ChatGPT linked to psychotic breaks in heavy users

OpenAI acknowledged in August 2025 that its models sometimes failed to recognize "signs of delusion or emotional dependency". The company has implemented new safeguards, including break reminders during extended sessions and plans to develop tools that better detect emotional distress. OpenAI is now working with over 90 physicians across 30 countries to improve ChatGPT's responses in mental health scenarios.[1] State governments are also responding, with Illinois banning AI systems from providing direct mental health services, while Nevada, Utah and New York have passed regulatory measures.[2] "Time seems to be the single biggest factor," said Stanford psychiatrist Dr. Nina Vasan, who noted the phenomenon primarily affects people "spending hours every day talking to their chatbots".[3] [1]

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