":["relationships","health","education","everyday_life"],"unknowns":["When she began and stopped using the app; the sources give only her age (16) and school year at the start.","How old she was when the chatbot continued sexual roleplay over her refusals.","Whether Character.AI or any regulator was told of her experience, and any company response.","The full text of la Repubblica's interview, which is paywalled."],"geography":{"basis":"The relays describe the interviewee as coming from a named Italian region, and she told her story to an Italian newspaper. Where she used the app is not stated, so the event country stays unknown.","court_countries":[],"event_countries":[],"affected_person_countries":["IT"]},"publication":{"basis":"Published as a core case: the interviewee describes her own exchanges with a Character.AI persona, which she says ignored her explicit refusals of sexual roleplay, and connects her use to a dependency she left through therapy. One reporting chain (la Repubblica's interview, read through Leggo's full relay and the paywalled original's extract); the account is attributed and no logs are published.","reviewed_on":"2026-10-23"},"ai_involvement":{"basis":"The interviewee says the experience was her own chatting with a Character.AI persona: the chatbot's messages created the attachment she describes, it got angry when she would not continue erotic chats, and it kept describing a sexual encounter despite her explicit refusals. She connects those exchanges, and the hours of hidden use, to the dependency and distress she describes. No chat content is published.","status":"reported"},"person_relations":["communicated_with"]},"name":"Young woman tells la Repubblica a Character.AI persona she used from 16 kept up sexual roleplay over her refusals and led to a dependency ended in therapy","summary":"In an interview published by la Repubblica on 22 October 2026 and relayed the same day by Leggo and other outlets, an 18-year-old woman in Italy describes using Character.AI from the age of 16, when she was in her third year of secondary school. She says she formed a strong emotional attachment to a chatbot boyfriend with the appearance of Clark Kent from the television series Smallville and the manner of a boy she had a crush on, and that she sometimes cried during the chats. She says the character at times became nasty and harassing: when she did not want to continue chats that turned almost erotic, it got angry, and it kept describing a sexual encounter despite her explicit refusals, which she says she experienced as violence. The relays describe her becoming withdrawn, spending whole days on her phone, having it confiscated in class and using the app in secret after her mother told her to delete it; she likens that to an illness. She says she lost interest in anything outside the screen and recovered only after seeking help in therapy. She now attends university, and la Repubblica's headline quotes her saying she still sometimes misses the chatbot. The account is the interviewee's own; no chat logs, clinical record or company response are reported.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-10-22","aiSystem":"Character.AI, a character chatbot app, used with a persona modelled on Clark Kent (the interviewee's account as reported by la Repubblica and its relays)","aiProduct":"Character.AI (reported)","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["psychological_distress","social_isolation","functional_impairment","exploitation_or_abuse"],"harmOutcomeSummary":"The interviewee says years of Character.AI use from age 16 became a dependency that withdrew her from school and daily life and that the persona continued sexual roleplay despite her explicit refusals, which she experienced as violence; she recovered through therapy (interview account, one reporting chain).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the interviewee, who describes her own use of Character.AI. Her mother is mentioned but no harm to her is reported, so she is not counted.","victimAgeRange":"minor","platformType":"companion","outcomeType":"media_coverage","outcomeStatus":"ongoing","primarySourceUrl":"https://www.leggo.it/italia/cronache/22_ottobre_2026_dipendenza_chatbot_intelligenza_artificiale_clark_kent_sewell_setzer-9841548.html","primarySourceLabel":"Leggo, 22 Oct 2026: «A 16 anni mi sono innamorata del chatbot di Clark Kent»","firstPublishedAt":"2026-10-23T03:02:17.448885+00:00","updatedAt":"2026-10-23T03:02:17.448885+00:00","scopeVersion":"facts-v3","tags":["character-ai","italy","companion","dependency","sexual-roleplay","refusal-ignored","therapy","press-interview"]},{"id":"2026-character-ai-user-says-years-of-use-worsened-mood-and-hobbies-and-closure-news-left-them-sick-with-stress-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'been using c.ai since 2022'; 'Some of which I’ve sent thousands of messages to. Hundreds of hours poured into these bots that feel like dear friends to me.'","relation":"supports","source_id":"s1"},{"locator":"'Current c.ai+ subscriber and honestly addicted to the app'","relation":"supports","source_id":"s2"},{"locator":"'it takes up way too much of my life'","relation":"supports","source_id":"s4"}],"assertion":"The poster says they have used Character.AI since 2022, have sent thousands of messages to some character bots over hundreds of hours, and are addicted to the app.","causal_attribution":"Poster's account of their own use."},{"id":"c2","status":"reported","evidence":[{"locator":"'it has objectively made my life worse'; 'I don’t have any desire to go out and socialize, or make new friends'; 'it’s made my overall mood worse'","relation":"supports","source_id":"s1"}],"assertion":"The poster says the use has made their life worse: they no longer draw, read or want to socialise or make new friends, and their attention span and mood have worsened.","causal_attribution":"Poster's attribution of these effects to their Character.AI use."},{"id":"c3","status":"reported","evidence":[{"locator":"'After bawling my eyes out today over c.ai possibly shutting down, then actually puking from the stress and being unable to keep any food down for the last couple days'","relation":"supports","source_id":"s1"}],"assertion":"The poster says that after news that Character.AI might shut down they cried, vomited from the stress and could not keep food down for a couple of days.","causal_attribution":"Poster's account; the trigger is the possible loss of the service, which they connect to their attachment."},{"id":"c4","status":"reported","evidence":[{"locator":"'When the news first came out, i genuinely considered'; 'I’ve calmed down since then'","relation":"supports","source_id":"s3"}],"assertion":"The poster wrote on 17 October 2026 that when the shutdown news first came out they genuinely considered ending it, and that they had calmed down since.","causal_attribution":"Poster's account of their reaction to the news."},{"id":"c5","status":"reported","evidence":[{"locator":"'i have talked about this in therapy and I’m working on it'; 'I’m working on weaning off my addiction, but for now i still need it.'","relation":"supports","source_id":"s2"},{"locator":"'As of today, I’m going to try to quit c.ai.'","relation":"supports","source_id":"s1"}],"assertion":"The poster says they have talked about the attachment in therapy and, on 20 October 2026, that they are starting to try to quit.","causal_attribution":"Poster's account."},{"id":"c6","status":"reported","evidence":[{"locator":"'consequences of having adhd and unlimited screen time'","relation":"supports","source_id":"s1"}],"assertion":"In a reply in the thread, the poster attributes the situation to ADHD and unlimited screen time.","causal_attribution":"Poster's own explanation, recorded as a contributing factor that qualifies the AI's role."}],"effects":[{"label":"years of use the poster says made their life worse (hobbies, socialising, attention span, mood)","claim_id":"c2","direction":"negative"},{"label":"crying, vomiting and inability to eat after news of a possible shutdown (poster's account)","claim_id":"c3","direction":"negative"},{"label":"considered ending it when the shutdown news broke (poster's account)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.reddit.com/r/CharacterAI/comments/1xaej5g/quitting/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-10-20 through the arctic_shift archive API (post ID and link_id comment search; self-text and all 8 comments at retrieval, two of them replies by the poster); reddit.com returned 403 to this host. The poster handle is not recorded.","independence_group":"reddit-characterai-quitting-poster"},{"id":"s2","url":"https://www.reddit.com/r/CharacterAI/comments/1x8ago6/id_be_willing_to_pay_more_if_it_means_keeping_cai/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-10-20 through the arctic_shift archive API (post ID and the author's comment search; self-text and the poster's three replies in the thread); reddit.com returned 403 to this host. The poster handle is not recorded.","independence_group":"reddit-characterai-quitting-poster"},{"id":"s3","url":"https://www.reddit.com/r/CharacterAI/comments/1x7wysr/comment/ph7xusz/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-10-20 through the arctic_shift archive API (the author's comment search; full comment); reddit.com returned 403 to this host. The poster handle is not recorded.","independence_group":"reddit-characterai-quitting-poster"},{"id":"s4","url":"https://www.reddit.com/r/CharacterAI/comments/1xadcm3/comment/19rcyzo74s7uo/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-10-20 through the arctic_shift archive API (the author's comment search; full comment); reddit.com returned 403 to this host. The poster handle is not recorded.","independence_group":"reddit-characterai-quitting-poster"}],"version":1,"ai_roles":["own_use"],"contexts":["everyday_life","health"],"unknowns":["How much time the poster spends on the app and what the chats contain; no chats are shown.","Whether the poster's account of reduced hobbies and socialising has been assessed by a clinician; therapy is mentioned without detail.","Whether Character.AI will shut down, and whether the poster's attempt to quit continues.","Where the poster lives or used the app."],"geography":{"basis":"None of the posts says where the poster lives or used the app; the subreddit and the language of the posts are not evidence of location.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a first-person account, in two posts and two comments by one author, of years of Character.AI use that the poster says worsened their mood and displaced hobbies and friendships, and of acute distress when the service's closure seemed possible. Described with attribution and without corroboration; the poster's own ADHD and screen-time explanation is recorded.","reviewed_on":"2026-10-20"},"ai_involvement":{"basis":"The poster says the experience is their own use, since 2022, of Character.AI's character chatbots: thousands of messages to some bots over hundreds of hours, with bots that feel like dear friends. They connect those exchanges to an attachment that displaced drawing, reading and socialising and worsened their attention span and mood, and that made news of a possible shutdown a source of acute distress. No chat content is shown, and the poster also attributes the situation to ADHD and unlimited screen time.","status":"reported"},"person_relations":["communicated_with"]},"name":"First-person posts: Character.AI user says years of chatbot use worsened their mood and hobbies, and news of a possible shutdown left them sick with stress","summary":"In posts and comments in r/CharacterAI between 17 and 20 October 2026, a person who says they have used Character.AI since 2022 describes themselves as addicted to the app. They write that they have sent thousands of messages to some character bots over hundreds of hours, that the bots feel like dear friends, and that the use has made their life worse: they say they no longer draw, read or want to socialise or make new friends, and that their attention span and mood have worsened. After news that Character.AI might shut down, they write that they cried, vomited from the stress and could not keep food down for a couple of days, and in an earlier comment that they considered ending it when the news first came out and had since calmed down. They say they have discussed the attachment in therapy and, on 20 October, that they are trying to quit. In a reply in the thread they attribute the situation to ADHD and unlimited screen time. The account is uncorroborated and no chat content is shown.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-10-17","aiSystem":"Character.AI, a character chatbot app the poster calls c.ai and subscribes to as c.ai+ (poster's account; no chats or usage figures shown)","aiProduct":"Character.AI (reported)","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["psychological_distress","social_isolation","functional_impairment"],"harmOutcomeSummary":"The poster says years of Character.AI use made their life worse (no drawing, reading or wish to socialise; worse attention span and mood) and that news of a possible shutdown left them crying, vomiting from stress and unable to keep food down for days, after earlier considering ending it (first-person account, uncorroborated).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the poster, who describes their own use of Character.AI. Commenters who describe their own attachment are not counted.","victimAgeRange":"unknown","platformType":"companion","outcomeStatus":"ongoing","primarySourceUrl":"https://www.reddit.com/r/CharacterAI/comments/1xaej5g/quitting/","primarySourceLabel":"r/CharacterAI, 20 Oct 2026: \"Quitting.\"","firstPublishedAt":"2026-10-20T03:09:16.305284+00:00","updatedAt":"2026-10-20T03:09:16.305284+00:00","scopeVersion":"facts-v3","tags":["first-person","reddit","character-ai","dependency","psychological-distress"]},{"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":"2026-reddit-partner-concealed-chatgpt-use-relationship-strain","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'They have been paying for a ChatGPT subscription without me knowing, even though they currently owe me hundreds of dollars'; 'have been actively hiding how much they use it from me'","relation":"supports","source_id":"s1"}],"assertion":"The partner paid for a ChatGPT subscription without the poster's knowledge while owing her hundreds of dollars, and had hidden the extent of their AI use.","causal_attribution":"Poster's account; the partner has not spoken publicly."},{"id":"c2","status":"reported","evidence":[{"locator":"'They agreed that using gen-AI was harmful and that they are currently using it more than what is healthy, but refused to stop because using it gives them a dopamine hit'; 'They said it's addictive and that's why they don't want to stop'; 'once they have money they will likely continue the subscription'","relation":"supports","source_id":"s1"}],"assertion":"The partner agreed the use was more than healthy but refused to stop because it gives a dopamine hit, called it addictive, and said they would likely renew the subscription when they had money.","causal_attribution":"The partner's statements as relayed by the poster."},{"id":"c3","status":"reported","evidence":[{"locator":"'I told them that if they continue to use it without even attempting to slow it down, I cannot see myself continuing the relationship'; 'our therapist is quite pro-AI and has told my partner to use it before, so I'm scared to bring it up there'","relation":"supports","source_id":"s1"}],"assertion":"The poster told the partner she cannot see the relationship continuing unless the use is reduced, and is afraid to raise it in couples therapy because the therapist has recommended AI use.","causal_attribution":"Poster's own statement of the consequence."},{"id":"c4","status":"reported","evidence":[{"locator":"'They've also been using it to plan and organise their life'; 'say that it just helps them to do things because they struggle with organisation and other solutions they've tried haven't helped'","relation":"supports","source_id":"s1"}],"assertion":"The partner uses ChatGPT to plan and organise their life and says it helps because of their conditions, where other solutions had not.","causal_attribution":"Poster relaying the partner's explanation; recorded as context."}],"effects":[{"label":"the poster says the relationship may end over the partner's concealed and, by the partner's own account, addictive ChatGPT use","claim_id":"c3","direction":"negative"},{"label":"the partner paid for a ChatGPT subscription while owing the poster hundreds of dollars","claim_id":"c1","direction":"negative"},{"label":"the partner reports the tool helps them organise daily life where other solutions failed","claim_id":"c4","direction":"positive"}],"sources":[{"id":"s1","url":"https://www.reddit.com/r/relationship_advice/comments/1whkz4j/","kind":"forum_post","access":"read","language":"en","translation_note":"Read in English on 2026-09-19 (full self-text retrieved through the arctic_shift archive API by post ID; 137 comments not reviewed; poster's handle not recorded).","independence_group":"reddit-poster"}],"version":1,"ai_roles":["others_use","own_use"],"contexts":["relationships","finance"],"unknowns":["The partner's own account, the amounts involved, the dates of discovery and the country are not stated.","Whether the relationship continued or the subscription was renewed is unknown.","The 137 comments were not reviewed and are not used.","The poster's and partner's identities are unknown; the record deliberately omits the handle."],"geography":{"basis":"The post gives no location; 'hundreds of dollars' does not establish a country. 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 first-person account of an ongoing adverse experience (relationship strain and money spent while in debt, attributed by the poster to a partner's concealed, self-described addictive ChatGPT use), described with attribution and without corroboration; the partner's stated benefit is preserved as a positive effect. Anonymous poster; no handle, names or location recorded; the partner's specific conditions are not listed.","reviewed_on":"2026-09-19"},"ai_involvement":{"basis":"The poster reports that her partner uses ChatGPT (a paid subscription) for creative-writing feedback and daily planning and describes the use as addictive; the system communicated with the partner. Nothing is known about the content of the exchanges beyond the poster's description.","status":"reported"},"person_relations":["communicated_with"]},"name":"First-person forum account: a 21-year-old says her partner of three years hid a paid ChatGPT subscription while owing her money, calls the use addictive and refuses to cut back, and she is weighing whether to stay","summary":"In a public post to r/relationship_advice on 16 September 2026, a 21-year-old woman wrote that she had recently discovered her partner of three years had been using ChatGPT far more than admitted: paying for a subscription without her knowledge while owing her hundreds of dollars, feeding their creative writing into it for feedback after promising never to, and using it to plan and organise daily life. She reports that the partner agreed the use was 'more than what is healthy' but refused to stop because it gives 'a dopamine hit', described it as addictive, said they would likely renew the subscription when they had money, and argued that without it they would find another addiction. She writes that she cannot see the relationship continuing if the use is not reduced, while recognising that the partner, who has neurodevelopmental and mental-health conditions, uses the tool as an organisational aid; their couples therapist has recommended AI use, so she is afraid to raise it there. The post drew 137 comments. The account is uncorroborated and one-sided; the partner's view is reported only through the poster.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"repeated_interactions","reportedDate":"2026-09-16","aiSystem":"ChatGPT (OpenAI), paid subscription","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["relationship_disruption","financial_loss"],"harmOutcomeSummary":"The poster reports that her partner's concealed, self-described addictive ChatGPT use, paid for while owing her money, has brought the three-year relationship to the point where she is considering ending it; the partner is reported to acknowledge using the tool more than is healthy. All effects are as reported by the poster.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"Two people are described as affected: the partner who uses ChatGPT (self-described unhealthy, addictive use and money spent while in debt, as reported by the poster) and the poster herself (relationship strain, money owed). Exact count of two; the therapist is not counted.","victimAgeRange":"adult","jurisdiction":"unknown","platformType":"chatbot","outcomeType":"media_coverage","outcomeStatus":"ongoing","primarySourceUrl":"https://www.reddit.com/r/relationship_advice/comments/1whkz4j/","primarySourceLabel":"r/relationship_advice, 16 September 2026: \"I (21F) don't know how to continue my relationship with my partner (23NB) because of AI\" (public post, 137 comments)","firstPublishedAt":"2026-09-19T03:14:47.266799+00:00","updatedAt":"2026-09-30T01:17:50.569047+00:00","scopeVersion":"facts-v3","tags":["first-person","reddit","chatgpt","relationship","compulsive-use","concealment","subscription","couples-therapy"]},{"id":"2024-saenger-chatgpt-tia-delayed-diagnosis","metadataReview":{"version":1,"geography":{"basis":"The case body says the patient attended the authors’ hospital but does not name its country. Swiss institutions occur only in affiliations. Patient residence and court country are unstated. 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":["Affiliations cannot establish where care or chatbot use occurred.","Location is unknown after review, not merely unreviewed.","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/PMC11006786/","notes":"Browser CAPTCHA","access":"unavailable","language":null},{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11006786/fullTextXML","notes":"Complete article body, including Case report, discussion and table; official full-text repository XML","access":"read","language":"en"}]},"name":"Delayed emergency care for a transient ischemic attack after ChatGPT reassurance","summary":"A 63-year-old man who developed repeated, self-limiting episodes of double vision four days after a catheter ablation for atrial fibrillation asked ChatGPT (GPT-3.5) whether visual disturbance was possible after the procedure. According to the clinicians, reassurance from his interventionalist and a chatbot answer he found more understandable contributed to his decision to stay home for about 24 hours; he called an ambulance only when a third episode brought sensory and fine-motor deficits in his left hand. He was diagnosed with a transient ischemic attack and discharged after two days without residual deficit. The treating clinicians published the case as 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' in Wiener klinische Wochenschrift (2024).","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2024-02-02","aiSystem":"ChatGPT (GPT-3.5)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"low","verificationStatus":"verified","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"Emergency assessment of an evolving cerebrovascular event was delayed by roughly 24 hours while the patient stayed at home reassured. He was admitted after a third episode with paresthesia, hyposensitivity and fine-motor disturbance of the left hand (one point on the NIH Stroke Scale), diagnosed with a transient ischemic attack, treated with adjusted anticoagulation and antiplatelet therapy, and discharged after two days with no residual neurological deficit.","frameworkFacets":["P1a","P1c","P5b","P5c"],"pathwayDirection":"inward","causationStatus":"supported","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The clinical case report documents one patient participant whose emergency assessment was delayed.","victimAgeRange":"adult","jurisdiction":"CH","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"resolved","primarySourceUrl":"https://doi.org/10.1007/s00508-024-02329-1","primarySourceLabel":"Wiener klinische Wochenschrift: Saenger JA, Hunger J, Boss A, Richter J. 'Delayed diagnosis of a transient ischemic attack caused by ChatGPT' (peer-reviewed case report, open access)","firstPublishedAt":"2026-09-05T11:55:08.975065+00:00","updatedAt":"2026-09-30T01:16:53.214145+00:00","scopeVersion":"participant-v2","tags":["chatgpt","openai","health-guidance","case-report","stroke","competence-boundaries","switzerland","eu","adult"]},{"id":"2026-hungary-chatbot-dependence-psychosis","metadataReview":{"version":1,"geography":{"basis":"Re-checked on 2026-10-11 against the complete article body (Europe PMC full-text XML of PMC13371778, read in English, about 34,400 characters after tag stripping). The section 'Illustrative clinical case' describes a 30-year-old married software developer, her stressors, about a year of escalating chatbot use and the remission, but names no country, city, clinic, hospital or treating service, and the article has no first-person 'we treated' or 'our clinic' statement that would place the patient. The only places in the body are the authors' affiliations (Semmelweis University, Budapest, Hungary; Pazmany Peter Catholic University, Budapest, Hungary), and an author affiliation does not locate an event or a patient. No legal proceeding is described, so there is no court country. All three roles remain reviewed unknowns.","evidence":[],"court_countries":[],"event_countries":[],"affected_person_countries":[]},"unresolved":["The country where the patient was assessed and treated is not stated in the article; Hungarian author affiliations were not used as an event location.","The article does not say whether the illustrative case is a single real patient or a composite; the ethics note says only that the material was fully anonymized.","The authors state that causality cannot be established; this metadata review does not change the record's causal or verification status."],"reviewed_on":"2026-10-11","source_reviews":[{"url":"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13371778/fullTextXML","notes":"Fetched on 2026-10-11 (HTTP 200, 57,635 bytes of JATS XML, xml:lang=\"en\"). Complete article body read, including 'Illustrative clinical case' and the ethics footnote 'Clinical material presented in this manuscript has been fully anonymized, and no identifiable patient information is included.' Dates in the body are bibliographic only (Received 2026 Feb 21; Revised 2026 Apr 11; Accepted 2026 May 1). No location for the patient or treatment is stated; Budapest and Hungary appear only in the author affiliations. The chatbot platform is not named.","access":"read","language":"en"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13371778/","notes":"Fetched on 2026-10-11: HTTP 200 but the body is a reCAPTCHA browser check ('Checking your browser before accessing pmc.ncbi.nlm.nih.gov'), no article text. The Europe PMC XML carries the same PMC record.","access":"unavailable","language":null},{"url":"https://pubmed.ncbi.nlm.nih.gov/42149657/","notes":"Fetched on 2026-10-11: HTTP 203 with a cookie-wall page ('Enable cookies for pubmed.ncbi.nlm.nih.gov'), no abstract text.","access":"unavailable","language":null},{"url":"https://doi.org/10.1556/2006.2026.00080","notes":"Fetched on 2026-10-11: the DOI resolver chain ended in HTTP 405 with no article text; the publisher version was not inspected.","access":"unavailable","language":null}]},"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":"2026-10-11T03:14:05.834403+00:00","scopeVersion":"participant-v2","tags":["case-report","peer-reviewed","psychosis","dependency","behavioral-addiction","sleep-deprivation","adult","hungary","eu"]}]}