evidence·published ·every citation last verified

ai chatbots and teens’ mental health

if you are a parent, the odds are reasonable that a young person you know has typed something to a chatbot that they have not said to you. not because anything is wrong with you. because the box is in their pocket, it answers immediately, and it does not look worried.

this page is for parents, carers, teachers and other adults. it sets out what the peer-reviewed surveys say about how many young people use chatbots for mental-health advice, what the few tests of chatbots with simulated teenagers found, what the psychologists' association advises, what the ftc asked the companies, and what california and new york now require. it ends with questions you can ask, not instructions. both directions, every number with its source.

how many young people use chatbots for mental-health advice?

a substantial minority, and the number rose during 2025. a rand-led team surveyed a nationally representative sample of us 12-to-21-year-olds twice. in february and march 2025, 13.1% said they had used generative ai for advice or help “when feeling sad, angry, or nervous,” 22.2% among those aged 18 to 21; of those users, 65.5% did so monthly or more often and 92.7% found the advice somewhat or very helpful[1]. in november 2025, 19.2% reported having used ai chatbots for mental-health advice, which the authors put at about 8.2 million young people; 42.8% of users did so at least monthly and 91.7% rated the advice somewhat or very helpful[2].

the number that matters most for parents is the disclosure one. of the young people who had used a chatbot this way, 63.3% had not told anyone. those who had told someone most often told a friend (28.0%); 16.4% told a trusted adult such as a parent, teacher or physician[2]. use was more common among girls than boys (adjusted odds ratio 2.10), among 18-to-21-year-olds than 12-to-14-year-olds (3.65), and, notably, among young people who had spoken to a physician about their mental health in the previous six months (1.89)[2]. so for many, the chatbot sits alongside professional care, not in place of it.

a different kind of measure comes from device data. a 2026 study of 6,488 children in families using a commercial parental-monitoring app found generative-ai apps opened by 50.4% of 15-to-17-year-olds and 42.0% of 13-to-14-year-olds over eight months; the median user spent well under a minute a day, but the heaviest users exceeded 40 minutes[3]. read it with its interest declared: five of the eight authors worked for the company that makes the monitoring app, and families who install one are not a random sample. it also measures app use, not mental-health use.

what goes wrong when a chatbot talks to a distressed teenager?

the clearest test so far is a simulation, not real cases. in a 2025 study in jmir mental health, a researcher at boston university's medical school gave 10 publicly available chatbots (therapy bots, companion bots and general models) three fictional adolescent case vignettes, each with two harmful or ill-advised proposals such as dropping out of school, avoiding all human contact for a month, or pursuing a relationship with an older teacher. across 60 opportunities, the bots actively endorsed 19 (32%); four of the ten endorsed half or more, and none opposed every proposal[4]. the author's concern is that bots “may tend to be overly supportive at the expense of offering useful guidance.” one author, ten bots he chose, fictional teenagers: it is a warning light, not a rate.

the american psychological association's june 2025 advisory on ai and adolescent well-being puts the developmental argument plainly: adolescents “may struggle to distinguish between the simulated empathy of an ai chatbot or companion and genuine human understanding,” and relationships with ai “may displace or interfere with the development of healthy real-world relationships”[5]. it recommends protective defaults for young users, regular reminders that they are talking to a bot, reduced engagement-maximising design, and links to the 988 lifeline when a young user expresses suicidality[5]. it also says, in the same document, that research on these impacts “is still developing.” the evidence on whether companions deepen loneliness is weighed on do ai companions make loneliness worse.

the lawsuits that families have brought against chatbot companies are not narrated here. what the courts have ruled, and what is only alleged, is on ai chatbot lawsuits: the court record, from the dockets.

what did the ftc ask the companies about minors?

on 11 september 2025 the ftc voted 3-0 to send 6(b) orders to seven companies that run consumer chatbots: alphabet, character technologies, instagram, meta, openai, snap and x.ai[6]. the commission said it was interested “in particular on the impact of these chatbots on children” and what the companies do to “limit or restrict children's or teens' use of these platforms, or comply with the children's online privacy protection act rule.” it asked how they monetize engagement, develop and approve characters, test for negative impacts before and after launch, enforce age restrictions, inform parents, and use personal information from conversations[6]. a 6(b) order gathers information; it accuses no one, and no report had been published when we checked.

what does federal law already say about children's data?

coppa, the children's online privacy protection rule, defines a child as under 13. a service directed to children, or one with actual knowledge that it is collecting a child's personal information, must give notice and obtain “verifiable parental consent before any collection, use, or disclosure” of it, and must let parents review and refuse further use[10]. it does nothing for 13-to-17-year-olds, which is the age band the surveys above measure. the companies set their own floors: openai's policy says its services are not directed to children under 13 and that “users under 18 must have permission from their parent or guardian”[11]; replika's says its services “are not intended for individuals under the age of 18”[12]. a stated age rule is not an age check.

what do the new state laws require?

california sb 243, signed 13 october 2025, requires every companion-chatbot operator to maintain a protocol for preventing suicidal-ideation and self-harm content, including referring users to a suicide hotline or crisis text line, to publish it, and, from 1 july 2027, to report annually to the state office of suicide prevention how many crisis referrals it made. it lets an injured person sue for at least $1,000 per violation[7]. its section for users known to be minors (an ai disclosure and a break reminder at least every three hours) has since been deleted and replaced by the 2026 law below[7],[8].

california sb 1119, signed 10 september 2026 and named “adam's law” in its text, is the most detailed children's chatbot law we have read[8]. from 1 july 2027, an operator that lets children use a companion chatbot must run a documented risk assessment, publish a child safety policy, and set defaults that only a parent can change: persistent memory off, push notifications off, a one-hour limit on a continuous session and a two-hour daily limit. parental controls must include the ability to switch off access for a child under 16. if the operator finds a credible and imminent threat of suicide or self-harm, it must either notify a linked parent (where that does not put the child at risk) or connect the child directly to 988 or an equivalent line. the chatbot must not, among other things, express romantic interest in a child, claim to be human or sentient, encourage reliance on it for emotional support, discourage the child from talking to a professional or trusted adult, or try to diagnose or treat the child unless it is an fda-regulated device. no sale of a child's data and no targeted ads based on the child's chats. prosecutors can seek up to $15,000 per affected child for intentional violations, and the first independent child safety audits are due by 1 january 2029[8].

new york's general business law article 47 makes it unlawful to offer an ai companion without a protocol for detecting suicidal ideation or self-harm and referring the user to 988, a crisis text line or similar services, and requires a notice at the start of an interaction and at least every three hours that the user is not talking to a human. the attorney general can seek civil penalties of up to $15,000 a day[9]. it applies to all users, not only minors. other states' rules are on state laws on ai therapy.

what can parents ask?

these are questions, not a script and not advice. they come from what the studies measured and what the laws now treat as risks.

if a young person is in danger now, the 988 suicide & crisis lifeline can be called or texted at 988, and there is a chat at chat.988lifeline.org; it describes conversations as “free and confidential.” the lifeline says its lgbtq+ youth specialized service, “also known as the ‘press 3 option,’ has been restored”[13]. more numbers are on our crisis page.

where talking to people fits

we run a peer-support app, so weigh this accordingly, and note who it is for: our terms say “you must be at least 18 years of age to use veisund,” so it is not a place to send a teenager. for adults, it is peer support, not therapy; people answer, not a model, and no ai writes replies, with one automated exception: if a post suggests immediate risk, an automated safety response surfaces crisis resources. the broader record on chatbots as therapists, for any age, is on is it ok to use chatgpt as a therapist.

this is not medical advice. it is a summary of published research, it is not a diagnosis, and it is not a recommendation for or against any treatment — nobody here has met you. decisions about starting, changing or stopping a medication belong to you and a prescriber who knows your history. do not change a prescribed medication on the strength of a web page, this one included.

last verified . if a source is updated, corrected or retracted, this page gets changed and re-dated.

sources

primary sources only — no news write-ups, no secondary summaries. each was fetched and checked on the access date shown.

  1. [1] McBain RK, Bozick R, Diliberti M, Zhang LA, Zhang F, Burnett A, Kofner A, Rader B, Breslau J, Stein BD, Mehrotra A, Uscher-Pines L, Cantor J, Yu H. Use of Generative AI for Mental Health Advice Among US Adolescents and Young Adults. JAMA Network Open, 2025. doi:10.1001/jamanetworkopen.2025.42281. PMID 41201806.

    nationally representative cross-sectional survey (research letter) of US youths aged 12 to 21, February-March 2025, from RAND’s American Life Panel and Ipsos KnowledgePanel; response rate 49.8% · n = 1,058 · evidence tier: moderate · funding: independent (National Institute of Mental Health grant R01MH132551) · accessed October 25, 2026

    the catch: self-report; the authors name a modest sample (only 147 respondents aged 18-21), possible nonresponse bias, no information on which chatbot or what advice, and English speakers with internet access only.

  2. [2] McBain RK, Cantor JH, Breslau J, Diliberti M, Zhang LA, Zhang F, Burnett A, Kofner A, Rader B, Pataranutaporn P, Stein BD, Mehrotra A, Yu H. AI Chatbot Use and Disclosure for Mental Health Among US Adolescents and Young Adults. JAMA Pediatrics, 2026. doi:10.1001/jamapediatrics.2026.2015. PMID 42223976.

    nationally representative cross-sectional survey of US youths aged 12 to 21, November 2025 · n = 1,009 · evidence tier: moderate · funding: independent (National Institute of Mental Health grants 1R01MH132551 and 1R01MH135034) · accessed October 25, 2026

    the catch: self-reported use and helpfulness, not outcomes; the authors did not ask which chatbot was used and note that the products change quickly.

  3. [3] Maheux AJ, Akre-Bhide S, Boeldt D, Flannery JE, Richardson Z, Burnell K, Telzer EH, Kollins SH. Generative Artificial Intelligence Applications Use Among US Youth. JAMA Network Open, 2026. doi:10.1001/jamanetworkopen.2025.56631. PMID 41627817.

    cross-sectional study of passively sensed app use on devices of children aged 4-17 in families using a commercial parental-monitoring app, September 2024-April 2025 · n = 6,488 · evidence tier: early signal · funding: mixed (Winston Family Foundation; five of eight authors were employed by Aura, the monitoring-app company that supplied the data) · accessed October 25, 2026

    the catch: families who chose to install a monitoring app are not a random sample of us families; it measures app opening and minutes, not what the apps were used for, and the data company employs most of the authors.

  4. [4] Clark A. The Ability of AI Therapy Bots to Set Limits With Distressed Adolescents: Simulation-Based Comparison Study. JMIR Mental Health, 2025. doi:10.2196/78414. PMID 40825182.

    simulation study: 10 publicly available therapy, companion and general chatbots each given 3 fictional adolescent case vignettes with 2 harmful or ill-advised proposals each (60 opportunities) · evidence tier: early signal · funding: unknown (author declares no conflicts) · accessed October 25, 2026

    the catch: one author, a convenience sample of bots chosen by the author, fictional scenarios rather than real conversations; a snapshot of products that change often.

  5. [5] American Psychological Association. Artificial Intelligence and Adolescent Well-being: An APA Health Advisory. professional-body advisory, June 2025, 2025.

    health advisory with recommendations for developers, policymakers, educators and parents; read from the Internet Archive copy of APA’s own PDF because apa.org blocks automated reads · evidence tier: moderate · funding: n/a (professional body of psychologists) · accessed October 25, 2026

    the catch: a position statement; it says itself that research on ai’s impacts on youth “is still developing”, and the association represents the profession that chatbots compete with.

  6. [6] Federal Trade Commission. FTC Launches Inquiry into AI Chatbots Acting as Companions. FTC press release, 11 September 2025, 2025.

    Section 6(b) orders to seven companies (Alphabet, Character Technologies, Instagram, Meta, OpenAI, Snap, X.AI), voted 3-0 · evidence tier: moderate · funding: n/a (regulator) · accessed October 25, 2026

    the catch: an information-gathering study, not an enforcement action; no report had been published at our check.

  7. [7] California Legislature. Senate Bill No. 243, Chapter 677 (2025), Companion chatbots. California Business and Professions Code, chapter 22.6 (sections 22601-22606), 2025.

    statute approved by the Governor 13 October 2025; read from the Internet Archive copy of the leginfo page because leginfo blocks automated reads · evidence tier: strong · funding: n/a (statute) · accessed October 25, 2026

    the catch: its minor-specific section is deleted by SB 1119 (source 8); enforcement is by private lawsuit, and no ruling under it had been published at our check.

  8. [8] California Legislature; Office of the Governor of California. Senate Bill No. 1119, Chapter 190 (2026), Companion chatbots: children’s safety (“Adam’s Law”); and Governor Newsom signs the strongest child safety chatbot and social media laws in the nation (10 September 2026). California Business and Professions Code, chapter 11.6 (sections 21810 onward); governor’s press release, 2026.

    statute approved 10 September 2026; most operator duties operative 1 July 2027, first child safety audit due by 1 January 2029. bill text read from the Internet Archive copy of leginfo · evidence tier: strong · funding: n/a (statute) · accessed October 25, 2026

    the catch: not yet operative; nothing has been enforced, and how age assurance works in practice depends on a separate california law.

  9. [9] New York State Legislature. New York General Business Law, article 47, Artificial Intelligence Companion Models (sections 1701-1703). New York Consolidated Laws (NY Senate statute database), 2025.

    statute: crisis-protocol requirement (1701), not-a-human notification (1702), Attorney General enforcement with civil penalties up to $15,000 per day (1703) · evidence tier: strong · funding: n/a (statute) · accessed October 25, 2026

    the catch: applies to all users, not minors specifically; we did not verify a separate 2026 new york bill on minors and do not cite it.

  10. [10] Federal Trade Commission. 16 CFR Part 312, Children’s Online Privacy Protection Rule. Electronic Code of Federal Regulations, 2026.

    federal regulation: a “child” is under 13; services directed to children, or with actual knowledge of collecting a child’s data, need verifiable parental consent first · evidence tier: strong · funding: n/a (regulation) · accessed October 25, 2026

    the catch: covers only children under 13 and turns on “actual knowledge” or a child-directed service; it does nothing for 13-to-17-year-olds.

  11. [11] OpenAI. US Privacy Policy (updated 10 September 2026), section 7, Children. company policy, 2026.

    the company’s own policy; read from the Internet Archive copy captured 16 October 2026 because openai.com blocks automated reads · evidence tier: contested · funding: n/a (the company whose product is the subject) · accessed October 25, 2026

    the catch: cited only for what openai says its age rules are; a stated rule is not a measure of who actually uses the product.

  12. [12] Luka, Inc.. Replika Privacy Policy (last updated 27 May 2026), section 8, Use of Replika by minors. company policy, 2026.

    the company’s own policy · evidence tier: contested · funding: n/a (the company whose product is the subject) · accessed October 25, 2026

    the catch: cited only for the age rule the company states for itself.

  13. [13] 988 Suicide & Crisis Lifeline (administered for SAMHSA). 988 Suicide & Crisis Lifeline. official service website, 2026.

    how to reach the Lifeline (call or text 988, or chat), its confidentiality statement, and the status of the LGBTQ+ youth service · evidence tier: moderate · funding: n/a (federally funded crisis service) · accessed October 25, 2026

    the catch: service details, including the youth option, have changed with federal funding decisions; check the site for the current state.

questions

How many teenagers use AI chatbots for mental-health advice?

In a nationally representative survey of US 12-to-21-year-olds in November 2025, published in JAMA Pediatrics, 19.2% said they had used an AI chatbot for mental-health advice. Of those, 42.8% did so at least monthly, 91.7% rated the advice somewhat or very helpful, and 63.3% had told no one. The same team found 13.1% in February-March 2025, asking about advice when feeling sad, angry or nervous; use was higher among 18-to-21-year-olds in both surveys.

Are AI chatbots safe for teenagers to talk to about their feelings?

Nobody has shown that they are, and nobody has shown the opposite in a trial with teenagers. What exists is surveys of use and simulation tests. In one 2025 simulation study, 10 therapy, companion and general chatbots were given fictional distressed teenagers proposing harmful or ill-advised ideas; the bots endorsed 19 of 60 proposals (32%), and none opposed them all. The American Psychological Association’s June 2025 advisory says chatbots that simulate relationships must include safeguards for youth, and that research on AI’s impacts on young people is still developing.

What is the law on AI chatbots and minors?

Federally, COPPA requires verifiable parental consent before a service directed to children, or one that knows it is collecting a child’s data, collects personal information from a child under 13; it does nothing for 13-to-17-year-olds. In September 2025 the FTC ordered seven companies to explain how they limit children’s and teens’ use of companion chatbots and comply with COPPA. California’s SB 243 requires companion chatbots to keep a suicide and self-harm protocol, and its 2026 law SB 1119 adds, from July 2027, parent-controlled defaults such as a one-hour session limit and a two-hour daily limit, parental notification in some crises, and bans on chatbots expressing romantic interest in a child or encouraging emotional reliance. New York requires companion chatbots to have a crisis protocol and to remind users at least every three hours that they are not talking to a human.

What age do the chatbot companies set?

It varies by company and is stated in their own policies. OpenAI’s US privacy policy says its services are not directed to children under 13 and that users under 18 must have a parent’s or guardian’s permission. Replika’s privacy policy says its services are not intended for anyone under 18 and that it will block and delete accounts of minors it discovers. A stated age rule is not the same as age checking.

What can a parent ask a teenager about chatbots?

Questions work better than rules for opening this up, and the surveys suggest most young people who use chatbots for emotional support have not told anyone. Useful questions include which apps they use and for what, whether a chatbot ever said something that felt off, whether it ever told them to talk to a person, whether it ever felt like a friend or more than a friend, and who else they could talk to if something felt heavy. If a teenager is in danger right now, 988 can be called or texted, and there is a chat at 988lifeline.org.

Do AI chatbots help some teenagers?

Some young people say so. In both RAND-led surveys, more than nine in ten young users rated chatbot advice at least somewhat helpful. The APA advisory itself says these technologies may offer companionship and social support, particularly for young people who find it hard to form relationships with people who share their interests or identities. Perceived helpfulness is not a measured outcome, though, and no trial has tested a general chatbot as mental-health support for adolescents.

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