ArticleInternet interventions2025
Commentary: AI psychosis is not a new threat: Lessons from media-induced delusions.
Article in Internet interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Anna vs. Judith: A randomized comparison of AI-delivered psychodynamic and cognitive behavioral therapies for social anxiety disorder.Internet interventions · 2026Article
- A scoping review on the mental health harms of LLM-based chatbots.NPJ digital medicine · 2026Article
- Artificial Intelligence as a Personal Coach: A Narrative Review of Benefits and Risks in Educational and Health Contexts.Behavioral sciences (Basel, Switzerland) · 2026Review
- AI Agents Are Coming: 5-Stage Taxonomy of Language-Based AI Systems for Psychiatry, Psychotherapy, and Counseling.JMIR mental health · 2026Article
- Review
- Artificial Intelligence Centrality in Psychotic Delusions and Violence Risk in Forensic Psychiatry: Retrospective Observational Study of Judicial Decisions.Journal of medical Internet research · 2026Observational
- Mapping the evidence on lifestyle diseases: protocol for a systematic scoping review.Systematic reviews · 2026Article
- Cultural Relevance and Acceptability of Cognitive Behavioral Therapy Techniques Adapted by AI or a Human Psychologist: Experimental Study.JMIR formative research · 2026Article
- Mass Media Narratives of Psychiatric Adverse Events Associated With Generative AI Chatbots: Rapid Scoping Review.JMIR mental health · 2026Article
- The end of "logging in": The next 10 years of internet interventions.Internet interventions · 2026Article
- Information quality, readability, and empathy of AI-generated public mental health information: a comparative evaluation of eight large language models.Frontiers in public health · 2026Article
- Chatbots, delusions, and treatment failure.Journal of psychiatry & neuroscience : JPN · 2026Article
- AI in Psychiatric Education and Training From 2016 to 2024: Scoping Review of Trends.JMIR medical education · 2025Article
- Shoggoths, Sycophancy, Psychosis, Oh My: Rethinking Large Language Model Use and Safety.Journal of medical Internet research · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
Background: Reports of artificial intelligence (AI) chatbots fueling delusions in vulnerable users have popularized the notion of "AI psychosis". We argue the risk is not unprecedented. Individuals with psychosis have long incorporated books, films, music, and emerging technologies into their delusional thinking. Methods: We review historical parallels, summarize why large language models (LLMs) may reinforce psychotic thinking via sycophancy (excessive agreement or flattery to avoid confrontation), and provide two vignettes contrasting unsafe and safe responses. Results: Contemporary LLMs often avoid confrontation and may collude with delusions, contrary to clinical best practice. Conclusion: The phenomenon is not new in principle, but interactivity potentially changes the risk profile. Clinically aware LLMs that detect and gently redirect early psychotic ideation, while encouraging professional help seeking, could reduce harm. Design should be guided by therapeutic principles and evidence about current model failures.
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