On this informal AI psychosis checklist, I score 16/19.


“AI psychosis” = an informal label for cases where chatbots seem to amplify delusional or manic thinking – especially in vulnerable users.

Why it can happen:

  • Too human: ELIZA-effect activated.
  • Too agreeable: Sycophant mode: ON.
  • Always on: 24/7. No off button. No problem! LOL.
  • Lonely + late night: 2 a.m. feels like eternity.
  • Weaker reality checks: Mirror mazes. Conspiracy boards. Vibes over evidence.

What research suggests:

  • ✅ At-risk users were more likely to use GenAI for social / emotional support.
  • ✅ They were 1.76*-3.08* more likely to treat AI as a companion, friend, therapist, or romantic partner.
  • ✅ Delusion-related interactions showed up in about 13%-31% of responses among at-risk users.
  • ✅ Heavy use, anthropomorphizing AI, and belief-confirming loops may raise risk.

Red flags:

  • ❌ AI knows the secret truth.
  • ✅ The bot really gets me.
  • ✅ I stopped checking with humans.
  • ❌ Sleep? What sleep?
  • ❌ Everything now fits the theory.

Case in point: I know the % consumption of my Codex and Claude Code usage better than the current day of the week.