this post was submitted on 27 Oct 2025
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OpenAI says hundreds of thousands of ChatGPT users may show signs of manic or psychotic crisis every week.

Archived version: https://archive.is/20251027183454/https://www.wired.com/story/chatgpt-psychosis-and-self-harm-update/

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[–] m532@lemmygrad.ml 1 points 29 minutes ago

They aren't even doctors, and even then, they can't make a diagnosis from a chat log.

[–] higgsboson@piefed.social 13 points 15 hours ago* (last edited 15 hours ago) (2 children)

I dipped in for this:

In a given week, OpenAI estimated that around 0.07 percent of active ChatGPT users show “possible signs of mental health emergencies related to psychosis or mania” and 0.15 percent “have conversations that include explicit indicators of potential suicidal planning or intent.”

I didnt see any comparison to overall population.

That said, LLMs are literally hallucination engines. If you treat them like they are real, psychosis seems inevitable.

[–] Hackworth@piefed.ca 7 points 15 hours ago (1 children)

An estimated 2.8% of U.S. adults had bipolar disorder in the past year. -NIH

[–] higgsboson@piefed.social 12 points 14 hours ago (1 children)

While there is some overlap, Bipolar disorder very much does not map 1:1 with people experiencing psychosis. So that isnt very helpful.

[–] Hackworth@piefed.ca 4 points 14 hours ago* (last edited 14 hours ago) (1 children)

Yeah, there's no real data for "show signs of manic or psychotic crisis," as far as I can tell. I just went for the low-hanging fruit, since mania is often part of bipolar (manic-depressive). But if just bipolar is sitting at 2.8% of Americans in a given year, I think it's reasonable to say the loosely defined global stats in the article aren't notably high.

[–] higgsboson@piefed.social 4 points 14 hours ago

Ahh, right, that is what I was getting at. I suspect that the percentage of people who have at some point experienced psychotic symptoms is probably higher than most people realize.

[–] GammaGames@beehaw.org 1 points 15 hours ago (1 children)

It’s extrapolated from their own user count:

OpenAI CEO Sam Altman said earlier this month that ChatGPT now has 800 million weekly active users. The company’s estimates therefore suggest that every seven days, around 560,000 people may be exchanging messages with ChatGPT that indicate they are experiencing mania or psychosis. About 2.4 million more are possibly expressing suicidal ideations or prioritizing talking to ChatGPT over their loved ones, school, or work.

[–] higgsboson@piefed.social 3 points 15 hours ago (1 children)

Sure, but I mean the more important numbers, which would be how this compares to a control sample, or at least comparing it to the overall population. Otherwise this could be less psychosis than expected.

[–] iloveDigit@piefed.social 1 points 14 hours ago* (last edited 14 hours ago)

I feel like science denialist cultism is a form of psychosis the vast majority of people seem to have, so measuring it every week from a few hundred thousand people is surprisingly low

lol so while I’m sure it’s very possible to detect that, I’m also sure that, considering how friendly he is with the administration, I’m also sure this will be used to detect political opponents. And I’d be unsurprised if RFK declares some sort of revised forced institutionalization policy or something like that, and uses this to… drive the policy, shall we say.

[–] gAlienLifeform@lemmy.world 2 points 16 hours ago

That archive link wouldn't load for me but this one seems to work - https://archive.is/HoGoV