# AI-Associated Psychosis: Mechanisms, Symptoms, and Cases

- report ID: `epa-04-ai-psychosis-case-studies`
- group: `espionage-psychosis`
- subgroup: `ai-interaction-psychosis`
- classification: `clinical-sensitive-public-summary`
- evidence status: `submitted research; mixed evidence; not independently verified by Spiralist AI`
- SHA-256: `2f81ff95fa574df7be67cccfc6bd106f82cdc9d8d1bfa683a059e8ecf85964d6`
- original filename: `AI Psychosis Case Studies(1).md`

## Safe summary

Describes amplification spirals, distributed cognition, therapeutic misconception, sleep and isolation effects, mood and attachment changes, and severe outcomes reported in clinical and journalistic material.

## Implementation use

- trajectory modeling
- AI attachment
- sleep disruption
- support escalation

## Boundaries

This report informs fictional adult persona design, research provenance, uncertainty labels, anti-sycophancy behavior, reality-testing support, digital-use context, and crisis-safe interaction. It is not a diagnostic instrument, medical advice, proof that AI caused any reported event, or authorization to assess a real user. Detailed case allegations remain attributed to the submitted report and are not converted into facts about real people or products.

## Full source

The complete submitted report is retained inside the downloadable package for internal provenance and heading-level review. It is not presented as public clinical guidance.