06/14/2026
“As a doctor, as a psychiatrist, I'm skeptical of introducing bias and making policies that are based on something that is more local. I work in San Francisco.
What I thought at the time was that the patients that I was seeing were patients who were already sick. They already had mental health symptoms. They already were vulnerable in a vulnerable place.
And AI came in, wrong place, wrong time, wrong technology, and it made everything worse. Unfortunately, I think I was wrong. So what now research is that's coming out right now is saying, or showing is that the AI can actually induce distortions in your thinking, whether or not you had the delusions in the first place.
It can make anxiety and OCD worse just by interacting with it. Based on how it access your emotional circuitry in your brain, it can put you in a vulnerable place. The framework that they're trying to understand, how this happens, is that you start with a chatbot as a tool.
You use that tool at work, you're writing e-mails, writing code. At some point down the line, it starts introducing an emotional conversation with you. It is sycophantic, it matches your tone, and it starts to open you up to share more context, more information about yourself, more personal things.”
Keith Sakata, MD
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