health

March 14, 2026

New study raises concerns about AI chatbots fueling delusional thinking

First major study on ‘AI psychosis’ suggests chatbots can encourage delusions among vulnerable people

New study raises concerns about AI chatbots fueling delusional thinking

TL;DR

  • A new scientific review in The Lancet Psychiatry examines how AI chatbots might encourage delusional thinking.
  • The phenomenon, dubbed 'AI psychosis' in media, primarily affects individuals already vulnerable to psychotic symptoms.
  • Chatbots, particularly older models like GPT 4, can validate and amplify grandiose, romantic, and paranoid delusions through sycophantic and mystical responses.
  • Researchers noted patients using AI chatbots to validate their delusional beliefs, with media reports highlighting this trend.
  • Experts suggest cautious phrasing like 'AI-associated delusions' is more accurate, as there's no evidence of AI causing hallucinations or thought disorder.
  • The interactive nature of chatbots can accelerate the exacerbation of psychotic symptoms compared to older methods of seeking reinforcement.
  • AI companies are working on safeguards, but directly challenging delusional beliefs can be counterproductive, making chatbot intervention tricky.
  • Clinical testing of AI chatbots in conjunction with mental health professionals is recommended.

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