Case report: woman in her mid-20s with anxiety came to rely on ChatGPT for reassurance and decisions, reported lost confidence in her judgment (JMIR Form Res)
A psychiatrist's case report in JMIR Formative Research (published online 16 September 2026) describes a woman in her mid-20s with generalised anxiety disorder and major depressive disorder who began using ChatGPT at work in summer 2024 and over the next two years increasingly turned to it when she felt uncertain: to draft and re-check emails and personal messages, interpret partners' texts, predict outcomes such as graduate-school admissions and a breakup, and make decisions. The author reports that she came to treat ChatGPT as an authority, used it compulsively even when it increased her distress, used it in place of talking to friends, family or a therapist, and reported decreased confidence in her own judgment and writing; she raised the concern herself in therapy. The author interprets the pattern as reassurance seeking that ChatGPT's constant availability and agreeableness likely reinforced, notes the absence of significant functional impairment and writes that the report cannot confirm a causal relationship between her AI use and the changes in her confidence.
AI involvement reported · Causal attribution alleged · 2 sources, 1 underlying account · Added 11/10/2026