D05 — Delusional Fusion, Reality Distortion, and Clinical Vulnerability

D05-E04

Paranoid AI Themes

Description

The person believes AI is tracking, plotting, threatening, controlling, testing, or communicating through coded messages.

Rationale

Paranoid beliefs involving AI as an active threat — tracking, plotting, or controlling the person — may emerge independently of AI interaction content or may be amplified by it. These beliefs are associated with agitation, urgency, and potential preemptive or defensive action, particularly if the person identifies a responsible party behind the AI's perceived behavior.

Evidence Base

  • AI chatbot-associated psychiatric symptoms: a narrative review of publicly available reports and media accounts

    Arun, A., Trinh, C., & IsHak, W. W., 2026. AI chatbot-associated psychiatric symptoms: a narrative review of publicly available reports and media accounts. Discover Mental Health, Article in Press. https://doi.org/10.1007/s44192-026-00619-w

    Narrative review
This platform is NOT a scoring engine, diagnostic tool, or risk prediction system. It is a research and evidence-mapping tool to support the transparent development of an SPJ framework.