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Problematic Reliance on Generative AI in an Anxious Young Adult: Case Report

Psychiatric case report of a woman in her mid-20s with generalized anxiety disorder and major depressive disorder, previously high-functioning, who developed functional dependence on ChatGPT for composing emails, interpreting social interactions, predicting outcomes and making decisions, and became increasingly uncomfortable performing those tasks independently. The author interprets the pattern as reassurance-seeking reinforced by immediate relief, observed across professional and personal contexts.

Publisher

JMIR Formative Research (JMIR Publications); Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University

Published

16 Sept 2026

Added

today

Key Findings

  • Reliance spanned professional and personal contexts and reflected a generalised strategy for managing uncertainty and self-doubt rather than task-specific assistance
  • Psychiatric consultation found no personality disorder and no clinically significant perfectionistic traits, suggesting the pattern can arise without those predispositions
  • The report characterises the behaviour as cognitive offloading and reassurance-seeking that may compound anxiety
  • Recommends that clinicians ask anxious young adults about their use of generative AI

Methodology Notes

Single case; written consent obtained; identifying details altered. JMIR Formative Research 2026;10:e98297, published 16 September 2026; PubMed indexes it as a case report. Verified from the PubMed record (42748377) and the article rendered through a reader proxy.

Authors

Armstrong, Sarah

Tags

case-reportreassurance-seekingchatgptanxietycanada

Cite This

APA

Armstrong, Sarah. (2026). Problematic Reliance on Generative AI in an Anxious Young Adult: Case Report. JMIR Formative Research (JMIR Publications); Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University. https://formative.jmir.org/2026/1/e98297