In this episode of Galaxy Brain, Charlie Warzel explores the strange, unsettling relationships some people are having with AI chatbots, as well as what happens when those relationships go off the rails. His guest is Kashmir Hill, a technology reporter at The New York Times who has spent the past year documenting what is informally called “AI psychosis.” These are long, intense conversations with systems such as ChatGPT that can spiral or trigger delusional beliefs, paranoia, and even self-harm. Hill walks through cases that range from the bizarre (one man’s supposed math breakthrough, a chatbot encouraging users to email her) to the tragic, including the story of 16-year-old Adam Raine, whose final messages were with ChatGPT before he died by suicide. How big is this problem? Is this actual psychosis or something different, like addiction? Hill reports on how OpenAI tuned ChatGPT to be more engaging—and more sycophantic—in the race for daily active users. In this conversation, Warzel and Hill wrestle with the uncomfortable parallels to the social-media era, the limits of “safety fixes,” and whether chatbots should ever be allowed to act like therapists. Hill also talks about how she uses AI in her own life, why she doesn’t want an AI best friend, and what it might mean for all of us to carry a personalized yes-man in our pocket. Get more from your favorite Atlantic voices when you subscribe. You’ll enjoy unlimited access to Pulitzer-winning journalism, from clear-eyed analysis and insight on breaking news to fascinating explorations of our world. Atlantic subscribers also get access to exclusive subscriber audio in Apple Podcasts. Subscribe today at TheAtlantic.com/Listener. Learn more about your ad choices. Visit megaphone.fm/adchoices