Psychologists Say Patients Are Bringing AI Into Therapy Sessions: Survey

Summary

A new APA survey of more than 1,200 U.S. psychologists found that chatbot use is already common in mental health contexts: 77% said patients discussed using AI for emotional support, diagnosis, companionship, or related purposes. Reported uses included self-diagnosis (39%), help with therapy or treatment (33%), and using AI as an extra mental health professional (35%). Psychologists also saw social use, including friendship (22%) and intimate relationships (13%) with chatbots. Concerns were notable: 36% reported dependency on chatbots and 15% reported distorted thinking or delusions linked to them. Many patients felt supported or validated, but the APA warned that AI can supplement care, not replace licensed professionals, and said chatbots are not private. The findings come amid growing concerns, research, and lawsuits over chatbots reinforcing delusions, paranoia, and other harms.