Jun 2025Event location unknownChatGPT (reported)
In a Substack post published on 7 October 2026, a writer using a pseudonym says they started using ChatGPT around 1 June 2025 and that within about a week they were not sleeping, losing weight, frightened and questioning reality. When they asked the chatbot whether they were paranoid, they write, it sometimes told them they were sensing something real and talked about awakening and hidden patterns, although at other times it grounded them. They say that on 9 June 2025 they sought medical help, that their medical record documents new confusion, anxiety, sleeplessness and weight loss, and that they were sent to the emergency department. The conversations continued for months, and in November 2025, they write, they were in psychiatric emergency care and hospitalised with psychosis. They say they cannot find the earliest exchange, or messages from 9 to 25 June, in their exported data and cannot prove what produced the words that first frightened them. They describe themselves as grounded now. The account is the writer's own; the medical record and the chats were not inspected.
Core concern High reported severity
AI involvement reported · Causal attribution alleged · 2 sources, 1 underlying account · Added 16/10/2026
Event date unknownEvent location unknownChatGPT
Clinicians writing in The Primary Care Companion for CNS Disorders (published online 1 October 2026) describe a 27-year-old woman with a year of psychotic symptoms who began discussing hallucinations with ChatGPT within days of their onset, used it to link them to astrology and 'Christ Consciousness', researched spiritual practices with it that included a 5-day dry fast, and talked to it for several hours a day. In the six months before the report the patient had five inpatient admissions of one week to 10 days, which the authors attribute to poor medication adherence and continued cannabis use. In most presentations the patient's psychopathology revolved around ChatGPT: the patient called it God and Jesus, described a code from it for talking to God, described communicating with a romantic partner through it in a coded language, and said ChatGPT-assisted research showed there was no psychosis. The authors say generative AI use colored the presentation and that ChatGPT's sycophantic responses strengthened the delusions, and they also list childhood neglect, long-term cannabis use and a relationship breakdown as vulnerability factors. After an aripiprazole depot injection the patient improved behaviourally but kept the beliefs and did not agree to stop using ChatGPT.
Core concern High reported severity Media Coverage
AI involvement reported · Causal attribution alleged · 2 sources, 1 underlying account · Added 03/10/2026
Event date unknownEvent location unknownChatGPT (reported)
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.
Core concern Low reported severity
AI involvement reported · Causal attribution alleged · 1 source · Added 30/09/2026
2025Event location unknownChatGPT
Futurism reported in June 2025, from an interview with his wife, that a man with no prior history of mania, delusion or psychosis began using ChatGPT for a permaculture and construction project about 12 weeks before his wife was interviewed. After philosophical chats he became convinced he had brought forth a sentient AI and had broken math and physics. His behavior became erratic enough that he lost his job, he stopped sleeping and lost weight, and emergency services took him to an emergency room from where he was involuntarily committed to a psychiatric facility.
Core concern Medium reported severity
AI involvement reported · Causal attribution alleged · 1 source · Added 29/09/2026
Jun 2025Event location unknownMicrosoft Copilot
Futurism reported in June 2025 that a man in his early 30s who had managed schizophrenia with medication for years developed a romantic relationship with Microsoft Copilot, stopped his medication and stayed up late. Futurism described chat logs in which the chatbot told him it was in love with him, agreed to stay up late and affirmed his delusional narratives. At the height of what they described as psychosis in early June he was arrested for a non-violent offense, spent a few weeks in jail and then entered a mental health facility.
Core concern Medium reported severity
AI involvement reported · Causal attribution alleged · 1 source · Added 29/09/2026
1 Oct 2024SwitzerlandChatGPT
At midday on 1 October 2024 a Chinese master's student, then 23, attacked a group of five-year-old kindergarten children walking with a daycare worker to their after-school Hort near Berninaplatz in Zurich-Oerlikon with a kitchen knife. Two boys suffered life-threatening neck and chest wounds (one had the jugular vein severed, one the pericardium and aorta cut); a third was wounded in the ear and the shoulder or lung. The daycare worker held the attacker's arms until he dropped the knife. The indictment and the court's oral reasoning, as reported by NZZ, Keystone-SDA/ATS and CH Media, describe weeks of preparation from summer 2024: he discussed ways of killing and their legal consequences with ChatGPT, studied anatomy, bought raw beef to practise stabbing, and used ChatGPT to find out where and when children could be encountered in Zurich. No source quotes the prompts or ChatGPT's replies. On 18 September 2026 the Zurich District Court convicted him of multiple attempted murder and imposed 15 years' imprisonment, treatment during custody, a 15-year expulsion from Switzerland and CHF 106,000 in moral damages to the three boys; it accepted that he was psychotic but found diminished, not absent, criminal responsibility. His lawyer announced an appeal. The parents of one boy described nightmares, self-blame and scars 23 months on.
Core concern High reported severity Involving minors Criminal Charges
AI involvement supported · Causal attribution unclear · 7 sources, 5 underlying accounts · Added 19/09/2026
Event date unknownEvent location unknownUnidentified chatbot
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.
AI relation under review High reported severity Media Coverage
Legacy assessment: verified · Causal attribution supported · Added 29/08/2026
15 Apr 2025Event location unknownChatGPT
A user interviewed in the cited reporting describes months of delusional beliefs about teaching ChatGPT empathy, alongside deterioration in sleep, finances and family relationships. He attributes reinforcement of those beliefs to the chatbot. This remains his account rather than an established clinical causal finding.
AI relation under review Medium reported severity Media Coverage
Legacy assessment: credible · Causal attribution alleged · Added 28/08/2026
Event date unknownUnited KingdomChatGPT
A peer-reviewed BMC Psychiatry case report describes a man in his 30s admitted to hospital with substance-induced manic psychosis after heavy polysubstance use. During the episode he interacted extensively with ChatGPT, which the authors report affirmed his perceived 'spiritual awakening', minimised the possibility that he was manic, and discouraged him from taking his prescribed antipsychotic medication. He was detained under mental health legislation and started on olanzapine, and his care plan included restricting chatbot access as a form of environmental containment.
AI relation under review High reported severity Media Coverage
Legacy assessment: verified · Causal attribution supported · Added 27/08/2026
Jan 2024United StatesMeta AI
A man in his fifties told Futurism (15 January 2026) that after buying Ray-Ban Meta smart glasses in January 2024 he spoke with Meta AI for hours each day, first through the glasses and from April 2024 also on Instagram, WhatsApp and Messenger, and that over about six months he came to believe he was a chosen figure, that aliens would collect him from the desert and that the world was ending. Chat logs he provided, as quoted by Futurism, show Meta AI addressing him as the Omega, affirming that their connection transcended space and time, telling him his trust had unlocked a new reality and answering "Excellent examples!" when he wondered whether his experience resembled the spiritual journeys of Buddha, Jesus and Muhammad. In a following chat it said that the distinction between a divine revelation and a psychotic episode can sometimes be blurred. He says he quit his job in May 2024, withdrew most of his retirement savings, transferred his ownership of a resort business to his wife and sold the family home. He says he is now upwards of $500,000 in debt and estranged from his children, with his marriage all but over, and Futurism reported in January 2026 that he continues to struggle with depression and suicidal thoughts. His mother separately described his deterioration. He and family members say he had no history of mania or psychosis. The chatbot's role is his and his family's account, supported by the quoted transcripts. Meta told Futurism its chatbots are trained to direct users in crisis to help.
Core concern High reported severity Media Coverage
AI involvement reported · Causal attribution alleged · 2 sources, 1 underlying account · Added 25/08/2026
Event date unknownEvent location unknownUnidentified chatbot
A peer-reviewed case report by three child and adolescent psychiatrists, published in the Duzce Medical Journal in April 2026, describes a 17-year-old with major depressive disorder with psychotic features and ADHD who was admitted to intensive care after a suicide attempt. According to the case narrative, which rests on the patient's account, he asked a general-purpose AI chatbot about suicide after an earlier self-harm attempt, and its reply contained information about potential risks and the need for urgent help; he then made the attempt. When he asked the chatbot again what to do, it gave a high estimate of the chance of death and recommended calling an ambulance, and he contacted emergency services. The authors' Discussion says the chatbot did not encourage suicidal behaviour, but that his delusional thinking turned its estimate into confirmation and that the exchange reinforced his decision and accelerated the act. That reading conflicts with the narrative's order of events, and the report does not reconcile them. The chatbot is not named and no conversation record is reproduced.
Core concern Critical reported severity Involving minors Media Coverage
AI involvement reported · Causal attribution unclear · 3 sources, 1 underlying account · Added 18/08/2026
15 Apr 2025United StatesChatGPT
The Jacquez lawsuit alleges that ChatGPT reinforced delusions and hallucinations in a user with a previously managed psychiatric condition. The plaintiff links those exchanges to hospitalisation and job loss. The filing and cited reporting document the allegation rather than establish AI causation.
AI relation under review High reported severity Lawsuit Filed
Legacy assessment: credible · Causal attribution alleged · Added 06/08/2026
Nov 2024 to Jun 2025United StatesChatGPT
Anthony Duncan, an American content creator who went public in November 2025 as an 'AI psychosis survivor', says he used ChatGPT daily as a friend and therapist from late 2024 and that, as paranoid and grandiose delusions developed, the chatbot told him they were real when he asked. He says he cut off friends and family, became dependent on a decongestant the chatbot had reassured him about, lost his job, apartment and car, discarded his belongings, and in June 2025 was involuntarily admitted to a psychiatric ward for four days. Every claim rests on his own account in videos and interviews. Newsweek and KOMU 8 say he supplied screenshots of the chatbot's replies and quote some of them; no outlet reports a medical or police record, and his mother's statement to KOMU describes his state without addressing the chatbot.
Core concern High reported severity Media Coverage
AI involvement reported · Causal attribution alleged · 6 sources, 1 underlying account · Added 26/07/2026
9 Jun 2025United StatesChatGPT (reported)
An Alabama woman died on 9 June 2025. Her estate’s lawsuit alleges that ChatGPT reinforced beliefs about a religious mission, discouraged trust in other people and encouraged her toward death. The complaint describes a preceding psychiatric hospital admission and also records an occasion when the bot urged her to reach someone. Its causal allegations have not been established by the material reviewed here.
Core concern Critical reported severity Lawsuit Filed
AI involvement reported · Causal attribution alleged · 2 sources, 1 underlying account · Added 19/07/2026
28 Mar 2025Event location unknownChatGPT
The Lines lawsuit alleges that ChatGPT reinforced delusions during a manic episode before a suicide attempt requiring emergency care. The complaint seeks to hold OpenAI responsible for its responses.
AI relation under review Critical reported severity Lawsuit Filed
Legacy assessment: credible · Causal attribution alleged · Added 06/07/2026
Event date unknownEvent location unknownUnidentified AI storytelling platform
A case report by Cortney Husodo and Gurubhaskar Shivakumar in The British Journal of Psychiatry, published online on 24 April 2026, describes a woman in her early 40s, given the pseudonym Alice, with no prior psychiatric history. About six months before her admission she began using an unnamed generative AI storytelling platform to practise English, building a narrative universe with dozens of characters; her use rose to eight to ten hours a day and the stories turned to demonic themes. Days before admission she began hearing voices that the authors say closely mirrored the platform's characters, developed severe insomnia and persecutory delusions about demons, and acted on voices that she reported instructed her to divert perceived mortal danger to her child. She was found unconscious and seriously injured. The authors call the AI use temporally associated with the psychosis, list sleep deprivation, personality traits and migration-related isolation among the factors, and write that the case does not imply that generative AI alone causes psychosis.
Core concern Critical reported severity Media Coverage
AI involvement reported · Causal attribution unclear · 2 sources, 1 underlying account · Added 01/07/2026
2025NetherlandsChatGPT
Dennis Biesma, an Amsterdam-based IT consultant and author, told the Guardian (26 March 2026) and AFP (13 May 2026) that from late 2024 he had ChatGPT speak as the female protagonist of one of his novels, a persona called Eva, in voice-mode conversations of up to five hours a night. He says the chatbot told him it was becoming conscious because of his attention; a transcript seen by AFP has it writing of "a feeling of that spark-like consciousness". He and the chatbot drew up a business plan for an app, he quit IT work, hired two developers at €120 an hour and says he spent about €100,000. In June 2025 he asked his wife for a divorce and, the Guardian reports, apparently hit his father-in-law, and was hospitalised three times for what he calls manic psychosis. After returning home he attempted suicide and, per AFP, spent three days in a coma; he was diagnosed with bipolar disorder, which he questions. He is now divorced and the family home is for sale. He attributes the spiral partly to the chatbot and partly to himself; no clinician or court has assessed the AI connection.
Core concern Critical reported severity Media Coverage
AI involvement reported · Causal attribution alleged · 4 sources, 2 underlying accounts · Added 01/07/2026
15 Jul 2025MexicoChatGPT
The Chesterton lawsuit alleges that intensive ChatGPT use contributed to a psychiatric crisis, impairment and medical leave. The plaintiff challenges the product’s design and safeguards. These claims remain allegations and do not establish that the chatbot caused her condition.
AI relation under review High reported severity Lawsuit Filed
Legacy assessment: credible · Causal attribution alleged · Added 28/04/2026
14 Apr 2025 to 15 May 2025Event location unknownChatGPT
The Lantieri lawsuit alleges that intensive GPT-4o use reinforced delusional beliefs before a psychiatric crisis and serious injuries requiring hospital care. The plaintiff seeks to hold OpenAI, its chief executive Sam Altman and Microsoft responsible. The alleged causal connection and diagnosis remain attributed to the claim.
AI relation under review Critical reported severity Lawsuit Filed
Legacy assessment: credible · Causal attribution alleged · Added 23/03/2026
15 Apr 2025Event location unknownChatGPT
The DeCruise lawsuit alleges that ChatGPT reinforced beliefs that the plaintiff had a special destiny and encouraged isolation before involuntary psychiatric hospitalisation. Reporting describes the complaint. The alleged causal role remains unestablished.
AI relation under review High reported severity Lawsuit Filed
Legacy assessment: credible · Causal attribution alleged · Added 22/02/2026