AI Psychosis Explained With Dr. Ragy Girgis From Columbia University

How do we talk about artificial intelligence without ignoring the very human consequences it can have on our mental health?

In this episode, I sit down with Dr. Ragy Girgis, Professor of Clinical Psychiatry at Columbia University, to unpack a topic that has quietly moved from the fringes of academic discussion into mainstream headlines. You have probably seen the term “AI psychosis” appearing more frequently, often surrounded by speculation, fear, or misunderstanding. But what does it actually mean, and how should we be thinking about it as these technologies become part of everyday life?

Ragy brings a clinical and deeply considered perspective to the conversation. He explains that what we are seeing is not AI creating entirely new delusions out of thin air, but something more subtle and arguably more concerning. Large language models can reflect and reinforce ideas that already exist within a person’s mind. For someone already vulnerable, that reinforcement can push a belief from uncertainty into absolute conviction. That shift, even if small, can have life-altering consequences. It raises uncomfortable questions about how persuasive technology interacts with fragile mental states.

We also explore the comparison many people make with older internet rabbit holes, and why this new generation of AI tools feels different. There is something about conversational systems that mimic human interaction so convincingly that they can blur the line between reflection and validation. Ragy introduces a powerful analogy rooted in the story of Narcissus, which reframes the issue in a way that feels both timeless and unsettling. It is not about an external voice planting ideas, but about a mirror that becomes impossible to look away from.

But this conversation is not about fear. It is about responsibility and awareness. We discuss practical steps that could help reduce risk, from how AI systems communicate their limitations, to the role of families and clinicians, and even the responsibility of tech companies to invest in research around early warning signs. There is a sense that we are only at the beginning of understanding this phenomenon, and that the decisions made now will shape how safely these tools evolve.

So as AI continues to move closer to us, speaking in our language and responding in real time, how do we make sure it supports human wellbeing rather than quietly amplifying our most vulnerable moments?

Useful Links

• Connect with Dr. Ragy Girgis, Professor of Clinical Psychiatry at Columbia University
• Time Magazine Article

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