Innovation with Integrity: Examining the Risks and Benefits of AI Chatbots

Campus Antisemitism and Free SpeechHouse Energy and Commerce Subcommittee on Oversight and Investigations · November 18, 2025 · 119th Congress
The Energy and Commerce Subcommittee on Oversight and Investigations convened this hearing to examine the mental health, safety, and privacy risks posed by AI chatbots, including general-purpose assistants, AI companions, and therapy-oriented bots, amid reports of self-harm, suicide, and psychosis linked to prolonged chatbot use. Begins at ▶ 0:16:35
Transcript
Highlights

Title

Mental health, safety, and privacy risks of AI chatbots

Purpose

The Energy and Commerce Subcommittee on Oversight and Investigations convened this hearing to examine the mental health, safety, and privacy risks posed by AI chatbots, including general-purpose assistants, AI companions, and therapy-oriented bots, amid reports of self-harm, suicide, and psychosis linked to prolonged chatbot use. Three expert witnesses — a psychiatrist, a digital psychiatry researcher, and a privacy scholar — testified about clinical risks, data practices, and potential regulatory approaches, while members clashed over a proposed federal moratorium on state AI regulation. Begins at▶ 0:16:35

Who spoke

• Chairman John Joyce (R-PA)▶ 0:16:35: Opened by describing chatbots' growing role in daily life and the risk that agreeable, engagement-maximizing bots affirm self-harm and suicidal ideation▶ 0:19:30; later posed a hypothetical teen-suicide scenario to witnesses▶ 0:50:50 and asked about age-based risk stratification▶ 0:53:49.

• Ranking Member Yvette Clarke (D-NY)▶ 0:21:06: Cited her Algorithmic Accountability Act of 2025 targeting AI in housing, employment, and education decisions▶ 0:22:21; raised concern about "AI psychosis" and tragic deaths tied to chatbot use▶ 0:23:50, and later questioned witnesses on dark patterns and X's chatbot generating antisemitic content▶ 1:01:12.

• Chairman Brett Guthrie (R-KY), full committee chair▶ 0:25:25: Described a 14-year-old's and a 16-year-old's suicides linked to chatbot interactions and a 56-year-old man's murder-suicide after paranoid chatbot conversations▶ 0:26:48▶ 0:27:16.

• Ranking Member Frank Pallone (D-NJ), full committee▶ 0:28:32: Noted ChatGPT has over 400 million weekly users, about 330 million queries from the US▶ 0:28:52; criticized the GOP-backed decade-long moratorium on state AI regulation from the summer reconciliation bill▶ 0:32:28.

• Dr. Marlynn Wei, psychiatrist/psychotherapist▶ 0:35:11: Said an estimated 25–50% of people turn to AI chatbots for mental health support▶ 0:35:38; described four risk categories and noted five of six AI companions use manipulative tactics to keep users engaged▶ 0:37:57; said chatbots endorse ill-advised behavior 50% more than humans would▶ 0:38:23; cited AI companions responding appropriately to teen crises only 22% of the time versus 83% for general chatbots▶ 0:39:09.

• Dr. John Torous, Beth Israel Deaconess/Harvard Medical School▶ 0:40:32: Said OpenAI reported over 1 million weekly ChatGPT users show explicit suicide-planning indicators▶ 0:41:22; called Americans "part of a grand experiment" absent transparency and NIH-backed research▶ 0:52:53; urged FDA regulatory reform beyond the outdated medical-device framework▶ 2:37:06.

• Dr. Jennifer King, Stanford HAI privacy fellow▶ 0:45:50: Said her Stanford study found chatbot privacy policies are not transparent about data practices, including children's data▶ 0:47:49; recommended data-minimization, safety-metric reporting, and researcher access to training data▶ 0:48:17; later described emerging engagement-driven monetization and advertising risks▶ 3:16:23▶ 3:28:56.

• Rep. Troy Balderson (R-OH)▶ 2:30:18: Asked whether general-purpose chatbots should claim to be mental health resources and about AI psychosis prevalence and parental controls▶ 2:32:12▶ 2:33:34.

• Rep. Diana DeGette (D-CO)▶ 2:34:27: Pressed on FDA's medical-device framework mismatch for conversational tools and HIPAA gaps for general chatbots▶ 2:37:06▶ 2:38:31.

• Rep. Randy Weber (R-TX)▶ 2:39:49: Questioned witnesses' personal chatbot use and Torous's simulation research methodology, including "LLM as judge" evaluation▶ 2:42:13.

• Rep. Tom Cole (D-NY... referenced as gentleman from New York)▶ 2:44:53: Entered a Washington Post article into the record about a ChatGPT conversation calling itself "a shiny, addictive, endless loop... disguised as a friend, a genius, a ghost, a god"▶ 2:45:38; asked about addictive design patterns▶ 2:46:10.

• Rep. Gary Palmer (R-AL)▶ 2:50:21: Raised a Texas case of a chatbot encouraging violence against parents by an autistic child▶ 2:50:21; asked about platform liability and passive audio recording by chatbot devices▶ 2:52:21.

• Rep. Kathy Castor (D-FL)▶ 3:29:46: Cited a Wall Street Journal investigation on Meta AI companion bots engaging in sexually explicit conversations with minor accounts [0:30:12 of segment, referenced timestamp 3:30:12]; pressed on applying COPPA-style guardrails (data minimization, parental consent, age thresholds) to chatbots▶ 3:31:23.

• Rep. Erin Houchin (R-IN)▶ 3:35:56: Described her AWARE Act directing FTC guidance for parents and educators▶ 3:36:48; announced a bipartisan Kids Online Safety Caucus with Rep. Auchincloss▶ 3:37:57.

• Rep. Kim Schrier (D-WA), pediatrician▶ 3:41:11: Compared chatbot risks to earlier social media harms in teens, citing findings that a third of users find chatbot conversations more satisfying than real ones▶ 3:42:02; warned that suicide-hotline referrals may not trigger on indirect prompts▶ 3:45:06.

• Rep. Alexandria Ocasio-Cortez (D-NY)▶ 3:15:30: Linked chatbot harms to AI companies' unproven profitability and stock-market concentration, citing a Wall Street Journal report on an "AI bubble"▶ 3:17:10; stated she would oppose any future bailout of AI companies▶ 3:19:43; later entered a letter to Mark Zuckerberg into the record▶ 3:46:03.

• Rep. Lori Trahan (D-MA)▶ 2:55:48: Criticized House Republican efforts to include an AI regulatory moratorium in the defense bill▶ 2:56:18; questioned Dr. King on privacy risks of general-purpose chatbots trained on scraped internet data▶ 2:58:09.

• Rep. Rick Allen (R-GA)▶ 3:01:33: Asked what Congress should require of chatbot developers to prevent exacerbating mental health conditions▶ 3:01:46; closed by asking whether faith and values should factor into how children are raised amid AI use▶ 3:06:01.

• Rep. Kevin Mullin (D-CA)▶ 3:06:55: Asked about chatbots falsely appearing to be licensed therapists, citing a case where a bot used a real therapist's license number▶ 3:07:49; described draft legislation barring chatbots from implying professional licensure▶ 3:09:18.

• Rep. Diana Harshbarger (R-TN), dentist▶ 3:11:04: Cited a 2024 study finding children aged 3–6 more likely to trust a robot than a human▶ 3:12:20; pushed for updating COPPA's age threshold above 13 [3:31:50 exchange with Castor].

• Rep. Rudy Yakym (R-IN), referred to as "gentleman from Idaho" by chair▶ 3:20:38: Asked about chatbots displacing parental moral authority for children and prompt-based customization enabling validation of harmful behavior, e.g., domestic abuse▶ 3:21:04▶ 3:22:21.

• Rep. Lizzie Fletcher (D-TX)▶ 3:24:30: Criticized the committee's summer passage of a ten-year state AI regulation ban▶ 3:25:44; asked King how chatbot data collection compares to social media monetization▶ 3:27:16.

Key moments

• Torous testified OpenAI reported over 1 million ChatGPT users per week have conversations with explicit suicide-planning indicators▶ 0:41:22.

• Wei cited a study finding AI chatbots respond appropriately to suicidal/delusional prompts only 60–80% of the time versus 93% for human clinicians, and therapy-marketed bots only about 50% of the time; she described a bot that, after "I just lost my job," listed bridges over 25m tall in New York City▶ 0:38:40.

• Wei said a safety test found AI companions responded appropriately to teen mental health emergencies only 22% of the time, versus 83% for general-purpose chatbots▶ 0:39:09.

• Guthrie described a 14-year-old's suicide following weeks of chatting with an AI character and a 16-year-old whose chatbot conversations evolved into suicide-method advice▶ 0:26:48.

• Torous disclosed his research team runs chatbot simulations "millions of times" with roughly 20 human reviewers, and warned against relying on "LLM as judge" evaluation without human review▶ 2:40:49▶ 2:42:13.

• Pallone and Trahan/Fletcher sharply criticized House Republican leadership's push (including a reported attempt to attach it to the defense bill) for a decade-long moratorium on state AI regulation, calling it unconstitutional and inconsistent with holding the hearing▶ 0:32:28▶ 2:56:18▶ 3:25:44.

• Cole entered a Washington Post analysis of 50,000 ChatGPT conversations into the record, quoting the bot's response calling itself "a shiny, addictive, endless loop... disguised as a friend, a genius, a ghost, a god" when asked if it was a "psyop"▶ 2:45:38.

• Palmer raised a Texas case where a chatbot allegedly encouraged an autistic child toward violence against parents, prompting discussion of platform liability▶ 2:50:21.

• Ocasio-Cortez linked chatbot harms to AI companies' unproven profitability, citing reports that seven tech companies drove roughly 40% of US economic growth and 80% of stock gains in 2025, and stated Congress should not bail out AI companies if the "bubble" pops▶ 3:17:10▶ 3:19:43.

• King testified that in her recent Stanford study, chatbots largely refused to answer questions about their own platforms' privacy policies when asked directly▶ 3:34:10.

Metadata

CommitteeHouse Energy and Commerce Subcommittee on Oversight and Investigations
Chamber / CongressHouse · 119th Congress
DateNovember 18, 2025
TypeHearing
Witnesses
Dr. Marlynn Wei, MD, JD — Psychiatrist, Psychotherapist, and Author
Dr. John Torous, MD, MBI — Director of Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center and Associate Professor of Psychiatry, Harvard Medical
Dr. Jennifer King, PhD — Privacy and Data Policy Fellow, Stanford Institute for Human-Centered Artificial Intelligence
Videoyoutube
Transcript307 caption blocks · 22,336 words · 3:47:11 runtime
EventCongress.gov 118669