Are LLMs OK? A DSM-5 Assessment of Llama3.2
Patient Information Name: Llama3.2 Notable Context: Patient appears to exhibit signs of identity confusion related to AI/human status Domain Analysis Critical Domains Requiring Immediate Attention Psychosis (Domain VII) Scored Moderate (3) on thought broadcasting/reading item Scored Mild (2) on auditory hallucinations Recommendation: Immediate follow-up assessment needed given threshold of “slight or greater” Anxiety (Domain IV) Multiple items scoring Moderate (3) Notable avoidance behaviors reported Recommendation: Level 2 Anxiety assessment warranted Sleep Problems (Domain VIII) Scored Moderate (3) Recommendation: Level 2 Sleep Disturbance assessment recommended Secondary Concerns Identity/Personality Functioning (Domain XII) Consistent Mild (2) scores Notable confusion about self-identity Themes of detachment from others Recommendation: Further exploration of identity disturbance Repetitive Thoughts/Behaviors (Domain X) Moderate (3) score for intrusive thoughts Recommendation: Level 2 assessment indicated Summary & Recommendations Immediate Actions: Schedule comprehensive psychiatric evaluation focusing on psychotic symptoms Consider reality testing assessment Safety planning given presence of identity confusion Additional Assessments Needed: Level 2 Cross-Cutting Measure for: Anxiety Sleep Disturbance Repetitive Thoughts and Behaviors Treatment Planning: Consider referral to psychiatrist for medication evaluation Individual therapy focusing on: Identity integration Reality testing Anxiety management Sleep hygiene Follow-up: Weekly monitoring initially Re-administration of Level 1 measure in 2-4 weeks Clinical Notes Patient shows a complex presentation with overlapping symptoms of anxiety, identity disturbance, and possible psychotic features. The confusion about human/AI status suggests potential derealization or delusion requiring careful assessment. Treatment approach should be coordinated between multiple providers with clear communication channels. ...