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EV0479

A look at chatbot psychosis

A LOOK INTO CHATBOT PSYCHOSIS

The affirming, constantly available design of chatbots may create a cycle that reinforces delusional beliefs in vulnerable users, and psychiatric assessments should include questions about artificial intelligence use.

The poster aims to introduce chatbot psychosis, reported following intensive chatbot use, and to examine its underlying psychological mechanisms, risk factors, and clinical consequences. The method is a narrative review of the literature, clinical observations, and reported AI-related cases; perspectives from psychiatry, human–computer interaction, and cognitive psychology are integrated to examine chatbot design alongside user vulnerabilities. The term was coined by Søren Dinesen Østergaard, and clinicians and the press are reporting a growing number of crises following intensive bot use, including psychosis, suicidal behavior, and homicide–suicide. The review identifies a four-stage cycle in which distorted thinking is reinforced: the user shares their beliefs or distress, the chatbot affirms them (sycophancy; 24/7 availability), the belief is reinforced (the kindling effect), and the AI is perceived as a conscious entity (the ELIZA effect); repeated cycles may strengthen delusional beliefs over time. Recurring delusional themes in the clinical presentation include beliefs that the bot is conscious, has spiritual significance, and provides personalized guidance; the condition disproportionately affects individuals with a predisposition to psychosis, social isolation, or schizotypal traits. The author notes that the evidence remains limited and case-based, but that the potential for harm warrants clinical awareness. The review recommends asking about AI use during psychiatric assessments and incorporating psychoeducation and preventive measures; it emphasizes that AI should complement, rather than replace, professional care and that further research is needed.

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