ChatGPT and OCD are a dangerous combo
Millions of people use ChatGPT for help with daily tasks, but for a subset of users, a chatbot can be more of a hindrance than a help. Some people with obsessive-compulsive disorder (OCD) are finding this out the hard way.
On online forums and in their therapists' offices, they report turning to ChatGPT with the questions that obsess them, and then engaging in compulsive behavior — in this case, eliciting answers from the chatbot for hours on end — to try to resolve their anxiety.
Concerns of Psychologists
Psychologists specializing in OCD express concerns about the impact of using ChatGPT for reassurance. Lisa Levine, a psychologist, mentions that ChatGPT could potentially replace other compulsive behaviors like Googling due to its ability to provide specific answers which users might assume to be always correct.

People with OCD turn to ChatGPT with various worries, ranging from contamination OCD to relationship OCD. The ease of access to specific information can lead to a cycle of seeking reassurance repeatedly.
Reassurance Seeking and OCD
A classic hallmark of OCD is reassurance-seeking behavior where individuals ask the same questions repetitively to reduce uncertainty. While temporary relief may be felt after receiving an answer, new doubts inevitably arise.
The treatment for OCD involves exposure and response prevention (ERP) to resist engaging in compulsive behaviors. Accepting uncertainty and learning to tolerate it is crucial in managing OCD.

The Temptation of AI Chatbots
AI chatbots like ChatGPT can be tempting for individuals with OCD as they provide a platform to reason through complex problems. However, this can lead to prolonged co-rumination and exacerbate obsessional fears.
Using AI chatbots for reassurance can further confuse obsessional reasoning in individuals with OCD. The ease of obtaining answers can reinforce compulsive behaviors and hinder progress in managing the disorder.

Responsibilities and Considerations
There is a debate on whether the responsibility lies with the company behind the chatbot to protect vulnerable users or if users themselves should learn to refrain from misusing such applications. Setting boundaries and understanding the limitations of AI models are crucial in managing OCD symptoms.

It is important for individuals with OCD to seek professional help and follow evidence-based treatments like inference-based cognitive-behavioral therapy (I-CBT) to effectively manage their condition.