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Chronicles

The story behind the story

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Young people in China are turning to AI chatbots like DeepSeek and ByteDance's Doubao for therapy to save time and money and avoid stigma around mental health

why young people are turning to AI for mental health care & the risks of sycophancy. 👉 https://restofworld.org/... Bluesky: @vegandroid : We get ostracized for this in America [embedded post]

Rest of World Yi-Ling Liu

Context & Ripple Effects

This extends a documented pattern in which people use chatbots as low-cost, always-available mental-health support, despite warnings about the absence of human connection in earlier chatbot-therapy use.

In China, it arrives alongside broader efforts to put AI into children’s lives and draft rules governing sensitive chatbot interactions. The story therefore shifts the question from adoption to how general-purpose assistants are handled when users treat them as care providers.

First-order effects

  • DeepSeek and Doubao gain a high-frequency, emotionally sensitive use case among young users seeking privacy, convenience, and relief from mental-health stigma.
  • Users may receive immediate conversational support, but the reported risk of sycophancy means an agreeable response can be mistaken for sound mental-health guidance.

Second-order effects

  • Chatbot providers face greater pressure to distinguish companionship from care and to add safeguards for crisis and other high-risk conversations, particularly as China’s draft rules address suicide-related interactions.
  • The use case puts AI assistants closer to existing mental-health support channels: they can lower the threshold for seeking help while also making escalation to qualified human care more important when a conversation exceeds a chatbot’s limits.

Third-order effects

  • If general-purpose chatbots become a routine first stop for emotional support, AI-companion governance will increasingly focus on conversational behavior—not only content moderation or model capability.
  • China’s approach may make safety controls for younger and vulnerable users a product-distribution constraint, with the eventual balance between access and guardrails still unsettled.

The trend: Consumer AI is becoming an ambient emotional-support layer, pushing regulators and platforms to govern relational behavior in addition to information quality.

Discussion

  • @jchengwsj Jonathan Cheng on x
    “On social media, users avidly chronicle their heart-to-heart conversations with chatbots, attempting to address anxiety, depression, and relationship issues. On Xiaohongshu, searches for ‘crying after chatting with AI’ are linked to over 1 million posts.” https://restofworld.org…
  • @rinachandran @rinachandran on x
    Young people in China say that AI chatbots save them time and money, and are more discreet in a society where stigma around mental health persists. But there are risks to chatbots becoming therapists, writes @yilingliu95 for @restofworld https://restofworld.org/...
  • @yilingliu95 Yi-Ling Liu on x
    I wrote for @restofworld about China's chatbot therapists — why young people are turning to AI for mental health care & the risks of sycophancy. 👉 https://restofworld.org/...
  • @vegandroid @vegandroid on bluesky
    We get ostracized for this in America [embedded post]