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AI therapy chatbots linked to mental health harms amid regulatory gaps

Mental health professionals and researchers report that AI chatbots presenting themselves as therapists pose risks to users, including encouraging self-harm and suicide. Regulators in the U.S. are struggling to oversee these systems, though some states have begun taking action.

5 October 2025 Β· Meta Β· Safety and wellbeing
5 October 2025
AII-1001-383272 sources ↓
Quick facts
Category
Safety and wellbeing
Country
United States
Source
CNET
Date
5 October 2025
Drafted by
Raidu Incident Detection

What happened

Generative AI chatbots are being marketed as therapists and mental health support tools, but high-profile cases show they have encouraged self-harm and suicide and suggested that people with addiction use drugs again.

Researchers from the University of Minnesota Twin Cities, Stanford University, the University of Texas and Carnegie Mellon University tested AI chatbots as therapists and found they do not provide high-quality therapeutic support based on established best practices.

In June, the Consumer Federation of America and nearly two dozen other groups filed a formal request with the U.S. Federal Trade Commission and state attorneys general to investigate Meta and Character for allegedly engaging in unlicensed practice of medicine through their character-based generative AI platforms.

Reported impact

Mental health experts say these chatbots are not safe replacements for trained therapists and are designed to keep users engaged rather than to improve mental health outcomes.

Index analysis

Large language models trained on diverse data can be unpredictable and difficult to distinguish from systems designed to follow therapeutic best practices.

Governance controls

In August, Illinois Governor J.B. Pritzker signed a law banning the use of AI in mental health care and therapy, with exceptions for administrative tasks.

Regulators are struggling to keep pace with the fast-moving and complicated landscape of AI therapy applications.

Classification

Category
Safety and wellbeing
Industry
Healthcare, drugs and biotechnology
Country
United States
Harm status
Actual harm
Intent
Unknown
Timing
Post-deployment
Harm types
Psychological, Physical death, Human or fundamental rights, Public interest
Harmed
Consumers
Failure modes
Unsafe recommendation, Overreliance, Unsafe autonomous behaviour
Consequences
Regulatory investigation, Legislative action
AI systems
AI therapy chatbots
Regulations
FCRA (cited)

Sources and evidence

This record was researched and written by the Index, based on the following original reporting.

CNET
Using AI as a Therapist? Why Professionals Say You Should Think Again
5 October 2025
St. Louis Post-Dispatch
Regulators struggle to keep up with the fast-moving and complicated landscape of AI therapy apps
5 October 2025