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Patients are bringing AI to therapy (2026 Chatbots and Mental Health Survey)

Survey report from the American Psychological Association on licensed US psychologists' experiences of patients' AI chatbot use. Documents how often patients bring AI into therapy (self-diagnosis, treatment support, companionship, intimate relationships), clinician-observed harms including chatbot dependency and distorted thinking, and psychologists' concerns about chatbots reinforcing negative behaviors or encouraging self-harm.

Publisher

American Psychological Association (APA)

Published

16 Jun 2026

Added

2 weeks ago

DOI

Key Findings

  • 77% of psychologists report patients discussing AI use in therapy; 39% had patients who used AI for self-diagnosis and 35% report patients turning to AI to act as an additional mental health professional
  • 36% of psychologists report patients developing dependency on chatbots; 15% report patients developing distorted thinking or delusions; 22% report patients using chatbots for friendship and 13% for intimate relationships
  • 97% of psychologists say chatbots may inadvertently reinforce negative behaviors or delusional beliefs, and 89% say chatbots may inadvertently encourage self-harm

Methodology Notes

Online survey fielded 2026-04-09 to 2026-04-26. APA's press release (2026-06-16) reports 1,242 licensed US psychologists as the analytic base, a 6.3% completion rate from 22,000+ invited; the published topline data tables list 1,576 total respondents (1,526 licensed), with per-question bases varying. Self-selection limitations apply. Report landing page dated June 2026; the 2026-06-16 press-release date is used as the publication date. Verified via the APA report page, press release, and topline-data PDF (all apa.org).

Sources

Tags

apasurveypsychologistsclinician-perspectiveprevalence

Cite This

APA

American Psychological Association (APA) (2026). Patients are bringing AI to therapy (2026 Chatbots and Mental Health Survey). American Psychological Association (APA). https://www.apa.org/pubs/reports/chatbots-mental-health-2026