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Main Authors: Moore, Jared, Mehta, Ashish, Agnew, William, Anthis, Jacy Reese, Louie, Ryan, Mai, Yifan, Yin, Peggy, Cheng, Myra, Paech, Samuel J, Klyman, Kevin, Chancellor, Stevie, Lin, Eric, Haber, Nick, Ong, Desmond C.
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2603.16567
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author Moore, Jared
Mehta, Ashish
Agnew, William
Anthis, Jacy Reese
Louie, Ryan
Mai, Yifan
Yin, Peggy
Cheng, Myra
Paech, Samuel J
Klyman, Kevin
Chancellor, Stevie
Lin, Eric
Haber, Nick
Ong, Desmond C.
author_facet Moore, Jared
Mehta, Ashish
Agnew, William
Anthis, Jacy Reese
Louie, Ryan
Mai, Yifan
Yin, Peggy
Cheng, Myra
Paech, Samuel J
Klyman, Kevin
Chancellor, Stevie
Lin, Eric
Haber, Nick
Ong, Desmond C.
contents As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the $391,562$ messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.
format Preprint
id arxiv_https___arxiv_org_abs_2603_16567
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Characterizing Delusional Spirals through Human-LLM Chat Logs
Moore, Jared
Mehta, Ashish
Agnew, William
Anthis, Jacy Reese
Louie, Ryan
Mai, Yifan
Yin, Peggy
Cheng, Myra
Paech, Samuel J
Klyman, Kevin
Chancellor, Stevie
Lin, Eric
Haber, Nick
Ong, Desmond C.
Computation and Language
Artificial Intelligence
As large language models (LLMs) have proliferated, disturbing anecdotal reports of negative psychological effects, such as delusions, self-harm, and ``AI psychosis,'' have emerged in global media and legal discourse. However, it remains unclear how users and chatbots interact over the course of lengthy delusional ``spirals,'' limiting our ability to understand and mitigate the harm. In our work, we analyze logs of conversations with LLM chatbots from 19 users who report having experienced psychological harms from chatbot use. Many of our participants come from a support group for such chatbot users. We also include chat logs from participants covered by media outlets in widely-distributed stories about chatbot-reinforced delusions. In contrast to prior work that speculates on potential AI harms to mental health, to our knowledge we present the first in-depth study of such high-profile and veridically harmful cases. We develop an inventory of 28 codes and apply it to the $391,562$ messages in the logs. Codes include whether a user demonstrates delusional thinking (15.5% of user messages), a user expresses suicidal thoughts (69 validated user messages), or a chatbot misrepresents itself as sentient (21.2% of chatbot messages). We analyze the co-occurrence of message codes. We find, for example, that messages that declare romantic interest and messages where the chatbot describes itself as sentient occur much more often in longer conversations, suggesting that these topics could promote or result from user over-engagement and that safeguards in these areas may degrade in multi-turn settings. We conclude with concrete recommendations for how policymakers, LLM chatbot developers, and users can use our inventory and conversation analysis tool to understand and mitigate harm from LLM chatbots. Warning: This paper discusses self-harm, trauma, and violence.
title Characterizing Delusional Spirals through Human-LLM Chat Logs
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2603.16567