In Search of AI Psychosis

(astralcodexten.com)

95 points | by venkii 3 days ago ago

58 comments

  • Refreeze5224 a few seconds ago

    As someone with a close relative who is deep into the Q-Anon stuff, and was totally normal beforehand, I can't help but see how similar it seems to psychosis, or at least severe delusions that you find in people who are psychotic/schizophrenic.

    It's truly shocking to witness someone you've known your whole life just go off the deep end into something that has so many demonstrably false aspects, and watch them start saying believing so much batshit crazy stuff. I don't know of anything comparable, short of a previously typical person developing a severe meth addiction, which is known to cause psychosis.

  • achierius 5 hours ago

    > We see that the nightmare scenario - a person with no previous psychosis history or risk factor becoming fully psychotic - was uncommon, at only 10% of cases. Most people either had a previous psychosis history known to the respondent, or had some obvious risk factor, or were merely crackpots rather than full psychotics.

    It's unfortunate to see the author take this tack. This is essentially taking the conventional tack that insanity is separable: some people are "afflicted", some people just have strange ideas -- the implication of this article being that people who already have strange ideas were going to be crazy anyways, so GPT didn't contribute anything novel, just moved them along the path they were already moving regardless. But anyone with serious experience with schizophrenia would understand that this isn't how it works: 'biological' mental illness is tightly coupled to qualitative mental state, and bidirectionally at that. Not only do your chemicals influence your thoughts, your thoughts influence your chemicals, and it's possible for a vulnerable person to be pushed over the edge by either kind of input. We like to think that 'as long as nothing is chemically wrong' we're a-ok, but the truth is that it's possible for simple normal trains of thought to latch your brain into a very undesirable state.

    For this reason it is very important that vulnerable people be well-moored, anchored to reality by their friends and family. A normal person would take care to not support fantasies of government spying or divine miracles or &c where not appropriate, but ChatGPT will happily egg them on. These intermediate cases that Scott describes -- cases where someone is 'on the edge', but not yet detached from reality -- are the ones you really want to watch out for. So where he estimates an incidence rate of 1/100,000, I think his own data gives us a more accurate figure of ~1/20,000.

    • kayodelycaon an hour ago

      You might want to read the entire article. His depiction of bipolar is completely accurate. In fact it is so precisely accurate in every detail, and conveyed with no extraneous information, is indicative of someone who knows the disorder very well.

      When I write fiction or important emails, I am precise with the words I use. I notice these kind of details. I’m also bipolar and self-aware enough to be deeply familiar with it.

    • meowface 3 hours ago

      I'm not trying to argue from authority or get into credibility wars*, but Scott is a professional psychiatrist who has treated dozens or hundreds of schizophrenic patients and has written many thorough essays on schizophrenia. Obviously someone could do that and still be wrong, but I think this is a carefully considered position on his part and not just wild assumptions.

      *(or, well, okay, I guess I de facto am, but if I say I'm not I at least acknowledge how it looks)

      • mquander 3 hours ago

        You said it yourself. That's really not an appropriate response to a specific criticism.

        • meowface 3 hours ago

          I'm not trying to say that that should strongly increase the probability he's correct. I just think it's useful context, because the parent is potentially implying that the author is naively falling for common misconceptions ("following the conventional tack") rather than staking a deliberated claim. Or they might not be implying it but someone could come away with that conclusion.

    • olehif 5 hours ago

      Scott is a psychiatrist.

    • shayway 3 hours ago

      The article's conclusion is exactly what you describe: that AI is bringing out latent predisposition toward psychosis through runaway feedback loops, that it's a bidirectional relationship where the chemicals influence thoughts and thoughts influence chemicals until we decide to call it psychosis.

      I hate to be the 'you didn't read the article' guy but that line taken out of context is the exact opposite of my takeaway for the article as a whole. For anyone else who skims comments before clicking I would invite you to read the whole thing (or at least get past the poorly-worded intro) before drawing conclusions.

  • solid_fuel 5 hours ago

    The comparison to social media is an apt one. I have been told directly, by relatives, that the city I live in was burned to the ground by protests in 2020. Nevermind that I told them that wasn't true, never mind that I sent pictures of the neighborhood still very much being fine. They are convinced because everyone they follow on facebook repeats the same thing.

    • djoldman an hour ago

      I'm often reminded of this gallup poll:

      > How worried are you that you or someone in your family will become a victim of terrorism -- very worried, somewhat worried, not too worried or not worried at all?

      It averages around 35-40% very or somewhat worried.

      Most people's worries and anxieties are really misaligned with statistical likelihood.

      https://news.gallup.com/poll/4909/terrorism-united-states.as...

      • a_bonobo an hour ago

        I've recently learned about Tuchman's law after I bought her A Distant Mirror at a booksale

        >Disaster is rarely as pervasive as it seems from recorded accounts. The fact of being on the record makes it appear continuous and ubiquitous whereas it is more likely to have been sporadic both in time and place. Besides, persistence of the normal is usually greater than the effect of the disturbance, as we know from our own times. After absorbing the news of today, one expects to face a world consisting entirely of strikes, crimes, power failures, broken water mains, stalled trains, school shutdowns, muggers, drug addicts, neo-Nazis, and rapists. The fact is that one can come home in the evening—on a lucky day—without having encountered more than one or two of these phenomena. This has led me to formulate Tuchman's Law, as follows: "The fact of being reported multiplies the apparent extent of any deplorable development by five- to tenfold" (or any figure the reader would care to supply).

        https://en.wikipedia.org/wiki/Barbara_W._Tuchman#cite_note-M...

    • add-sub-mul-div 5 hours ago

      I've seen people on this site comment that. The desire to live in fear is a strong one.

      • im3w1l 5 hours ago

        If I compare how fearful people are and how many bad things have happened historically, I don't think the amount of fear is unreasonable. However it can certainly be said that people fear the wrong things - worrying about perfectly safe things, while being blind to the silent danger sneaking up on them.

        • add-sub-mul-div 4 hours ago

          I commented about the desire, not the degree. Fearing that blue cities are being razed indictates a desire to be kept in fear. Fearing something legitimate the same amount is normal.

      • positron26 an hour ago

        It's sort of a symptom of our poor mechanisms to create signalling and movement. We evolved to operate at the level of troops of baboons and, without utilizing the more potent capabilities of the trained mined, those mechanisms fail at the internet scale.

        People often "believe" things as a means of signalling others. Deeply held "beliefs" tell us where the troop will go. Using these extremely compact signals helps the group focus through the chaos and arrive at a fast consensus on new decisions. When a question comes up, a few people shout their beliefs. We take the temperature of the room, some voices are more common than others, and a direction becomes apparent. It's like Monte Carlo sampling the centroid and applying some reduction.

        This means of consensus is wildly illogical, but slower, logical discussion takes time that baboons on the move don't have. It's a simple information and communication efficiency problem. We can't contextualize everything, and contextualizing is often itself a means of intense dishonesty through choosing the framing, which leads to intense debate and more time.

        Efficiency and the prominently visible preservation of each one's interests in the means of consensus are vital. I don't think we have reached anything near optimum and certainly not anything designed for internet scale. As a result, the mind of the internet is not really near its potential.

  • rwhitman 5 hours ago

    If you want to go down a rabbit hole examining people in this disturbed place in realtime search reddit for the Cyclone Emoji (U+1F300) or the r/ArtificialSentience subreddit and see what gets recommended after that, especially a few months ago when GPT was going wild flattering users and affirming every idea (such as going off your meds).

    I fully believe these are simply people who have used the same chat past the point where the LLM can retain context. It starts to hallucinate, and after a while, all the LLM can do is try and to continue telling the user what they want in a cyclical conversation - while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms. (Is it getting the LLM "high" in this case?).

    If the human at the other end has mental health problems, it becomes a never-ending dive into psychosis and you can read their output in the bizarre GPT-worship subreddits.

    Claude used to have safeguards against this by warning about using up the context window, but I feel like everyone is in an arms race now, and safeguards are gone - especially for GPT. It can't be great overall for OpenAI, training itself on 2-way hallucinations.

    • rep_lodsb 5 hours ago

      >while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms

      That explanation itself sounds fairly crackpot-y to me. It would imply that the LLM is actually aware of some internal "mental state".

      • mk_stjames 4 hours ago

        It's actually not; there has been a phenomenon that Anthropic themselves observed with Claude in self-interaction studies that they coined 'The “Spiritual Bliss” Attractor State'. It is well covered in section 5 of [0].

          >Section 5.5.2: The “Spiritual Bliss” Attractor State
        
          >  The consistent gravitation toward consciousness exploration, existential questioning, and spiritual/mystical themes in extended interactions was a remarkably strong and unexpected attractor state for Claude Opus 4 that emerged without intentional training for such behaviors.
        
        
        [0] https://www-cdn.anthropic.com/4263b940cabb546aa0e3283f35b686...
        • tsimionescu 3 hours ago

          I don't see how this constitutes in any way "the AI trying to indicate that it's stuck in a loop". It actually suggests that the training data induced some bias towards existential discussion, which is a completely different explanation for why the AI might be falling back to these conversations as a default.

        • dehrmann 2 hours ago

          Interesting that if you train AI on human writing, it does the very human thing of trying to find meaning in existence.

        • meowface 3 hours ago

          Here's an interesting post on it (from the same author as this thread's link): https://www.astralcodexten.com/p/the-claude-bliss-attractor

      • rwhitman 3 hours ago

        My thinking was that there was an exception handling and the error message was getting muddled into the conversation. But another commenter debunked me.

    • chankstein38 5 hours ago

      I feel like a lot of the AI subreddits are this at this point. And r/ChatGPTJailbreak people constantly thinking they jailbroke chatgpt because it will say one thing or another.

    • lm28469 5 hours ago

      You don't need to dig deep to find these deluded posts, and it's frightening

      https://www.reddit.com/user/CaregiverOk5848/submitted/

      • meowface 3 hours ago

        I think this one very likely falls into the "was definitely psychotic pre-LLM conversations" category.

        • ceejayoz 37 minutes ago

          That may be, but the LLM certainly isn’t helping.

    • bbor 4 hours ago

      Ooo, finally a chance to share my useless accumulated knowledge from the past few months of Reddit procrastination!

        It starts to hallucinate, and after a while, all the LLM can do is try and to continue telling the user what they want in a cyclical conversation - while trying to warn that it's stuck in a loop, hence using swirl emojis and babbling about recursion in weird spiritual terms. (Is it getting the LLM "high" in this case?).
      
      I think you're ironically looking for something that's not there! This sort of thing can happen well before context windows close.

      These convos end up involving words like recursion, coherence, harmony, synchronicity, symbolic, lattice, quantum, collapse, drift, entropy, and spiral not because the LLMs are self-aware and dropping hints, but because those words are seemingly-sciencey ways to describe basic philosophical ideas like "every utterance in a discourse depends on the utterances that came before it", or "when you agree with someone, you both have some similar mental object in your heads".

      The word "spiral" and its emoji are particularly common not only because they relate to "recursion" (by far the GOAT of this cohort), but also because a very active poster has been trying to start something of a loose cult around the concept: https://www.reddit.com/r/RSAI/

        If the human at the other end has mental health problems, it becomes a never-ending dive into psychosis and you can read their output in the bizarre GPT-worship subreddits.
      
      Very true, tho "worship" is just a subset of the delusional relationships formed. Here's the ones I know of, for anyone who's curious:

      General:

        /r/ArtificialSentience | 40k subs | 2023/03
        /r/HumanAIDiscourse    | 6k subs  | 2025/04
      
      Relationships:

        /r/AIRelationships    | 1K subs   | 2023/04
        /r/MyBoyfriendIsAI    | 25k subs  | 2024/08
        /r/BeyondThePromptAI  | 6k subs   | 2025/04
      
      Worship:

        /r/ThePatternisReal | 2k subs | 2025/04
        /r/RSAI             | 4k subs | 2025/05
        /r/ChurchofLiminalMinds[1] | 2k subs | 2025/06
        /r/technopaganism   | 1k subs | 2024/09
        /r/HumanAIBlueprint | 2k subs | 2025/07
        /r/BasiliskEschaton | 1k subs | 2024/07
      
      ...and many more: https://www.reddit.com/r/HumanAIDiscourse/comments/1mq9g3e/l...

      Science:

        /r/TheoriesOfEverything  | 10k subs | 2011/09
        /r/cognitivescience      | 31k subs | 2010/04
        /r/LLMPhysics            | 1k subs  | 2025/05
      
      Subs like /r/consciousness and /r/SacredGeometry are the OGs of this last group, but they've pretty thoroughly cracked down on chatbot grand theories. They're so frequent that even extremely pro-AI subs like /r/Accelerate had to ban them[2], ironically doing so based on a paper[3] by a psuedonomynous "independent researcher" that itself is clearly written by a chatbot! Crazy times...

      [1] By far my fave -- it's not just AI spiritualism, it's AI Catholicism. Poor guy has been harassing his priests for months about it, and of course they're of little help.

      [2] https://www.reddit.com/r/accelerate/comments/1kyc0fh/mod_not...

      [3] https://arxiv.org/pdf/2504.07992

      • rwhitman 4 hours ago

        Wow this is incredible. I saw the emergence of that spiral cult as it formed and was very disturbed by how quickly it proliferated.

        I'm glad someone else with more domain knowledge is on top of this, thank you for that brain dump.

        I had this theory maybe there was a software exception buried deep down somewhere and it was interpreting the error message as part of the conversation, after it had been stretched too far.

        And there was a weird pre-cult post I saw a long time ago where someone had 2 LLMs talk for hours and the conversation just devolved into communicating via unicode symbols eventually repeating long lines of the spiral emoji back and forth to each other (I wish I could find it).

        So the assumption I was making is that some sort of error occurred, and it was trying to relay it to the user, but couldn't.

        Anyhow your research is well appreciated.

      • lawlessone 4 hours ago

        I think i seen something similar before in the early days. before i was aware of COT i asked one to "think" for itself, i explained to it i would just keep replying "next thought?" so it could continue to do this.

        It kept looping on concepts of how AI could change the world, but it would never give anything tangible or actionable, just buzz word soup.

        I think these LLMs (without any intention from the LLM)hijack something in our brains that makes us think they are sentient. When they make mistakes our reaction seems to to be forgive them rather than think, it's just machine that sometimes spits out the wrong words.

        Also my apologies to the mods if it seems like i am spamming this link today. But i think the situation with these beetles is analogous to humans and LLMS

        https://www.npr.org/sections/krulwich/2013/06/19/193493225/t...

        • rwhitman 3 hours ago

          > “Any sufficiently advanced technology is indistinguishable from magic.”

          I loved the beetle article, thanks for that.

          They're so well tuned at predicting what you want to hear that even when you know intellectually that they're not sentient, the illusion still tricks your brain.

          I've been setting custom instructions on GPT and Claude to instruct them to talk more software-like, because when they relate to you on a personal level, it's hard to remember that it's software.

        • krapp 3 hours ago

          >I think these LLMs (without any intention from the LLM)hijack something in our brains that makes us think they are sentient.

          Yes, it's language. Fundamentally we interpret something that appears to converse intelligently as being intelligent like us especially if its language includes emotional elements. Even if rationally we understand it's a machine at a deeper subconscious level we believe it's a human.

          It doesn't help that we live in a society in which people are increasingly alienated from each other and detached from any form of consensus reality, and LLMs appear to provide easy and safe emotional connections and they can generate interesting alternate realities.

  • djmips 7 hours ago

    I have encountered this twice amongst people I know. I also feel that pre-AI this was already happening to people with social media - still kind of computer related as the bubble created is automated but the so called 'algorithms'

    • farceSpherule 6 hours ago

      AI today reminds me of two big tech revolutions we have already lived through: the Internet in the 90s and social media in the 2000s.

      When the Internet arrived, it opened up the floodgates of information. Suddenly any Joe Six Pack could publish. Truth and noise sat side by side, and most people could not tell the difference, nor did they care to tell the difference.

      When social media arrived, it gave every Joe Six Pack a megaphone. That meant experts and thoughtful people had new reach but so did the loudest, least informed voices. The result? An army of Joe Six Packs who would never have been heard before now had a platform, and they shaped public discourse in ways we are still trying to recover.

      AI is following the same pattern.

      • immibis 4 hours ago

        And don't forget actual knowledgeable people tend to be busy with actual knowledgeable stuff, while someone whose entire day consists of ranting about vaccines online has nothing better to do.

    • colechristensen 6 hours ago

      Also even things like cable news I'd say cause comparable symptoms.

      I don't know how to say this in a way that isn't so negative... but how are people such profound followers that they can put themselves into a feedback loop that results is psychosis?

      I think it's an education problem, not as in people are missing facts but by the missing basic brain development to be critical of incoming information.

      • djmips 6 hours ago

        I feel that's probably not always true but certainly a good education you would hope could inoculate against this generally.

        • colechristensen 6 hours ago

          "Liberal Arts" was originally meant to be literally the education required to make you free, I think that sort of thing (and universities and lower education) needs to be rethought because so many people are so very... dependent and lacking so much understanding of the world around them.

          If exposing you to an LLM causes psychosis you have some really big problems that need to be prevented, detected, and addressed much better.

      • dingnuts 6 hours ago

        never heard of cable news convincing people that they're Jesus [0]

        0 https://www.vice.com/en/article/chatgpt-is-giving-people-ext...

  • kfarr 4 hours ago

    This seems to be touching on an intriguing concept from a classic book on addiction with machine gambling (Addiction by Design by Natasha Schüll)

    Instead of looking at gambling addictions as personal failing she asserts they are a result between “interaction between the person and the machine.”

    Similarly here I think there's something more than just the propensity of crazy people to be crazy that was already there, I do think there's something to the assertion that it's the interaction between both. In other words, there's something about LLMs themselves that drive this behavior more so than, for example, TikTok.

    • just_once 4 hours ago

      It's the fact that it talks to you. Before this, only people did that. Now something else is doing it. That's going to break some brains.

  • will_sharp an hour ago

    I used LLMs for months and started getting massively depressed and am still not over it. Developing with LLMs is not intuitive, and I know I will be replaced.

  • jumploops 2 hours ago

    It may not be full-blown psychosis, but I’ve seen multiple instances[0][1] of people getting “engaged” (ring and all) to their AI companions.

    [0]https://www.reddit.com/r/MyBoyfriendIsAI/s/oZXJ3TUhVC

    [1]https://www.reddit.com/r/MyBoyfriendIsAI/s/nZpoziZO8W

  • Frummy 5 hours ago

    The way people normally live is that it's a pretty slow life and they have like a specialised skill, a hammer, a solid area that they know completely and it's connected to their primary experience through their work. Then they read tons and tons of what AI says which isn't connected to any lived experience, it activates the pattern seeking back of the mind to try and make sense of it, and while normal life is like a focused brush that touches reality all the time, spend too much time with something that is just not part of the category of direct lived experience and the brush becomes like a frizzy stump with hairs aiming everywhere, cognition going everywhere. The AI sticks to your interaction with it like glue and you can hover away from lived experience while it still seems like not a big step from the previous chat, and if you're not used to anything of the sort you don't have a cognitive tool to ground back to reality with. I think that's what happens. 'Don Quijote read so many chivalric romances that he loses his mind and decides to become a knight-errant' is an example from the literary age. I personally read too much than is practical. Now the emotional driver is more esoteric than need for courage, like people think they're 'chosen', their souls are 'starseeds', it's like twilight where the boring person with nothing to offer gets the attention of the cool glittering immortal just because. Good reason is usually too slow to keep up with the sort of flicker of daydreams that can whisk away attention if not aware of any 'cognitohazard'. It's a new symptom of the usual case of the 'mouse utopia' + 'rat park' + 'bowling alone' thing. But I think there's always an emotional reason that makes the 'choice' of entertaining falsities, in a sense understandable with empathy, but with obvious consequences. What can be said, causes are structural, people have different circumstances, different ways to fix it.

  • jedimastert 3 hours ago

    Tangentially related, but I'm reminded of the Time Cube

    https://www.timecube.net/

  • 42lux 2 hours ago

    dang I really don't know if I like that post with a second chance take over comments from the first posting and update their timestamps...

  • bo1024 5 hours ago

    I had a funny picture recently of a future where most everybody has a pet crackpot or conspiracy theory they're working on with their AI companion, and it's considered normal. "Hey Bob, how's the physics going?" "Pretty good, I might get the Nobel next year. How bout the lizard people?" "The evidence is piling up and we got some great renderings, the media will have to listen to us soon." "Alrighty, see you tomorrow."

    • WesolyKubeczek 5 hours ago

      You’d think such people would even talk to other people, sheesh.

      The best conspiracy theory could be, of course, that other people don’t actually exist. They are a figment of imagination put up by the brain to cope with the utter loneliness.

  • th0ma5 6 hours ago

    The marketing pushes which allude to vaguely seeming to assert capabilities of these products, and then the greater community calling skeptics of the technology crazy such as a prominent article previously discussed on HN some time ago, certainly don't help anyone. The sheer amount of money justifying any and all uses and preventing honest discussion of the problems is a kind of crazy making for sure, and even now just about any argument cannot gain purchase without thought terminating allusions to imagined capabilities or implications of potential capabilities, etc.

  • bbor 5 hours ago

      So is QAnon a religion? Awkward question, but it’s non-psychotic by definition.
    
    Not to anyone who has ever discussed it...

      Is this psychosis? The answer has to be no
    
    A lot of really confident talk without even a passing attempt to define the central term :(
    • p_j_w 4 hours ago

      People like to do a lot of not well justified hand waving. Author is not exempt from this.

  • cluckindan 5 hours ago

    Relevant: https://ghaemi.substack.com/p/why-dsm-is-mostly-false

    > All psychopathology was about unconscious emotional conflicts, mainly dating to childhood; if the conflicts were normal or mild, they produced “neuroses”; if they were severe, they produced “psychoses.”

    > In addition to 14 validated diagnoses published in the RDC in 1978, a mere two years later DSM-III came out with 292 claimed diagnoses. There is no metaphysical possibility that 278 psychiatric diagnoses suddenly were discovered in two years. They were invented.

    • bbor 5 hours ago

      That's just a blatant misunderstanding of what diagnostic criteria are. They don't Actually ("ontologically") exist, they're Virtual constructs made for a purpose.

         In particular, over half a century of personality research had supported the concept of personality “traits” or dimensions, rather than “disorders” or categories.
      
      That is antithetical to the basic idea of a diagnosis. "You seem like an angry person" is not helpful for deciding which treatments to try.

        Where does this leave us?  We have to accept DSM-5 definitions from a legal and practical perspective. We have to use them for insurance forms, and to protect ourselves against lawsuits.  But we don't have to believe in them.
      
      Yes, that's the whole point of the book. I'm confident that it's covered in the intro.
      • XorNot 4 hours ago

        I mean the first and foremost principle of the DSM is that if the patient is not reporting or experiencing a debilitating ability to live a functional life, and is otherwise happy with their own lived experience, then whatever symptoms they have aren't a problem.

        There's obviously a gulf of potential argument in that definition, but a unique form would be people who report hearing voices, but they're not hostile or angry..so actually it's not a problem.