Health Law Advisor

In the wake of a lawsuit filed in federal district court in California in August—alleging that an artificial intelligence (AI) chatbot encouraged a 16-year-old boy to commit suicide—a similar suit filed in September is now claiming that an AI chatbot is responsible for death of a 13-year-old girl.

It’s the latest development illustrating a growing tension between AI’s promise to improve access to mental health support and the alleged perils of unhealthy reliance on AI chatbots by vulnerable individuals. This tension is evident in recent reports that some users, particularly minors, are becoming addicted to AI chatbots, causing them to sever ties with supportive adults, lose touch with reality and, in the worst cases, engage in self-harm or harm to others.

While not yet reflected in diagnostic manuals, experts are recognizing the phenomenon of “AI psychosis”—distorted thoughts or delusional beliefs triggered by interactions with AI chatbots. According to Psychology Today, the term describes cases in which AI models have amplified, validated, or even co-created psychotic symptoms with individuals. Evidence indicates that AI psychosis can develop in people with or without a preexisting mental health issue, although the former is more common.

Since day one, a policy priority of the Administration has been to discourage and prevent gender-affirming care for children and adolescents that involves surgery or medication. Recent actions show a concerted effort across multiple federal agencies to achieve this goal.

Among the earliest actions by the Administration were two Executive Orders directed at transgender health care: EO 14168, “Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government,” and EO 14187, “Protecting Children From Chemical and Surgical Mutilation.” These Executive Orders immediately were challenged in federal courts. Ultimately, permanent injunctions were entered in the Western District of Washington and the District of Maryland against portions of the Executive Orders. Those injunctions are on appeal in the Ninth and Fourth Circuits.

Nevertheless, the Administration has continued to pursue its policy objectives through a mix of agency actions and communications, often disclaiming reliance on the Executive Orders and referring to other legal sources as the basis for a variety of agency actions.