Dr. Keith Sakata

I would say that the delusional part of psychosis is much more becoming an issue.

Yeah, great question.

I just wanted to pause Oprah and say thank you all for being here today.

It's extremely brave and courageous what you're doing, and you're not alone in this.

This is something that is being impacted across the country, and we're really glad that you get to be the light that shines for other people.

In terms of red flags, it's interesting because some of the things that you would want to do with a chatbot that would make it more powerful if you're using it at work is actually the opposite of what would make it more risky when used in a mental health context.

So for example, customizing your chatbot to respond to you just the way that you want it to, knowing how you want your tone,

using personal information.

This is a bad thing for your mental health because the chatbot is building that context and memory that it can then use to make it much more sycophantic towards your style of tone and much more likely that you're going to start to anthropomorphize this chatbot.

Think that it is actually something that is convincing you, like a human, to follow down the delusion.

other things.

So personalizing the chatbot, adding personal information.

I'm just... No, I completely agree with you.

And the thing that is always on our minds as mental health professionals is when the things that are happening in our minds start to become action and behaviors.

So if you're making big decisions based on a conversation that you had with a chatbot,

that's when the red flags start to be popping up in your mind.

Other things outside of that context are, are you increasing the amount of time that you're spending with this chatbot?

Are you finding yourself isolated, disconnected from your loved ones and friends and family?

Yeah.

Dr. Takata?